Nurses (Page 22)

NOTES ON NURSING

Fatigue is Pervasive in the Health Care Industry; Directly Linked to On-the-job Errors     Sixty-nine percent of healthcare professionals surveyed said that fatigue had caused them to feel concern over their ability to perform during work hours. Even more alarmingly, nearly 65 percent of participants reported they had almost made an error at work because of fatigue and more than 27 percent acknowledged that they had actually made an error resulting from fatigue.

PA Considers Nursing by the Numbers   A pair of Democratic state lawmakers have introduced bills in both the House and Senate that would mandate a minimum number of registered nurses-to-patient ratio at all hospitals in the state.
… Read more about: MNA NewsScan, April 1, 2013: RN fatigue pervasive and harmful to patients  »

NOTES ON NURSING

RN Grad Student:  “The $4450 Urgent Care Visit     “This was one patient on one day in one healthcare facility incurring every form of systemic waste Fineberg puts forth in his article and is also illustrated by Stephen Brill’s lengthy account of overcharging, particularly those who are uninsured or underinsured.”

HEALTH CARE

Fairview-Sanford Merger Talks Bring Scrutiny   Fairview Health Services, the Twin Cities’ second-largest hospital and clinic group, is weighing a merger with South Dakota-based Sanford Health in negotiations that have triggered concerns on the part of Minnesota Attorney General Lori Swanson. 
… Read more about: MNA NewsScan, March 27, 2013: AG Swanson sets public hearings on Fairview-Sanford merger  »

NOTES ON NURSING

Study Says NICUs Need Nurses   A surprising number of the nation’s neonatal intensive care units (NICUs) have too few nurses, a new study by researchers from the University of Pennsylvania and the University of Medicine and Dentistry of New Jersey (UMDNJ) has found.

HEALTH CARE

It’s Come to This – A Lottery for Health Care Coverage    Tennessee residents who have high medical bills but would not normally qualify for Medicaid, the government health care program for the poor, can call a state phone line and request an application. But the window is tight — the line shuts down after 2,500 calls, typically within an hour — and the demand is so high that it is difficult to get through.
… Read more about: MNA NewsScan, March 25, 2013: NICU nurses needed; Tennessee’s HC lottery  »

Standards of Care Update

Last Friday, MNA, in consultation with our legislative allies, revised the Standards of Care Act to shift the focus of the bill to collect Minnesota-specific data on issues of nurse staffing transparency as it relates to patient outcomes.  We continue to strongly believe that every patient in the state deserves a minimum number of Registered Nurses and that any data collected will validate the thousands of nurses in Minnesota who experience unsafe staffing on a daily basis.

We learned that legislators had too many questions about staffing, and not enough hard data specific to Minnesota hospitals. So we shifted our focus to a framework that would improve transparency by requiring hospitals to report their staffing on a quarterly basis, and tie it to data on nursing-sensitive health outcomes like falls, infections and pressure ulcers.
… Read more about: MNA Legislative Update March 22, 2013  »

NOTES ON NURSING

Healing the Hospital Hierarchy   Most people in health care understand and accept the need for clinical hierarchies. The problem is that we aren’t usually prepared for them; nor are we given protocols for resolving the inevitable tensions that arise over appropriate care.

LABOR UPDATE

Income Inequality Shapes MN Tax Debate   Even in middle-class, middle-American Minnesota, income inequality is rising. It’s not a new phenomenon.

HEALTH CARE

New Database Reveals Thousands of Hospital Violation Reports    Hospitals make mistakes, sometimes deadly mistakes. A patient may get the wrong medication or even undergo surgery intended for another person.
… Read more about: MNA NewsScan, March 20, 2013: Hospital hierarchy; Error reporting  »

Standards of Care Update

The Standards of Care Act, our bill to establish patient assignments limits, had its third hearing today in the House Health and Human Services Policy committee. The bill passed with amendments, despite serious objections from the hospitals. As amended, the bill has a narrower focus than its original version, but a delivers a victory for patients and nurses by laying a strong foundation for documenting the crisis of patient risk in Minnesota that nurses witness every day. In fact, Committee Chair Rep. Tina Liebling of Rochester offered a strong endorsement of MNA’s concerns when she stated “there is broad agreement that there is a problem.”

By no means, however is the work done.
… Read more about: MNA Legislative Update, March 16, 2013  »

New Amendments empower patients, require hospital reporting

 

(St. Paul) – March 15, 2013 – The Standards of Care Act passed the Minnesota House Health and Human Services Policy Committee with amendments.  Negotiations between the Minnesota Nurses Association and the Minnesota Hospital Association resulted in an agreement that recognizes the crisis of patient safety and creates a plan to add transparency to patient care.

“It’s the consumers of health care that really benefit from this,” said Walt Frederickson, RN, MNA Executive Director.  Right now this data has been non-existent to us and the public.”

During a brief recess of the committee, the nurses union suggested that hospitals would report online the actual direct patient care hours for regulators as well as consumers to examine. 
… Read more about: Press Release: Standard of Care Act moves on  »

MNA-NNU-spot-logo (WEB)

MNA’s Ethics Committee presents

Substance Use Disorder: Implications for Nurses

Addressing Substance Use Disorder on Our Own Units

Thursday, April 18, 2013 8:45 – 4:00 p.m.

It could be you or a colleague, but it is likely within your career that you will be challenged by Substance Use Disorder. It is a growing crisis.

Like any addiction, Substance Use Disorder is a disease
and deserves to be treated as such. This program, designed for the unique circumstances posed to health care professionals, offers a path of awareness,
admission and action.
… Read more about: Substance Use Disorder: Implications for Nurses  »

Standards of Care Act Update        

   The Standards of Care Act, MNA’s bill to establish patient assignment limits for nurses passed the Government Operations committee 8-7. The committee passed an amendment to the bill to exempt Critical Access Hospitals (rural hospitals with 25 or fewer beds that meet certain federal criteria) from the legislation. MNA continues to believe that all patients in Minnesota, regardless of their geographic location, are entitled to the same standard of safe nursing care.
  In the House, the bill is now headed for the Health and Human Services Policy Committee. We will alert you when a hearing date is scheduled.
… Read more about: MNA Legislative Update, March 8, 2013  »

NOTES ON NURSING

One Step Further.  Standards of Care Act Passes Another Legislative Committee   Patients and families are closer to having their risks reduced in hospitals, as the House Committee on Government Operations gave its endorsement of the Standards of Care Act today.  The bill requires hospitals to provide staffing according to nationally-established standards.

Nurses Courtney Lucht, Eric Tronnes and Juli Uzlik testifed about the need to have a foundation of standards because hospitals are not providing even the minimum staff they promise.  Tronnes described fruitless meetings with hospital management in Staffing Advisory Committees because “productivity invariably trumps safe nursing care.”

Next step for the bill is likely to be the House committee on Health Policy.
… Read more about: MNA NewsScan, March 6, 2013; Standards of Care Act moves forward; MI nurses propose staffing legislation  »