Unsafe Staffing (Page 5)

When the Robert Wood Johnson Foundation and the National Institute on Nursing Research released a study on the effects of nurse staffing in NICUs, it was a unique look into how nurse workloads affect non-adult patient outcomes.  The study was conducted by researchers from the University of Pennsylvania, University of Medicine and Dentistry of New Jersey, Ohio State University, Dartmouth College, and the University of Vermont.  Data was collected at 67 Vermont-Oxford Network hospitals on very-low-birthweight (VLBW) babies hospitalized between 2008 and 2009.  Surveys on nurse staffing levels and patient acuity levels were tracked daily.

The result was not surprising.  The researchers say that staffing below national guidelines by just .1 nurse-per-infant led to a shocking 40% increased risk of infection. 
… Read more about: Nurses not the only ones paying attention to staffing problems  »

HEALTH CARE NEWS

How the American Health Care System Killed My Father    Nor is he dead because of indifferent nursing—without exception, his nurses were dedicated and compassionate.

Hospital Exposes Patients to Needless Radiation For The Money   Cardiologists and the Infirmary Health System in Mobile, Ala., are accused of needlessly exposing patients to radiation in a nine-year-running kickback scheme tainting an estimated $522 million in Medicare, Medicaid and Tricare reimbursements since 2004.

2013 a Banner Year for Minnesota Children’s Mental Health    In-reach services were added so that care could be provided when a child leaves the hospital or emergency room to help reduce readmissions and ensure a smooth transition.
… Read more about: MNA NewsScan, July 10, 2013: Hospital scam puts patients at risk; ACA intensifies debate on patient safety standards  »

HEALTH CARE NEWS

How Consistent Hospital Error is Having a Deadly Effect on the Health Care System    “Medical harm is probably one of the three leading causes of death in the U.S., but the government doesn’t adequately track it as it does deaths from automobiles, plane crashes, and cancer. It’s appalling,” he told the magazine.

The 9 Things You MUST Check Before Choosing a Hospital    7. Check the Nurse-to-Patient Ratio – Ideally, a nurse should have only four to six patients under his or her care at a time (and less if it’s critical or intensive care).
… Read more about: MNA NewsScan, July 8, 2013: Hospital error rate “appalling;” Is 68 the new 65?  »

NOTES ON NURSING

More Cancer Specialist Nurses Improve Hospital Care   Patients of better staffed trusts were more likely to report that people treating and caring for them worked well together and they received enough emotional support during outpatient treatment.

HEALTH CARE NEWS

Obamacare Postpones Employer Mandate for a Year    Employers who don’t provide health insurance will be spared penalties of up to $3,000 per worker until 2015, a one-year delay of a major component of President Barack Obama’s health care reform law.

Kickstart Your Medical Bills   The Kennett family of Alexandria is one of thousands turning to the Internet to raise money for medical bills.
… Read more about: MNA NewsScan, July 3, 2013: Nurses, staffing, special skills combine to improve care for cancer patients  »

While more than 900 nurses came to San Francisco for the 2013 Staff Nurse Assembly, here the world came to them.  Minnesota nurses met colleagues from Ireland, Australia, Korea, and Brazil as well as from across the US.  They learned that staffing issues and budget cuts are affecting their job quality and their patients’ safety everywhere.

“We’re not alone in our struggles,” said Katie Skipton, “where we’re from, Bemidji, we can sometimes feel it’s just our problem-with staffing especially.  It’s a big deal.  We’re finding out that we’re not the only ones that are dealing with us, and we’re not the only ones who are fighting. 
… Read more about: It’s a small world after all.  »

LABOR UPDATES

OSHA To Investigate 2nd Plant Explosion in Louisiana    OSHA had cited the company for 14 alleged safety and health violations, 12 of which were described by the agency as serious.

HEALTH CARE

FBI:  Chicago Patients Suffer as For-Profit Hospital Frauds Medicare  “This complaint alleges the hospital and doctors were performing unnecessary invasive surgery to justify false billing.”

Children’s Hospitals Well-Positioned to Handle Reform  Standalone children’s hospitals have the financial fortitude to take reform challenges head on, according to a report from Fitch Ratings.

NOTES ON NURSING

Fewer Nurses, More Assistants in Montreal OR   At the end of that presentation, Richard Fahey, MUHC director of public affairs, handed journalists a USB stick containing nearly 600 pages of budget documents that spell out the cuts.
… Read more about: MNA NewsScan, June 17, 2013: Patients suffer as hospital profits; LA plant where workers died was cited previously  »

First there was the crowd.  Then there were the signs.  Then there were the red uniforms that adorned every man, woman, and child in the auditorium.  The scene was set for a champion sports team to walk in the room, but this huge crowd was there to see the contract negotiators.  When they entered the room, more than 225 nurses and their families cheered and applauded to show solidarity with their elected bargaining team at the Essentia-St. Mary’s contract talks and bid good morning to management’s team.  In the end, nurses won an agreement with management they could say is the result of  hard work by the negotiating team, but also because nurses showed Essentia that nurses are united and strong.
… Read more about: Crowd of Nurses Support Essentia Bargaining Team; Tentative Agreement Won in 33 Hr. Marathon  »

Operating Room Nurses at First Light Health System in Mora started turning up in red lipstick while other nurses wore red scrubs to show support as negotiations began on a new contract.   Some nurses who couldn’t wear red expressed their solidarity with the bargaining leaders by dressing up their scrubs with a little red flair.

Negotiations began two weeks ago with nurses asking for more seniority rights, addressing scheduling issues, improvements in on-call pay and on-call process, and the use of remaining sick and vacation pay to be used to pay for continuing health coverage for retirees.

Bargaining Chair Margie Odendahl said they’re working to get more first choice shifts for senior nurses and for a percentage of on-call time to count towards seniority.
… Read more about: Pucker up to support Mora Nurses  »

NOTES ON NURSING

NY Bill Would Mandate Hospital Nurse Staffing   Advocates say required staffing of one nurse for every two intensive-care patients and 1-to-4 ratios in regular medical-surgical units will improve patient care, reduce deaths, complaints and readmissions and leave hospitals financially intact.

MA Nurses Ratify Contract with Assignment Limits   Highlights of the agreement include contractually guaranteed limits on nurses’ patient assignments for nurses working on the medical surgical units, including no more than five patients on days, an average of five patients on evenings and a mix of five and six patient assignments for nurses on nights.
… Read more about: MNA NewsScan, June 12, 2013: NY, MA nurses advance patient safety standards;  »