MNA Legislative Recap (Page 78)

The 2013 legislative session ended last week with some significant improvements and changes to policies that affect nursing, health care and working families. In addition, with the change in legislative majorities to DFL control of the House and Senate, we did not have to fight off threats like Right to Work legislation, deep cuts to programs, or the Interstate Nurse Licensure Compact.

Safe Staffing

We made major progress toward our goal of minimum standards for nursing care in acute care hospitals. Our bill for a Department of Health study of the correlation between nurse staffing and patient health outcomes was signed into law by Governor Dayton. We are confident this study will validate what nurses have been saying for years: patients suffer when staffing is inadequate.

The bill will also require hospitals to report their staffing levels on a public website, which will provide transparency for the public.

Nurse Practice Act Changes

Governor Dayton signed into law a bill clarifying the scope of practice of Licensed Practical Nurses. The measure goes into effect on August 1. SF1016 was crafted after years of discussions between MNA, the Licensed Practical Nurse Alliance and the Board of Nursing. The final product clarifies and strengthens the Nurse Practice Act for both LPNs and RNs. Specifically, the law clarifies the definitions of assignment, delegation and unlicensed assistive personnel.

The Board of Nursing has committed to conducting education sessions for nurses on this issue. We will alert you when those opportunities are scheduled.

State Employee Contract

Last session the contract for over 700 MNA nurses in state facilities, agreed to by both management and employees, was voted down by the Republican-controlled legislature after continued attacks on public employees. During this legislative session the same contract was approved by the House and Senate and signed into law by Governor Dayton. Nurses at state facilities will see a 2 percent raise retroactive to this year.

Budget and Taxes

Minnesota now has a budget that invests in our future and protects the health of seniors and working families, while making the tax system fairer.

The top 2 percent of wage earners will pay about 2 percent more in taxes, which will raise $1 billion dollars; cigarette and other tobacco taxes will go up, which will raise another $600 million and hopefully convince some to quit; and the state will close corporate tax loopholes, which will raise $424 million.

Doing all that meant the Governor could sign an $11.2 billion health and human services budget bill, which includes a 5 percent rate increase for nursing homes next year-of which over half will go to workers who care for our seniors-along with another 3.2 percent increase by 2016.

MNCare will continue to provide high-quality affordable health care for working families in 2014 and beyond, making Minnesota the ONLY state that is continuing a public health coverage program in 2014 that will be able to transition to the Basic Health Plan option under the Affordable Care Act (ACA) in 2015. Basic Health Plan financing offered through the ACA means our state budget will see significant savings starting in 2015.

Patients will benefit from improvements to MNCare including elimination of the $10,000 hospital cap, lower premiums and elimination of the waiting period to get on the program. Expansion of Medicaid will add health care coverage for 35,000 low-income people.

You are invited: Legislative Wrap-Up Briefing

Come learn more about the legislative session, including more in-depth information about the staffing study, at the MNA Legislative Wrap-Up Briefing.

WHEN: Tuesday, June 11, 4:00 – 5:30 pm

WHERE: At the MNA office in St. Paul, 345 Randolph Avenue, Suite 200, St. Paul 55102 or via webcast

This event is for MNA members only and requires an RSVP. Please contact Eileen Gavin at eileen.gavin@mnnurses.org and let her know if you plan to participate in person or online. (Online participants will need an RSVP code to join the event.)

The 2013 legislative session ended last week with some significant improvements and changes to policies that affect nursing, health care and working families. In addition, with the change in legislative majorities to DFL control of the House and Senate, we did not have to fight off threats like Right to Work legislation, deep cuts to programs, or the Interstate Nurse Licensure Compact.

Safe Staffing

We made major progress toward our goal of minimum standards for nursing care in acute care hospitals. Our bill for a Department of Health study of the correlation between nurse staffing and patient health outcomes was signed into law by Governor Dayton.
… Read more about: MNA Legislative Recap  »

NOTES ON NURSING

Night Shift Workers More Likely to Develop Type 2 Diabetes  “It is surprising that just a single night shift can significantly impair glucose tolerance and increase insulin levels,” said Christopher Morris.

National Health System May Bring In Police Officers to Deal with Acute Nursing Shortage   A local forum has discussed the possibility of drafting in assistance from Police Scotland and the Red Cross.  Two months ago it was announced that 30 nursing posts had to be filled as soon as possible at the hospital.

New Law Raises Fines for Assaulting Nurses   Much like law enforcement, health care can be a very dangerous job.
… Read more about: MNA NewsScan, June 5, 2013: RN college degree equals lowest unemployment rate  »

Cities across the state are grappling with what to do about synthetic drugs.  Staffers at public shelters in Duluth have caught more than 100 people smoking, snorting, or injecting synthetics in the past year even though city council members have battled with a local head shop to halt sales.

On Friday, Minnesota Attorney General Lori Swanson and a special Committee on Controlled Substances and Synthetic Drugs will meet in Duluth to develop some recommendations.

City and state leaders have fought again and again to stop these drugs that ER nurses and physicians say are turning people into zombies.  The trouble is, every time they outlaw a substance, the substance changes and becomes legal again.
… Read more about: Meeting Friday to battle Synthetic Drug Problem  »

NOTES ON NURSING

In Australia, Nurses Fight for Patient Ratios   “You’re less likely to have the nursing hours you need the further you are from the city,” Miss Telfer said.

NSW Midwives Issued “Cease and Desist” on Patient Limits Despite Shortages      “We accept there is a shortage of midwives out there but management needs to understand that not only are staff at Nepean exhausted, they are deeply concerned that health care is being compromised. They have reached their limit and cannot continue on in this way.”

HEALTH CARE

The $2.7 Trillion Medical Bill   In many other developed countries, a basic colonoscopy costs just a few hundred dollars and certainly well under $1,000.
… Read more about: MNA NewsScan, June 3, 2013: RN concern for patient safety is worldwide  »

NOTES ON NURSING

MNA OpED:  Law Change Will Benefit Patients   (originally published in the New Ulm Journal)  Everyone who’s a patient in a hospital, who might be a patient in a hospital, or who cares about somebody in a hospital will be grateful that the Staffing Plan Disclosure Act was signed into law on May 9.

A Shared Concern:  Flight Attendant Fatigue Poses Safety Risks   Flight attendants exhausted from long hours and little rest have forgotten to engage or disarm emergency chutes, failed to properly stow baggage and carry out other safety duties.
… Read more about: MNA NewsScan, May 29, 2013:  »

Originally posted in the New Ulm Journal: http://www.nujournal.com/page/content.detail/id/534962/Law-change-will-benefit-patients.html?nav=5004

Everyone who’s a patient in a hospital, who might be a patient in a hospital, or who cares about somebody in a hospital will be grateful that the Staffing Plan Disclosure Act was signed into law on May 9.

Rep. Joe Atkins (DFL-Inver Grove Heights) and Sen. Jeff Hayden (DFL-Minneapolis) authored a bill that provides for consumer transparency of hospitals’ nurse staffing plans. In addition, the Department of Health will study the correlation between nurse staffing and patient outcomes, with a final report due in January 2015.

Starting in January of 2014, patients will be able to see how many nurses care for them on a public website at www.mnhospitalquality.org/default.aspx Hospitals will be more transparent, and patients will make wiser decisions on where they have a procedure and where they can expect to make the best possible recovery.
… Read more about: Editorial: Law change will benefit patients  »

NOTES ON NURSING

Expert Affirms Nurses’s Warnings About Electronic Health Records System   At a meeting of the Marin Healthcare District board on May 14, a group of Marin General nurses told the board problems with the new computer system were diverting them from their patients and causing errors, such as sending orders to the wrong patients. One nurse reported that a patient had received a medication to which he was allergic.

Worst Times to be Admitted for Heart Attack.  Hint: Involves Nurse Staffing   It’s possible that staffing issues at hospitals during these times are part of the problem; patients who come into the hospitals just before the weekend and late at night may see fewer nursing staff members and this could contribute to less attention that may impact care.
… Read more about: MNA NewsScan, May 28, 2013: Nurses warn about electronic health system; The Obamacare shock  »

rainbow fun
Put Nurses in the Spotlight This Summer

Attention MNA Members

The summer months offer a great opportunity for nurses to enhance our visibility as an organization and a profession. We encourage you to connect with the public by participating in area events in your local community.  Think of booths at the county or local fair, a 4th of July parade, organized sports tournaments, community festival or any fun activity that allows nurses to proactively advocate about issues that directly impact patients and families who might need our care.

MNA will provide giveaways and message banners. You need to organize the onsite crew and handle all other arrangements.
… Read more about: Parades, Fairs, Festivals and Nurses  »

Solidarity 470 Registered Nurses at Mankato Mayo entered contract negotiations today as a united group determined to address troubling staffing issues at the hospital that members believe put patients at risk. Lead MNA negotiator David Nachreiner reflected the views of the mass of responses the team collected from colleagues throughout the hospital as he read the Opening Statement.

“My colleagues and I approach these negotiations with one primary focus.   We believe our patients – our families, friends and neighbors of this community – face unnecessary risk when they require the services of this hospital.  They face that risk primarily due to inadequate staffing and poor planning.
… Read more about: Mankato Nurses Boldly Begin Negotiations with Community Utmost in Mind  »

NOTES ON NURSING

More Proof:  Heart Patients Survive with Better Nurse Staffing    “This finding suggests that the correlation between cardiac arrest incidence and case survival was partly attributable to the hospital factors in the model,” the authors write. A hospital’s nurse-to-bed ratio and geographic region correlated with the greatest shift in the relationship between incidence and survival.

Moore MCHero Nurse Protects Newborn from Tornado   Miraculously, all the staff, patients and families survived the storm.  That includes nurse Cheryl Stoepker, who used her own body to protect a newborn she’d delivered barely an hour earlier.

LABOR UPDATES

UMass Nurses Poised to Strike if Today’s Negotiations Fail   Nurses at UMass Memorial’s University Campus are staging the 24-hour strike to draw attention to what they call deplorable patient conditions.
… Read more about: MNA NewsScan, May 22, 2013: More proof- heart patients survive with better nurse staffing  »