Through all the research, in regards to Safe Harbor, important information was obtained and some misconceptions were set straight. At the facility that this nurse works, it has always been threatened to claim Safe Harbor and the nurse to walk out. Recently, this was done when the medical-surgical nurse was asked to accept an admission on top of the other patients already being cared for by her, which would increase her patient load to a total of six patients. Acuity of the patients was not taken into account by the nurse. According to facility policy, this is an adequate staffing ratio. Staffing 1:5 or 1:6 for nurse-patient ratio is a recommend ratio for a medical-surgical unit (Tevington, 2011). Once researching Safe Harbor, there were multiple
Nurse practitioners are advanced practice registered nurses who have received special courses and training. They usually work closely with doctors and can perform many high-level primary care tasks. They often specialize in specific types of practice such as pediatrics, psychiatry, or obstetrics. Some establish private practices; however, most work in doctors' offices, hospitals, or neighborhood health centers. Their duties often include taking detailed medical histories and performing complete physical exams, providing diagnoses and recommending treatment plans, treating common medical conditions, illnesses, and injuries, prescribing limited medications, and counseling patients and families. They also care
According to the Texas Board of Nursing (BON) (2013), Safe Harbor is referenced as Rule 217.20 and defined as a nursing peer review process that a nurse may initiate when asked to engage in an assignment or conduct that the nurse believes in good faith would potentially result in a violation of Board statues or rules. This rule was established to prevent employers from retaliating against nurses and to protect their licensure
A manager should make sure that the resources that are provided to the staff are useful, effective, and helpful. The manager should ensure that they have the adequate amount of resources and tools in order to complete there work and job. When it comes to the issue of nurse staffing ratios, the manager has the responsibility of making sure that the unit is staffed to meet the demands of the patients and there level of care, or acuity (GCU, 2011). Utilizing there skills in leadership, quality care, people and communication can all be of benefit. Leadership skills, such as leading by example, are necessary for nurse managers. Quality care skills can be beneficial to gather the necessary data and provide adequate staffing to promote and improve overall performance. People skills are used to interview new employees and hopefully increase staffing
The Safe Harbor invoking provides me with the reassurance that there is something in place to advocate for the nurse. This action can stimulate change within the unit or when the unit allows a situation that is not safe to occur. Learning about this protection will be something I will keep in mind when working conditions may violate
R.O. is a 43-year-old female Latino patient who has been living at home alone since she got divorced three months ago. She does not have any living or available family in the United States. She is the oldest of three children. Her parents died of an accident when she was little. Two of her sisters live in Mexico. She has lost contact with her family in Mexico when she got married and move to the United States. She also has stopped communicating with her ex husband since they got divorced. Although she does not have any support from her family, she states that her church member has been very supportive. Moreover, R.O. states she was a homemaker until the divorce. Currently, she has been working as a dishwasher near her house.
Answer: A 30 beds unit with four RNs and three LVNs makes a nurse-to-patient ratio of 1/4.2. Considering that LVNs scope of practice requires RNs supervision and the assignments that have to be done particularly by RNs, these increase the RNs workload (Texas Board of Nursing, 2013). If one of the four RNs is going to be absence for six weeks, it is not a safe choice to fill the temporary vacancy using the overtime for the current staff, or either working with the available staff during the six weeks. “Workload, work hours, work structure, and many other factors can indirectly or directly cause fatigue in multiple industries and affect safety” (Weinstein, 2015, p.1 ). Nurses are going to feel overwhelm, overworked and at risk of causing medical errors.
Once reading this essay will encouraged appreciate the significance of how healthcare admin remain with some problematic discussions, when it comes to the superiority of care. As well as how it may affect everyone the healthcare ring. Shortly after that will be three topics that will be discussed. That will tell of ways of enlightening the quality of health. There will also be some disagreements along the way.
Nursing is the powerhouse in the delivery of safe, quality patient-centered care in the healthcare industry. To ensure continued safety of the patient and nursing staff, the issue of inadequate staffing must be addressed. Consequently, patient’s mortality rate has been linked to the level of nursing staff utilized in ensuring an utmost outcome (Aiken, 2011). This paper will outline the issue associated with inadequate nurse to patient staffing ratios in the hospital setting; essential factors such as economic, social, ethical and political and legal affecting the issue will be established; current legislature and stakeholders will be ascertained and policy option, evaluation of bill and the results of analysis will be reviewed.
This research utilization paper will synthesize the evidence on the usage of text messaging interventions to enhance self-management and glycemic control in patients with diabetes type 1 or 2. Four selected articles will be evaluated to calculate the effectiveness of this type of technological intervention among individuals with diabetes.
After graduating from high school, I am striving to go to a four year university to pursue my dreams of becoming an operating room nurse. My preferred university is California State University, Sacramento for reasons that include family, maturing as an adult and getting the education the school provides for me to succeed in my career. Knowing that this school is a great distance from my hometown, my plans of going to my dream school aren't promised for me. That being, I will apply to other schools such as Csusb, Ucla, Csusd etc. I have already looked into which schools will provide the material I need to learn and receive to become a registered nurse and then an operating room nurse. Understanding that not only is my main choice far it is also
I am in orange group and the topic assigned to my group is Nurse staffing ratios (impact on patient outcomes), the problem identified in the unit 2 discussion lend itself to quantitative design and the research design is experimental design. the article I choose explain nursing staffing ratio and its impact on patient outcomes, and also use measurement and test of theory to gauge the effect of intervention on outcome because it was stated in the article that “eight studies have been conducted that examine the impact nurse-to-patient ratios have had on the quality and safety of care and patient satisfaction” (Serratt, T. 2013). According to the lesson, quantitative designs deal with measurements, and may test theories to find relationships or
Nurses do not prescribe medicine, but they administer medication to their patients. When doing so, they use ratios and proportions to help them. The size of the person will help the nurse decide how much, dosage wise, the patient's body can handle without causing risk of serious complications. The ratios and proportions also allow the nurse to know how long the medication will stay in the body of the patient before needing another
It is a common scenario to hear nurses complain that they are burdened with the heavy patient workload and they are at risk for lowering the professional quality of life. This might be due to various factors like under-staffing, increase in the demand for nurses as the population ages, inadequate supply of available nurses, intentional lowering of staff on roll to reduce costs, and more needs due to shorter hospital stays. Nurse patient ratio should be kept at a manageable level in the best act to practice safe. Professional fatigue for the nurses and the resulting errors can only be reduced by keeping the nurse patient ratio in the recommended range.
Thank you for allowing me to speak on the behalf of the school nurses in regards to elimination of one full time nurse due to a decrease in enrollment. There are a few points that I would like to discuss.
The responsibilities set on nurses has skyrocketed since the profession began in 1854 and little has been done to balance out these increasing demands with its consequences (University of Pennsylvania). Of particular concern is the nurse-patient ratio and although minute, some states have and are considering whether to mandate the ratio or not. To best cope with the increasing demands, nurse-patient ratios in hospitals should be mandated by the state government in order to improve the quality of patient care, reduce patient readmission costs spent by the hospital, and improve nursing staff satisfaction. Whether in favor of regulation or not, it is important for state policy makers to consider the pros and cons of mandating