Nursing Productivity

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Nurse Staffing Plans & Ratios Background Identifying and maintaining the appropriate number and mix of nursing staff is critical to the delivery of quality patient care. Numerous studies reveal an association between higher levels of experienced RN staffing land lower rates of adverse patient outcomes. 42 Code of Federal Regulations (42CFR 482.23(b) requires hospitals certified to participate in Medicare to "have adequate numbers of licensed registered nurses, licensed practical (vocational) nurses, and other personnel to provide nursing care to all patients as needed". With such nebulous language and the continued failure of Congress to enact a quality nursing care staffing act to date, it is left to the states to ensure that staffing…show more content…
This approach aides in establishing staffing levels that are flexible and account for changes; including intensity of patient's needs, the number of admissions, discharges and transfers during a shift, level of experience of nursing staff, layout of the unit, and availability of resources (ancillary staff, technology etc.). Establishing minimum upwardly adjustable staffing levels is statute may also aide the committee in achieving safe and appropiate staffing plans. ANA's Principles for Nurse Staffing* provide recommendations on appropriate staffing and require nurses to be an integral part of the nurse staffing plan development and decision-making process. Unlike legislated mandated fixed ratios, this approach is not a "one size fits all". Instead hospitals have the flexibility of tailoring nurse staffing to the specific needs of patients based on factors including how sick the patient is, the experience and training of the nursing staff, technology, and support services available to the nurses. States with Staffing Laws • 15 states, plus the District of Columbia* enacted legislation and/or adopted regulations to address nurse staffing: CA, CT, IL, ME*, MN, NV, NJ, NY, NC, OH, OR, RI, TX, VT, and WA. • 7 of these states require hospitals to have staffing committees responsible for plans and staffing policy – CT, IL, NV, OH, OR, TX, WA. • CA is the only state stipulates that in law and regulations a required minimum
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