Open Visiting Policy

The Institute of Medicine’s (IOM) publication Keeping Patients Safe: Transforming the Work Environment of Nurses (2004) delineated a patient safety issue related to nurse staffing. A postanesthesia care unit (PACU) nurse caring for five patients received report telephonically for an admission from the emergency room (ER). The PACU nurse did not want to accept the patient immediately and requested additional time to stabilize her current patients and finish completing charting from a previous admission. The ER nurse said the ER was busy and she would have the patient in the PACU in five minutes before she hung up the phone. The PACU nurse notified her supervisor who agreed to “look around” for an additional nurse to help, but she advised the PACU nurse that if she refused this admission she would be written up. The

According to the American Nurses Association, currently federal standards do not require protection from violence in the workplace. Some states have asked

I found your paper informative since it is the topic of my health policy paper for this course. I know all too well how it is to work in unsafe staffing environments. Doing some research I came across an association that is working toward establishing safe staffing laws. The National Nurses United (2015), the largest union and professional association of registered nurses in U.S. history, has a nationwide campaign in support of safe staffing for RNs and patients. They currently have two national safe patient ratio bills including one in Senate (S. 864) and one in the House (HR 1602).

Workplace violence commonly occurs between nurses, between nurses and patient, between nurses and families, or even between nurses and physician. Violence from relatives and friends of patients may occur as a result of frustration with a perceived lack of care or communication (Roche et.al. 2010). According to Woefle and McCaffrey there two consequences of violence (physical and psychological) for nurses and organization. Physical by the mean nurses can possibly experience weight loss, cardiac palpitation, stress, hypertension and irritable bowel syndrome. Psychological by the means of being mentally drain of nurses that can cause danger in giving a quality care.

I completely agree with RN Safe staffing issue. In the hospital I work at, we experience nurse shortages all the time. We are also pulled from our home unit to another unit that you may have never worked in, but they need a nurse or an aide. When you are hired you are oriented to the other units, but it could be six months or longer before you work on that unit again which to me is unsafe. We have nurses from the OB/GYN unit who know nothing about a person being on a heart monitor, working in our unit because their unit has a low census and our unit is full and we need another RN. So is this considered an unsafe work environment or is it considered safe because the patient/nurse ratios match what the staffing matrix says or is patient

The purpose of this review was to discover and asses the effects of healthcare worker directed violence on healthcare providers as well as the effect on patient care. There is sufficient evidence to say that workplace violence perpetrated by patients has a negative effect on the healthcare worker as well as the quality of care they are

Staffing may be expressed as the number of staff members required for providing care to a particular number of patients, or it can describe the way in which human resources are used in a particular setting (Groher-Murray & Langan, 2011, p 273). Theoretically, when sufficient structural inputs are placed, better outcomes are produced. As the nurse in charge it is important to make sure that there is sufficient and trained staff not only for safety but for legal reasons. The unit I currently work for has a staff to patient ratio of one nurse for every 12 patients, and one patient care technician to every 4 patients. If I were nurse manager I would address this issue for not only safety, but for the nurse so they do not develop work related stress or burnout. As a manager, portraying positive attitude and motivating staff will help with staffing issues. Positive feedbacks and words of encouragement help with the staffing morale.

This is relevant for me as it is for everyone in the healthcare industry. We all want to work in an environment that is free from violence especially in an environment that is already full of stress. It is good to know that there are governmental sanctions for those that violate harassment or violence regulations in the workplace. We still need management to be accountable with those under their direction, disciplining and counseling problem employees as necessary. Because of this threat that constantly hangs over our heads we as nurses should develop a process or plan

Our Health Our Future: Creating Quality Workplace for Canadian Nurses (Maslove and Fooks, 2004). Safe working environment plays a vital role in the ability for providing quality nursing care. So, workplace safety is a main issue for discussion in every occupation particularly in nursing profession in health care setting since nurses are an integral part of public health. Violence against nurses causes hamper in achieving personal, professional as well as organizational goal. According to Canadian Centre for Occupational Health and Safety (CCOHS) “workplace violence is any act in which a person is abused, threatened, intimidated or assaulted in his or her employment”. Similarly, Occupational Health and Safety Act (OHSA) defines ‘Workplace

The Bureau of Labor Statistics (2000) shows that 48% of all non-fatal work related assaults and acts of violence have occurred in health care and social service settings. Violence against mental health and health care workers has the potential to cause major physical injuries and psychological trauma. In return this poses serious consequences on employers such as increased turnover, medical and psychological care, increased absenteeism, decreased morale, job dissatisfaction, legal issues, and worker burn-out. Agencies and clinicians are encouraged to evaluate and identify the risks that are potential barriers in their agencies. Safety plans need to be implemented and strategized along with re-evaluations on a continuous basis (Taylor, H. 2013).

In the health care industry, nurse to patient ratios is often a controversial issue related to the cost involved to maintain a safe staffing level. Registered nurses know and continue to reiterate the importance of safe staffing levels in health care facilities. However, reductions in nursing budgets, coupled with the expanding nursing shortage, have resulted in a reduction of available nursing staff. As a result, the nursing staff at most health care facilities are forced to work longer hours with more acutely ill patients. Consequently, patient care is compromised and this ultimately perpetuates the nursing shortage because of this negative work environment.

Health care workers in Canada face a vast amount of harassment in the workplace, and the safety of these employees are not being improved. The neglect of employee rights in the workplace is an example of employees rights not being respected. Many nurses and personal support workers have been experiencing abuse, sexual assault, and harassment because the government and hospital fail to implement laws to provide them a safe work environment. These assaults are carried out by their patients, for example, registered practical nurse, Dianne Paulin, was pinned against a door with a chair and was repeatedly assaulted by a patient. In addition to the harassment, awareness of this issue is being discouraged and it is said that nobody is allowed to talk about the issue because of the fear of the hospitals retaliation. Employees feel as if they cannot speak up

The Open Door policy is an policy that allows open ports in a county to any other countries that is under the policy. It protected countries to easy trade with each other and relations between different countries were formed. The person that made the Open Door policy was U.S. Secretary of State John Hay and he sent the policy to Great Britain, Germany, France, Italy, Japan, and Russia. This policy shape how America created foreign policy in East Asia. But not all the countries John Hay sent policy like this. Germany, France, and Russia were against the policy because they would not have benefited from it. Great Britain, Japan, and the U.S. supported the policy because them benefited from it. This policy helped started trade with China.

By having someone, like Sergeant Bowman, who has been actively involved in these crimes we're being alerted about assuring me that they are there to empower me, helped me to change my perspective and learn to appreciate the alerts, which as a first year student can seem very scary at times being reminded of the crimes that is happening around us, so I think this emphasis on empowerment over fear is an important one to spread. The remainder of the training was spent watching the UCSB active shooter training video that affirmed the importance of a survival mindset that you can develop through awareness, preparation, and rehearsal. Some other points in the film that I noticed were your out options when faced with an active shooter/ hostile intruder, get out, hide out, or take out. For me, I found this training extremely well done and informative within the given time limit. As a first year student, this event helped me be better prepared for a situation of this kind and helped me gain knowledge also as a

The current open door policy in Germany is what incentivizes refugees to immigrate there. In my opinion, Merkel has done a great job in dealing with this immigration situation, these refugees deserve to have better lives and they can do so by moving to a stable country such as Germany, where the wages are higher and the welfare system is great. Many are against Merkel’s view on this situation and allowing refugees to settle in Germany. For one thing, they’re a huge asset to the labor force and bring a diverse demographic. Although there are many concerns about terrorism, many of these refugees are innocent people trying to evade the turmoil in their countries. I agree with Merkel’s current stance because it helps the German economy, and also