California Nurses Association Safe Nurse to Patient Ratio Project

California Nurses Association Safe Nurse to Patient Ratio Project

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California Nurses Association Safe Nurse to Patient Ratio Project

For years, nurses across the nation have been asking for safer staffing ratios. With tighter budgets and substantial increases in the number of patients, nurses have been working in situations that endanger both patients and themselves. Mandated staffing ratios are key addressing this issue.

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However, as of 2017, California is still the only state to have a safe patient ratio law.

The first bill to mandate a safe nurse to patient ratio took effect in January 2004. For 13 years leading up to the historic bill, the California Nurses Association worked diligently to advocate and lobby for the law despite resistance from the powerful hospital industry. When the bill first passed, many within the healthcare community hoped that it would lead the way for other states to adopt similar laws.

 

Current Legislation

Unfortunately, other states did not follow suit as hoped. However, with two national bills set to appear before the Senate and the House, all this may change.

The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S.1063) (Brown) seeks to mandate nurse to patient ratios, especially in acute care situations. The act also seeks to empower nurses by obligating RNs to act in the best interest of the patient and advocate for patients without regard to bureaucratic and budgetary concerns of fear of being reprimanded for putting the patient first.

The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R.2392) (Schakowsky) also recognizes the fact that nurses are often put into difficult situations where they are pressured to care for too many patients, which results in poorer care overall.

The bill seeks to remove these external pressures and allow nurses and patients to benefit from safe care ratios. In addition, the bill is designed to clearly dictate that nurses should always put the well-being of the patient above all other concerns.

It comes as a surprise to many that these common-sense mandates have not already been written into law. The legal protection they provide for both nurses and patients surely increases the quality of care.

Thus far, the hospital industry has been able to successfully block any regulations that may affect their bottom line. Both the current Senate and House bills are closely modeled after California’s law and are the most promising development in the fight for safe staff to patient ratios.

Many national nursing organizations are working to garner support for the bills and mobilize their members to contact their representatives.

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