Despite nursing union support for a federal bill setting minimum nurse-to-patient ratios, some hospital groups have their doubts. Meanwhile, state legislative efforts continue. NurseTwitter
that complies with specified minimum nurse-to-patient ratios by unit. Hospitals would have to post a notice of the ratios in each unit, maintain records of whether ratios were met, and prohibit other staff members from performing nurse functions unless authorized. Facilities that violate the staffing standards would face civil monetary penalties from the US Department of Health and Human Services, which could also publish the names of noncomplying hospitals.
With a divided Congress and opposition from the healthcare industry, Jean Ross, RN, BSN, one of NNU's four presidents, told Medscape she is not confident that the bill will pass this year."But it's an accomplishment that we have it on the table now," she said."It took 10 years of hard work to get the mandate to pass in California, so it may take time. We are going to keep the momentum going.
The new bill removed mandated nurse-to-patient ratios and set requirements for hospital staffing committees, Chelene Whiteaker, WSHA senior vice president of government affairs, told Medscape. A hospital staffing committee, comprised equally of nursing staff and hospital administrators, would set staffing levels. The committees were already in place in Washington, but the new bill strengthens them and requires hospitals to meet nurse-to-patient ratios most of the month, she said.
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