almost 5 years ago
0 articles submitted
Source: Reno Gazzette
March 06, 2009
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thanks Ginny, this is very timely. The hospital where I worked PRN recently decided to staff with RNs and CNAs only, so the LPNs were let go. The nurse to patient ratio is now 10:1 instead of 6:1. Turns do not get completed like they should, patients are not getting out of bed as much, ambulation is decreased - in general patient care suffers. This article was the first time I have seen someone make that correlation between staffing and patient care. I shared this article with some nurses there and it gave them some good ideas for making the case to keep LPNs. Thanks G!
I very much support the idea of ratios. But I sure would love to only have 10 or 12 pts a night, I work in LTC and 25-30 is more like it. Of course you can not give the individual attention you want to give when the patient load is too high. Even with support staff-ie CNAs the nurse is still responsible for what does or does not happen. Sometimes I think if Administration had to walk a week in our shoes it would be very different.
We all know that this issue has been here for so long. It has been long overdue, healthcare should be given the top priority by the government, for it's citizen is its number 1 asset. having them suffered by way of not dealing with the problem immediately would only create more problems. Also the relief of some of the endemic problems facing nurses in hospitals requires a willingness on the part of hospital executives to acknowledge that such problems exist. Then they need to look at options like nursing program scholarships and recruitment of foreign nurses. This has to be given full attention and requires hand and hand support from parties involved, we could not just stand here, and watch the continuous deterioration of the healthcare industry, it is a must, that everyone has to do its share, act now, do something.
The fact is, when patient rations are lower, hopsitals make more profit for the reasons you mentioned.
Really good article! The ratio's mentioned would be so beneficial for the patients to have better quality care for the inpt stay. I do agree also with the aspect that even though they might need more nurses and there's that almighty dollar they'll have to spend to staff this need. However I'm wondering if the governing dudes who dont agree with these ratio's that Medicare and Medicaid look and pounce on any excuse to deny claims.................therefore if more quality time was spent between the nurse and patient, then alot of the hospital acquired infections could be avoided and the claim paid....................decubitus ulcers would not occur IN the hospital and and the claims can be paid due to these 2 popular excuses for claims to be denied, so the hospital gets paid and the nurses might get a raise when evals are done......Im sure there are tons of othere claims that get routinely denied as well.......kudos on this article. Angie
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