In Massachusetts, the Massachusetts Nurses Associations argues that the safe RN staffing bill in California is working, though they cannot demonstrate that patient outcomes have improved.
How does a union contract affect the staffing plan or schedule? How does the Nurse Practice Act affect your staffing plan?
Apply legal and professional standards for resourcing outpatient services.
Other states followed suit, introducing bills pertaining to staffing initiatives in their state legislatures.
Minimum ratios for critical care units were already in effect (Perrin & Mc Ghee, 2008).
It has been the core supportive element of RN staffing, but it is rigid because it does not allow for acuity.
In October 1999, California was the first state to enact mandatory staffing ratio legislation, which requires minimum, specific, licensed nurse-to-patient ratios for all acute care hospitals (Zimmermann, 2002).This legislation was sponsored by the California Nurses Association.The peak of a nurse’s concern over adequate staffing reached the public, and forced staffing changes for the better.The legislation is not empirically supported because previous data of staffing for best practices hospitals does not uniformly indicate that hospitals which are rated highly for quality of patient care have richer staffing than other hospitals (Perrin & Mc Ghee, 2008).Therefore, critics of mandated staffing ratios argue that it is not clearly evident that legislating staffing ratios enhances patient care.What data resources and tools analyze costs, health insurance, and hospitalization services? How will you determine if outpatient management is cost-effective? Staffing Plan: Apply evidence-based management strategies and best practices for resourcing health care services.Identify the disciplines and skill mix needed for appropriate staffing.Estimate staffing requirements by discipline and staffing ratios (evidence-based). How will you staff to meet corporate diversity goals or the needs of diverse patients?Explain how delegation, collaboration, negotiation will affect staffing plan.Align your staffing plan to best practices, the Nurse Practice Act for your state, scope of practice, and the Joint Commission standards for outpatients.Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes. How will you know if staffing mix or schedule impacts patient outcomes?