Gov. In 2004, California passed a law for numerical nurse staffing ratios. When nurses maintain a safe level of patient-to-patient ratios, hospitals can improve their image while retaining quality nurses. Low nurse-patient ratios are associated with poor outcomes among both patients and nurses. As provided under Title 22 of the California Code of Regulations, Section 70217(a): (9) The licensed nurse-to-patient ratio in a step-down unit shall be 1:4 or fewer at all times. Hospitals shall continue to comply with adverse event and unusual occurrence reporting requirements specified in HSC section 1279.1 and Title 22 CCR section 70737(a). With California leading the way, more than a dozen states now have laws requiring nurse to patient ratios. Nurses are able to provide high-quality patient care while also protecting them from harm. The idea of the minimum nurse-to-patient ratios was first proposed and implemented in the State, where it was enacted into law. Another study found that the ratios were associated with shorter hospital stays for patients with a variety of conditions, including heart attacks, strokes, and pneumonia. Nursing Corporations - 2775-2781, Article 6.5. The waivers will only temporarily bypass that law but nurses say the change is already starting to affect care. As a result of these regulations, hospital policy and procedure changes should be made accordingly. 2746.54. Hospitals may not assign unlicensed assistive personnel to perform nursing functions or perform RN functions under the supervision of an RN including administration of medication, venipuncture, and invasive procedures protecting RN scope of practice and patient safety. These programs to take the money to survey and ask more questions as to why these ratios are being exceeded instead of putting it to actual use to fix the . Medical Solutions. A total of 15% of nurses reported an increase in LVN use, but 25% reported a decrease. The outlier, California, became the first state to pass a law mandating an average nurse-to-patient ratio in 2004 (Mark et al., 2013). The best possible care is provided to patients when nurse-to-patient ratios are maintained to a safe level. Currently, California is the only state to enact anenforceable RN-to-patient staffing law, thanks to the determined, multi-year efforts of members of the California Nurses Association. The American Nurses Association (ANA) supports a legislative model in which nurses are empowered to create staffing plans specific to each unit. Telemetry unit as defined in these regulations does not include fetal monitoring nor fetal surveillance., (12) The licensed nurse-to-patient ratio in a specialty care unit shall be 1:5 or fewer at all times. However, you may visit "Cookie Settings" to provide a controlled consent. The state is asking nurses to take care of more patients simultaneously than they normally would, watering down what many nurses and their unions consider their most sacrosanct job protection:. 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