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No Minimum Patient Safety Standard Included

The Massachusetts Hospital Association has filed its own nurse staffing legislation being sponsored by Senator Richard Moore. The "feel good" bill misses the mark on patient safety and maintains the dangers of the status quo.

The MHA bill is written by hospital administrators for hospital administrators and fails to provide any minimum standards that will protect hospital patients from the current dangerous practice of understaffing of registered nurses. It gives the allusion of accountability while providing absolutely no accountability. Nearly every requirement called for in this bill is already called for under the industry’s accreditation process, a process that has proved totally ineffective in guaranteeing patients safe care.

Problems with the bill include:

  • Merely allows the hospital industry to file a report about its staffing "plan", with no requirement that they meet any minimum standard of safety.
  • Has the board of directors of the hospital approve the staffing "plan," allowing those responsible for the current practice of understaffing of registered nurses to continue to approve similar staffing plans.
  • Fails to address the root cause of the nursing crisis: nurses burned out with high patient loads leaving the bedside. This is the number one reason why RNs continue to leave the bedside. Years of experience with recruitment incentives has proven that they just don't work; the crisis is with retention.
  • Calls for yet another commission to study this issue. When the legislature conducted such a study in 2001 it recommended the establishment of minimum RN-topatient ratios.

Instead of addressing this crisis and protecting patients with a minimum standard, this "feel good" measure protects an industry that has endorsed the practice of understaffing of registered nurses.

However, the bill does include important faculty and recruitment initiatives that should be acted upon immediately:

Increase Nursing School Faculty
Nursing school enrollments have and continue to have waiting lists. We must to meet the demand for nurses to care for an aging population in the coming decade.

Continue Strong Supply of RNs
Massachusetts is fortunate to have more RNs per capita than any state in nation. While we don’t have a nursing shortage, we do have a shortage of nurses willing to work in the acute care hospital setting under current staffing levels. While continuing to work to increase the long-term supply of RNs is important, addressing the immediate exodus of RNs from the bedside is more critical.

Tell your legislators a minimum patient safety standard is common sense.

 
 
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