Safe RN-to-Patient Ratios
The Evidence is In
California RN-to-Patient Ratios Save Lives
A major new study led by one of the nation's most eminent nurse researchers provides compelling new evidence that California's landmark RN-to-patient staffing law reduces patient mortality, assures nurses more time to spend with patients, and substantially promotes retention of experienced RNs.
"This research documents what California RNs have long known - safe staffing saves lives. We see the effects every day at the bedside in improved patient care, an enhanced quality of life for patients, and nurses able to more safely practice the profession to which we have dedicated our lives," said Malinda Markowitz, RN, co-president of the California Nurses Association/National Nurses United.
Current Legislation:
National Nursing Shortage Reform and Patient Advocacy Act (BOXER)
Establishes requirements for acute-care facilities to provide registered nurse staff based on the acuity of patients provided that minimum nurse-to-patient ratios for each unit are met at all times. Registered nurses shall also have the obligation to act in the exclusive interest of their patients, and the right to be patient advocates.
Background:
CNA’s historic first in the nation Safe Staffing RN Ratios took 12 years to win and has been in effect since January 2004 despite continued efforts of the hospital industry and Governor Schwarzenegger to have the law overturned or otherwise weakened. When Governor Schwarzenegger decided to roll back CNA's staffing ratios and called nurses a "special interest who don't like me because I'm always kicking their butt," CNA ignited a broad grassroots movement that led to the sweeping November 2005 electoral defeat for the Governor's special election initiatives. Two days later, Schwarzenegger dropped his year-long fight against the ratios.
Safe RN ratios have improved quality of care and nurse recruitment and retention in California hospitals. Ratios continue to improve with a 1:4 ratio in telemetry and specialty units scheduled to take effect in 2008.
Facts:
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