Nursing Practice

Submitted by Administrator on September 25, 2017
Nurses wearing masks in hospital

The Nursing Practice & Patient Advocacy Program is involved in five broad categories of activities:

  1. Nursing practice issue research, analysis, and resolution.
  2. Patient advocacy
  3. Continuing education
  4. Competency
  5. Safe patient care

Purpose and Objectives

To advocate for direct-care nurses and patients on all public policy matters related to safe care and nursing practice, including safe nurse-to-patient ratios and patient advocacy rights and duties. (For more information re the program please access our Nursing Practice Program Brochure)

MAJOR NURSING PRACTICE ISSUES

  • Promotion of the registered nurse as the direct-care provider in all healthcare settings.
  • Patient advocacy and the nursing process.
  • Empowerment of the PPCs (Professional Performance Committees).
  • Encroachment into nursing practice by other licensed and unlicensed health caregivers.
  • External forces promoting reallocation of nursing functions.
  • Technology and the deskilling of the profession.
  • Deregulation through movement of services from inpatient to outpatient and home settings.
  • Development and monitoring of staffing ratio language.
  • Fragmentation of RN title and work.
  • Occupational health hazards for nurses and violence in the workplace.

Resolution on the Current Crisis in Care: Beating Back Crisis Standards of Care is Necessary to Securing Holistic Registered Nursing Practice to Protect Patients

In the year of the nurse it is vital that the profession maintains its holistic approach to patient care.

The hospital industry is using the current Pandemic to "temporarily" roll back nursing standards and regulations designed to protect both patients and nurses.

The industry is already signaling that these temporary measure should be made permanent following the end of the pandemic.

These changes pose a grave danger to the future of the professional and hence patient care.

See our resolution regarding this issue here


Assignment Despite Objection

A Nurses’ Guide to Filling Out an Assignment Despite Objection (ADO) Form.

The purpose of this form is to notify hospital supervision that you have been given an assignment which you believe is potentially unsafe for the patients and/or staff. This form will document the situation.


Nurses wearing masks in hospital

Nurse to Patient Ratios

Bedside Nurses across the country know mandated nurse to patient ratios are necessary to ensure safe patient care, yet California is still the only state to mandate ratios on all units in acute care hospitals.

Lawfully mandated minimum nurse staffing levels at hospitals in California have been proven to save lives and enhance patient care.

For more on this issue please access our Ratios white paper here.


Ratios legislation supported by NNU

We have two national safe patient ratio bills, one in the Senate S. 1357 (Brown) and the House HR 2581 (Schakowsky).

The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S.1357) (Brown) This bill 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.

The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R.2581) (Schakowsky) Nurses are increasingly put into impossible situations by hospital managers who demand they care for more patients than is safe. There is a proven method to save patient lives and save hospital money — mandated minimum nurse-to-patient staffing ratios. In Congress, Rep. Jan Schakowsky (D-Ill.) introduced her Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act to improve patient quality of care by establishing a requirement for nurse-to-patient ratios that put patient safety first.

RNs nationwide are actively working with NNU to win their own mandated direct-care RN-to-patient staffing ratios. RNs in other nations have also been fighting to improve conditions for their patients. Studies show that staffing ratios save lives, yet understaffing is a major issue RNs struggle with every day.  Together, we can change that.

 

JOIN OUR RATIOS COALITION HERE!