The Importance Of Safe Staffing

Great Essays
DISCIPLINARY ACTION
Introduction
Nursing has an important role in the delivery of healthcare today. State-mandated safe staffing levels are necessary to ensure safety for both patients and nurses, and crucial to enhancing patient care and adequate outcomes. Staffing levels continue to intensify daily especially now that the baby boomers age and the demand for healthcare services grow. This paper will discuss the legal responsibilities of both nurses and hospital administration when poor nurse to patient ratios are cause for serious medication errors. Many ethical issues arise when the dangers of understaffing cause unsafe working conditions for nurse’s and compromise the patient care they deliver. Accountability for practicing
…show more content…
Patients trust that nurses consider their overall safety when making the decision whether to accept, reject, or object in writing to any patient assignment (American Nurses
Association, 2009).
Legal Responsibilities of Hospital Administration Hospital administration has a duty to act on reported violations. The hospital administration was notified by management in writing several times on multiple occasions concerning the step down unit being chronically understaffed (American Sentinel University, 2014). The hospital has the responsibility to act when risk issues are identified to minimize harm to the patient and the health care institution.
State government regulates health institutions and holds them responsible for maintaining staffing and grants them authority to directly regulate staff members practice (Guido, 2010). Some critics of safe staffing feel that mandated nurse to patient ratios burden hospitals with increased operational costs. Although research has shown safe-staffing ratios are more cost effective, lead to improvement in nurse performance, lower patient mortality rates, reduce turnover rates and staffing costs as well as liability (American Nurses Association,
…show more content…
In my opinion violation of the Nurse Practice Act occurred when the nurse put the patients at risk for harm because of poor staffing ratios, and then failed to report such practice to the nursing board. According to the disciplinary board of registered nurses this warrants formal disciplinary action and is sent forward for review. If there is sufficient evidence in the case , an accusation, or legal document listing the charges is sent to the nurse. The nurse will be given the opportunity to dispute the charges at an administration hearing and a proposed decision will be written by the Administrative Court Judge and sent to the Nursing Board for consideration. Potential outcomes may include, revoking or suspension of license, accepting the surrendering of license, placing the nurses license on hold for a probation period or citing and fine the nurse (California Board of Registered Nursing, 2013). Despite the fact the hospital should have some accountability in this case; a nurse has a duty to her patients to provide a safe, risk free environment

Related Documents

  • Improved Essays

    The role and responsibilities of an RN especially with regards to medication administration, hold great significance as they coincide with legislations and codes. According to the discussed documents, Jo’s lack of competence was evident as demonstrated through her medication error, she had an inability to keep to her scope of practice and also to the medication management system created in the residential aged facility. Jo did not practice ethical nursing as the ethical issues that arose in this scenario were not dealt with correctly; she did not ask for help when she needed it, nor did she show respect to her colleague’s (the prescribers) role when she took on the role of the prescriber herself. Neither did she demonstrate the important values…

    • 191 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    Clinical Question To evaluate the essence of inpatient nurse to patient staffing ratio The initiative indicates that there should be a minimum of nurses to patients This is designed with the aim of addressing the growing concerns that there has been harm on patients through inadequate staffing, thereby paving way to increase in complexity and severity of the illness during the care (American Nurses Association, 2014) Search Criteria/Results Search Criteria The research conducted ensured that extensive research was carried out on numerous databases such as PubMed, CINAHL and in different areas that related to nurse to patient ratio Search Results:…

    • 308 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    Critics of safe staffing guidelines argue that this will only increase their high operational costs. When you look at everything that will result from the guidelines it will show that safe staffing patterns can be very cost effective. High nursing turnover and the need to utilize agency or traveling nurses increase nursing costs. By keeping nurses satisfied, less stressed, and with the tools to adequately care for their patients those issues are nonexistent which places staffing costs back in budget. Safe staffing guidelines will improve performance, improve patient mortality rates, and decrease liability.…

    • 177 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The ANA Code of Ethics (ANA Code) does apply to this case and the actions of the nurse. Hiteman claimed that the engagements of Bridgeway went in contradiction of the ANA Code provision 3.5 by not stating the importance of reporting unskilled, unethical, illegal or impaired practice in the employment setting to endorse patient safety. In addition, he provided the use of provision 2 by reporting the problems by using the chain of command, which provided obligation and advocacy in the safety of his patients (Hitesman v. Bridgeway Inc., 2014). Hitesman attempted to establish an ethical environment that is conducive to safety and quality care, which falls under provision 6 (ANA,…

    • 1276 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    On Wednesday, November 16, 2016 we attended the Missouri State Board of Nursing to watch six nurses come forward to defend their license against the council. The six nurses that are reviewed by the board, had violations and disciplinary actions to be taken. The first nurse who was a registered nurse had disciplinary actions against her license and was practicing in the state of Arkansas without a renewed license. Although, she exclaimed that she haffad not been reminded by the board to renew her license, even though she knew she it was necessary to renew her license every two years.…

    • 1170 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Lobbying for safe staffing goes hand in hand with what a labor organization represents. The American Nurses Association works to ensure safe working environments for nurses on a national and state level. Labor laws protect nurses through collective bargaining by encouraging hospital management and executives to follow guidelines on patient-to-nurse ratios for safer practice (Budd et al., 2004). The legislation for safe staffing is needed to strengthen the power of labor laws in all states nationally to ensure safe patient-to-nurse ratios occur in every…

    • 1775 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    The clinical nursing phenomenon in the case study is the failure of Justin, the charge nurse to communicate with Cindy when she was clearly not meeting the job expectations. Health care workers plays an important role in patients’ safety as reported by the Institute of Medicine (IOM). With the guidance and recommendations by IOM to improve nurses’ work environment, it is the nurse leader responsibility to act upon those recommendations. The charge nurse or manager duty is to provide consistent day to day feedback and counselling about job performance to staff members to improve the quality of work and to avoid problems that might affect high quality patient care. This is evaluating employee performance which is a part of controlling, the fifth…

    • 706 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Introduction “As defined by The American Nurses Association (ANA), delegation is the transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome” (Kelly, 2012 p. 369) Delegation occurs when a task is assigned based on job description and matching the staff to patient needs (NCSBN, 2005). Decisions on delegation are based on principles according to the individual’s scope of practice. Before any task is delegated, it is important to ensure the education, skill, knowledge, and judgment levels of the personal being assigned the task. The RN is accountable for assessing, diagnosing, implementing, and evaluating the patient’s plan of care (NCSBN, 2005). Nurses are legally…

    • 841 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Safe Staffing Ratios on a Med-Surge Unit Angela Lyons Eastern Gateway Community College Abstract Nurses have an integral and important role in the health care system. In order to retain nurses and have quality patient care, acceptable nurse to patient ratios must be obtained. Three of the many benefits of adequate nurse to patient ratios are quality patient care, retention of nurses, and patient safety.…

    • 1026 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Conclusion Professional nurses are should be able to apply professional judgment into the dynamic medical field. All of them are expected to be accountable in the practice in that any actions and gaps left will be questionable. With all regulatory bodies put in place, they are expected to practice epitomes and excellent decision making in the best interests of the legally entrusted party. This will put to drop in litigation of medical practitioners under common negligence law. References Cox C (2010)…

    • 1814 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    Unsatisfactory professional conduct is defined as the professional conduct below the standard logically anticipated of a nurse with an equivalent training or experience. This entails conduct that exhibits incompetence, lacks diligence, compromises cares and disrepute the nursing profession. The definition of unsatisfactory professional conduct applies to the case study due to how nurse Heather Conyard treated her patient. This means that the nurse in the case has breached the Nursing and Midwifery Board of Australia (NMBA) standards of practice for all Registered nurses to abide by.…

    • 554 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    A Nurse’s Role Providing patient safety is not the of a nurse. The nurse must also show commitment, from the code of ethics, to provide competent and ethical care. Registered nurses also have the professional obligation to raise concerns regarding any patient assignment that may put the patient, the nurse or both at risk. This professional obligation is anchored in the Nursing’s Social Policy Statement Code of Ethics for Nurses with Interpretive Statements Nursing Scope and Standards of Practice. Under the Provisions of the Code of Ethics provision 3 it states, “The nurse promotes, advocates for, and protects the rights, health, and safety of the patient”.…

    • 1151 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Patient safety, my last key point, aligns with the supporting resource, Professional Collaboration: Who Should Determine Safe Staffing for Nurses?" because this resource demonstrates that when there is enough staff to care for clients, the rate of mortality decreases…

    • 943 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Introduction Nursing is a dynamic profession of providing care for infirm and sick individuals. This profession exists due to the demands of society. One major problem society is facing today is a shortage of nurses. Lois Berry and Paul Curry (2012) state, “by the year 2022, there will be a need of 60 000 full time registered nurses (p.35). Berry and Curry note that the number of nurses will decrease by 2022.…

    • 1017 Words
    • 5 Pages
    Great Essays
  • Superior Essays

    Nursing Practice Issue Inadequate staffing can be the downfall for any organization and when inadequate staffing effects the healthcare field, the ramifications can affect patients and the nurses caring for them with negative ramifications. Nurses face dilemmas such as patient safety, patient satisfaction, nurse burnout, as well as a decrease in job satisfaction. These dilemmas can be attributed to inadequate staffing of facilities.…

    • 990 Words
    • 4 Pages
    Superior Essays