“There shall be a minimum of one registered professional nurse assigned to care for every two patients that an attending practitioner determines to require intensive or critical care,” the regulation expected to be approved by the state Public Health and Health Planning Council on Thursday says.
The legislature instead requires every hospital to form a “staffing committee” — half made up of nurses, half hospital administrators — to negotiate other staff-to-patient ratios in non-critical settings. “The proposed regulation allows each hospital to collaboratively develop clinical staffing plans with nurses and other staff, and this hospital-by-hospital approach will enable facilities to balance what is best for the patient and workforce while taking into account the varying needs of each individual hospital.”
One administrator noted that many hospitals still suffer from a shortage of in-house nurses and have contracts with firms that provide traveling nurses to fill the gaps, suggesting a mandated staffing ratio is impractical and counterproductive.
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