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Presented to:

Manager and Director Meeting

September 2, 2009

By

Ashley Currier, RN, BSN, CMSRN

Updates: Illinois Coalition for Nursing Resources (ICNR)

Northwestern Memorial Hospital

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Nursing Practice Legislation and Policy

• “Rules” for the Nurse Practice Act– Not yet approved– Plan is for 2012

• SB 1919 (EPA- “do not flush”)– Passed with negotiated language

• HB 1014 (Nurse Practitioner and Prescribing Authority)– Licensed to prescribe 5 medications correlated to MD’s medications– Reapply for prescribing authority– Apply for a DEA #

• SB #### (Education and Nurse Training Reimbursement)

• No hearing set for discussion about mandated staffing ratios

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ANA Safe Staffing Poll

• www.safestaffingsaveslives.org

• March 2008-June 2009

• 14,993 responses nationwide

• Demographic Data– Role– Shift worked– Magnet Institution?– Union/Non-Union

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ANA Safe Staffing Poll

How often do you engage in non-nursing activities? (ie: delivering meal trays, transfer patients, draw labs, go to pharmacy)

• Never 2.2%

• Rarely (< once/month) 4.0%

• Sometimes (once/month) 5.8%

• Frequently (once/week) 18.2%

• Always (every day) 65.7%

• No Response 4.1%

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ANA Safe Staffing Poll

How often are you able to take your full meal break?

• Never 11.7%

• Rarely (< once/month) 24.1%

• Sometimes (once/month)24.7%

• Frequently (once/week) 23.1%

• Always (every day) 12.4%

• No Response 4.0%

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ANA Safe Staffing Poll

Would you feel confident having someone close to you receive care in the facility in which you work?

• No 49.5%

• Yes 45.9%

• No Response 2.3%

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ANA Safe Staffing Poll

Do you believe the staffing on your unit and shift is sufficient?

• No 71.9%

• Yes 23.5%

• No Response 4.6%

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ANA Safe Staffing Poll

Are you currently considering leaving your position?

• No 45.0%• Yes 52.7%• No Response 2.3%

If you are considering leaving your position, is the reason associated with adequate staffing?

• No 11.3%• Yes 42.2%• Not Applicable 30.6%• No Response 2.3%

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Safe Nurse Staffing in Illinois

• Staffing by Patient Acuity (Law PA 095-0401)– Signed into law August 24, 2007

• NEW: Rules written in a collaborative effort by INA & IHA

• Please encourage the governor to move on this vital piece of legislation!

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Safe Nurse Staffing in Illinois

• Assures direct care staff a significant voice in nurse staffing process

• Aligns staffing considerations based on patient needs and nursing resources

• Reinforces evidence-based approach to nurse-patient staffing

• Accounts for wide range and mix of hospitals and their nursing staffs

• Complements current hospitals’ staffing policies and practices

• Demonstrates hospital’s commitment to their direct nurse staff