NR 451 Healthcare Policy Assignment Week 3

Bill Summary ► Patient assignments are included in the calculation of the direct care registered nurse-to-patient ratio. ► Nurses assigned to any unit with the hospital must have unit-specific competence, having received oreination to that specific unti and provide competent care to the patients on that unit. ► “Each patient shall be assigned to a direct care registered nurse who shall directly provide the assessment, planning, supervision, implementation, and evaluation of the nursing care provided to the patient at least every shift and has the responsibility for the provision of care to a particular patient within his or her scope of practice”. ► Registered nurse administrators, supervisors, managers, charge nurse, case manager, or any other hospital administrator or supervisor, are not to be included in the calculation of the direct care registered nurse-to-patient unless they have a direct care assignement. ► Additional personnel may perform patient care tasks in accordance with scope of practice laws and regulations. ► Temporary nursing agency staff shall not be assigned assignment to which competence has not been demonstrated and orientation was received. ► Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2019 (H.R. 2581). (n.d.). Retrieved from Impact Professional Nursing Practice Standard if passed o PASSING OF THIS BILL WOULD ENSURE ADEQUATE STAFFING TO WHICH THE REGISTERED NURSE MAY PERFORM THE DUTIES REQUIRED TO PROVIDE QUALITY CARE TO PATIENTS UNDER THEIR CARE LEADING TO BETTER AND MORE SUSTAINED PATIENT OUTCOMES. o STAFFING AND TEAMWORK ON A UNIT CAN INDIRECLTY INFLUENCE THE QUALITY OF CARE PROVIDED (NEVES, PARRERIA, GRAVETO, ET AL, 2020). OPTIMIZING SAFETY AND QUALTIY OF CARE PROVIDED IS DEPENDENT ON ADEQUATE NURSE STAFFING RATIOS AS WELL AS COMPETENCIES IN PRACTICE (NEVES, PARRERIA, GRAVETO, ET AL, 2020). o THE HIGHLY COMPLEX AND UNPREDICTABLE NATURE OF HEALTH CARE REQUIRE ADEQUATE L