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•According to Kuwata (2017) “Until legislation is passed that directly speaks to this issue, inadequate staffing will continue to impact patient outcomes, particularly as baby boomers age and access to health care expands” (p. 636). •As stated in earlier slides, the implementation of H.R. 2581 would positively affect the nursing shortage as it will aide in retention of nurses and increase recruitment of new nurses; conversely, if H.R. 2581 is not passed, the nursing shortage will continue as nurses leave the bedside.
Impact of Bill on Own Nursing Practice if Passed•I currently work in a skilled nursing facility. It is a 454 bed facility, with a nurse to patient ratio of 1 nurse to 50 patients in the long-term care units and a ratio of 1 nurse to 30 patients in the sub-acute units. •Patients continually are admitted sicker to these facilities, sometimes in place of a step down unit following surgical admissions or ICU admissions. With the patient acuity increasing, it is getting increasingly difficult to adequately manage patient care. Most nurses feel that they are just “getting by” doing the minimum to keep patients stable. •If H.R. 2581 were to pass, ideally the nurse to patient ratio would decrease to 1 nurse to 5 patients.
Impact of Bill on Own Nursing Practice if Not Passed•There is a high incidence of nursing readmissions to the skilled nursing facility for disease states such as pneumonia, COPD exacerbation and CHF exacerbation. There is also a high rate of readmission due to post surgical complications. •This is directly related to nurses unable to provide adequate education to patients during admission due to increased caseload.