A tool kit specifically designed for staff nurses to assist in providing the information you need to implement the law in your hospital.
Staffing by Patient Acuity Law (PA095-0401)
"Staffing should be based on achieving quality of patient care indices, meeting organizational outcomes, and ensuring that the quality of a nurses' work life is appropriate" (ANA, 2005)
Staffing Plan
*Every hospital will implement a staffing plan recommended by a committee of nurses, comprised of at
least 50% direct care staff nurses
*The plan must take into consideration
o the complexity of care
o the complexity of nursing judgment required
o patient acuity & the number of patients
o ongoing assessments of a unit's acuity level and staffing need
o unexpected patient needs
o time for documentation!
o staffing flexibility by unit
o The plan must be posted in a location that is in a conspicuous & accessible location
Nursing Care Committee/Staffing Committee
* 50% of members must be in direct care
* There must be broad representation
* There should be guidelines for rotating representatives
* Committee minutes are required to be written and stored for 5 years
* Recommendations from the committee must be given significant regard in the adoption &
implementation of the plan
* The process for submitting committee's recommendations to administration must be outlined in the
plan
* A process must be described for providing feedback to the committee regarding unresolved or
ongoing issues
* Any identified issues must be addressed at the next meeting
* Nursing Performance and Quality data must be reviewed by the staffing committee on a semi-annual
basis.
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