Presented to:

1
Updates Illinois Coalition for Nursing Resources
(ICNR)
Presented to Manager and Director
Meeting September 2, 2009 By Ashley Currier, RN,
BSN, CMSRN
Northwestern Memorial
Hospital
2
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
  MDs medications
• Reapply for prescribing authority
• Apply for a DEA
• SB (Education and Nurse Training
  Reimbursement)
• No hearing set for discussion about mandated
  staffing ratios

3
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

4
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 (lt once/month) 4.0
• Sometimes (once/month) 5.8
• Frequently (once/week) 18.2
• Always (every day) 65.7
• No Response 4.1

5
ANA Safe Staffing Poll

• How often are you able to take your full meal
  break?
• Never 11.7
• Rarely (lt once/month) 24.1
• Sometimes (once/month) 24.7
• Frequently (once/week) 23.1
• Always (every day) 12.4
• No Response 4.0

6
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

7
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

8
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

9
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!

10
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 hospitals commitment to their
  direct nurse staff