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Massachusetts Law Definition Current status Main characteristics Bill H. 4228 • An Act relative to patient limits in all hospital intensive-care units • Effective September 24, 2014 • Nurse-patient ratio in intensive care units is 1:1 or 1:2 depending on patient stability, assessed by the acuity tool and staff nurses; disagreements are resolved by nurse managers or designees. 4. Connecticut Law Definition Current status Main characteristics Health Systems and Policy Research ISSN 2254-9137 Vol.5 No.1:67 2018 © Under License of ƌĞĂƟvĞ Commons ƩƌŝbƵƟŽn 3.0 License 3 Public Act 08-79, An Act Concerning Hospital Staffing • An act concerning hospital staffing • Effective July 1, 2009 • Hospitals must establish a hospital staffing committee to prepare the nurse staffing plan, comprised of at least 50% RNs providing direct patient care. Hospitals may use an existing committee. *Hospitals must develop and implement a nurse staffing plan, including the minimum professional skill mix for each patient-care unit in the hospital; identify employment practices for temporary and traveling nurses; determine administrative staffing levels in each unit to ensure direct-care staff are not used for administrative functions; determine the process for internal review of the plan; and include the mechanism to obtain input from direct-care staff. 5. Illinois Law Definition Current status Main characteristics Public Act 095-0401 • Nurse Staffing by Patient Acuity Effective January 1, 2008. • Facilities must post and implement the staffing plan recommended by a committee of nurses (at least 50% direct-care nurses), with broad representation. The plan must include the complexity of nursing judgment required, patient acuity, number of patients, ongoing assessment, unexpected patient needs, time for documentation, and staffing flexibility. Committee minutes must be stored for 5 years and must be given significant regard in the adoption & implementation of the plan • The plan must outline the process for submitting committee’s recommendations to administration; the process for providing feedback to the committee regarding unresolved or ongoing issues, which must be addressed at the next meeting • Nursing Performance and Quality data must be reviewed by the staffing committee semiannually. 6. Nevada Law Definition Current status Main characteristics Patient Protection and Safe Staffing bill (SB 362) • Minimum Nurse Staffing Ratios Bill • Passed May 5, 2009; Approved by the Governor. Chapter 227 • Hospitals must create an acuity system and annual staffing plan, including minimum nursepatient ratios and penalties for failing to meet ratios. • Staffing committees set matrixes for all units to provide quality patient care and develop policies to ensure adherence. • The policy protects nurses and certified nursing assistants from retaliation if they refuse an assignment and establishes investigations, penalties, and fines for medical facilities that do not develop and implement staffing plans. • The health division oversees staffing committees, policies, and patient ratios; acknowledges nursing labor unions; and recognizes additional provisions in the negotiated contract to use Acceptance Despite Objection Forms, affording everyone the same rights, whether or not they are in a union! 7. Oregon Law Definition Current status Main characteristics Nurse Practice Act (Oregon Revised Statutes, Chapter 678.010-678.4 45) n/a • Enacted Hospitals develop a hospital wide nurse staffing plan with input of direct-care nurses 8. Rhode Island Law Definition Current status Main characteristics Rhode Island Las § 23-17.17-8 • Requires hospitals to submit a staffing plan that delineates the average number and mix of nursing personnel assigned to each unit/shift • Enacted Annually in January, every licensed hospital must submit its core-staffing plan, specifying each patient-care unit, shift, number of each level of nurses ordinarily assigned to provide direct patient care, average number of patients, and projected number of direct-care, non-managerial nursing staff. 9. Texas Law Definition Current status Main characteristics Health and safety code Chapter 257. Nurse Staffing n/a • Enacted • Established standing nurse-staffing committee of representative types of nursing services; the chief nursing officer is a voting member; must include a minimum of 60% RNs who provide direct patient care during at least 50% of their time, selected by peers; must meet at least quarterly. Committee participation is paid work time, substituting for other work duties. • The committee develops and recommends a nurse staffing plan to the hospital’s governing body, which reviews, assesses, and responds to staffing concerns expressed to the committee • The committee identifies nurse-sensitive outcome measures used to evaluate the effectiveness of the staffing plan; evaluates plan effectiveness; semiannually reports on nurse staffing and Health Systems and Policy Research ISSN 2254-9137 Vol.5 No.1:67 2018 4 This article is available from: http://www.hsprj.com/ patient-care outcomes; and evaluates plan effectiveness considering patient needs, nursingsensitive quality indicators, nurse-satisfaction measures, and evidence-based nurse-
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