The full implementation of the Affordable Care Act (ACA) happened in 2014, introducing health insurance reforms and fresh health coverage options in Pennsylvania, California and other regions in the United States. Before the Affordable Care Act, under a waiver, California made several initiatives to expand the state’s Medicaid program – Medi-Cal – and made plans to restructure the health care delivery system within its safety net. Within the first two years after the ACA went into full effect, Medi-Cal, together with Covered California, which is the state’s health insurance Marketplace, facilitated the health coverage of millions of California residents. ...
Essays on Nurse To Patient Ratio
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Nursing
Mandatory Overtime in Nursing: Implementations Although mandatory overtime among nurses is not encouraged because of the perceived risk on job performance and patient management, the practice is still necessary particularly in health facilities where staffing is an issue. In situations where there are insufficient nurses, a mandatory overtime can be implemented. According to Rogoski et al., (2013) hospitals are typically understaffed particularly in neonatal ICUs by 32%, which is a ground for the implementation of overtime. In addition, high-acuity units particularly among infants require additional 0.39% of nurses. Implementing the mandate on overtime should begin by analyzing the current ...
Introduction
Staffing issues in nursing that occur because of the growing shortage of nurses and huge budget cuts has been an ongoing concern for a long period (American Nursing Association, 2013). Registered nurses have acknowledged that the issue has led to longer working hours for nurses as they take care of sick patients. The situation puts both the safety of patient and nurses at risk. This has brought the need for adequate staffing levels to achieve the optimal nurse to patient ration that is now a national priority. The projected outcome of safe staffing include; reduced medication errors, a decrease ...
For a long time now, nurses have been fighting against inadequate staffing and the outcomes that such issues have on them and the patients under their care. Additionally, the ever ballooning needs of the health care system have resulted in the number of patients requiring care going above the available healthcare personnel (Aiken, et al., 2014). As such, the available nurses presently working in the country, both at the state and the federal level are overwhelmed by the responsibilities bestowed on them. From the foregoing, therefore, it is evident that finding the optimal level of the nurse-to-patient ratio has ...
Literature review of CVL
Introduction The management of the sick with serious disease like cancer requires a stable central venous access to be used for a variety of treatment that includes antibiotic and blood samples or product. It also allows the resuscitation of fluid, hemodialysis and parenteral nutrition and cytotoxic chemotherapy to access blood-stream so that medical professionals can observe and microbial culturing of the patient. In addition, it is used to monitor the pressure of central venous. The importance of educating the patient was emphasized too so as to avoid keeping the patients in darkness and not knowing what is happening to them ...
Introduction
In order to ensure quality in patient safety and patient care, appropriate efforts should be taken to develop appropriate nurse to patient ratio for the nursing staff. Staffing is the management activity that provides suitable and adequate personnel to fulfill the organization’s objective (Grohar-Murray & Langan, 2011). Staffing pattern plays an important role in the quality of care that nurses provide. It is important in the improvement of patient care because it allows management to hire and have an acceptable number of personnel that can provide quality and proper care to the patients. It has been recognized that ...
The nursing field is tasked with delivering health care that is effective, efficient, timely, and accessible. These measures of quality nursing care can be achieved when nursing practice is properly coordinated. Nursing staffing levels play a critical role in nursing administration. Nurse administrators should ensure that there are adequate nurses in the health facilities to deliver quality patient centered care. The available nurses should have the right skills and knowledge to deliver the services demanded by the patients. However, too many nurses may not be economical. Therefore adequate staffing is a serious issue in nursing administration which involves ensuring there are ...