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* News / Trial of Those Who Stole Ebola Money in Sierra Leone Continues by katty: Today at 02:10:34 PM
The Executive Director, Programme Manager and Finance Officer of The Needy Today, a local NGO, were alleged to have misappropriated Le300 million meant for groups affected by the Ebola outbreak in Makeni.

According to State Prosecution, Ebola funds were fraudulently withdrawn from The Needy Today bank account at Rokel Commercial Bank, between August 2015 to 6 January 2016, by the accused persons.

On Wednesday, Umar Sesay, prosecution witness, disclosed several fraudulent bank transfers were made into a private account owned by Elizebeth Lebbie and Unisa Kamara on diverse dates. The witness informed the Court about documents signed by the accused in obtaining funds from international donors for the fight against the Ebola virus disease.

The accused people are also accused of bribing Sulaiman Bah, an internal auditor with Goal SL, the sum of Le3 million to discontinue an audit report on the project.

Justice John Bosco revoked the bail condition initially granted by Anti-Corruption Commission during the preliminary investigation. The judge emphasized the seriousness of the allegation pointing out the huge public outcry because of the misappropriation of the Ebola fund by NGOs and government bodies.

The accused persons were later granted a bail condition of Le500 million and two sureties respectively.

On Wednesday 20 June 2018, Sesay submitted to the Court the documents relating to the alleged fraudulent deal including the withdrawal statements at the bank.
As the several documents were submitted, the matter was adjourned to 27 June 2018 as the defence counsel was absent to commence with the case.
SV/20/6/18
By Sylvia Villa
* News / Miss Northern Ireland a Beauty Contest With Purpose For Newly Crowned Nurse by katty: Today at 01:31:52 PM
Just a few weeks into her new role as the 2018 new Miss Northern Ireland, nurse Katharine Walker tells Gail Bell how she will still keep grounded by helping sick children and their families and being an ambassador for the hospice

KATHARINE Walker may have suffered "a good shock to the system" but she has now readjusted her crown and hit the ground running in her new role as Miss Northern Ireland.

The dedicated paediatric nurse at the Royal Victoria Hospital for Sick Children is determined to use her time as the 2018 winner to prove that the competition, which has now been running for 32 years under the direction of model agency boss, Alison Clarke, is more than a superficial beauty pageant and much more than an opportunity to "get great pictures".



While her head may still be a little in the clouds only a few weeks on from lifting the title from last year's winner, Anna Henry, the Hillsborough girl (who took home a prize package including Fiat car and modelling contract with Belfast-based ACA models) is determined to keeping her feet firmly planted on the ground – or, rather, the clinical floors of her usual beat in and around the wards at the children's hospital.

"I want to show that Miss NI is so much more than just getting your picture taken and that it is a beauty contest with purpose," states the 23-year-old who was named the new Insanity Tan Miss Northern Ireland at a glittering ceremony at Belfast's Europa Hotel last month.

"Everything has gone a little crazy since and I've had to get used to photo shoots and being booked for different engagements and it's all really exciting... but when you work with very sick children you tend to keep perspective.

"The work can make you very emotional at times and I often will go and have a little private cry in the tea room, but then you wipe away your tears and go back and do your next shift, always being positive and doing your best for the children in your care – and their families."

It is a job she has loved ever since graduating in nursing from Queen's University in 2016 and, despite the inevitable heartache, there are highly rewarding moments too.

"When children reach a stage where they are getting better and ready to go home, it is such a joyful time for me and my nursing colleagues," Katharine says. "Children are very resilient and often survive against all the odds.

"Recently, a little one-year-old girl with complex needs had been desperately ill after being admitted in February and when she was ready to go back to a ward in a district general hospital, it felt like she was on the right path and that we had helped a little with her journey.

"Parents say they can never thank you enough, but even though we are doing what we are trained to do, it is a great feeling. Those moments are very special and are, I think, the reason why I do this job."

She is hoping the new Miss Northern Ireland role will become an extension of her 'everyday' job of helping others, especially since ACA Models has enjoyed an ambassadorial partnership with the Northern Ireland hospice for several years.

Katharine, whose name has now been added to the hospice's celebrity ambassador programme – headed by Eamonn Holmes – is thrilled that she will be able to help support the charity which offers specialist respite, symptom management and end-of-life palliative care to over 3,500 infants, children and adults each year.

"One of my first duties was attending a children's hospice dinner and I think the Miss Northern Ireland contest is an important platform to raise awareness and support fantastic organisations like this," she says. "I look upon it as having two 'helping' roles this year – I am doing the same thing, but just in two different ways."

She is quick to defend such competitions in an age of modern feminism and equality and believes the contest has kept pace with the times, kept itself updated and is still "relevant" in 2018.

"Some people think negatively of beauty competitions, but at the end of the day, they are still here and girls – smart girls from all different backgrounds – are still entering them," she adds. "It is a choice and it's as popular as ever, so that says it all, really.

"Working with the hospice is an example of how you can use the role to bring real benefit. It's not all glamour and I want to show that element throughout my year. I have always worked hard, whether in my job or in my sports and I will work hard in this role too."

Her sports are tennis and hockey, with the latter responsible for two lost teeth when she was hit by a hockey ball aged 16. The accident knocked her confidence for a while, but didn't deter her from playing the sport again, both at school and later at university.

"I always loved my sport, but I really wanted to be a weather girl," she reflects. "Geography was my favourite subject at school and I am still interested in it. I also wrote a lot of poems, so for the talent section of Miss Northern Ireland, I made up a poem about the competition itself.

"I made it up while on night duty and although it was about the competition being more than a beauty pageant, it was still light-hearted and fun.

"I look at television presenters like Zoe Salmon, a former Miss Northern Ireland, and I think it would be great to try my hand at being a presenter if the opportunity arose. But, my heart will always be in nursing and I would love at some stage to open my own day care centre for children with special needs."

Mum Wendy, dad Fred and older brother Gareth are naturally delighted with her success – and happy it brought the unexpected bonus of keeping Katharine in Northern Ireland for a while longer.

"I intended to travel to Australia in January to gain more experience in clinical skills, working with children with special needs in Melbourne, but that has now had to be postponed," she says. "But I'll still be travelling as the winner of Miss Northern Ireland gains automatic entry to Miss World which is being held in China in November.

"I'm not sure what all will be involved over the course of the next year, but I know it will be its own adventure. I'll be an ambassador for Northern Ireland, meeting lots of people and chatting to them.

"Luckily, I love chatting. I'll chat to anyone."

Source :https://www.irishnews.com/lifestyle/2018/06/25/news/miss-northern-ireland-a-beauty-contest-with-purpose-for-newly-crowned-nurse-katherine-1362411/
* News / Katharine Walker A Registered Nurse Becomes Miss Northern Ireland by katty: Today at 01:21:45 PM
The new Miss Northern Ireland is 23-year-old Katharine Walker.

The nurse from Hillsborough was crowned winner on Monday night at a gala event in the Europa Hotel in Belfast.

The Miss Horatio Todd's competed against over 20 others to take over from last year's winner, Anna Henry.



Katharine will now go on to compete in the Miss World competition in China in December.

Her winning package includes an all expenses paid trip to the competition, as well as a modelling contract with ACA models.
* News / Attacks On Nurses Rising And Figures ‘Don’t Tell Entire Story’ by katty: Today at 06:30:31 AM
Violent attacks against nurses in hospitals are rising, the latest figures show.

Officially recorded incidents show more than 10 assaults every week against frontline nurses last year, up from 559 during 2016 to 587 last year. They include physical, verbal and sexual attacks.

Already this year up to the end of April, 155 nurses had been attacked at work, according to the Health Service Executive’s National Incident Management System (NIMS), set up three years ago to log all assaults.



But Phil Ní Sheaghdha, general secretary of the Irish Nurses’ and Midwives’ Organisation (INMO), said the reality is much more stark, because the HSE does not record assaults on nurses working in dozens of so-called voluntary hospitals.

There are 28 voluntary hospitals in the country, including St James’s, St Vincent’s, Tallaght, Beaumont and the Mater in Dublin as well as the Mercy University Hospital in Cork and St John’s in Limerick.

“The official figures don’t tell the entire story – the voluntary hospitals would also have a similar number of assaults,” said Ms Ní Sheaghdha.

Nor do the figures depict the gravity of some of the attacks and the resulting psychological injuries suffered by nurses. Some particularly horrific assaults are “career ending”, Ms Ní Sheaghdha said.

“One nurse in her late 50s, somebody grabbed her from behind, around her neck, dragged her into a side room,” she said.

“The assailant was a young man, in his mid-20s, and there was no facility for her to raise an alarm. Fortunately a patient raised the alarm and she was rescued.

“She had skin abrasions, muscular tissue damage, but the psychological effects of that happening to her were so severe that she found it very difficult to go back.”

Ireland East group

The official figures show assaults on nurses occur with the greatest frequency at the Ireland East Hospital Group. And attacks have been rising in the group’s hospitals – which includes Midland Regional Hospital, Mullingar, Wexford General Hospital and Our Lady’s Hospital, Navan – over the past three years. Although this is the largest group in the country, the majority of its hospitals are voluntary, where assaults are not logged by the HSE.

Over the same period, attacks have also been rising at Dublin Midlands, Saolta and University Limerick Midwest groups, but declining at RCSI Dublin North East and South/South West groups.

Additional security at hospitals and tougher sentencing for assailants would help, but the “biggest fix” would be more nursing staff, Ms Ní Sheaghdha said.

“Assaults go up when staffing levels go down. Research shows this,” she said.

“A nurse has no control in these situations where poor unfortunates are waiting and waiting for hours to be seen, and people get very frustrated and do tend to take it out on the person they visibly see.

“We need more staff to get rid of the unacceptable waiting times.”

There are 2,000 fewer nurses now compared with 2007, according to the INMO, which wants to see an additional 4,000 recruited this year and next.

“That is just to stand still. More nurses will be required for promised new beds,” added Ms Ní Sheaghdha.

Louise O’Reilly, Sinn Féin’s health spokeswoman, who obtained the figures, said the “worrying trend of increase in assaults against nurses should cause concern at the highest levels in the HSE”.

“Central to this rise in assaults is the recruitment and retention crisis in the HSE,” she said.

Nicholas J Parkinson, head of national health and safety at the HSE, told Ms O’Reilly in a letter: “The figures show that there is a level of annual fluctuation in the reported incidents . . . however, we would anticipate a rise in the number of recorded incidents as NIMS becomes further embedded in the system and the organisation continues to encourage the reporting of all incidents (regardless of the level of harm, if any)”.

Source: Irish Times
* News / Maggot Therapy: Using Maggots To Heal Wounds (Disturbing Photos) by katty: June 24, 2018, 08:40:09 PM
Its called Maggot therapy. Its a type of biotherapy involving the introduction of live, disinfected maggots (fly larvae) into the non-healing skin and soft tissue wound of a human or animal for the purpose of cleaning out the necrotic (dead) tissue within a wound (debridement) and disinfection.
Pressure ulcers (bed sores), venous stasis ulcers (common in people with leg swelling, varicose veins, or blood clots), neuropathic foot ulcers (often found in diabetics), post-surgery wounds, or traumatic injury wounds can all benefit.

How does it work?

Maggots can’t properly digest living tissue. They eat only necrotic, or dead, tissue. These medical-grade maggots have the natural instinct to crawl away from living skin to find dead matter, which they consume before moving on to find more necrotic tissue. Once the necrotic tissue is all gone, they will leave the host body on their own in search of other sources. When used for maggot therapy, these larvae are place on the wound site for two to three days, typically contained within the affected area by a wound dressing that keeps them from migrating.

One of the greatest benefits of maggot therapy is “debridement,” or cleansing wounds of dead and infected tissue. But maggots also release enzymes that help disinfect the wound, stimulate the growth of healthy tissue, and dissolve biofilm,which is a collection of microbial cells that form on the surface of wounds, making it difficult for antimicrobial agents to enter.



The thought about being eaten alive is scary but Maggot therapy doesn't hurt , its completely safe and hygienic .

In maggot therapy, large numbers of small maggots consume necrotic tissue far more precisely than is possible in a normal surgical operation, and can debride a wound in a day or two. The area of a wound's surface is typically increased with the use of maggots due to the undebrided surface not revealing the actual underlying size of the wound. They derive nutrients through a process known as "extracorporeal digestion" by secreting a broad spectrum of proteolytic enzymes that liquefy necrotic tissue, and absorb the semi-liquid result within a few days. In an optimum wound environment maggots molt twice, increasing in length from 1–2 mm to 8–10 mm, and in girth, within a period of 48–72 hours by ingesting necrotic tissue, leaving a clean wound free of necrotic tissue when they are removed.
* News / Invitation to NANNM Ogun State Nurses Week And Scientific Conference 2018 by katty: June 24, 2018, 05:53:16 PM
NATIONAL ASSOCIATION OF NIGERIA NURSES AND MIDWIVES [NANNM] OGUN STATE CHAPTER
 
Invites you to her Nurses Week & Scientific Conference 2018
 
THEME:
Nurses A Voice To Lead; Health As A Human Right


Personalities
Dr. Babatunde Ipaye (Commissioner for Health. Ogun State) Chairman
 
Oba Dr. Abdul Majeed 'Toye Alatishe (The Gbegande of Ososa (and) Royal Father of the Day
 
Chief (Mrs.) Yetunde Onanuga (Deputy Governor, Ogun State) Special Guest of Honour
 
Comrade Nurse Roseline Solaria (Chairman NANNM, Ogun State) Host
 
Nurse Abdrafiu Alani Adeniji (National President, NANNM) Chief Host
 
Professor Omolola lrinoye (Dept. of Nursing Science, O. A. U, Keynote Addressee
 
Date:
8th - 14th July 2018
 
Venue:
Nurses House, Oluwo Village Road, via Madojutimi Junction, Abiola Way, Abeokuta
* News / Invitation to NANNM Lagos State Branch 2018 Nurses Week Conference by katty: June 24, 2018, 05:50:30 PM
NATIONAL ASSOCIATION OF NIGERIA NURSES AND MIDWIVES (NANNM) LAGOS STATE BRANCH 2018 NURSES WEEK
 
THEME:
NURSES: A VOICE TO LEAD; HEALTH IS A HUMAN RIGHT.
 
Date: Friday 27th July - Friday 3rd August, 2018.
 
Venue: Nurses House, NANNM Secretariat, 19, Amaraolu Street, Agindingbi,lkeja,Lagos.
 
CONFERENCE TOPICS
1. UNIVERSAL HEALTH COVERAGE; THE ROLE OF NURSES.
2. CULTURAL PRACTICES THAT ARE INJURIOUS TO HEALTH.
3. DOMESTIC VIOLENCE/CHILD ABUSE/CHILD PROTECTION.
4. NURSING THE NURSE.
5. NURSE /PATIENT RIGHT AND SAFETY
6. RESPECTFUL MATERNITY CARE.
7. NURSING PROCESS UPDATE/NURSING.
8. NURSING AND CLINICAL RESEARCH; THE ROAD MAP TO EXCELLENT HEALTH CARE SERVICES.
9. ARTHRITIS/RHEUMATISM
10. EMOTIONAL INTELLIGENCE
11. NURSING IN PARTISAN POLITICS; THE MERITS
12. INFECTION CONTROL
13. CANCER; CAUSES, RISK, PREVENTION, TREATMENT, PALLIATIVE CARE AND BEREAVEMENT
14. DEPRESSION /INCREASED SUICIDAL TENDENCY IN OUR SOCIETY.
15. ENTREPRENEURSHIP IN NURSING.
CONFERENCE FEE: N15,000
 
PAYMENT:
ACCT; NATIONAL ASSOCIATION OF NIGERIAN NURSES & MIDWIVES
BANK; STERLING BANK
ACCT NO.; 0068464461
 
CONTACT:
COM. ADEBOBOYE C.O
08122917758, 08177769089
* Research / The Good Old Days of Nurse Training: Rose-tinted or Jaundiced View? by katty: June 24, 2018, 01:53:54 PM
As a profession we are disadvantaged with a descriptive verb for what we do—namely nursing! Many people feel that nursing is common sense, a trait with which you are born, that the caring woman next door can do it expertly and that kindness, respect and compassion are the main criteria for becoming a nurse. In the 21st century, these traits are important but they do not make a competent and professional nurse. To meet present and future health and social care challenges, nurses must also be analytical, assertive, creative, competent, confident, computer literate, decisive, reflective, embracers of change and the critical doers and consumers of research. Most of these qualities were not inculcated in the old apprenticeship system of nurse training.

In the United Kingdom, there has recently been a plethora of newspaper articles and letters stating that recently qualified nurses are ‘too posh to wash’ and ‘not fit to practice’ (Magnet, 2003) and calling for a return to the ‘golden age of nurse training’ (Meerabeau, 2004). This call has also been supported by some nurse managers and policy makers who feel that the move to university-based education was a mistake. They too embellish their assertions by harping back to the past. This retrospective ‘rose-tinted’ view of how nurses were trained previously is often peppered with anecdotes highlighting qualities such as caring and obedience. This reflects the quasi-religious sisterhood of veils and vocation, the militaristic belts, buckles and epaulettes and the unquestioning devotion to duty. Perhaps they should remember Nightingale's remark that obedience was “suitable praise for a horse”! (Nightingale, 1859).

The claim that nurse training in the past was better merits some analysis. According to Revans (1964), total attrition from UK nursing in the early 1960s was around 50% per year and this figure remained high over subsequent decades. Reform of UK nurse education in the mid-1980s (Project 2000), which moved nurse education into the universities, was an attempt to halt this decline by increasing the attraction of nursing as a career through improving its status. It was based too on the great success of degree courses for nurses in some universities (King's College London, Edinburgh, Manchester, Ulster, Nottingham and others) established in the early- and mid-1970s. These courses ran in parallel with hospital-based pre-registration programmes from the early- to mid-1970s, but attracted well-motivated university students with good A-levels, who chose to read for a degree over 4 years in Nursing Studies in preference to other degree programmes. These graduates received a liberal education and high-quality clinical supervision from well-qualified and experienced staff, and produced excellent academic and clinical work. Research into the careers of graduates showed also that, contrary to their critics, these university programmes produced graduates who were retained longer in clinically based nursing than nurses from the hospital-based programmes (Montague and Herbert, 1982; Howard and Brooking, 1987). Project 2000 was thought to be a mechanism by which the standards of care delivered by the majority could be raised to that of this university elite. How far this has occurred is debatable, but our judgement is that without Project 2000 reforms, recruitment to nursing would be very much more difficult than today and standards of care would be lower overall.

It is conveniently forgotten that nurses in the ‘good old days’ were often regarded as handmaidens—subservient, dependent and unthinking, and patients were subjected to ritualistic and routine practices passed down without question from one generation of nurses to the next. Examples of evidence-based practice 20 years ago were salt and Savlon baths, soap and water back rubs, older patients sitting around walls in tilt chairs for most of the day, and reference to disease entities rather than persons.

Most nurses of our generation can recall being placed in charge of a ward on night duty while they were still students and witnessing large pressures sores that would be rare today—possibly made worse through the inappropriate use of EUSOL, a desloughing agent which also harmed granulation tissue. The philosophy of ‘batch processing’ was commonplace, where all patients were treated the same regardless of their individual needs; they all had their temperatures, pulses, respirations and blood pressures taken (and most tended to read 36.8°C, 80bpm, 20rpm, and 120/80mmHg, respectively!), were weighed, medicated and subject to backs rounds every 4 hours. Paradoxically, there was also less pressure on staff: patients often spent weeks in hospital and, as they recuperated, many assisted nurses to distribute meals, feed other patients and make beds.

How does this compare to today? Nursing has become ‘intensified’; health-care assistants carry out procedures, ONCE THE REMIT OF QUALIFIED NURSES, and nurses are extending their role into medical and even surgical practice (McKenna, 2004). The fact is that there is now less time to ‘nurse’ than there was previously. Patient throughput has increased and new treatments and technologies require confident and competent practitioners. Modern health care is complex and hospitals are little more than large intensive care units where, as soon as patients are over the acute stage of their illness, they are discharged to community care. This means that community nurses are undertaking home-based interventions, which were recently practised in the safety of a ‘hi-tech’ clinical setting. Contemporaneously, public expectations of health care are rising and their tolerance of error is diminishing.

Therefore, nursing is no longer the common sense carrying out of uncomplicated tasks under the direction of others, nor is it a vocation for which short-term technical training will suffice. It is a profession that requires highly knowledgeable individuals frequently making sophisticated decisions, often with inadequate information and resources. Newly registered nurses from the mid- to late 20th century would be unprepared and overwhelmed if faced with the complexities and pressures of a 21st century health-care setting. Calls for returning to the ‘sitting next to Nelly’ system of training are based upon selective reminiscences and a lack of acceptance that nursing and health care have changed, as have the people who require nursing care.

A report completed by the Judge Institute,(1999) in Cambridge, England, examined future trends and patterns in health and social care. It noted that over the next 15 years and beyond, there will be complex changes in demography, disease patterns, lifestyle, social and physical environment, targeting health and social need, public expectations and information technology. To meet and address these challenges expertly, we require intelligent and well educated, as well as highly motivated and caring nurses.

The anti-intellectual notion of the ‘overqualified nurse’ is not new and has been propagated in literature from the 19th, 20th, and 21st centuries (Bradshaw, 2001). Interestingly, Thompson and Watson (2005)  pointed out that physicians are seldom castigated for being over-educated or too well qualified. Who wants to be in a busy medical ward looked after by a caring nurse who cannot calculate the correct infusion rate or know the difference between micrograms and milligrams when distributing medication such as Digoxin?

People require and deserve to be cared for by intelligent, caring and skilled nurses who have been educated in an environment where the best knowledge, skills and understanding in their field is being produced, challenged, tested and then applied. In essence, this means nurses having a university qualification. Other than anecdote, there is no evidence that degree-qualified nurses are less caring. In contrast as outlined above, there is a plethora of research reports illustrating the benefits of graduate nurses (Howard and Brooking, 1987). More recently, in a cross-sectional study of 168 US hospitals, Aiken et al. (2003) found that a 10% increase in the proportion of graduate nurses was associated with a 5% decrease in the likelihood of death and failure to rescue within 30 days of admission.

All professions have a small number of individuals within their ranks who are incompetent and potentially dangerous; nursing is no exception. Such individuals did not first appear with the advent of university-based nursing programmes and calling for a return to imaginary halcyon days will not lead to their demise.

Citation : Hugh McKena, David Thompson, Roger Watson, Ian Norman
The good old days of nurse training: Rose-tinted or jaundiced view?
DOI: https://doi.org/10.1016/j.ijnurstu.2005.09.007
* News / Nurse-Patient Ratio: A Major Determinant of Care Neglected by Managers by katty: June 24, 2018, 10:33:47 AM
Nurse-Patient Ratio: A Major Determinant of Care Neglected by Managers Of Healthcare Industry By Olufemi Iseyemi Folakemi

How Many Patients Per Nurses? Correct Nurse To Patient Ratio:

Nurse to patient ratio is probably one of the most talked about issues in nursing. And apparently, it’s also one of the most common reasons why nurses leave the profession. When an institution suffers from short staffing, bad things start to happen. Nurses become grumpier and the quality of care they deliver decreases.

Infections increase and patients stay longer in the hospital. These things don’t only affect nurses and patients; they can be bad for the health institution, too.

The Problem Worsens
There are tons of things that force nurses to hang their nursing caps and just quit work. Bullying, burnout, and poor working conditions are probably some of the reasons you are already familiar with.

These things easily make one out of five fresh nurses quit the profession within their first year of getting a license. One out of three, on the other hand, quit within the first two years of starting work.

With more nurses quitting work, most institutions require nurses to take longer shifts, reduce their off days and take on more patients than necessary. One good reason is that institutions don’t see hiring more nurses as cost-effective.

In reality, however, they actually end up spending more in addressing the poor outcomes of short staffing and poor nurse-patient ratio.

What Is The Correct Nurse-Patient Ratio?

The American Nurses Association advocates for a legislative model wherein nurses have the autonomy to create a staffing plan that will meet the demands of their units and patients. This approach allows for a staffing plan that’s flexible and can be adjusted based on the following:

Number of admissions
Minimum number of nurses
Staffing level advised by specialty nursing organizations
Number of discharges and transfers
The level of education, training and experience of the staff
The intensity of patient needs
Unit geography and availability of technology
Patient numbers
Availability of ancillary staff and other resources
In determining staffing ratios, it’s a good idea for institutions to sit down with their nurses as they are the people who are in direct charge of patient care. They have a realistic view of what goes on in each unit and what problems they encounter.

What Does The Law Require?

In California, there are clearly and legally defined minimum nurse to patient ratios that are supposed to be maintained at all times. For example, for Intensive/ Critical Care, one nurse should only care for two patients. The same ratio applies to Neonatal Intensive Care, Post Anesthesia Recovery and Labor and Delivery. A 1:1 ratio applies for the Operating Room and Trauma patients in the ER.

Apart from California, there are 14 other states in the country that legally address nurse staffing. Seven of these states legally require hospitals to have staffing committees that will take charge in creating staffing plans and policies. This includes OH, OR, CT, NV, WA and IL.

Just recently, Democratic State Senator Mike Skindell reintroduced a bill that mimics the California law on safe staffing. It mandates a 1:1 nurse to patient ratio in certain areas of the hospital as well as prevents nurses from being overloaded and overworked.

The bill prohibits mandatory overtime as well as the use of cameras to substitute for nurses. It also prohibits the layoff of supporting personnel and practical nurses.
Why Does Proper Nurse To Patient Ratio Matter?
Proper nurse to patient ratio doesn’t only help achieve clinical improvements but it also offers economic benefits.

Here’s what adequate staffing can provide:
Decreased patient care cost related to readmissions from poor outcomes
Reduced medication errors
Decreased length of patient stay
Increased patient satisfaction
Reduced patient mortality
Safe staffing has also been found out to increase chances of stroke survival. When there are enough trained nurses, patients have a better chance of getting over the aftermath of stroke.
In the study, the addition of one trained nurse per 10 beds can reduce patient death after a month by as much as 30%. After a year, chances of death goes down by 12%.

What Can You Do?

Short staffing can be hard to deal with, particularly if you’ll be dealing with the actual institution you are working for. There are, however, a few things you can do to advocate safe staffing while staying employed.
Use the SBAR method in communicating your ideas
The SBAR method simply refers to Situation, Background, Assessment, Response. It’s a technique you can use to discuss staffing issues with the management. You can start with your immediate superior since most institutions follow a chain of command. Assess the response you get and find out the next best person you can talk to in order to get a better response.

Join nursing organizations

There are a couple of nursing organizations and groups that advocate for nurses’ rights. If you happen to belong to a union, make sure that your group is respectfully and positively working with your employer to avoid any conflicts that can affect the nurses in your institution.

Update your skills

As short staffing continues to be a problem, you should be more consistent in updating your training and improving your skills. This way you’ll be able to provide the best care to your patients despite your poor working conditions. It will also put you in the best position possible to advocate for your rights as well as your patients’

A NURSE TO FOUR PATIENT IN A STANDARD HOSPITAL
A NURSE TO EIGHT PATIENT IN A MEDIUM OR SEMI STANDARD HOSPITAL

WHAT DO WE HAVE IN NIGERIA?

A NURSE TO THIRTY PATIENTS IN MOST PLACES
TWO NURSES TO THIRTY PATIENTS OR MORE IN TERTIARY HOSPITALS.
INCREASE NURSE PATIENT RATIO AND IMPROVE CARE AND REDUCE HOSPITALISATION.
 NURSES ARE OVERWORKED
UNDERPAID, OVERSTRESSED, MISINTERPRETED AND UNDERMINED. LISTEN TO THE PLIGHT OF NURSES AND MAKE THE NECESSARY AMENDMENTS.
* News / NANNM Wants Niger Govt To Bond Student Nurses To Fight Nursing Shortage by katty: June 23, 2018, 09:23:09 PM
The National Association of Nigerian Nurses and Midwives (NANNM) on Saturday advised Niger Government to bond student nurses to address the dearth of personnel in the state public health facilities.
Mrs Ruth Adore, the Chairperson of the association, General Hospital, Minna Chapter, gave the advice in an interview with the News Agency of Nigeria (NAN) in Minna.

Adore said that many nurses, after securing employment with the state government, relocated to other states to join their spouses or go for more juicy appointments.

“This is one of the issues that we are contending with; a hospital with 100 nurses before now left with just 50 or less than that,” she said.

Adore said that if nurses were bonded, it would prevent the dearth of nurses being experienced in the public hospitals.

“I think if they are bonded for like 10 years, that will pay off for quality healthcare; it will also help the government to plan better.

“In such a situation, the bonded will think before breaking the bond, knowing the legal implications of such an act.

“The way out is for nursing trainees to be on bond; this, I think, will help address the problem of inadequate nurses.

“A situation where nurses are employed today and leave after few months is not good enough for quality healthcare delivery,” Adore said.

She, however, lauded the Nursing and Midwifery Council of Nigeria (NMCN) for the full accreditation granted the School of Midwifery, Minna, and the School of Nursing, Bida
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