Utilization of Non-Licensed Personnel (Medication Aides, Lifting Teams, Transport Teams)
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Surprisingly there is strong evidence that each of these commonly used approaches is not effective in reducing caregiver injuries. A major paradigm shift is needed away from these ineffective approaches towards the following evidennuce-based practices.
More recent studies on the effects of California's nurse staffing law also found decreased use of nurse aides and orderlies associated with increased use of nurses in hospitals attempting to meet the minimum patient‐to‐nurse ratios.
It is the nurse's obligation to judiciously determine tasks that can reasonably be assigned to unlicensed persons.
McHugh, M. D. , Kelly L. A., Sloane D. M., and Aiken L. H.. 2011. “Contradicting Fears, California's Nurse‐to‐Patient Mandate Did Not Reduce the Skill Level of the Nursing Workforce in Hospitals.” Health Affairs 30 (7): 1299–306.
Donaldson, N. , Bolton L. B., Aydin C., Brown D., Elashoff J. D., and Sandhu M.. 2005. “Impact of California's Licensed Nurse‐Patient Ratios on Unit‐Level Nurse Staffing and Patient Outcomes.” Policy, Politics, & Nursing Practice 6 (3): 198–210.
Emergency Nurses Association . 2014. “50 State Nurse Safe Staffing Laws”
Potter, P. , Barr N., McSweeney M., and Sledge J.. 2003. “Identifying Nurse Staffing and Patient Outcome Relationships: A Guide for Change in Care Delivery.” Nursing Economics 21 (4): 158.