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Dear ICPs,
I am seeking your advice or any information/research/journal article/documentation you might have when considering the staffing ratio of nurse to patients with infection control precautions. For example,
In our new hospital our wards have 12 single rooms. If all these rooms were to be occupied by patients who needed to be managed with transmission based precautions, does this mean that there is a need to increase the number of nurses to patients to cope with the additional requirements that are needed when caring for these patients (e.g., donning and doffing PPE , comorbidities,). Obviously I feel that there is a risk of having transmission as staff who are already burdened may not be able to strictly adhere to the Infection control recommendations for caring for these patients. Do you have any such rule in place or how do you manage if this occurs in your hospitals?
Many thanks in advance,
RitaRita Roy
Clinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 9477 9232 | Fax (02) 9477 9013 Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.auClick here to visit the Infection Prevention and Control page on the Intranet
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The California Nurses Association, and the associated National Nurses
United in the U.S. has done the extensive work on Staffing Ratios. Linda
Akens also has been quite active in the field of research. Most of the
below will contain references to articles dealing with infections.A very good reference is:
Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Nurse staffing, burnout, and
health care-associated infection. Am J Infect Control. 2012
Sep;40(7):680 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3509207/
News release:
http://www.eurekalert.org/pub_releases/2012-07/afpi-nsb072612.phpOther related references are:
Aiken, L. H., Cimiotti, J. P., Sloane, D. M., Smith, H. L., Flynn, L., &
Neff, D. F. (2011). Effects of nurse staffing and nurse education on
patient deaths in hospitals with different nurse work environments. *Medical
Care*, *49*(12), 1047-1053.Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H.
(2002). Hospital nurse staffing and patient mortality, nurse burnout, and
job dissatisfaction. *Journal of the American Medical Association*, *288*(16),
1987-1993.Aiken, L. H., Sloane, D. M., Cimiotti, J. P., Clarke, S. P., Flynn, L.,
Seago, J. A., Spetz, J., & Smith, H. L. (2010). Implications of the
California nurse staffing mandate for other states. *Health Services
Research, 45*(4), 904-921.Needleman, J., Buerhaus, P., Mattke, S., Stewart, M., & Zelevinsky, K.
(2002). Nurse-staffing levels and the quality of care in hospitals. *New
England Journal of Medicine, 346*(22), 1715-1722.Needleman, J., Buerhaus, P., Pankratz, V. S., Leibson, C. L., Stevens, S.
R., & Harris, M. (2011). Nurse staffing and inpatient hospital mortality. *New
England Journal of Medicine, 364*(11), 1037-1045.Needleman, J., Buerhaus, P. I., Stewart, M., Zelevinsky, K., & Mattke, S.
(2006) Nurse staffing in hospitals: is there a business case for
quality? *Health
Affairs (Millwood), 25*(1), 204-211.Stanton, M. W., & Rutherford M. (2004). *Hospital nurse staffing and
quality of care*. Rockville, MD: Agency for Healthcare Research and
Quality. http://archive.ahrq.gov/research/findings/factsheets/services/nursestaffing/nursestaff.pdfKevin T. Kavanagh, MD, MS
Health Watch USA
Lexington, KY
606-875-3642On Mon, Jul 6, 2015 at 2:03 AM, Rita Roy wrote:
> Dear ICPs,
>
> I am seeking your advice or any information/research/journal
> article/documentation you might have when considering the staffing ratio of
> nurse to patients with infection control precautions. For example,
>
> In our new hospital our wards have 12 single rooms. If all these rooms
> were to be occupied by patients who needed to be managed with transmission
> based precautions, does this mean that there is a need to increase the
> number of nurses to patients to cope with the additional requirements that
> are needed when caring for these patients (e.g., donning and doffing PPE ,
> comorbidities,). Obviously I feel that there is a risk of having
> transmission as staff who are already burdened may not be able to strictly
> adhere to the Infection control recommendations for caring for these
> patients. Do you have any such rule in place or how do you manage if this
> occurs in your hospitals?
>
> Many thanks in advance,
>
> Rita
>
>
>
> *Rita Roy*
>
> Clinical Nurse Consultant | *Infection Control*
>
> Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
> Tel (02) 9477 9232 | Fax (02) 9477 9013 Rita.Roy@health.nsw.gov.au
> http://www.health.nsw.gov.au
>
>
>
> Click here to visit the Infection Prevention and Control
>
> page on the Intranet
>
> [image: Description: Description:
> http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-Sydney-LHD.jpg%5D
>
>
>
> [image: Description: 5 moments hand hygiene]
>
>
>
> This message is intended for the addressee named and may contain
> confidential information. If you are not the intended recipient, please
> delete it and notify the sender.
>
> Views expressed in this message are those of the individual sender, and
> are not necessarily the views of NSW Health or any of its entities.
> MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
> NOT REPRESENT THE OPINION OF ACIPC.
>
> The use of trade/product/commercial brand names through the list is
> discouraged by ACIPC. If you wish to discuss specific reference to products
> or services by brand or commercial names, please do this outside the list.
>
> Archive of all messages are available at http://aicalist.org.au/archives
> – registration and login required.
>
> Replies to this message will be directed back to the list. To create a new
> message send an email to aicalist@aicalist.org.au
>
> To send a message to the list administrator send an email to
> aicalist-request@aicalist.org.au.
>
> You can unsubscribe from this list be sending ‘signoff aicalist’ (without
> the quotes) to listserv@aicalist.org.au
>—
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