Requires the plan to require that an appropriate number of registered nurses provide direct patient care in each unit and on each shift of the hospital to ensure staffing levels that: (1) address the unique characteristics of the patients and hospital units; and (2) result in the delivery of safe, quality patient care consistent with specified requirements.

/in /by

Amends title XVIII (Medicare) of the Social Security Act to require each Medicare participating hospital to implement a hospital-wide staffing plan for nursing services furnished in the hospital.

Requires the plan to require that an appropriate number of registered nurses provide direct patient care in each unit and on each shift of the hospital to ensure staffing levels that: (1) address the unique characteristics of the patients and hospital units; and (2) result in the delivery of safe, quality patient care consistent with specified requirements.

Requires each participating hospital to establish a hospital nurse staffing committee which shall implement such plan.

Specifies civil monetary and other penalties for violation of the requirements of this Act.

Sets forth whistleblower protections against discrimination and retaliation involving patients or employees of the hospital for their grievances, complaints, or involvement in investigations relating to such plan.

Summary: S.864 — 114th Congress (2015-2016)All Bill Information (Except Text)

Listen to this page
There is one summary for S.864. Bill summaries are authored by CRS.
Shown Here:
Introduced in Senate (03/25/2015)

National Nursing Shortage Reform and Patient Advocacy Act

Amends the Public Health Service Act to require hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit. Requires HHS to develop a transparent method for establishing nurse staffing requirements above minimum ratios.

Directs HHS to adjust Medicare payments to hospitals to cover additional costs incurred in providing services to Medicare beneficiaries that are attributable to compliance with such ratios.

Gives nurses the right to act as the patient’s advocate by initiating action to improve health care and by giving the patient an opportunity to make informed health care decisions. Allows a nurse to object to, or refuse to participate in, any assignment if it would violate minimum ratios or if the nurse is not prepared by education or experience to fulfill the assignment without compromising the safety of a patient or jeopardizing the nurse’s license. Prohibits a hospital from: (1) taking specified actions against a nurse based on the nurse’s refusal to accept an assignment for such a reason; or (2) discriminating against any individual for good faith complaints relating to the care, services, or conditions of the hospital or of any related facilities.

Adds stipends to the nurse workforce loan repayment and scholarship program. Expands the nurse retention grant program to authorize programs to implement nurse preceptorship and mentorship projects.

Adds stipends to the nurse workforce loan repayment and scholarship program. Expands the nurse retention grant program to authorize programs to implement nurse preceptorship and mentorship projects.

/in /by

Amends title XVIII (Medicare) of the Social Security Act to require each Medicare participating hospital to implement a hospital-wide staffing plan for nursing services furnished in the hospital.

Requires the plan to require that an appropriate number of registered nurses provide direct patient care in each unit and on each shift of the hospital to ensure staffing levels that: (1) address the unique characteristics of the patients and hospital units; and (2) result in the delivery of safe, quality patient care consistent with specified requirements.

Requires each participating hospital to establish a hospital nurse staffing committee which shall implement such plan.

Specifies civil monetary and other penalties for violation of the requirements of this Act.

Sets forth whistleblower protections against discrimination and retaliation involving patients or employees of the hospital for their grievances, complaints, or involvement in investigations relating to such plan.

Summary: S.864 — 114th Congress (2015-2016)All Bill Information (Except Text)

Listen to this page
There is one summary for S.864. Bill summaries are authored by CRS.
Shown Here:
Introduced in Senate (03/25/2015)

National Nursing Shortage Reform and Patient Advocacy Act

Amends the Public Health Service Act to require hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit. Requires HHS to develop a transparent method for establishing nurse staffing requirements above minimum ratios.

Directs HHS to adjust Medicare payments to hospitals to cover additional costs incurred in providing services to Medicare beneficiaries that are attributable to compliance with such ratios.

Gives nurses the right to act as the patient’s advocate by initiating action to improve health care and by giving the patient an opportunity to make informed health care decisions. Allows a nurse to object to, or refuse to participate in, any assignment if it would violate minimum ratios or if the nurse is not prepared by education or experience to fulfill the assignment without compromising the safety of a patient or jeopardizing the nurse’s license. Prohibits a hospital from: (1) taking specified actions against a nurse based on the nurse’s refusal to accept an assignment for such a reason; or (2) discriminating against any individual for good faith complaints relating to the care, services, or conditions of the hospital or of any related facilities.

Adds stipends to the nurse workforce loan repayment and scholarship program. Expands the nurse retention grant program to authorize programs to implement nurse preceptorship and mentorship projects.

Select two (2) patients/clients with common health problems/diseases or undergoing common procedures in your specialty(SURGICAL NURSING). Prepare a specialty nursing assessment and care case study for each of these patients, using the tables provided (appendix C).

/in /by

Select two (2) patients/clients with common health problems/diseases or undergoing common
procedures in your specialty(SURGICAL NURSING). Prepare a specialty nursing assessment and care case study for each of
these patients, using the tables provided (appendix C). This is not an essay, you must be succinct when
completing the tables and support the information presented with evidence-based literature.
The focus of this assignment is on the specific assessment and care undertaken by a specialty
nurse in your setting. This will include seemingly basic elements of nursing care, but the purpose of
this assignment is for you to focus on the specific elements pertinent to your specialty. Ask yourself:
what is the focus of my nursing assessment and care as a specialist nurse for patients with these
specific specialty problems/procedures?
You may choose to focus your assessment of the patient at any point of their journey whilst in your care.
Approximately 2500 words (1000 words each case study +
introduction & conclusion) +/-10%

What to include in your assignment:
• Briefly introduce your overall assignment and what you will cover (one paragraph)
• Introduce the first case study patient (and family where appropriate) by stating their name/s
(pseudonym) and health problem/procedure and reason for needing nursing care in your
specialty setting (one paragraph)
• Nursing Assessment: Complete the table (appendix C) regarding specialty nursing assessment
required for this patient in your specialty setting, including:
specialty assessment for the patient in the specialty (select from§ physical,
psychosocial, sociocultural or ethico-legal assessment areas)
normal / expected assessment findings§
reason for any differences in findings for this patient§
nursing strategy required to address this assessment finding§
all citing evidence-based literature§
• Nursing Care: Complete the table (appendix C) regarding specialty nursing care required for this
patient in your specialty setting by:
o Identifying approximately two (2) issues requiring specific specialty nursing care for
your patient.
o Making a nursing diagnosis (or specific statement) about each specific issue requiring
care.
o Describing three (3) key specialty nursing actions to implement, for each of these
issues.
o Evaluating and/or analysing the rationale (supported with evidence-based literature) for
each action.
• Discuss the significance of the specialty nurse role in relation to assessment and care for this
patient in your specialty (one paragraph)
• Evidence-based literature sources must be cited for each element of these tables
• Then repeat the above for an additional patient
• Make an overall conclusion to your assignment and what you have covered (one paragraph).

Utilizing APA Format please answer the below following questions: Please utilize the following book to make your in text citations and references and from:

/in /by

Utilizing APA Format please answer the below following questions:
Please utilize the following book to make your in text citations and references and from:
• Finkelman, Anita. (2011). Leadership and Management for Nurses, 2nd Edition.
ISBN-10: 0132137712
ISBN-13: 9780132137713
Pub. Date: 03/01/2011
Publisher: Pearson

1. Healthcare Policy: The implementation of the Affordable Care Act means that many more citizens now have access to healthcare.
a. However, some still “fall through the cracks.” Describe the role of the Nurse Leader (any one of us) when uninsured or under-insured patients present for care.
2. Legal and Ethical Issues in Practice: The process of nursing delegation has been referred to as “legal dynamite.”
a. Please share an example of nursing delegation that was not appropriate.
b. Where did it go wrong and why?

For the Healthcare Policy question I have provide a link below from the following Healthcare.gov Website that can help answer question number 1 part (a).

Incarcerated people
Health coverage for incarcerated people
If you’re incarcerated, some special rules apply to your health care options.
Incarceration and the Marketplace
For purposes of the Marketplace, “incarcerated” means serving a term in prison or jail.
• Incarceration doesn’t mean living at home or in a residential facility under supervision of the criminal justice system, or living there voluntarily. In other words, incarceration doesn’t include being on probation, parole, or home confinement.
• You’re not considered incarcerated if you’re in jail or prison pending disposition of charges—in other words, being held but not convicted of a crime.
If you’re incarcerated, you can’t use the Marketplace to buy a private insurance plan. But after you’re released you can.
The Marketplace after release from incarceration
When you apply for health coverage after being released from incarceration, you may qualify for lower costs on monthly premiums and out-of-pocket costs. This will depend on your household size and income during the year you’re seeking coverage.
After you’re released, you have a 60-day Special Enrollment Period to sign up for private health coverage. During this time, you can enroll in private health insurance even if it’s outside the Marketplace open enrollment period.
After this 60-day Special Enrollment Period, you can’t buy private health insurance until the next Marketplace open enrollment period (unless you qualify for another Special Enrollment Period).
Incarcerated people and the fee for being uninsured
Because you aren’t eligible to buy private health insurance through the Marketplace while in prison or jail, you don’t have to pay the penalty that some others without insurance must pay.
After you’re released, you must either have health coverage, pay the fee, or get an exemption.
If you’re incarcerated pending disposition of charges
If you’re in jail or prison but haven’t been convicted of a crime, you may use the Marketplace to buy a private health insurance plan. This assumes you are otherwise eligible to get coverage through the Marketplace.
Incarceration and Medicaid
If you’re incarcerated you can use the Marketplace to apply for Medicaid coverage in your state. Medicaid won’t pay for your medical care while you’re in prison or jail. But if you enroll in Medicaid while you’re incarcerated you may be able to get needed care more quickly after you’re released.
There are 3 ways to apply for Medicaid:
• Online, at either HealthCare.gov or your state’s Marketplace website. (Get a checklist that will help you gather needed information before you apply (PDF).)
• With a Marketplace paper application (PDF) that you fill out and mail in.
• Directly through your state Medicaid office. Use the “Get state information” dropdown menu on this Medicaid page to get contact information for your state Medicaid office.
State Medicaid policies and incarceration
A number of state Medicaid policies may influence your decision to apply for Medicaid while in jail or prison. These include:
• Whether your state has decided to expand Medicaid coverage to all adults with incomes up to 138% of the federal poverty level
• Whether incarcerated people can stay enrolled while in prison or jail. Remember that enrolling in Medicaid while incarcerated doesn’t allow Medicaid to pay the cost of your care while in prison or jail. But it may help you get needed care more quickly after you’re released.