The Washington Times-Herald

Z_CNHI News Service

November 13, 2013

Nurses in Mass. want to limit number of patients

METHUEN, Mass. — Nurses in this state are trying to get support for a ballot initiative that would limit the number of patients they can treat at one time.

The proposal, which could reach the ballot for next year’s gubernatorial and midterm Congressional election, would limit many nurses in hospitals to four patients at a time. Critical care and intensive care nurses and emergency room nurses would be limited to fewer patients, depending on those patients’ conditions.

Hospitals and hospital groups oppose the proposal, saying it reduces flexibility by binding their hands in providing care and could jack up already high medical costs in the state.

"There is no limit to the number of patients a nurse cares for," said Karen Higgins, a staff nurse at Boston Medical Center and a member of the Massachusetts Nursing Association, which was collecting signatures in Methuen, Mass., last month. "You could have four (per nurse) or you could have eight."

Lynn Nichols, president of the Massachusetts Hospital Association, said in a statement that the group opposes assigning ratio limits. 

"Patient care staffing decisions should always be based on the best interest of the patient – not a number," she said. "Nurses don't treat numbers, they treat people. Hospitals shouldn't be required to staff by numbers, either."

Donna Kelly-Williams, president of the Massachusetts Nurses Association, said that the requirements would mean more nurses would have to be hired, increasing payroll costs to hospitals. But she argued it would not increase the overall cost of care because high staffing levels would reduce expensive complications.

"Caring for the patient right the first time decreases the cost of care," she said.

A 2004 study conducted by the Agency for Healthcare Research and Quality, in the federal Department of Health and Human Services, found that lower staffing levels are linked to higher "adverse outcomes," including infection, pneumonia and internal bleeding.

Text Only
Z_CNHI News Service
  • McCain 1 House Republicans are more active on Twitter than Democrats

    Your representative in the House is almost certainly on Twitter. Your senator definitely is. But how are they using the social network? Are Democrats more active than Republicans, or vice versa? Who has the most followers on the Hill?

    April 22, 2014 1 Photo

  • Do your genes make you procrastinate?

    Procrastinators, in my experience, like nothing better than explaining away their procrastination: General busyness, fear of failure, and simple laziness are just a handful of the excuses and theories often tossed around. Now researchers from the University of Colorado Boulder have added another option to the list: genetics.

    April 21, 2014

  • Do White Castle prices tell us anything about the minimum wage?

    The paper looked at how many delicious steamed sliders the minimum wage has been able to purchase over time. The point is that as it notes, in 1981, the $3.35 minimum could buy a whole dozen. Today, at $7.25, it could purchase just 10.

    April 21, 2014

  • VIDEO: Moose charges snowmobile, flees after warning shot

    While snowmobiling in New England, Bob and Janis Powell of Maine were charged by a moose and caught the entire attack on camera.

    April 21, 2014

  • Screen shot 2014-04-18 at 4.44.15 PM.png Paint, doodle and sketch: 3 apps for art lovers

    In the absence of a palette of watercolors and a sketchpad, these three apps can fill in as your art supplies of choice.

    April 18, 2014 1 Photo

  • Smartphone kill switches are coming

    Smartphones need kill switches. It's a relatively easy solution to the pricey (and irritating) problem of smartphone theft. But who would have thought that the big carriers would team up with Apple, Google, Microsoft, Nokia, Samsung and lots of other manufacturers to voluntarily begin adding the technology by July 2015? The cooperative spirit! It makes so much sense!

    April 18, 2014

  • Why do wolves howl?

    Of all the myths that dog the wolf, none is more widely accepted than the idea that wolves howl at the moon. Images of wolves with their heads upturned, singing at the night sky, are as unquestioned as a goldfish's three-second memory or a dog's color-blindness (both also myths).

    April 18, 2014

  • Biggest student loan profits come from grad students

    This week, the Congressional Budget Office projected that the federal government would earn roughly $127 billion from student lending during the next 10 years.

    April 18, 2014

  • quake.jpg Pennsylvania won’t take action following Ohio ruling on quakes, fracking

    Pennsylvania officials plan no action despite new Ohio rules on drilling that affect a seismically active area near the state line.

    April 18, 2014 1 Photo

  • taylor.armerding.jpg Warren's populist pitch on student loans is off key

    Sen. Elizabeth Warren's populist rhetoric pumps up students about their loan burdens, but she conveniently neglects to mention the real problem - the exorbitant cost of college - much less how she's benefitted from those high prices.

    April 18, 2014 1 Photo