Even where such systems exist they are often widely ignored or abused. Such systems allow manipulation of staffing and skill mix to meet financial targets rather than individual patient need. The lack of uniform standards inhibits effective enforcement of violations. The hospital admitted its postpartum unit has been under staffed for six months and that it has failed to follow its own staffing system. Plainly put, the industry will not police itself.
Current regulations are inadequate.
Only in intensive care units, which have specific minimum nurse to patient ratios, can DHS inspectors effectively and consistently address complaints of inadequate staffing. AB 394 will reverse the downward slide. Many hospitals already meet the minimum standards required under this bill. Those who don't are taking chances with patient care and are unwilling to reverse the cuts in staffing and training programs.