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Nursing Shortages, Short Staffing, Mandatory Overtime
The Delaware State Nursing Shortage

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February 12, 2009: The stressed out life of a nursing assistant:"This morning I got a call from a supervisor of a nursing facility. This supervisor was beyond frustration. Stressed, disappointed and between a rock and a hard place. The supervisor had three nursing assistants call out of work for the day shift on a Saturday. Unfortunately, more people call off work on the weekends than on weekdays."
http://www.delmarvanow.com/article/20090212/DCP05/902120371

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06/20/2004 Nursing shortage threatens your health care, Nurse Immigration USA, LLC.:"The nurses in the profession think it's the best job in the world. But it can be physically difficult, very stressful and emotionally draining," said Carol Cooke, a spokeswoman for the American Nurses Association. "Couple that with a work environment that doesn't pay what it should, and it can be a pretty dire picture." Nurses account for about half of all health care workers, and studies show that they play a key role in monitoring patients' health status. Inadequate numbers of nurses are associated with increased infections, bleeding and cardiac and respiratory failure, studies show. About 53 percent of physicians and 65 percent of the public cited the nursing shortage as a leading cause of medical errors, according to a 2002 survey published in the New England Journal of Medicine."
admin@nurseimmigrationusa.com
1-866-532-0274
http://www.nurseimmigrationusa.com/Downloads/CoreFiles/Nursing_shortage_threatens_your_health_care.htm

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Monday, July 7, 2003: Delaware Moves To Relieve Nursing Shortage:"Governor Ruth Ann Minner said Monday the state has committed more than $1.8 million to help alleviate Delaware's nursing shortage by providing scholarships for future nurses and by expanding the nursing programs at Delaware Technical & Community College campuses statewide. Gov. Minner announced she has released $500,000 from the federally funded Workforce Investment Act Discretionary Fund to support a new scholarship program for Delawareans committed to nursing careers."
http://www.state.de.us/governor/news/2003/07july/070703%20-%20nursing%20shortage%20targeted.shtml

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September 2002: Partnerships with Delaware County Community College to Benefit Nursing and Allied Health Students:"Crozer-Keystone Health System (CKHS) and Delaware County Community College (DCCC) recently announced two agreements that offer unique educational opportunities to Delaware County students. The first agreement addresses the nationwide nursing shortage by adding an additional class of 32 students to the Delaware County Community College Nursing Program. The second agreement establishes a two-year associate degree program in applied science in Emergency Medical Technician (EMT)/Paramedic."
http://www.crozer.org/Health+Information/Publications/The+Journal+/September+2002/Partnerships+with+DCCC.htm

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May 1, 2002: Delaware: Nursing-home staff bill stalls in Senate, Measure cuts number of workers required by a law passed in 2000:"Efforts to rescind higher nursing home staffing requirements adopted in 2000 stalled Tuesday as lawmakers looked for a compromise that protects the elderly and gives nursing homes relief during a national nursing shortage." http://www.delawareonline.com/newsjournal/local/2002/05/01nursinghomestaf.html

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March 15, 2002, Delaware: Nursing shortage affects state, with 500 positions open:"A continuing nursing shortage in Delaware and across the nation has resulted in a lack of quality care, canceled medical procedures and overworked nursing staffs, the Delaware Health Care Commission reported last week. Judith A. Chaconas, director of Planning and Policy for the Delaware Health Care Commission, said the statewide nursing shortage is part of a trend that has been developing for some time "I think it's very serious in Delaware, the rest of the country, as well as worldwide," she said. "In Delaware, there are 500 vacant positions for registered nurses and 150 vacant licensed practical nurse positions, just in private hospitals."
http://www.review.udel.edu/archive/2002_Issues/03.15.02/index.php3?section=1&article=13

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Monday, March 4, 2002: Delaware tries to forestall nurse shortage:"The State University College of Technology at Delhi and the Rural Healthcare Alliance teamed up this year to address nurse shortages in Delaware County through an initiative called "Stay close. Go far." In the initiative, two billboards and a brochure were produced to advertise nursing as a new and profitable career for county members. The brochure promotes Delhi Tech's two nursing programs as a cost-effective way to get into the field. Officials estimate a shortage of at least 26 registered nurses and licensed practical nurses around the county."
http://www.thedailystar.com/news/stories/2002/03/04/nurses.html

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February 15, 2001: Delaware, County nursing salaries don't compete:"The Sullivan County's Public Health registered nursing staff is down 38-percent from full staffing levels and officials say that at the salary levels offered by the county, that situation is not likely to improve soon. Director of Patient Services Debbie Spaulding R.N., told Sullivan County Legislators on February 8 that 12 of the 32 registered nursing positions are vacant at Public Health Nursing. Salary is a big problem. Sullivan County offers RN's $33,048 to start. Spaulding said the region's nursing community is aging, that fewer new nurses are being trained and that the salary competition for their services has left the county uncompetitive in hiring. Spaulding reported that a new, two-year graduate is offered $50,000 at Horton Memorial Hospital in Middletown. "That's similar to what I make here, with a Masters degree and 20 years experience," she said."
http://www.riverreporter.com/issues/01-02-15/scnurse.htm

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National Council of State Boards of Nursing, Inc.:"The following narratives have been written by individual state boards of nursing regarding the significant activities in their respective states related to the nursing shortage. These excerpts do not provide a comprehensive update of the nurse shortage in these states or nationwide. The information is simply intended to share information among Member Boards."
National Council of State Boards of Nursing, Inc.
676 N. St. Clair Street Suite 550 Chicago, Illinois, 60611-2921
Telephone: (312) 787-6555. info@ncsbn.org
http://www.ncsbn.org/news/stateupdates_state_shortage.asp

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2003 Nursing Shortage News Coverage

2002-2000 News On the Nursing Shortage

1999 News on The Nursing Shortage

Nursing Shortage Serious For Seniors, About.com:"As the population ages the impact of the nursing shortage will be even greater. There is a threat to the health of every older adult in the United States and Canada looming on the horizon. It is not a virus or new type of bacteria that is causing this threat. The threat to health is a result of the increasing shortage of nurses in both countries. Over the last couple of years there have been numerous stories in the press about the magnitude and causes of the shortage. So far solutions for this situation have been few. Additionally this nursing shortage will impact the oldest of citizens the most. Older adults use health care services at a higher rate than do younger people. Advances in medicine and improved nutrition and lifestyle have added years to the average life span. With this longer life comes higher needs for medical services, especially the services of professional nurses."
http://seniorhealth.about.com/cs/prevention/a/nurse_shortage.htm

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The Nurse/Patient Ratio by Genevieve M. Clavreul RN, Ph.D.:"The New Year heralds many things, and this year brings legislation mandating a patient/nurse ratio in California. But after the confetti stops falling, did we get what we want? We now have a panacea for thousands of nurses in California, however, the ratio really can’t be enforced. (At the writing of this article the companion bill for enforcement is stalled in the legislature, having been defeated at least once already). As my children are fond of saying, “why am I not surprised?” Having been a nurse for almost 30 years, most of those years spent in the NICU/PICU, I am used to working with a strict nurse/patient ratio. ICU’s and a few other areas of nursing have always been under the control of an “acuity” system. Actually, all nursing is supposed to be, but we all know this isn’t always the case. For this reason, I knew in my heart that legislating a nurse/patient ratio was probably an exercise in futility."
Working Nurse, Working World Magazine
3600 Wilshire Blvd., Suite 1526 Los Angeles, CA 90010
Tel:(213)385-4781, Fax:(213)385-3782, WorkingNurse@WorkingWorld.com
http://www.workingworld.com/magazine/viewarticle.asp?articleno=254&wn=1

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Nursing: A Medical Emergency, and Opportunity, hits home by Ronald A. Reis and Karen F. Reis RN:"You're an RN, and you've been at it, administering to the sick and wounded, for months, years, maybe even decades. You've got your hands full with 12-hour shifts, high turnover, an often less than supportive work environment, and a stressed-out health care system that is, in places, itself on life-support. What to do? How to keep going? How to make this job, career, meaningful again? How to get out of nursing what you went into it for? How to avoid adding to the national nursing shortage by short-circuiting your own involvement in a noble profession?"
Working Nurse, Working World Magazine
3600 Wilshire Blvd., Suite 1526 Los Angeles, CA 90010
Tel:(213)385-4781, Fax:(213)385-3782, WorkingNurse@WorkingWorld.com
http://www.workingworld.com/magazine/viewarticle.asp?articleno=253&wn=1

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Preparing for Battle: What YOU can do for YOU, Sicker patients, reduced staffing, longer hours, and increased responsibilities—by Deborah Lynne, RN, BSN:"As Registered Nurses, few of us think of the hospital we work in as a battlefield, or of ourselves as soldiers. But the truth is, there are more similarities than you might think. We show up for our shift each day, not knowing what challenges we might encounter. Our job requires us to be in the moment at all times, and to make split second decisions on the run. What we do or don’t do can mean the difference between life and death. We often work under extreme stress, yet must remain calm and in control. Although there are others who function in a supportive capacity, we are the ones on the frontline."
Working Nurse, Working World Magazine
3600 Wilshire Blvd., Suite 1526 Los Angeles, CA 90010
Tel:(213)385-4781, Fax:(213)385-3782, WorkingNurse@WorkingWorld.com
http://www.workingworld.com/magazine/viewarticle.asp?articleno=255&wn=1

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Nurses' Station:"The idea for the Nurses' Station Catalog was conceived in 1989. After searching the marketplace in response to customer inquiries, it became obvious that there were no catalogs of this type serving the nursing profession. To be sure, there were several catalogs offering nurse's uniforms and a smattering of professional items. But there weren't any catalogs at the time offering a range of gifts, clothing, professional items, name badges, shoes and scrubs for nurses. It took two years of hard work to gather samples and put a together a catalog of the most unique and high-quality items for nurses."
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