Important for Nurses to Review The Nurse Practice Act

Here’s an interesting post we found on indonesiannursing.com about The Nurse Practice Act, commonly referred to as “The Act.”

In it the author, Kevin Erickon, defines The Act as “a set of laws that govern specific aspects of the nursing profession..[it] claims to protect the public from an unsafe nurse by ensuring minimum levels of performance.”  It’s important for all nurses to stay up-to-date with the The Nurse Practice Act in their respective states so that they can be knowledgeable of the legal obligations associated with The Act.  Mr. Erickson goes on to say that most public libraries carry a copy of the stat statute book, but it’s important to make sure that you have the most updated version and/or any new amendments.

Where The Nurse Practice Act gets a little tricky is when it comes to travel nurses.  Because a nurse is bound by the Act of the state in which she is licensed as well as the state in which he/she is employed.  So it is very possible for a travel nurse to be disciplined in multiple states if an incident were to occur.

Click here to read the entire post: The Nurse Practice Act – A Closer Look

 

Are Baby Boomer Nurses Burning Out?

AMN Healthcare published the results of their 2008 Survey of Nurses 45 to 60 Years Old Based on 2007 Data, and the research points to baby boomers nurses could be facing career burnout.  Fifty-five percent of nurses actively involved in patient care are 45 years old or older, and 36 percent on 50 and older.Of the 7,500 surveys mailed, 1,831 were returned with responses.  We have included some of the responses below:

52.6% are currently working in a permanent hospital staff position.51.1% have over 26 years of nursing experience. 

45.8 % of the nurses surveyed said they are less satisfied with their job now then they were five years ago. 

82.5% of the nurses surveyed identify the nurse shortage as the main source of the professional frustration. 

41.5% of those surveyed said that nursing is less dynamic, rewarding, and robust than when he/she began their nursing career 

Q: With the general aging baby boomer population looming, it’s easy to see how crucial temporary nurse staffing agencies will become in solving this nurse shortage problem.  How would you solve it?

VA Offers New Travel Nurse Program

It seems like everyone has something to say about the increasing nurse shortage, but there aren’t many who have come up with a solution to the ever-present problem.  According to a press release issued on March 11, the Department of Veteran Affairs has a plan–Travel Nurse Corps.

Headquartered at the Phoenix VA Health Care System, “participating nurses may be temporarily assigned to distant medical centers and clinics to help nursing staffs that have vacancies, to reduce wait times or the reliance upon contractors, or to maintain high-skill services and procedures.”

Click here to read the entire press release: VA’s New ‘Travel Nurse Program’ Hits the Road

Q: What do you think about this new venture?  Should Travel Nurse Corps be viewed as competition to private travel nurse staffing agencies?

Locum Tenens Continues Double-Digit Growth in Third Quarter

The cat is out of the bag, as it seems that more staffing professionals are getting interested in locum tenens staffing.

In a briefing issued by Robin Hessinger of Staffing Industry Analysts reports “In the third quarter, two public healthcare staffing firms’ locum tenens businesses saw growth of 15.5% and 21.2%, respectively…Locum tenens has been the best performing sub-segment of healthcare staffing, with unbroken double-digit growth from 2003 through 2006.  This compares with overall growth in healthcare staffing in the range of -8.5% to 7%.”

Q: It used to be that temp nurse staffing was the next big thing, then travel nurse staffing, followed by allied health.  What do you think lies ahead for locum tenens staffing?

Major VMS Provider Declares Bankruptcy

This was an interesting article that appeared in the American Staffing Association’s Staffing Week e-Newsletter concerning a prominent VMS filing for bankruptcy:

Ensemble Chimes Group (Chimes), a major provider of vendor management services, has ceased operations and filed for bankruptcy. This leaves staffing firms in doubt as to their ability to collect payment for services provided under their VMS agreements.

VMS firms contract with staffing clients to manage the clients’ use of staffing services. VMS firms typically use proprietary software systems to manage timekeeping, payroll, and billing functions of participating staffing firms. Clients pay the VMS firm for the staffing services provided, and the VMS firm in turn pays the staffing firms. Some VMS relationships pose higher risks for staffing firms than others. If VMS firm funds are commingled with client monies, as apparently was the case with Chimes, staffing firms will likely be treated as general creditors—and in some cases, payments made to staffing firms prior to the bankruptcy may have to be returned. Some VMS agreements offer greater protection to staffing firms by placing client funds in secured escrow accounts.

Chimes filed for bankruptcy Jan. 9 under Chapter 7 of the federal bankruptcy law, which means the company is seeking to liquidate its assets rather than reorganize. Chimes’s parent company Axium International Inc., a major supplier of payroll services to the entertainment industry, filed a similar petition Jan. 8.

Chimes’s bankruptcy means its staffing firms must stand in line with other creditors for any outstanding amounts owed under their VMS agreements. Collection may be problematic, because the bankruptcy petition indicates that Chimes has no assets available to pay unsecured creditors.

Another issue is whether clients can now deal with their staffing firms directly to avoid disruption of the clients’ operations and to ensure that temporary employees can continue to work and be paid. This may depend on the terms of the clients’ VMS agreements. Because Chimes has ceased operations and therefore effectively breached its agreement, the bankruptcy trustee may determine that clients are free to deal directly with their staffing firms. Affected staffing firms are urged to consult with their lawyers regarding their rights and obligations.

ASA has retained counsel to provide guidance on the legal issues involved and the steps the staffing industry can take to ensure that the bankruptcy court understands the unique issues relating to VMS agreements and their impact on staffing clients and temporary employees.

Ed Lenz

NOTE from PRN Funding: As VMS’s continue to grow in popularity in the healthcare realm, it’s important to keep this in mind. You could be staffing in hospitals and nursing homes with impeccable credit, but if those facilities are using a VMS, it’s the VMS who will pay you. So if you are considering doing business with a facility who uses a vendor management system, be sure to look into the creditworthiness of the VMS.

We invite you to read a fellow blogger’s post on the subject here: For Whom the Chimes Toll. In his post, Barry Asin mentions writes, “In the short term, there are over 40 large Chimes client organizations that are now in crisis mode as they attempt to sort out who is working on their site, how to get them paid this week and how to make sure they come back next week. Chimes had an estimated $1.6 billion in staffing spend rolling through its system each year, and that suggests somewhere north of 20,000 temps and contractors each week wondering if their next paycheck will be good.”

Nurse Entrepreneur runs PRN Funding article series: How nurse staffing agencies can get paid quicker

President of PRN Funding, Phil Cohen has a three-part series: How Nurse Staffing Agencies Can get Paid Quicker that was published on the Nurse Entrepreneur Web site.  In the articles, Cohen discusses techniques for temporary medical staffing companies to use in order to get hospitals, nursing home and other healthcare facilities to pay them faster.

Watch the video for Part One of How Nurse Staffing Agencies Can Get Paid Quicker video here:

Or click here to read part one of the series, which goes into detail about the steps a nurse staffing business owner should take before accepting a new client.

Watch the video for Part Two of How Nurse Staffing Agencies Can Get Paid Quicker video here:

Or click here to read part two of the series, which speaks to health care staffing business owners about the importance of sending out invoices on time with the correct information on them.

Watch the video for Part Three of How Nurse Staffing Agencies Can Get Paid Quicker video here:

Or click to read part three of the series, which tells how medical staffing business owners need to handle their collections in order to get paid faster.

AMN Healthcare Offers Free White Papers

As an industry healthcare staffing industry leader, AMN Healthcare is now offering white papers on their web site designed to help other medical staffing companies address their healthcare staffing challenges more effectively and keep them abreast of key industry topics.

All you have to do is fill out a form and download the white paper for free.  Currently, there are three white papers available on their web site:

Travelers on the Magnet Journey: The Contribution of Travel Nurses in Preparing for and Maintaining ANCC Magnet™ Designation
The Magnet Recognition Program takes its name from the great success of healthcare organizations in attracting and retaining an exceptional nursing staff. Learn about the importance of the Magnet program and the role travel nurses can play in Magnet designation and promoting positive patient outcomes.

Maximize Return on Travel Nursing Investment
Hiring the right nurses to accommodate fluctuating demand is challenging; staff surpluses mean unnecessary costs, while shortages can cause lost revenue opportunities and affect patient care. Learn how the Economic Staffing Forecaster can help you determine the most cost-effective mix of temporary and full-time nurses.

How to Hire Travel Nurses
Whether you need to cover a vacation, staff new beds or simply fill a vacant position, looking for the right nurse to fit your needs quickly and effectively can be a daunting task. Screening, interviewing and all the employment details take time and energy, so partnering with a travel nursing company you trust can make this process easier and ensure you find the right nurse.

The Association of Registered Nurse Staffing Levels and Patient Outcomes

Many experts agree that the nurse-patient ratio is extremely important when it comes to improved patient outcomes. There’s a new review in December’s edition of the journal Medical Care in which researchers evaluated 27 studies of patient outcomes in relation to the registered nurse-to-patient ratio.

According to the review’s findings, if hospitals added one more full-time registered nurse on staff to care for patients, the number of hospital-related deaths in the U.S. could decrease significantly. The report goes on to say:

“When asked how hospital administrators can be better made aware of these possible rates of improved patient outcomes, lead review author Robert Kane, M.D., said, “The issue is not making them aware of the possibility, it’s convincing them that it is in their best interests to act on it. From a business perspective, the savings in reduced lengths of stay would not offset the costs of the added staffing. The case would have to be made in terms of image and liability.”

Click here to read the article that was posted on www.news-medical.net.