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The American Nurses Association (ANA) supports a legislative model in which nurses are empowered to create staffing plans specific to each unit.This approach aides in establishing staffing levels that are flexible and account for changes; including intensity of patient's needs, the number of admissions, discharges and transfers during a shift, level of experience of nursing staff, layout of the unit, and availability of resources (ancillary staff, technology etc.).Legislation was also introduced in FL, GA, HI, IA, IL, MA, MI, MO, NY, OH, PA, RI, TN, VT, and WA.In 2003, three states, LA, NV and WV, enacted legislation requiring the establishment of study committees to further explore the issue.Identifying and maintaining the appropriate number and mix of nursing staff is critical to the delivery of quality patient care.Numerous studies reveal an association between higher levels of experienced RN staffing and lower rates of adverse patient outcomes.

CT enacted legislation prohibits a hospital from requiring a nurse to work in excess of a predetermined scheduled work shift except in certain circumstances such as participating in a surgical procedure until the procedure is completed, public health emergency etc.ANA also actively pushed for the passage of the federal mandatory overtime legislation, The Safe Nursing and Patient Care Act (HR 745/S 373) but it was not enacted this year.In 2004, WV enacted legislation prohibiting a hospital from mandating a nurse to accept an assignment of overtime.Substance abuse issues have long been part of public assistance policy discussions.States have proposed drug testing of applicants and recipients of public welfare benefits since federal welfare reform in 1996.This guide compiles the above resources in an easy to understand format to ensure all moms have the information they need to make working and breastfeeding a success.

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