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L.A. County nurses say hospitals aren't abiding by new staffing law

The Associated Press
Last Updated 7:39 am PDT Thursday, July 15, 2004

LOS ANGELES (AP) - Contending that patient health is at risk, nurses staged a protest to demand Los Angeles County hospitals abide by a state law that set nurse-to-patient staff ratios.

Twenty-five nurses wearing their hospital scrubs held a brief sit-in Wednesday at the downtown offices of county supervisors.

The law that took effect in January sets staffing requirements of one nurse for eight patients. In some hospital units, the ratio is a nurse for every two patients.

However, Cynthia Mitchel said there were only two nurses for 50 patients Tuesday night in the emergency room of the County-USC Medical Center.

"Why don't you come down here on a Friday night when we've got five or six patients rolling in the door and there aren't enough nurses?" Mitchel asked an aide to Supervisor Zev Yaroslavsky. "Anyone could be in an accident at any time, and if they need trauma care, guess what? They're coming to us."

Hospitals have complained that they cannot hire enough nurses to meet the requirements because of a nationwide shortage.

The county's five hospitals have 3,350 nurses but need 1,204 more to comply with the law. Supervisors wrote Gov. Arnold Schwarzenegger in December and February, asking the state to waive sanctions for violating the law.

The county got no response, said John Wallace, a spokesman for the county Department of Health Services.

"Our goal is to be compliant," Wallace said. "But unfortunately, because of the nursing shortage, we're not able to be."

The California Healthcare Association, a hospital trade group, surveyed 300 medical centers after the law took effect and found that 85 were in violation at times. The problems occurred mainly when nurses were not replaced during short breaks, association spokeswoman Jan Emerson said.

The state Department of Health Services said it had received 130 reports of violations statewide and required corrections in 19 cases.