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    Throughout the holiday season, this posting was linked to and commented on in social media circles frequented by folks from our profession.As suggested by the title, the piece promises to provide a dozen bits of insight into our world for consumption by the lay person. On Monday, May 23, 2011 just after AM, units of the Santa Clara County (CA) Fire Department responded to reports of a garage fire in the 800 block of Rose Blossom Drive in the city of Cupertino.NCD's purpose is to promote policies and practices that guarantee equal opportunity for all individuals with disabilities, regardless of the nature or severity of the disability, and to empower individuals with disabilities to achieve economic self-sufficiency, independent living, and integration into all aspects of society.Under its congressional mandate, NCD is charged with the responsibility to gather information on the development and implementation of federal laws, policies, programs, and practices that affect people with disabilities. NCD has been interested and involved in emergency preparedness, disaster management, and recovery since 2003.These duties included interacting with stakeholders regarding emergency planning requirements and relief efforts in case of disaster; revising and updating guidelines for government disaster emergency preparedness; evaluating a national training program to implement the national preparedness goal; assessing the nation's prevention capabilities; identifying and sharing best practices; coordinating and maintaining a National Disaster Housing Strategy; developing accessibility guidelines for communications and programs in shelters and recovery centers; and helping all levels of government in the planning of evacuation facilities that house people with disabilities.

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    The subject of nurse-patient ratios comes up often in nursing circles, and can often be a topic of discussion in state legislatures around the United States.

    Ratios are also a topic of conversation and disagreement in other countries. RNAction.org, an American Nurses Association (ANA) website dedicated to political action and advocacy, states the following about the subject of safe staffing : “Inadequate nurse staffing levels by experienced RNs are linked to higher rates of patient falls, infections, medication errors and even death.

    The ANA has recommended that hospital committees weighing such decisions must be comprised of a minimum of 55% direct care nurses (or those who represent them). In mid-February of 2017, the subject of nurse-patient ratios and nurse workloads made its presence known on the floor of the Ohio state legislature.

    They also take the position that any nurse-patient ratio and staffing plans must include the following recommendations: While legislators may have the power to push through legislation pertaining to patient safety and nurse staffing mandates, it is clear that those with the greatest stake in such decisions be brought into the conversation. Democratic State Senator Mike Skindell reintroduced the Ohio Patient Protection Act (Senate Bill 55) , a legislative attempt to impose restrictions on the number of patients for whom Ohio nurses can safely care for.

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