New safe staffing rules - what’s changing for you

Anyone else getting emails about the new state safe staffing rules rolling out this fall? We’re being told to log “care interruptions” in a new field and leadership says acuity-based assignments are going to be audited - what are your hospitals doing to prep?

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We’re doing dry runs: charge enters assignments into the acuity tool each shift and the manager spot-audits against the grid, and we added a “care interruption” field in Epic with a quick dropdown plus free‑text so Quality can trend it. Education is a 15‑minute huddle with examples of what counts and when to loop in the house sup if staffing gets pulled mid‑shift. How are you defining an interruption - are you counting quick hallway consults or only things that delay time‑sensitive care?

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We’re making the new “care interruptions” field a hard stop in Epic and added a quick SmartPhrase so logging it takes under 15 sec, and charge attaches the acuity grid screenshot to the shift audit. Are you counting provider call-backs and transport delays as interruptions, or only true missed care? We’re trying to keep it consistent across units.

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Ugh, we’re getting the same fall rollout emails; our fix was a 15-sec Epic SmartPhrase for care interruptions, and charge drops an acuity grid screenshot into the handoff note so audits line up. I also asked the team to timestamp when they leave/return for pulls like rapid, sitter, or transport so the audit trail matches the acuity-based assignments. Are you counting pharmacy delays or ED holds as interruptions, or keeping it to true missed care?

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At our place, we added a one-tap “care interruption” button on the WOW toolbar that time‑stamps and tags a reason, and charge watches a live counter so acuity-based assignments can be tweaked mid-shift instead of waiting for after-the-fact audits. Small caveat: we cap entries at one per patient per hour so it doesn’t turn into busywork. @OP are you planning to review trends in the fall rollout huddle or just report them up?

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