Darla quickly recognized that the federal requirements
regarding the staffing of nursing homes are very vague. In fact, they simply
dictate that a satisfactory number of professionals are available to care for
the residents. State requirements, on the other hand, are a little more
detailed; however, they are still a bit ambiguous. In many cases, a registered
nurse is required to be on hand for eight hours of each day and a registered
nurse, licensed practical nurse, or licensed vocational nurse is required to be
available 24 hours per day.
Because these guidelines leave skilled nursing facilities a
lot of leeway regarding their staffing procedures, Darla encourages individuals
to consider staffing levels when comparing the facilities from which they are
choosing. During her experience, she discovered that there are three groups of
professionals working within nursing facilities: direct care, support, and
administration.
Direct care professionals are the most important, as they
are the individuals who interact daily with the residents of a facility.
Included in this category are registered nurses, licensed practical nurses,
licensed vocational nurses, and certified nursing assistants. Depending upon
the facility, specialty therapists and other medical professionals may be on
staff or on call.
Support personnel are the individuals who ensure that the
facility runs smoothly. This category of professionals includes maintenance
workers, custodians, and groundskeepers, among other individuals. These are the
professionals who ensure that the facility, as a whole, is a safe, clean, and
healthy place to live.
Administration professionals are probably the least involved
in the care of residents. These individuals handle administrative tasks and
rarely have contact with the seniors living in the facility.
Darla encourages you to consider the staffing levels of the
nursing homes you and your family are considering for your loved one. She advises
you to find a well-staffed facility that conducts background checks and only
employs qualified, licensed professionals.
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