I do what you are talking about. I spend 10 to 12 hours with
people who are on a vent or have a trach. They can do this b/c
their insurence pays our agency the same daily rate that they would
pay a nursing home. They agencey comes what they can with the monies
and the family fills in the rest of the time. Does that sound like what
you mean? My complaint is a worry about loosing my skills. But I guess
I learned them once I can learn them again.