Re: What do you think about universal workers in LTC?
Having seen it in action in assisted living, I'm not a fan. The concept itself isn't a bad one at all---one aide sees to all the needs of her "pod", or residential unit, including meds, laundry, homemaking, and ADLs---but in practice it's used to maximize profits at the expense of staffing. It's also an infection control disaster; I still cringe at the memory of seeing caregivers running back and forth between dining-room duty and personal care tasks, but it couldn't be helped, there simply weren't enough bodies on the floor to meet everyone's needs and still get the meals out on time.
As hard as it was in AL, I really can't imagine it working well in LTC where the residents' acuity is so much higher and the staffing is only slightly better than it is in ALFs. I know our CNAs hardly have time to do everything that's expected of them even now; it's hard enough to get them to do room tidies (I'm super-anal about "stuff" on the floor) and meet the minimal safety requirements, I'm sure they'd go out of their minds if I tried to get them to sweep and mop floors or do their residents' laundry!
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