How do the LTC facilities get around that issue? Is RN supervision of CNA's not a requirement for their care and caid reimbursement?
OK, as far as LPN's working under my license, they are already doing that, so I am not worried about that issue. They are instructing pt's about new meds etc in my absence and that is more critical IMHO than a HHA sup.
I am also not concerned about the most frail being afraid to speak out. If they are afriad, they are afraid no matter who is doing the supervising. I have experienced what you are talking about. One pt told an RN who was leaving the agency that her HHA was sleeping, but she made her swear that she would not tell the new CM, me. But, she did tell me, yet I am not supposed to know. What, am I supposed to just show up one day and catch the aide sleeping?? I have tried, but she seems to know I am there. SO, if the pt won't tell me, and I am not supposed to know, I can't do one thing about it! (Well, I can, the sub was great and I suggested she b/c the regular aide, and the assignment was switched.) But, the fact remains, it doesn't matter if you are a secretary, if the folks don't "want to get their aide in trouble" they won't tell. If they do, it is a person they trust regardless of their title.
Those two arguments aside. it has to beign somewhere.
Karen, are you saying it would have to be a national petition since it is hcfa? All of NJ wouldn't count since the rules are the same everywhere, nationwide, right?
Where you you begin such a task? I want to pursue it, no matter how much work it involves. Should I try to get backing from more big wigs first? How and who?
With the current state of RN shortage in my agency, I could spend my whole week doing just HHA sups!!! I didn't return to case management to do that!