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Crisis CNA shortage in Wyoming

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by hope3456 hope3456, ASN, RN (Member)

hope3456 is a ASN, RN and specializes in LTC, Psych, M/S.

20,164 Visitors; 1,262 Posts

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State faces in certified nursing assistant shortage

I find it interesting that this topic made the news. There have always been staffing problems in nursing homes and CNAs would much rather work in the hospital settings than in LTC.

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Not_A_Hat_Person has 10 years experience as a RN and specializes in Geriatrics, Home Health.

1 Follower; 37,622 Visitors; 2,899 Posts

Improve working conditions in nursing homes and the CNA shortage will end.

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kbrn2002 has 25 years experience as a ADN, RN and specializes in Geriatrics.

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I may be wrong but I am willing to bet staffing is difficult in LTC nationwide. Some areas may be a little better than others. Unfortunately it all comes down to the dollar signs. LTC largest expenditure is staffing and the primary source of income is Medicare and Medicaid with ever decreasing budgets resulting in lower reimbursements so keeping staffing at the minimum needed to keep the place running is the norm. Unfortunately this reality results in not so great working conditions as there is never enough staff for the amount of people to really be cared for well.

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Median wages for nursing assistants range from low 20's to just under or around middle 30's. Much depends upon location and type of facility with large urban areas such as New York City slightly better. Union and IIRC Veteran's facilities may pay higher.

Being as all this may the job is very difficult physically relation to compensation. After taxes someone in NYC earning $28k per year probably qualifies for welfare. Depending upon household size earned income tax credit and a host of other subsidies probably come into play as well.

The revolving door of assistants harms the quality of care provided and in some settings such as LTC/nursing homes takes a toll on residents. Just as they get used to one person she or he is gone and there is a new face. Many of the really great assistants are nursing or other students thus by design won't hold the position for long.

Anyone who thinks things are bad now, just wait. As the large wave of Boomers move into old age combined with the push for more "aging in place" care where do people think all these aides are going to come from? Home care pays some the lowest assistant wages and often has more trouble staffing assignments due to the longer shifts.

Nursing Aide Salary Information | Best Jobs | US News Careers

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