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The problem is obvious: too many patients per provider: Doctor, Nurse, CNA, etc. The solution is simple: hire more staff and assign less patients per provider. Where do we get the money for this? Um, Hospitals are FOR PROFIT, take it out of the profit. There is no reason Travel Nurses should be getting paid 5 or 10 times the amount as a Staff Nurse when they could have hired 5 more Nurses and 10 more CNAS INSTEAD OF HIRING 1 TRAVEL NURSE! When a house's support beams and wood skeleton start breaking one by one you don't just paint the wood a new coat of paint do you? No, you replace that wood with new wood and more more to keep the house from collapsing in on itself. I do care how much I get paid, but you CAN NOT pay me to do a job that is IMPOSSIBLE for 1 person to do on a daily basis: 9-15 patients a CNA is common yet people only listen when the Nurses start walking out. But without CNAs THERE IS NO HOSPITAL.

I had some questions. I'm planning to in the future about 10 or so years from now moving somewhere extremely rural and building a Homestead, after getting my BSN and some years of traveling and marriage, and live on it with other married Christian couples in a community style living raising 5 children for each couple most of them adopted. Homesteading pretty much means living on a farm without needing any supplies or contact with the outside world. However I was thinking of also working within about 1 hour driving distance working in a nearby small rural town under an MD or DO in a small outpatient clinic (with the possibility that this MD or DO will also be one the parents on our Homestead to provide care for all of us there especially the many children) that also provides Home Health Care to the entire small town rural community which may be spread out among the wilderness or closer in town or in inbetween parts. I've considered becoing a Doctor in the past but God led me to Nursing and I plan on staying in this field. I love to learn and provide as much care as I am able to and legally allowed to. I also love spending 3-4 hours a day with 1 patient taking care of them usually long term, perhaps people won't need me me every week in this kind of job and that's OK but there's no way I'm ever seeing 12 patients every hour in 1 day for a 12 hour shift. With the Homestead with wife and kids I don't plan to be working more than 6-7 hours a day 5 days a week. I can't deny my hunger for more medical knowledge however I'm under no delusion that no matter how much education I get in Nursing I will never be equal in education to a Medical Doctor or Doctor of Osteopathy and I am comfortable with that. I am not going to try to be something I am not. My main question is: do you think it is possible to do all of this and have a DNP working under a MD or DO? I will not make diagnoses (but will recommend them to my Doctor), I will not prescribe medications (but will of course recommend them to my Doctor), and although I probably will make House Calls alone I will stay within communication with my Doctor and follow his Lead about everything (he may let me make some decisions on my own, but I will of course chart everything and bring it to his clinic for his review). I don't mind being a Nurse Practitioner or whatever else title I can get with a DNP but I really prefer to do all the above and I love working bedside handson with no task beneath me and since will be Rural Nursing I don't expect I will have any Nurses or Aides under me to do the things like the occasional toileting and bathing and changing wound dressings in addition to exams and administering medicine. Basically I love Nursing I just like expanding my medical knowledge over the years, but my idea of Nursing is not much different than my idea of being a Doctor: working at the bedside of people to take care of them as much as we are educated and legally allowed to do, with the main difference being Doctors having more of a leadership role and far more years of education than a Nurse.

Just because I prefer not to take care of certain types of difficult patients does not make me any less compassionate. Compassion is not the same as capability. I have met people in my life I was unable to take care of because I simply was not qualified to take care of them no matter how much I wanted to and tried. There is a reason Patients with diagnosed Mental Illnesses are supposed to be in a separate unit in the hospital. You can't treat them like any other patient and not everyone can handle regular interaction with these kinds of patients. You reply seems to deny these facts.

I never expected to get supposedly treated differently because I'm a Man by the patients. I've worked with Patients both in Home Health Care and in a Nursing Home that other people have said screamed at others of the female gender. In 1 case I'm not sure if the Female CNA was just too sensitive or just flat out lying just because she didn't want to change a black man screaming in pain as he poops a hard poop in his diaper. The other case I think the patient had a hard time with people in general because he spoke in a blunt way without manners mixed with some cuss words but he wasn't a jerk, he just got mad when people ignored his wishes when they claimed they were hired to help him in his home. I got along with both these men and others who were very good to me, but apparently had "behavior problems" with other workers. I must have been doing something right. I had no idea these men had "behaviour problems" with other staff until after some time of working with them.

You have to look at this from a realistic point of view: You're used to caring for 1 Patient for 12 Hours right? That means they were probably very acute needing skilled Nursing for a long time per day. That gives you alot of experience working 1 on 1 with acute patients. In most in patient places you will be given 5 or more patients and you'll not have time to do everything for them all so some Nurses hate it because they feel they didn't go to school just to be pill pushers as they mostly just give medications. Depending on the unit, you could also assist in the OR, be a Wound Care Nurse, work in the chaos and fast paced and sometimes deadly world of ER, or you could go into the careful slow quiet extremely detailed and sometimes intense world of 1-2 patient ICU. If you want to develop your skills from a Facility point of view and you can handle that your patients might die once in awhile: I extremely recommend applying for the Intensive Care Units in Hospitals. ICUs are unique from all other parts of any hospital because Nurses are usually given 1-2 patients each. This is where patients go once they are stable enough to not immediately die transferred from the Emergency Room often without much info gathered by the Nurses working the ER because they often simply don't have the time to get any other info than what is needed to keep them alive in that moment. The patients are stable but often not well enough to speak or walk as they may be often times be sedated (something to keep in mind if you value talking to your patients, they may be able to hear you but they often won't be able to talk back to you or communicate but remember even patients in comas may be able to hear you). They often have lots of tubes in them all over their bodies and are hooked up to all kinds of electronic machines. This environment is not a rushed one, but the complete opposite of The ER. Simce Nurses often get 1 or 2 patients they may have their own often used Rooms that they setup before the patient gets there. Nurses here have more control more so than anywhere else in the Hospital because unlike most other places that split the medical from the ADL care giving Nurses charge ovet Medical Care and us CNAs over ADLs, here in the ICU Nurses sometimes don't even HAVE CNAs so Nurses may do NEARLY EVERYTHING for their patients including turning them, bathing them, changing their diapers if they have one or emptying their bags, doing wound care, and administering medications. However there is far more interactions with other Health Care Professionals than there is with the patient themselves at least when it comes to actual talking. They will sometimes bring Student Doctors in to watch and learn if your hospital is a teaching Hospital. Of course the family will visit the patient, highly emotional at times. Depending on your shift and the availability of your Doctor you may have standing orders given so you don't need a Doctors written order to give certain medications if you know how to recognize when the patient needs them. You have to almost constantly monitor the patient, because keep in mind that something going wrong with their condition can lead them Coding really fast, which means while it won't happen as often as THE ER you'll have to be prepared to give Emergency Care and bring this person back from the edge of death if you can. And everything has to charted hourly or every 2 hours leading to alot of paperwork for each patient, this is why Nurses have to at least be present from even ADL changes they MIGHT have a CNA DO that they must SEE and CHART. While I have never worked in a ICU, based on my research it seems to me to be the closest I could get to resemble Home Health Care in a Hospital. This is quiet, calm, careful, calculated, slow, extremely detailed and analyzed, occasionally fast, and sometimes highly emotional environment. The hours Nurses may CHOOSE are 12 Hour shifts because they may like having that much time to do all they need to to give care to the patient. Patients may be in the ICU anywhere from a days to weeks or even a month. However, if a family can afford it sometimes similar work can be done at home for a patient. Which is something I want to look into as a future RN who prefers the restaurant Healthcare that is Home Health Care as opposed to the fastfood Healthcare that is Hospital and Nursing Homes.

I'm very simple, God showed me he is real and I followed him and read his Word The Holy Bible ever since. I put him and his Word as authority above everything and sometimes I find the churches and Pastors and even people who call themselves Christians seem to ignore much of what The Holy Bible says and do whatever they want and claim God is pleased with their minimal and often self serving efforts. 2 Timothy 4 English Standard Version Paul to Timothy, "1I charge you in the presence of God and of Christ Jesus, who is to judge the living and the dead, and by his appearing and his kingdom: 2preach the word; be ready in season and out of season; reprove, rebuke, and exhort, with complete patience and teaching. 3For the time is coming when people will not endure sound teaching, but having itching ears they will accumulate for themselves teachers to suit their own passions, 4and will turn away from listening to the truth and wander off into myths. 5As for you, always be sober-minded, endure suffering, do the work of an evangelist, fulfill your ministry." I don't follow what's popular, Jesus wasn't, I follow the truth and I make no apologies for it. Sometimes or often that ends up making me mostly alone. Which is how Jesus was treated near the end of his life on Earth.

I worked in Home Health Care for 2 years in Hawaii and now I live in California and recently got my CNA Certification. I tried working in a Nursing Home, but I just couldn't care for the amount of patients they gave me. I'm now going back into the Home Health Care field, but I'm finding it extremely difficult to find opportunities to get hired as a CNA. It's not like I'm trained to do much else than what I did already do as a Home Health Aide before but I would like to use the Certification I spent time and money into to get. I also want to become a RN and I want to learn more about medically skilled care especially those given in Home Health Care as I see a possible future for me working in Home Health Care Nursing as I love being able to focus on 1 patient for hours and not just do medical related things but also take care of their other needs to in a Holistic way.

I'm not a Nurse, but currently a California Certified Nurse Aide. Before I became a CNA, a few years ago I worked in Home Health Care in Hawaii as a Home Health Care Aide that didn't require me to have any license or registration. The company I worked for just required I have my CPR and First Aide Certifications. I did that for 2 years and I loved that, but God was calling me to do more and so now I aim to become a Registered Nurse. CNA School was good, but my eyes have recently become open to what it means to be a CNA for most places hiring. I worked for 5 days in a Post Acute Facility some might call it a Long Term Care Facility or Skilled Nursing Facility or Nursing Home. 4 Days were orientation where I didn't have my own Patients and the 5th day I finally had my own Patients: 8 + 1 another CNA had abandoned. 3 were mostly independent. 5 needed their diapers changed. I only changed 2 diapers while trying to meet everyone else's needs to. The only reason they all got changed was, because 1 LVN, 1 PT, and 2 other CNAs helped me. An 8 hour shift turned into 10 hours. This shift started in the morning. 1 of my patients the LVN showed me had developed a skin issue because they were not changed soon enough. I realized things would be worse and even though I might have help (not always) I couldn't do this job on my own that I signed up for. So I quit. I did alot more research after that and realized that that facility for AM shift gave 9 patients per CNA which is the lowest amount I have yet to learn any facility give. On average Hospitals give 12-15 patients per 1 CNA (these are sicker to and require more care) and Nursing Homes can give the same amount or even higher depending on your shift: Overnight shift gets about 2x the amount of Morning shift and Late Afternoon to Early Evening Shift get somewhere inbetween. It's an entirely different world and mindset and focus than Home Health Care. Inpatient Care outside of Home Health Care is all about numbers and money. They give every Health Caregiver from Doctors to Nurses to Nurses Aides far more patients than they can realistically give full proper quality care to. It's simple logical business ethics that put profits first and product quality last. However in this case the product is Health Care. The less staff you have the less you have to pay, plus the more patients you have the more money you make, and this equation equals maximum profits. The results are alot of patients who are not having all their needs met, they are mostly kept barely alive and largely ignored the rest of the time. There are often some patients who lay in their own feces and urine regularly simply because their CNA does not have the time to change them. Patients who do get changed are often ignored because other than feeding, changing diapers, bathing, and keeping them breathing CNAs just don't have the time to do much else. I would say based off my research in terms of equating amount of patients with difficulty, Home Health is Easiest, Outpatient Clinics are Harder, Hospitals are Much Harder, and Nursing Homes or Post Acute Facilities are the Hardest. The Health Care was broken by evil business administration that puts profits first and Health Care last. Doctors sometimes kill themselves, Nurses sometimes quit, and CNAs have borderline PTSD. Read God's Hotel by Doctor Victoria Sweet to open your eyes to how things used to be and how things are now to see the sheer horror that is American Modern Health Care Administration. This is the world you're going into as you leave Home Health Care and go into Hospital or Skilled Nursing Facility work. Tread lightly. I don't know much about what Nurses go through, but to give you an idea: in the Post Acute Facility I worked at a Nurse was the manager of the entire facility, we did have I think at least 1 Doctor on site, which had over 100 patients while LVNS each got 1 hallway: each hallway had about 5 or more rooms on each side, each room had usually 3 patients in it, that's 30 or more patients per LVN. They seemed often busy doing charting and other paperwork or non-direct hands Nursing while the other times they simply gave Medications. If they were nice and made the time they might help change a diaper. We had dedicated Woundcare Nurses and Physical Therapists so a general LVN didn't do those things I think.

Alot of the church of Christ everywhere need psychology help and to read their bibles, because they think if they ignore COVID19 it will go away. Ironically this idea didn't originate from a place of true faith but from political devotion to a Flawed Man Republican named Trump who many Christians seem to think is the next Jesus. Jesus isn't Repbulican or Democratic, he is a King in a Kingdom it is a Monarchy. And Jesus tells us to sacrifice ourselves if it will help others, not about "our rights". This isn't up for debate. No matter how much we argue COVID19 will still spread by people who don't wear masks, this scientific fact.

Agreed 100%. I do not like the pope or alot of the practices of Catholicism. But one my good friends is a Catholic and we agree on the core Gospel of Christ and I am glad the Catholics as an organization at least are encouraging support of the fight against COVID19.

Matthew 7 Jesus said, 1“Do not judge, or you too will be judged. 2For in the same way you judge others, you will be judged, and with the measure you use, it will be measured to you. 3“Why do you look at the speck of sawdust in your brother’s eye and pay no attention to the plank in your own eye? 4How can you say to your brother, ‘Let me take the speck out of your eye,’ when all the time there is a plank in your own eye? 5You hypocrite, first take the plank out of your own eye, and then you will see clearly to remove the speck from your brother’s eye." 1 Corinthians 5: Paul said, "11 But now I am writing to you not to associate with anyone who bears the name of brother if he is guilty of sexual immorality or greed, or is an idolater, reviler, drunkard, or swindler—not even to eat with such a one. 12 For what have I to do with judging outsiders? Is it not those inside the church whom you are to judge? 13 God judges those outside. “Purge the evil person from among you.” We are called to judge within the church, but not to do so hypocratically. I can't judge my brother and tell him of his sin if I am caught up in the same sin. People who don't fully read their bibles will often just go with whatever makes them "feel good", that's not what the Bible teaches nor is it the Gospel. Through Jesus yes we have the forgiveness of our sins but we are also called to hold each other accountable and encourage one another to lives without sin. There is a great difference between someone who struggles not to sin and someone who has fully embraced their sins and refuses to turn away from them. To find out which we are called to first walk the right way and then we can discern who is who. Then help our brothers and sisters in walking the right way and correct those who think they know Jesus but only know what they've been told and haven't read for themselves.

I have high metabolism, skinny and boney, might have Celiac Disease and IBS (in the process of being tested), am vegetarian, and I try to live Zero-Waste (only recycle or compost, never trash), how do I build just enough muscle and some fat to cover my boney ribs that stick out? I don't eat meat, one reason is that I live in the city and it comes in dispoable plastic packaging this also rules out most kinds of non-fresh foods. Possible Celiac rules out bread and pasta. Possible IBS rules out raw foods and pastries. I mostly buy fresh loose vegetables, fruits, and grains at the grocery stores. I will also buy things in recyclable or compostable packaging (this rules out most cereals and even things in boxes often coming in plastic bags inside the boxes). I found 1 brand of cheese in recyclable packaging: Stater Bros. I try not to eat any ice cream, pastries, etc. as I think something in their long list of ingredients is irritating my bowels. I'm not lactose intolerant, but whole non-organic milk gives me bad gas, but Costco Organic Whole Milk Irritates me but Organic Valley Milk doesn't. I'm experimenting with 1% fat Organic Circle Milk.

I've made my concerns known to one of the Elders who said he'd bring it up next staff meeting but nothing changed. Denominations are selfish cliques that shouldn't exist like Paul says in 1 Corinthians 1. I am a child of God YahWeh and a follower of Jesus The Christ. The world calls me a Christian ("mini-Christ") which I also use to call myself and others. I stick to The Holy Bible above all else and live my life by it according to what I know and understand which is alot more than most western Christians are willing to do for their "make me feel good about myself" hungry culture. I'm not sure what denomination the church I go to is, but based on some of their teachings and government I would say leaning towards Penecostal or Charismatic although their core is pretty soild and they don't preach a "you'll be rich with money if..." message.

COVID19 has proven to kill people and one of the FIRST 10 commandments is "Do not murder". But the 2nd Greatest commandment is to "Love your neighbor as yourself." Anyone who chooses to come to church without a mask or takes it off at any time is dangerously close to causing serious potentially fatal injury to someone. So most definitely YES to having people removed for refusing to wear a mask in church. Just like they did in the stores in 2020. I'd seriously question validity of someone's claim to being well-informed loving humble unselfish Christian if they refused to get vaccinated and wear a mask.

What's even worse is other Christians, not me!, claiming "it isn't real" or just something the government made up to control us more and "shut our faith down", I'm living proof this isn't true when can do just about everything we did before COVID19 with masks on except maybe not hug or touch or talk so close so much as we used to. The worst though is claiming that people dying of COVID19 is no different than the Flu like it's no big deal and we shouldn't do anything to help stop it spreading. That's like the same attitude the stubborn people who refused to visit prisoners or sick people, feed hungry people, clothe naked people, etc. and yet claimed to follow Jesus and do mighty things in his name which Jesus compared to stubborn goats and he told them to leave him and never knew them as they were workers of evil and he sent them to the judgement they deserved all of this he speaks about in The Gospel of Matthew Chapter 25 and he added this, "Whatever you did to the least of these brothers and sisters of mine, you did to me." He was talking about the church, but the same principle applies to everyone as we are supposed to love people as we would ourselves not just do whatever is convenient for us.