I know that nursing homes in my area hire those that do not have the training that is needed to work in healthcare. In Virginia a LPN is considered a primary nurse, so the LTC facilities in my area, hire LPN as administers of their facility and then they hire med techs at minimum wage. The course is as follows
The 68-Hour Medication Administration training program for unlicensed personnel is a Virginia Board of Nursing approved curriculum for individuals who want to work in assisted living facilities. Students are taught the basic knowledge and skills needed to perform medication administration safely and effectively. This program qualifies participants to take the State Registered Medication Aide Exam. The training will prepare an individual for a position as a Medication Aide.
So they only get two weeks of training, and are expected to know when to notice the early warning signs of disease processes. I feel like the rules should be changed, that these "nurses," because that is what the patients refer to them as, need more training and education.