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Opening a group home???
You would think, but I guess it is like the for profit nursing homes. They somehow make money, I've worked for them for 18 yrs & they have expanded over the years. But other companies have gone under, hard population to serve & to meet the regs. Hopefully they'll still be going strong for another 18 yrs:D
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Opening a group home???
I work for a group home that is run by a Private for profit company. We have 7+ clients & we are labeled as an ICF/MR setting. The only ones that live there are the clients. We then have round the clock care w/ nurses & direct care. The company owns several group homes around the area, and down around a major city. We are federally & state funded. We are regulated by the state & have a yearly licensing inspection. Similar to a Nursing Home, but not on that scale. Our clients have MA, state health care card & get a small amt of money from social security. With the 7+ people we have a nurse on duty for 24 hrs a day, LPN's, with an RN contracted for 10hrs a month to oversee the LPN's. Also have access to a DR. 24/7. Then we have direct care workers (like a cna) for 2nd & 3rd shift. Usually 1-2 nurses on 2nd, 1 on 3rd. 4-5 direct care staff on 2nd & 2 on 3rd, & 2 more showing up for am care & to get them off to "work". All of our clients are wheelchair dependant & medically needy w/ a siezure disorder being a primary concern. In our area alot of nurses work for biyoda(sp?) and work in a private home setting taking care of a medically needy child, which for the family is primarily a foster child. Some homes have 2 or 3 children in the home & they tend to qualify for 24 hr nursing care. Foster care for medically needy is always needed & I imagine that could be an area to look into. I worked at a home once that was set up & approved to be a group home for 8 to 12 foster children at a time, touchy situation there. On the news awhile back I saw that in Arizona they were trying out a new home setting for the "new nursing homes of the future". They had elderly folks who needed the nursing home setting living in homes with a few other residents. Probably no more then 10. All had there own rooms, but for the rest I am not sure. They did say that the house had less cna's then a nursing home but they did tend to stay longer & an LPN was always on duty, but the RN worked for whoever owned the homes & went around to all the "homes" to keep an eye on them. Interesting to get in on that. I hope this helps.
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Nasty family trying to pull the VIP card
Does MR mean you work in medical records? No I work in a group home with Mentally/Physically challenged clients, formally mental retardation. As for an ER nurse being busy or not, I didn't mean to imply that this is how ALL ER nurses are. The nurse we had that night left the room, sat at a desk & resumed her solitaire game- I WATCHED her do it. I live in a rural area & we were 1 of 2 people in the ER that night- I could see every ER room in there. Only 1 other curtain was pulled shut & no one had been in the waiting room when we arrived or came in as we waited- nor did an ambulance come in. We were only there for about two hours. I was not complaining about anything regarding the ER nurse or the care my daughter received. I was just saying that I was guilty of getting things for myself/family. I realize that ER nurses are busy, all nurses are busy, that you can possibly get busy pretty darn quick. I don't even care if you play games all night long- as long as the patient is getting what they need when they need it, or as reasonable as possible. This a small hospital, and most traumas get sent to a larger hospital about 15 miles away. For the most part you get excellant care in this ER, they are very friendly & helpful, and nice & kind. I don't know what this nurses problem was or if she had one at all- she was nice with my daughter & spoke to my daughter when asking questions about her complaint, it just seemed like she couldn't have been bothered with getting her a blanket. But I have been to that ER so often with clients that I knew where to go to get a blanket, it was no big deal- No need to read me the riot act! I apologize for offending anyone.
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Nasty family trying to pull the VIP card
"when they start helping themselves to blankets" Ok I'm guilty of this- just did it Friday when I took my daughter to the ER. She was laying on a litter, visably shivering, & the nurse gave her a SHEET. I asked for a blanket, nurse disappeared, n did not come back. So I got her a blanket! The nurse was sitting @ a computer playing a game! I told her to add it to my bill.
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Heparin Drip Error
I went for a job interview & was asked if they may contact my present employer. I was honest & said yes, but that my current employer would only say that yes I was employed there. The HR person said that the most ANY employer could tell a prosepective employer was that yes or no I worked there, and yes or no if they would rehire me. I also told him that they would probably say no on the rehiring- I have a mouth and am not afraid to use it. They called present employer, & told him exactly what I said they would- I got offered the job!:)
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Biochemo vs chemotherapy
I went thru biotherapy- which I believe was the immunotherapy minus the chemo. I went thru a year of Interferon. Another one is interleuken. I went the thru the interferon to start my cells fighting malignant metastatic melanoma. My oncologist called it biotherapy, very hard to get people to understand that it was not chemotherapy.
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Saw something that really disturbed me tonight
The department of welfare should be able to help. Most group homes are owned by just a few companies, if u know the names of the companies in ur area u could call them. I work for a group home & we do dress in street clothes and don't advertise the company name as it isn't "normal". "Normal" people don't have company names, logos on their cars, & street clothes because "normal" people don't have aids/nurses living with them. But this is abuse & needs to be reported. All MR clients are in the state system & so are the group homes- CLA's (communty living arrangement) n ICF's (intermediate care facility) they are licensed by the state & inspected regularly. Dept of Health would also be of some help
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LPN acronym
Let's pretend nurse
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Differences of Pharmacy technician
the tech with the degree went to school for 2 years, where as the tech just did on the job training. there isn't a difference in pay. my 19 yr old daughter is a pharm tech n has been since she was 17. she makes 8 bucks an hr here in central pa. she is a nationally certified tech as well as a cvs certified tech, with some other certifications from cvs. she did like her job so much she is now in college to be a pharmacist. which does pay really well. if u get in w/a chain pharmacy, they will train you & they may pay for u to take ur national cert test. but if u are looking to be the primary bread winner with this job, not gonna be easy. and don't waste ur money on the schooling, most chains will train u their way.
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Central Susquehanna LPN Center...Sunbury?
The LPN Center used to be known as Danville Area SD School of Nursing, that had been around for a very long time- based in Washingtonville. I went to that program back in 1995-96. Since then I have worked as an LPN in a group home. It was a good program, & I had friend graduate from the new place n liked it. If u could- look into RN schools. Geisinger has a certificate program, Penn Collage- Williamsport, and LCCC(Luzerne County Community College) had a campus in Berwick both of those are Assosiciates degrees I can't tell u what Bloomsburg pays their LPN's- or if they even hire LPN's anymore. I do know that Geisinger does not pay their LPN's well- about 11-13 dollars an hr to start. LTC pays better. And Geisinger runs hot & cold about LPN's- some years they hire LPN's like nobodies business, a yr later they are laying them off. Also in Bloomsburg is Bayada- home care pediatrics, but they have positions all over the place. Primarily 1 on 1 cases in homes. Hope this helps u a little:p
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Schedules
Yep thats how they have been doing it lately. We are a small ICF for MR about 15 employees presently- usually 25 or better. We all have set schedules w/a contract we signed. I am supposed to work 37 hrs a week 4 days each week. Our problem is we cannot get help so we are very short staffed, so now we suffer w/schedules. An example is this coming week I asked for time off on Friday Saturday Sunday & Monday. I got Saturday & Sunday off, work till 8 am on Friday & I don't know about Monday yet. I told them I was going away for a 1st anniversary celebration so they took me off the schedule for Friday evening & put me on the schedule for Thursday overnight (yes I agreed to that so I could have the rest of Friday off.) I just wanted to know if the were required by law to post a schedule so many days in advance or not?
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Schedules
I was just wondering how far in advance is an employer required to post schedules? My employer post them on Friday- for the following week. It is driving us nuts because we cannot make appts & plan vacations cause we never know what we are working. Yes we have all signed contracts w/set schedules but we are so short (not short- tight) that we are all working alot of xtra hours. We have reached a point where they are no longer asking us- just scheduling us. I changed positions from 40 hr flex to a set schedule to avoid this problem. Have yet to work my new schedule, they just schedule me where ever & now pay me a dollar less an hour!:angryfire So if someone knows if they are legally required to post a schedule like 2 weeks in advance or some time frame it would be appreciated.
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Pre reqs what is needed?
Hi everyone. Just wanted to know what all classes were needed b4 you start your Nursing Concepts at Excelsior? I know A & P, Microbiology, and Psych. But what other ones? A group of nurses where I work are all gonna go through the program together- but no one knows what pre reqs you need. Some of us have college classes, some of us have none so knowing what exactly is needed would be helpful! Thanks
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Excelsior College Costs
Hi, I'm new to this site and had a few questions about EC. First, I've checked the site and costs- not exactly sure I understand how that works. It tells the price for exams- NRSG Concepts 1 thru 7 cost 215.00 each. Is that correct? And then the other exams range from 165 to 255. I do not have to take courses- just the exams? And can I take NRSG Concepts 1 & 2 b4 I enroll at Excelsior? Or do I need to enroll? I only need like 4 basic ed classes, if the other classes I've had transfer. Then I pay for the CPNE, and the graduation costs? Even if I don't go to the graduation? And also pay the yearly students fee? I'm trying to find a rough estimate of the costs, before I start to sign agreements, and pay enrollment fees. Any help would be appreciated!:wink2: