Introduction
In the working world of home health aides demands are high and pay is incredibly low. The easy to fulfil requirements invite workers in but the hourly pay and the demanding to do list required of them doesn 't make them stay long term. It also doesn 't help that there 's not much room for advancement in the feild. A job as a home health aide is looked at more as a stepping stone instead of a career choice.
According to the data collected and shown in chart above for 2014 and 2015 statistics hourly wage for personal care assistants, home health aides, and certified nurse 's aides the increase in hourly wage has not raised that much. The amount provided hourly barely allowed the workers to meet the cost of living requirements set for them. A program to provide better training for home health aides to increase wages and overall care of clients in their home setting. If it could be put into place for a reimbursement or a scholarship program to create a degree that is in between an CNA and an RN that would give workers better education and qualifications to receive more pay per hour and do more in the home setting for client’s then this field could be looked at as more of a stepping stone.
Globex is one of many agencies fighting to keep up with the needs of clients and demands in pay from workers. The company has been around since 2009. Globex will benefit from a program being presented because it’s in need of more workers to keep up with all the clients they keep taking on daily. If employees at Globex saw Globex as more than a means to end and more of a career then they might stick around longer and help build the field.
Requirements for Entry Level Health Aides
For incomers of the fields of Personal Care Ass...
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... term an HNA (a home nurse aide) the benefits combine not only the qualifications of a PCA, HHA, and CNA, but also some qualifications of a being an RN without having to work in a nurses settings. It opens the doors for advancements in a world that didn’t have ladders to climb to a higher paying goal.
Those who want the best of both worlds by working in a home setting caring for clients and good pay could be given that by using the program addressed of a home nursing aide. Not only will this program benefit the employees, future and existing. It will help build the company of Globex as well as the community college or university in bringing in potential students turned into long term employees.
To bring this program to a success, Globex will want to:
1. Finalize a budget
2. Finalize a course list
3. Get connected and present to a community college or university
The Affordable Care Act (ACA) was passed in 2010 with the goal of expanding healthcare coverage to all Americans by reforming insurance policies and practices (Tillett, 2011). The ACA upsurges the demand for an increase in primary care providers in order to supply quality care to the much larger population that will have coverage and therefore acquiring healthcare. The Institute of Medicine (IOM) through its report The Future of Nursing: Leading Change, Advancing Health has generated a solution to the shortage of primary care providers by promoting a transformation of the nursing profession to fill the gap.
The U.S. Bureau of Labor Statistics or BLS estimates that demand for the profession will rise at a rate of 17 percent through 2024 much faster than typical job growth. As the population ages, demand for round the clock personal services is on the upswing. How big a paycheck can you expect to earn as a certified nursing assistant? The BLS estimates a median income of $25,090 for CNAs in its 2016-17 Occupational Outlook Handbook. But your earnings will vary according to where you live; the BLS found that the top 10 percent of nursing assistants earned more than $36,000. By taking on more training, CNAs can move into higher-paying roles as licensed practical nurses or registered nurses.
A licensed nursing home administrator is qualified to be the successful administrator of a hospital and any health care organization in the long-term care continuum: life care communities, home health agencies, hospice, assisted living and senior living centers. With the baby boomer generation aging and retiring, leaving voids in the job field along with health care having to satisfy a larger elderly population. Health nursing home administrator is an individual educated and trained within the field of nursing home administration who carries out the policies of the licensee of a nursing home and is licensed in accordance the state (“Nursing home administrator program,2016). The nursing home administrator deals with the general administration
Who is going to care for our aging population when they are unable to care for themselves? A Certified Nursing Assistant, also referred to as a CNA will. A CNA has many responsibilities in the healthcare field. CNAs are the primary caregivers to residents in long-term care facilities and hospitals. CNAs help residents perform activities of daily living. A few examples of activities of daily living are feeding, bathing, dressing and toileting. With all the responsibilities CNAs have, their job can be stressful. The night shift for CNAs requires getting patients ready for supper and put to bed. Some people may think this is simple, but it is not. On average a CNA is responsible for twelve residents while toileting every resident, assessing their needs, and watching for the other residents call lights, CNAs need to have every resident to supper by six o’clock. Once all residents are at the table for supper, CNAs must give each resident their trays and then feed them. Once they are done feeding the residents, CNAs start taking residents to bed. While giving bedtime care CNAs toilet the resident, wash the resident, brush their teeth, put pajamas on them, and transfer them into bed. While giving night time care CNAs need to listen for the alarms of fall risk residents, answer call lights, and be patient with the resident they are giving care to. CNAs need to give quality care
The medical field is among the largest and ever growing career fields, especially when dealing with Physician Assistants (PAs) and Nurse Practitioners (NPs). In the 1960’s when the physician shortage began, the medical field created the PA and NP positions to fill in the gaps (Curren, 2007, p. 404). This matter has opened up numerous questions as more and more PAs and NPs begin practicing, especially concerning their education level. Many patients are concerned that they will not get the proper care. PAs/NPs are beneficial to everyday life by providing patients with the necessary skills needed to successfully treat them.
“Behind every great nurse there is a running CNA.” This statement is true, however only in the long-term care setting of nursing homes. Certified Nursing Assistants/Aides can be found in different settings, as well. Such as, hospice environments, and the homes of those seeking home healthcare. In each environment, CNA’s are important to the patients receiving their care.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
During this same time, Medicaid and Medicare programs were growing rapidly and increasing the number of individuals covered, such as to low income individuals, the disabled, and the elderly. The abrupt expansion of coverage caused the demand of primary care services to skyrocket. With physicians no longer able to meet the growing demand, nurses stepped to provide medical care, and soon believed that were qualified to broaden their role and scope of abilities. In 1965, a nurse and physician, Loretta Ford and Henry Silver, recognized the need for a training program, and developed the first curriculum for nurse practitioners. Since then, the role of nurse practitioner has rapidly increased in response to the expanding and growing need for accessible and affordable care and is currently ranked as one of the fastest growing professions in healthcare.
Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care needs and an increasingly complex technological care environment” (Mion). According to recent data from the Bureau of Labor Statistics and the Department of Health and Human Services, it is estimated that “more than a million new and replacement nurses will be needed over the next decade” (Diagnosis: Critical).
Certified Nursing Assistants (CNA) are a vital element of the health team. Serving as a middleman between patients and other members of the health team nursing assistants play many different, yet equally important roles in patient care. Nursing assistants provide emotional, physical, and social support for patients, and residents. I will inform readers about the role of certified nursing assistants in long-term care centers (LTC) and their importance as a member of the health team.
Why would anyone be in the healthcare field? First, there are different types of positions available. Second, this is a very rewarding career for those who enjoy caring for others. Although, most people think there are a lot of differences between certified nursing assistants and licensed practical nurses, they share the same type of work, working conditions and job outlook.
It is predicted that in ten years the job availability will increase by 31% (“Anesthesiologist” 1) There are 170,400 jobs available as a nurse practitioner in the United States as of 2014 (1). The reason why there is such a high demand for this career is because new practices, hospitals, and doctors offices are always opening. Also, there is a regular need for a trained medical professional to assist. The top employers for this field are general, medical, and surgical hospitals with 1,458,520 nurses hired (“Top” 1). The best area with the highest salary for nurse practitioners is in the Metropolitan area, which receives more than $100,000 a year. However, nurse practitioners and family nurse practitioners make an average of $98,190 a year, but it can vary widely depending on a variety of factors” (“Salaries” 1). Then, if one wants to specialize in a nurse practitioner career they make a reasonable amount more. For example, a Certified Nurse Anesthetist (CRNA) makes an average annual salary of $157,140 (1). This career has the potential of making extremely great money, one just has to work for
On the other hand, Both jobs involve a different level of care when helping patients. The job of a nurse and a Registered Nurse provide excellent care and make sure that all patients are getting quality care and respect. The main difference between the two is that instead of simply helping a Registered Nurse as a regular nurse with basic training, I would be helping a doctor if I was an RN because I would have more knowledge from going back to school to augment my skills. In contrast, Registered nurses have a better income than nursing assistants, they make more and the job is more intense. It is a nurse's responsibility to make sure the patient is safe. The difference between regular nurses and RN’s is that RN’s have a higher education and have to go to college to practice nursing and actually get a degree, unlike a nursing assistant that only receives a certificate when training is complete. Moreover, nurses can make decisions on the patient based on their condition versus a certified nursing aid that can't make any kind of decision on a patient's
Healthcare Administration is an occupation where one would plan, direct, or coordinate medical and health services. These tasks take place in hospitals, clinics, managed care organizations, public health agencies, or similar organizations. This occupation works more with documents, with little patient interaction. You do not commonly become certified to draw blood, and one does not require an internship for this career. This occupation does require a background check. Many careers require specific types of certification. Healthcare Administration requires an LNHA (Licensed Nursing Home Administrator). Challenges for this field depend upon the workplace in which one is working.
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,