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Nursing courses > Leaving the Hospital, Going To The Nursing Home

Leaving the Hospital, Going To The Nursing Home

Admitting yourself or someone you love to a nursing home for rehabilitation is something that we have to do and not what we want to do.
As we age the risk increases for a health accident even if we are healthy.
Unfortunately, nat all of the care we will ned can be provided in a hospital or at a rehabilitation specialty center.
Some of us will need to go to a skilled unit at a nursing home.Near the end of your or your loved ones hospital stay, you will be contacted by the Discharge Planner or Case Manager of the hospital to discuss the alternatives of continued care.
You or your loved one may no longer meet the criteria for a hospital stay.

Once a patient is stable they must be moved towards a lower level of care.The Interdisciplinary Care Team of the hospital will assess the needs of the patient's care based on the acuteness of the care and the monitoring required for the patient, the patient's rehabilitation potential, the ability of the patient or their family's ability to care for the patient and the nature of the home environment that supports the patient.
In all cases, the goal is to establish a safe discharge plan that meets the needs of the patient.For the aged and for people with multiple disease progressions the recommendation maybe for the patient to be admitted to a long-term care facility (nursing home) that provides skilled nursing and rehabilitation.
The hospital Discharge Planner usually provides a list of nursing homes that they are contracted with or provide reliable service for you to tour and select.
The discharge planner will not choose for you.
I recommend that you take the time to see at least three nursing homes for the following reasons:

Once you make the selection the Discharge Planner will check for bed availability at that nursing home.
The nursing home may send out their nurse liaison to the hospital to assess the resident and make sure that the nursing home can provide the care and has the appropriate equipment for the patient as well as get the needed information to verify that the patient has met Medicare criteria for a skilled rehabilitation stay and to obtain information to verify the payer source.
This information is then passed on to the nursing home's Admissions Coordinator to review.

Once it has been decided that the nursing home will accept the patient the Discharge Planner is contacted.
The Discharge Planner will obtained the necessary physicians orders to discharge the patient to the nursing home and make the transportation arrangements.
As a courtesy to the nursing home sometimes the Discharge Planner will fax the orders on to the Admissions Coordinator so the receiving nurse can verify the equipment needed and order the medications required for the patient.
Otherwise, the orders come with the patient.While at the nursing home the Admissions Coordinator is verifying the payer source.
If the payer source is traditional Medicare they will verify the days available that Medicare will pay for.

If, an HMO is the payer source they will obtain required authorization, level of care and the days authorized to provide care.
The Admissions Coordinator will disseminate all the hospital information to the Interdisciplinary Team of the nursing home to prepare to receive the patient.
By the time the patient arrives at the nursing home the room should be ready with all of the necessary equipment needed.
The Admissions Coordinator will have an agreement ready for the patient or the responsible party to review and sign.
Once in the nursing home the patient is referred to as a "Resident".

The nursing home is a different environment.
It's not a hospital, nor home for a skilled patient..

Tammy Gonzales, Life Coach and Advocate to Caregivers, of Revitalife Coaching & Consulting, LLC guides Baby-Boomers and the Sandwich Generation on how to take initiative to manage aging and caregiving before it becomes a crisis. Visit www.caregiverinfonline.com for more information.tammy@revitalifecoaching.com

Travel Nursing Career - A Dream Come True?

Deciding what job to pursue after college entails more brain cells that most activities.
Unlike deciding on what car to buy or what clothes to wear, one must give the decision its due because it will effect your happiness and quality of life for the next three to four decades.Most people believe that a career in travel nursing is stuff that dreams are made of. For those currently following this career path? most of those who have experienced this lifestyle agree that it is a great way to make a living but there are a few who argue and refute this. But all agree that it's entirely up to you whether your career in travel nursing becomes to a dream come true.How do you start on a career in travel nursing?Let's divide the answer into two parts: travel and nursing. We'll tackle the latter first.

To be able to pursue a career in travel nursing, you must of course be equipped with a creditable nursing degree. Now some may possess one-year-diplomas and call themselves professionals...

Travel Nursing Career - A Dream Come True?
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Nursing Continuing Education Courses

Almost all accredited North American universities and Continuing Education organizations offer a wide range of Nursing Continuing Education Courses as part of their Certificate, Diploma and Degree [Associate to Doctorate level] Programs.
These Continuing Education Courses are so designed that any nursing aspirant can join the course of his/her choice by following any one of the programs below.


Undergraduate Registered Nurse [RN] to Bachelor's Degree [such as BSN]:

This program allows any registered nurse to work for and acquire a Bachelor's Degree.


RN-BSN-MSN program: This is a bachelor's degree completion program in which the aspirant can earn credits towards a Master's Degree while completing upper-level BSN coursework.

RN-MSN Bridge Program:
This program prepares RNs who already have a BA/BS degree in a non-nursing subject area to work for an MSN Degree course.

BSN, MSN and PhD...

Nursing Continuing Education Courses
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Could the U.S. to Run Out of Nursing Home Beds in specific geographical areas by 2005?

(ContentDesk) December 24 2003--"There are 17,000 nursing homes in the United States with approximately 1.5 million residents. Don't let your loved one get lost in the shuffle. Between 1999 & 2001 ? 5,283 nursing homes (almost one out of every three) were cited for an abuse violation. So let us work with you in order to help ensure your loved one is not a victim.Many nursing homes with serious deficiencies exhibit a "yo-yo pattern" of noncompliance and compliance. After a home is cited for deficiencies, it briefly comes into compliance to avoid fines or other sanctions, only to slip into noncompliance after the threat of sanctions is removed.

Don't rely on the state survey agencies who survey nursing homes once each 10-16 months or rely on someone to call in a complaint in order to monitor your loved ones care.The percentage of nursing homes cited for abuse violations during annual inspections has almost tripled since 1996."Source: Henry Waxman Nursing Home Abuse report 2001 While...

Could the U.S. to Run Out of Nursing Home Beds in specific geographical areas by 2005?
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Considering a Nursing Home Can Strain Families and Business Productivity

Lake Success, NY
June 7, 2005 -- Employees taking time off from work to care for an aging parent or loved one, and the associated anxiety and stress this causes while on the job, is costing companies billions of dollars. According to the American Productivity Audit, physical ailments associated with stress and anxiety are among the top five disorders leading to "presenteeism," a term that describes an employee who is physically at work, but mentally somewhere else. According to the audit, stress, anxiety, headaches, depression and digestive problems account for the average loss of 115 hours of productivity per worker or $180 billion annually. "Caregivers for an aging parent or loved one face many concerns, but some of the most stress-prone decisions involve nursing home choices. The key is doing your homework to find the right facility," stated Ceil Strow, CEO of MyZiva.com (www.myziva.com), a Web site used extensively by nursing...

Considering a Nursing Home Can Strain Families and Business Productivity
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Standby Power: How to Pick the Perfect Home Standby Generator

Romeoville, IL (ContentDesk) May 1, 2006 -- Just a few years ago, the thought of owning a standby generator seemed preposterous. Now, living without electricity, especially in Hurricane country, is all too common. "You shouldn't be worrying about how often the power goes down," says Jon Hoch, founder of ElectricGeneratorsDirect.com (http://www.electricgeneratorsdirect.com), an online generator superstore. "Instead, you should...

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SodaBlast Systems Launches Preferred Contractor Program

Houston, TX (ContentDesk) October 3, 2005 -- SodaBlast Systems (NACE Booth W2535), the Houston company that has pioneered non-invasive baking soda-based paint removal for automobiles announces the formation of its new Preferred Contractor Program. The Program is designed to allow individuals to own and operate a Soda Blast machine as a private company.Machine ownership and "Preferred Contractor" rights will allow the contractors to offer their service to shops and individuals, giving all enthusiasts...

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An Introduction To Titanium Wedding Rings

Titanium wedding rings are one of the most popular types of rings. Titanium, bearing the name of the Greek God Titan, was discovered some 200 years ago. Titanium is used for building aircraft body, watches, and rings. Titanium rings are durable, lightweight, strong, and more importantly affordable. Titanium is stronger than steel and its malleability makes it suitable for manufacturing rings.

The titanium wedding rings are abrasion resistant.

Titanium wedding rings are popular...

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Government Auto Auctions: Drive Away With a Steal of a Deal

Mt Holly, NJ (ContentDesk) January 9, 2006 -- On October 26, 2005 in Del Rio, Texas a government seized 2000 Mitsubishi Galant was sold at a government auto auction for $900. A 2001 Ford E-350 van was sold at a government auto auction for $1,800 on October 8, 2005 in Laredo, TX. A bidder at a government auto auction in Nogales, Arizona picked up a 2005 Chevy Astro with less than 21,000 miles for $4,000 on November 10, 2005.Any member of the public who is a licensed driver and at least 18 years...

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