The first day (all time before midnight) at the nursing home is called the day of rest (day 1 of skilled care). No therapies or therapy evaluations will be offered on this day so that the resident can become adjusted to routines and staff.The Admissions Coordinator will meet with the resident or the resident's representative (responsible party or Power of Attorney) to do the Admissions Agreement and collect financial and health related information and to disseminate information on their nursing home's policy's and procedures. Nursing homes must meet federal, state and local regulations therefore they will have several acknowledgement forms that require signatures of receipt. These forms vary from state to state and nursing home to nursing home.Most all nursing homes have an Admission Agreement and it must be signed within 24 hours of admission. Most of the agreements are comprehensive and are written to accept residents with varying levels of care and payer sources.

The agreement explains what the nursing homes responsibilities and limitations are and what the resident/responsible party's responsibly and limitations are.Most common and routine sections of the agreement for a skilled rehabilitation stay are:

• Consent to Treatment
• Assignment Of Benefits
• Agreement with the Pharmacy
• Assignment to Use Medicare Part B
• Receipt of Health Information Portability and Accountability Act
• Health Information Practices and Release of Information Consent
• Medicare Determination Letter
• Consent for a Resident Trust Account
• Bed Hold Policy
• Ancillary Services Price List

• Acknowledgement or Receipt of Nursing Home Policies and Procedures
• Acknowledgement or Receipt of Resident Rights
• Acknowledgement or Receipt of Falls Management Program
• Acknowledgement or Receipt of Skin Management Program
• Acknowledgement or Receipt of Hydration Management Program
• Acknowledgement or Receipt of Nutrition Management Program
• Acknowledgement or Receipt of Self-Administration of Medication
• Acknowledgement or Receipt of Chemical/Physical Restraints

All of these forms are standard for admission into most all nursing home rehabilitation units. Be sure to read them as soon as you can. If you have any questions ask them to explain. If they can't or won't explain contact the faculty ombudsman for assistance..

Box 235, Elfers, FL 34680. He is available for lectures and book-related presentations.Postcards of Nursing: A Worldwide Tributeby Michael Zwerdling, R.N.Lippincott, Williams and Wilkins, 2004..

Be sure they're interactive. This can be as simple a putting polls or quizzes in the course, or asking questions the student can respond to by email.3. A catchy title works wonders. "Get That Promotion" works better than "How to Get Promoted." Somethign action-oriented and promising works well.4. Offer options.

My courses are asynchronous--that is pre-packaged--and ready to go. Once the student has paid for the course, they can choose whether they want the whole thing at one, or delivered to their email once a week.5. The logistics of a distance learning course are something you don't need to be spending your time on. Get a virtual assistant to keep the roster, mail the courses out, and deliver the completion certificates.6. Yes, be sure and give your students a certificate at the end.

If you aren't that talented, a virtual assistant can create one for you. (Need the name of a good VA, email me!)7. You must retro your writing style to git distance learning. Get a coach. Take other distance courses and process what works and what doesn't.

Practice and get feedback from your coach. 8. Get feedback from your students. They'll tell you how to make the course better.9. Use one course to promote other courses you offer.

There will be plenty of opportunities within the course to tuck in suggestions for further learning opportunities through you.10. Once your courses are done, they'll be self-running and this is a great source of passive revenue. Turn the logistics over to a VA. You'll answer the responses yourself, which may sound overwhelming, but here's a fact--adult learning being what it is, many of the students don't make the responses, so it won't be as taxing as you think.11. Use your correspondence with the students to promote other things that you do.

I send the URL each week with an e-note containing further information, notice of other products, and geto-to-konw-you chats. In this way I get many clients for my coaching business.12. Love it or don't do it. It shows. A distance learning course can be a very personal experience--or should be--for the student.

Your enthusiasm for your subject, and for your learners must show.13. Fiddle with the pricing until you've built a faithful clientele base. There's a lot out there for free that you have to compete with. Until they understand how exceptional and different your learning opportunities are, you may have to give away or deeply discount your courses.It's a great new field. Jump in and have fun!.

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:

• To find out if environment is conducive to your patients needs and comfort levels.
• Bed availability.

  Some skilled units have 2 bed rooms, 3 bed rooms and 4 bed rooms.

• Do they have the skilled staff to provide the services required? Physical therapist, occupational therapist and speech language pathologist.
• Responsiveness of nursing staff. Are they staffed? Do they respond in a timely manner?
• Observe resident in the nursing home. Are they clean? Are the staff attentive to them?

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..

The Center will allow for the examination of solutions from every angle, including: education, recruitment and retention, nursing faculty pay, patient care and safety, industry perception, mandatory overtime and so on."PSNA looks forward to examining proposed solutions and the benefits to the nursing and healthcare industries as a whole, as it works to keep the nursing public well informed of the processes being developed. The Pennsylvania State Nurses Association (PSNA) is a non-profit organization representing the over 200,000 practicing nurses in the Commonwealth of Pennsylvania. PSNA works to advance the profession of nursing through education, advocacy, practice, and legislation. PSNA is a constituent member of the American Nurses Association and is the official voice for nursing in Pennsylvania. www.psna.org.

"I can't believe anyone would recommend that nursing home," he complained. "My friend said her grandmother was in this particular nursing home, so, I thought it would be good care." "How often does your friend visit her grandmother?" I asked him. "I didn't think to ask." "And did you check the latest state survey for that nursing home?" "No," he answered. "I thought a personal recommendation was all I needed." Jim's mother is now back in an area hospital. No one knows if she'll recover.Use personal recommendations only as an addition to your own investigation.

Never decide on a nursing home based on a recommendation alone.2. The Smell Test:You've heard it repeatedly: "The best way to find out about the quality of a nursing home is to notice how it smells."It seldom, if ever, works. Why? Nursing homes have heard the same adage. They are keenly aware of unpleasant odors in areas that might receive visitors. Almost all do their best to remove offensive odors as quickly as possible, even if it means avoiding their primary responsibility to their residents.

3. You Get What You Pay For:Nowhere is this statement less applicable than in nursing home care. Replace it with another adage -- "Buyer Beware." Research from The Best Is Yet.Net, covering more than 6000 nursing homes and more than 100 assisted living facilities, shows no link between cost and quality of care. You may find quality care in an expensive facility, or you may not. Similarly, you may find quality care in an inexpensive facility, or you may not.

Relying on price as the sole indicator of quality care can result in disaster.4. Enough Staffing Equals Quality Care:A recent report from the Senate's Special Committee on Aging showed that satisfactory care for a single nursing home resident requires more than three hours every day of nursing and nursing aide time. However, statistical analysis of the latest federal database on nursing home deficiencies showed no link between deficiencies and staffing levels, a finding consistent with several university studies. What should you look for in nursing home staffing levels? Severely understaffed homes cannot provide quality care. Do not consider any home providing fewer than two hours of care daily for each resident.

In homes with enough staffing, focus on staff attitudes. Staff motivated to care for the elderly will do so. Staff motivated only by a paycheck will provide shoddy care regardless of their numbers. 5. A Well-Known Chain Will Provide the Best Care:Choosing care based on the name of the company can lead to tragedy.

Some well-known companies do provide quality care. Others, however, boast long records of legal troubles stemming from accusations of neglect and abuse. Several states' attorneys general have simultaneously sued one such company.How can you know which is which? The company is not likely to tell you, so research the company's history. There you have it ? five risky myths exploded! What does work? Your own investigation. With a little research and several personal visits to nursing homes before you sign anything, you can avoid many of the problems experienced by people who relied on such myths.**********************************************Read more.

"101 Ways to Spot a Bad Nursing Home" is included at no cost in our special bonus package, given to buyers of How to Find Great Senior Housing (2nd edition). Learn more at our website: http://www.thebestisyet.net.

All profits from the sale of "Celebrate Nursing" bracelets go to support each state's nursing association's efforts in advocating the profession at the local level. "We hope to bring a new level of awareness of what registered nurses do and who registered nurses are," said Michele P. Campbell, MSN, RNC executive administrator for the PA State Nurses Association. "This campaign is designed for nurses to share the joys of nursing with each other and those interested in learning more about nursing. This campaign is also working to create a higher level of interest and works toward long-term growth in the nursing community."For information on other state's nursing associations, please visit each state's website.About the PA State Nurses AssociationThe PA State Nurses Association is a nonprofit member-supported association representing the over 200,000 registered nurses in the Commonwealth of Pennsylvania.

The PA State Nurses Association works to advance the profession of nursing through education, advocacy, practice, and legislation. PA State Nurses is a constituent member of the American Nurses Association and is the official voice for nursing in Pennsylvania. Visit www.panurses.org for more information.

"It's a wrenching decision that tens of thousands of people make each year."That was certainly the case for Bonnie Gatlin, a New Hampshire-based homemaker faced with making nursing home decisions for her mother who suffers from Alzheimer's. Ms. Gatlin is one of the millions of family caregivers in America who provide for approximately 35 million elders in their care. Many of these caregivers are or will be faced with the decision to seek nursing home care for these loved ones.In an effort to assist in the monumental task taken on by caregivers across the U.S., the team that built MyZiva.com also created www.myziva.net, an easy-to-use Web site that has helped people across the country evaluate and compare nursing homes, understand the services that a nursing home provides, and become more informed about how to pay for nursing home care. The site averages more than 60,000 visits per month.Gatlin first learned about MyZiva.net when she was looking to relocate her mother to a nursing home that was closer to her home and specialized in Alzheimer's care.

"I was quite nervous and concerned that my mother had the right facility for her special needs. I called some elder care services, but no one could help me locate a nursing home," said Gatlin. "I searched the Web and found MyZiva.net. They provided exactly what I needed, giving me information that helped narrow my search very quickly. Because of them, I was able to choose a nursing home that met the needs of my mother.

MyZiva.net helped me find the best nursing home in southern New Hampshire."MyZiva's founder and CEO, Robert Abrams, a well-known eldercare attorney and author, understood the need for caregivers who deal with the guilt, stress and anxiety associated with choosing a nursing home facility for a loved one. He believed that the Internet could provide a tool that would answer their many questions and address their concerns."People facing difficult decisions about long-term healthcare needed a place to turn to that could at least provide them with extensive information, facility comparisons, ratings, reviews and more in an unbiased, easy-to-use reference guide," stated Abrams when asked about his vision for MyZiva. The name, which is taken from the Goddess of Health in Slavic mythology, will soon be featured among other sister sites in an online community that Abrams calls "your healthcare resource." For now www.myziva.net is helping America's family caregivers to better understand their options as they cope with the needs of an aging population. It is also making it easier for them to function at work, knowing that the information they seek is now all in one place.About Ziva:Ziva continues to evolve as a total healthcare community and media company. The company is dedicated to advancing quality care and empowering healthcare professionals and consumers by revolutionizing how healthcare information is accessed and used.

It is the publisher of the MyZiva Web sites (www.myziva.com and www.myziva.net) that deliver information from a variety of public, private and proprietary sources. MyZiva.com is accessed by thousands of nursing facility professionals every day to manage administrative tasks, procedural matters and regulatory issues, enabling efficient operation and freeing up costly resources. MyZiva.net is accessed by over 60,000 consumers each month looking for unbiased information about nursing home facilities. Contact:Arthur GermainMarcomm Group516-829-0404e-mail protected from spam bots.

Today's nursing homes recognize the importance of person-centered or resident-centric care. 3. It's not your grandmother's nursing home any longer. Traditional nursing homes for older residents also provide care for younger adults, for rehabilitative care or subacute care following an accident, surgery or serious illness. 4.

You may like the food. Contrary to popular belief, not all institutional food is, well, institutional ? some nursing homes cater to residents' cultural palettes.5. You do have a say. Residents and their families are actively involved in improvements to their treatments and environments, and discussing improvements in the quality of care and quality of life with administrators and caregivers is very appropriate.6. You can shop around.

MyZiva.net (www.MyZiva.net) is a completely free consumer site that provides an objective and easy-to-use resource for prospective residents, caregivers and healthcare professionals to evaluate and compare the 16,000+ nursing homes across the country. National Nursing Homes Week is an annual observance started by the American Health Care Association in 1967 to recognize the high quality of care that long-term care facilities provide.Editors, for more information about www.MyZiva.net or www.MyZiva.com, contact:Arthur GermainMarcomm Group516-829-0404.

You need a proper strategic program to pass these tests specialy Level 1. JLC provides all materials. JLPT/JETRO Test Courses have 2-hour lessons (110 minutes instructions) and 8 sessions. 8-week group courses start from the first weekend of April/June/August/October. JLC also offers Intensive JLPT/JETRO Courses.

Intensive Courses start on the first Monday of every month. Intensive Courses have 2 hours and 45 minutes lessons and 6 sessions on Mon/Wed/Fri (Lesson time 11:45 AM - 2:30 PM).Registration & Lesson fees ($200) are due 72 hours prior the first lesson. Self Level Check Test and other free materials for JLPT are available. Please visit the website of Japanese Language Center.Japanese Language Center (JLC)Address: 6011 152nd Ave. SEBellevue, WA 98006 (6minutes from Factoria Mall)Tel: 425-891-2129Fax: 1-612-241-9652Japanese Language Center (JLC), based in Bellevue, Washington, and serving the greater Seattle, Bellevue, Kirkland, Renton, Redmond, Issaquah and Tacoma area, provides Japanese Language instruction, tutoring, courses, seminars, translator and translation services to individuals, groups, and businesses.

Serving all levels of Japanese language learning, from middle school, high school, and university students including post graduate. Professional Japanese Interpreters and Translators.JLC has excellent instructors. All of them are Master's Degree/MBA/PhD holders with several years experience as University faculty, or the equivalent. Their teaching method is unique and you will learn not only Japanese language, but also Japanese culture/history. The Master Instructor, Junko is a former professor of Japanese language at Morehouse College, Atlanta for several years.

In addition, she was an instructor on the nationally televised Japanese Language Program produced by Georgia Public Television for five years. She has been a guest speaker for "Japanese Language Education" at the Asian Network International Conference.In addition to offering Japanese Language and Culture classes at the Bellevue location, JLC also provides Japanese language instructors on-site to Japanese companies to assist in the education of their American workers in business level Japanese language and corporate culture..