"If a housekeeper comes in to clean or a maintenance person comes in to change a light bulb and sees someone grimacing or otherwise in pain, he or she can recognize the problem and go to the nurses' aide
," says Snarski.
There is no question that the nurses' aide
who spends time in direct care of a patient plays an integral role in facilitating mobility goals.
but this is unlikely to occur in homes with low numbers of nurses' aides. The sores can become infected and damage underlying muscle and bone."
He made the remarks at a hearing July 27 in which officials of the Health Care Financing Administration (HCFA) presented a report to Congress alleging that more than half of the nation's nursing homes are deficient in nurses' aide staffing, almost a quarter fall short in total licensed personnel, and about a third have insufficient RN staffing to meet the ne eds of their patients.
Only nine states currently require nursing homes to conduct criminal background checks on prospective nurses' aides
and only five require them for registered nurses.(2) None currently require them of administrators or non-direct care positions.