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Author Topic: Personal Anecdotal "COVID" situation  (Read 1737 times)

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Nursing Licenses/Re: Personal Anecdotal "COVID" situation
« Reply #30 on: April 25, 2020, 08:59:09 PM »

[...] there's a 15 state nursing consortium which recognizes other nurses licences.  Most 'big states' do not allow other nurses to operate in their states.

Now that official nursing licenses, which are not the same as nursing certifications, have been brought into the discussion, I've decided that having been clueless about the initials that I've seen on numerous medical-i.d. badges in recent years, it's past time for me to finally learn the standard nursing ranks or levels of formal licensing and certification.  So I'm offering what I've found tonight.  It's in ascending order of training, thus presumably also of knowledge & skill (but only by relying on what I assume is a credible source [#]):
Nursing Assistants (NA), who hold not only no license, but apparently also no certification;
Certified Nursing Assistants (CNA), who hold only a training certification, but no license;
Licensed Practical Nurses a.k.a. Licensed Vocational Nurses (LPN | LVN), which is the lowest level holding a nursing license;
Registered Nurses;
Advanced-Practice Registered Nurses, who includes ARNP (more-or-less reshuffling of the words), Certified Nurse-Midwives (CNM), and Certified Registered Nurse Anesthetists (CRNA).
Doctors of Nursing Practice (DNP), which is a nonphysician doctorate.

Inexperienced patients might be inclined to dismiss NAs and CNAs as mere go-fers, but their perspective might change more favorably when they're too healthy to see much of their assigned nurses, who are busy caring for patients who are worse off.  It's my impression that it's the NAs and CNAs who are relied upon to free nurses from performing some necessary but really disagreeable tasks for patients, notably those involving bed-pans, for which patients are not at all keen on delays.

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Note #: <https://www.nursingschoolhub.com/nurse-rankings/>.  Beware that this site does have commercial aspects, altho' I'm unconvinced that it matters for my purposes.  But does anyone remember that the elegant word for an assistant is properly spelled "aide"?  Without the ‘E’, it's merely a broad synonym for "help".

Re: Personal Anecdotal "COVID" situation
« Reply #31 on: April 25, 2020, 09:19:28 PM »
Even before COVID and especially since Obama care, every facility is fighting for the healthcare (government) dollar. The level of care determines reimbursements; so basic nursing facilities now offer "rehabilitation"services that bump up medicare payments and many nursing homes have infusion services that are provided by outside vendors.
A transfer of a nursing home patient  to a hospital involves an ambulance transport, and hospital charges amounting in the thousands- a great loss for the nursing home reimbursement. These  transfers are avoided with on site treatment like IV infusions if at all possible. with the COVID thing hospitals do not want the transfers anyway.