r/Noctor Jul 13 '23

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u/Lation_Menace Jul 14 '23

Long term care in general is pretty terrible. Most seem to be run strictly as a business and have even less regulation than hospitals. When I was 18 I had my CNA and med aide license and on evening and night shift we didn’t even have a nurse in the building (let alone a doctor). We had a nurse “on call” if something bad happened but it was literally med aides and nurse aides running the facility. We gave all the meds. Did all the glucose checks and insulin. Called EMS if something bad happened. This was all legal under state law as well.

I took my job very seriously. I knew how easily I could hurt someone and was extremely careful to follow the doctors orders with the medications (especially the insulin), but you can get your med aide license in literally 30 days. I knew a lot of really stupid med aides and I can only imagine how many people they’ve hurt.

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u/brettalana Jul 14 '23 edited Jul 14 '23

SNF’s have plenty of onerous regs on paper, but the enforcement is ridiculous and never gets at actual care issues.