2013년 11월 25일 월요일

오후 5:16

By Magdalene Dacruz

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About 'cost accounting in healthcare'|..., accounting for 31 per cent. Stern... the costs of not acting... in many developing.... The cost to healthcare becomes a...







About 'cost accounting in healthcare'|..., accounting for 31 per cent. Stern... the costs of not acting... in many developing.... The cost to healthcare becomes a...








Ｅｖｅｎ               ｔｈｏｕｇｈ               ｔｈｅ               ｓｔａｔｅ               ａｎｄ               ｆｅｄｅｒａｌ               ｇｏｖｅｒｎｍｅｎｔｓ               ｈａｖｅ               ｒｅｇｕｌａｔｉｏｎｓ               ｔｈａｔ               ｆａｃｉｌｉｔｉｅｓ               ｍｕｓｔ               ｆｏｌｌｏｗ,               ｔｈｅｙ               ｄｏ               ｎｏｔ               ａｌｗａｙｓ               ｋｅｅｐ               ａ               ｃｌｏｓｅ               ｗａｔｃｈ.

Ａ               ｇｒｅａｔ               ｎｕｍｂｅｒ               ｏｆ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ               ｄｏ               ｎｏｔ               ｆｏｌｌｏｗ               ｍａｎｙ               ｏｆ               ｔｈｅｓｅ               ｐｏｌｉｃｉｅｓ,               ｔｈｏｕｇｈ               ｉｔ               ｓｅｅｍｓ               ｓｏ,               ｏｎ               ｐａｐｅｒ.

Ｒｅｓｉｄｅｎｔｓ               ｓｕｆｆｅｒ               ｆｒｏｍ               ａｂｕｓｅ               ｉｎ               ｍａｎｙ               ｎｕｒｓｉｎｇ               ｆａｃｉｌｉｔｉｅｓ,               ｅｖｅｎ               ｕｎｄｅｒ               ｔｈｅ               ｗａｔｃｈｆｕｌ               ｅｙｅ               ｏｆ               ｔｈｅ               ｇｏｖｅｒｎｍｅｎｔ.

Ｍｏｓｔ               ｆｏｒｍｓ               ｏｆ               ｔｈｉｓ               ａｂｕｓｅ               ｆａｌｌｓ               ｕｎｄｅｒ               ｔｈｅ               ｃａｔｅｇｏｒｙ               ｏｆ               ｎｅｇｌｅｃｔ.

Ｆｅｄｅｒａｌ               ｒｅｇｕｌａｔｉｏｎｓ               ｓｔａｔｅ               ｅａｃｈ               ｓｋｉｌｌｅｄ               ｎｕｒｓｉｎｇ               ｆａｃｉｌｉｔｙ               ｓｈｏｕｌｄ               ｈａｖｅ,               ｏｎ               ｄａｙ-ｓｈｉｆｔ               ｏｎｅ               ａｉｄｅ               ｆｏｒ               ｅｖｅｒｙ               ｆｉｖｅ               ｒｅｓｉｄｅｎｔｓ,               ｏｎｅ               ｌｉｃｅｎｓｅｄ               ｎｕｒｓｅ               ｆｏｒ               ｅｖｅｒｙ               15               ｒｅｓｉｄｅｎｔｓ,               ａｎｄ               ｏｎｅ               ｒｅｇｉｓｔｅｒｅｄ               ｎｕｒｓｅ               ｆｏｒ               ｅｖｅｒｙ               25               ｒｅｓｉｄｅｎｔｓ.

Ａ               Ｄｉｒｅｃｔｏｒ               ｏｆ               Ｎｕｒｓｅｓ               ｓｈｏｕｌｄ               ａｌｓｏ               ｂｅ               ｏｎ               ｄｕｔｙ               ｆｏｒ               ａｔ               ｌｅａｓｔ               ｅｉｇｈｔ               ｈｏｕｒｓ.

Ｏｎ               ｔｈｅ               ｅｖｅｎｉｎｇ               ｓｈｉｆｔ,               ｔｈｅｒｅ               ｓｈｏｕｌｄ               ｂｅ               ｏｎｅ               ａｉｄｅ               ｆｏｒ               ｅｖｅｒｙ               ｔｅｎ               ｒｅｓｉｄｅｎｔｓ,               ｏｎｅ               ｌｉｃｅｎｓｅｄ               ｎｕｒｓｅ               ｆｏｒ               ｅｖｅｒｙ               25               ｒｅｓｉｄｅｎｔｓ,               ａｎｄ               ｏｎｅ               ｒｅｇｉｓｔｅｒｅｄ               ｎｕｒｓｅ               ｆｏｒ               ｅｖｅｒｙ               35               ｒｅｓｉｄｅｎｔｓ.

Ｎｉｇｈｔ               ｓｈｉｆｔ               ｓｈｏｕｌｄ               ｈａｖｅ               ｏｎｅ               ａｉｄｅ               ｆｏｒ               ｅｖｅｒｙ               15               ｒｅｓｉｄｅｎｔｓ,               ｏｎｅ               ｌｉｃｅｎｓｅｄ               ｎｕｒｓｅ               ｆｏｒ               ｅｖｅｒｙ               35               ｒｅｓｉｄｅｎｔｓ,               ａｎｄ               ｏｎｅ               ｒｅｇｉｓｔｅｒｅｄ               ｎｕｒｓｅ               ｆｏｒ               ｅｖｅｒｙ               50               ｒｅｓｉｄｅｎｔｓ.

Ｔｈｅ               ｒｅｇｉｓｔｅｒｅｄ               ｎｕｒｓｅｓ               ａｒｅ               ｔｈｅ               ｃｈａｒｇｅ               ｎｕｒｓｅｓ.

Ｉｎ               ａ               ｆａｃｉｌｉｔｙ               ｗｉｔｈ               59               ｏｒ               ｌｅｓｓ               ｒｅｓｉｄｅｎｔｓ,               ｏｎｅ               ｒｅｇｉｓｔｅｒｅｄ               ｎｕｒｓｅ               ｉｓ               ａｌｌｏｗｅｄ.

(Ｒｅｐｏｒｔ               ｔｏ               Ｃｏｎｇｒｅｓｓ,               Ｊｕｌｙ               2000)
               Ａｉｄｅｓ               ｓｈｏｕｌｄ               ｈａｖｅ               ａｔ               ｌｅａｓｔ               120               ｈｏｕｒｓ               ｏｆ               ｔｒａｉｎｉｎｇ,               ｓｈｏｕｌｄ               ｂｅ               ｃｅｒｔｉｆｉｅｄ               ａｎｄ               ｂｅ               ｌｉｓｔｅｄ               ｉｎ               ｔｈｅ               ｓｔａｔｅ'ｓ               ｒｅｇｉｓｔｒｙ.

Ｔｈｅ               ｆａｃｉｌｉｔｙ               ｓｈｏｕｌｄ               ｃｏｎｄｕｃｔ               ａ               ｔｈｏｒｏｕｇｈ               ｂａｃｋｇｒｏｕｎｄ               ｃｈｅｃｋ               ｏｎ               ａｐｐｌｉｃａｎｔｓ,               ｃｏｎｄｕｃｔ               ｒａｎｄｏｍ               ｔｅｓｔｉｎｇ               ｆｏｒ               ｄｒｕｇｓ,               ａｎｄ               ｈａｖｅ               ｒｅｇｕｌａｒ               ｏｒｉｅｎｔａｔｉｏｎ.

Ｔｈｅ               ａｉｄｅ               ｍｕｓｔ               ｂｅ               ｍｏｔｉｖａｔｅｄ               ｔｏ               ｄｏ               ｔｈｉｓ               ｋｉｎｄ               ｏｆ               ｗｏｒｋ.

Ｔｈｅｙ               ｓｈｏｕｌｄ,               ｉｄｅａｌｌｙ,               ｂｅ               ｋｉｎｄ               ａｎｄ               ｃｏｎｓｉｄｅｒａｔｅ,               ｈａｖｅ               ａ               ｌｏｖｅ               ｏｆ               ｔｈｅ               ｅｌｄｅｒｌｙ,               ａｎｄ               ｂｅ               ｖｅｒｙ               ｐａｔｉｅｎｔ               ｐｅｏｐｌｅ.

Ｕｎｆｏｒｔｕｎａｔｅｌｙ,               ｔｈｅｓｅ               ｔｈｉｎｇｓ               ｄｏ               ｎｏｔ               ａｌｗａｙｓ               ｈａｐｐｅｎ.

(Ｃｏｎｓｅｎｓｕｓ               Ｓｔａｔｅｍｅｎｔ               ｏｎ               ｔｈｅ               Ｓｔａｆｆｉｎｇ               Ｃｒｉｓｉｓ               ｉｎ               Ｎｕｒｓｉｎｇ               Ｈｏｍｅｓ)
               Ｓｉｌｅｎｔ               Ａｂｕｓｅ               3
               Ｉｎ               ａｎ               ａｒｔｉｃｌｅ               ｏｎ               ＮｅｗｓＲＸ.ｃｏｍ,               Ｄｒ.

Ｃｈａｒｌｅｎｅ               Ｈａｒｒｉｎｇｔｏｎ,               ＰｈＤ,               ｓｔａｔｅｓ:               "Ｌｏｗ               ｓｔａｆｆｉｎｇ               ａｎｄ               ｈｉｇｈ               ｔｕｒｎｏｖｅｒ               ｒａｔｅｓ               ｃｏｎｔｒｉｂｕｔｅ               ｔｏ               ｐｏｏｒ               ｑｕａｌｉｔｙ               ｃａｒｅ.

Ｌｏｗ               ｓｔａｆｆｉｎｇ               ｌｅｄ               ｔｏ               78%               ｏｆ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ               ｎｏｔ               ｃｏｍｐｌｙｉｎｇ               ｗｉｔｈ               ｆｅｄｅｒａｌ               ｃａｒｅ               ａｎｄ               ｓａｆｅｔｙ               ｒｅｇｕｌａｔｉｏｎｓ               ｄｕｒｉｎｇ               ｍａｎｄａｔｏｒｙ               ｉｎｓｐｅｃｔｉｏｎ."               Ｐａｙ               ｉｓ               ｌｅｓｓ               ｉｎ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ               ｔｈａｎ               ｉｎ               ｈｏｓｐｉｔａｌｓ,               ｔｈｅｒｅ               ａｒｅ               ｎｏ               ｒｅｔｉｒｅｍｅｎｔ               ｂｅｎｅｆｉｔｓ,               ａｎｄ               ｔｈｅ               ｉｎｓｕｒａｎｃｅ               ｉｓ               ｕｎａｆｆｏｒｄａｂｌｅ.

Ｔｈｉｓ               ｍｅａｎｓ               ａｉｄｅｓ               ａｒｅ               ａｓｓｉｇｎｅｄ               ｔｏｏ               ｍａｎｙ               ｒｅｓｉｄｅｎｔｓ,               ｂｅｃａｕｓｅ               ｔｈｅ               ｆａｃｉｌｉｔｙ               ｉｓ               ｕｎｄｅｒｓｔａｆｆｅｄ.

(Ｃｏｎｓｅｎｓｕｓ               Ｓｔａｔｅｍｅｎｔ               ｏｎ               ｔｈｅ               Ｓｔａｆｆｉｎｇ               Ｃｒｉｓｉｓ               ｉｎ               Ｎｕｒｓｉｎｇ               Ｈｏｍｅｓ)
               Ｈｅａｌｔｈｃａｒｅ               ａｄｍｉｎｉｓｔｒａｔｏｒｓ               ｔｅｎｄ               ｔｏ               ｗｏｒｋ               ｔｈｅｉｒ               ｆａｃｉｌｉｔｉｅｓ               ａｔ               ｓｔａｔｅ               ｍｉｎｉｍｕｍ,               ｗｈｉｃｈ               ｉｓ               ｏｆｔｅｎ               ｎｏｔ               ｎｅａｒｌｙ               ｅｎｏｕｇｈ,               ａｎｄ               ｃａｎｎｏｔ               ａｆｆｏｒｄ               ｔｏ               ｐａｙ               ｔｈｅｉｒ               ａｉｄｅｓ               ｗｅｌｌ,               ｂｅｃａｕｓｅ               ｔｈｅ               ｂｕｄｇｅｔｓ               ａｒｅ               ｔｏｏ               ｌｏｗ.

Ｔｈｅｙ               ｃｌａｉｍ               Ｍｅｄｉｃａｉｄ/Ｍｅｄｉｃａｒｅ               ｒｅｉｍｂｕｒｓｅｍｅｎｔｓ               ａｒｅ               ｔｏｏ               ｌｏｗ               ａｎｄ               ｃｏｍｐｌａｉｎ               ａｂｏｕｔ               ｔｈｅ               ｒｅｃｅｎｔ               ｒｅｄｕｃｔｉｏｎｓ               ｉｎ               ｆｕｎｄｉｎｇ.

Ｈｏｗｅｖｅｒ,               ｉｎ               ａ               Ｒｅｐｏｒｔ               ｔｏ               Ｃｏｎｇｒｅｓｓ,               ｉｎ               Ｄｅｃｅｍｂｅｒ               2002,               ｔｈｅ               Ｕｎｉｔｅｄ               Ｓｔａｔｅｓ               Ｇｅｎｅｒａｌ               Ａｃｃｏｕｎｔｉｎｇ               Ｏｆｆｉｃｅ               ｓｔａｔｅｓ,               "Ｍｅｄｉｃａｉｄ'ｓ               ｓｐｅｎｄｉｎｇ               ｆｏｒ               ｓｋｉｌｌｅｄ               ｎｕｒｓｉｎｇ               ｆａｃｉｌｉｔｙ               ｃａｒｅ               ｒｏｓｅ               ａｔ               ａｎ               ａｖｅｒａｇｅ               ａｎｎｕａｌ               ｒａｔｅ               ｏｆ               30               %".
               Ｓｏｍｅ               ａｄｍｉｎｉｓｔｒａｔｏｒｓ               ａｒｅ               ｓｏ               ａｆｒａｉｄ               ｏｆ               ｌｏｓｉｎｇ               ｍｏｎｅｙ;               ｔｈｅｙ               ｌｉｓｔｅｎ               ｔｏ               ｗｈａｔ               ｔｈｅ               ｆａｍｉｌｙ               ｗａｎｔｓ,               ｏｖｅｒ               ｔｈｅ               ｎｅｅｄｓ               ｏｆ               ｔｈｅ               ｒｅｓｉｄｅｎｔ.

Ｔｈｉｓ               ｉｓ               ｏｆｔｅｎ               ｎｏｔ               ｉｎ               ｔｈｅ               ｒｅｓｉｄｅｎｔ'ｓ               ｂｅｓｔ               ｉｎｔｅｒｅｓｔｓ.

Ｍａｎｙ               ｆａｍｉｌｉｅｓ               ｔｅｎｄ               ｔｏ               ｐｕｔ               ｅｘｔｒａ               ｐｒｅｓｓｕｒｅ               ｏｎ               ａｉｄｅｓ,               ｔｏ               ｔａｋｅ               ｂｅｔｔｅｒ               ｃａｒｅ               ｏｆ               ｃｅｒｔａｉｎ               ｒｅｓｉｄｅｎｔｓ,               ｗｈｉｃｈ,               ｉｎ               ｔｕｒｎ,               ｐｕｔｓ               ｐｒｅｓｓｕｒｅ               ｏｎ               ｔｈｅ               ａｄｍｉｎｉｓｔｒａｔｏｒ               ｔｏ               ｐｕｓｈ               ｎｕｒｓｅｓ               ａｎｄ               ａｉｄｅｓ               ｈａｒｄｅｒ.

(Ａｄｍｉｎｉｓｔｒａｔｉｖｅ               Ｅｔｈｉｃｓ,               Ｄｅｃ.

31,               1998)
               Ｓｏｍｅｔｉｍｅｓ               ｓｔａｆｆ               ｄｏｅｓ               ｎｏｔ               ｄｏ               ｉｎ-ｓｅｒｖｉｃｅ               ｔｒａｉｎｉｎｇ               ｐｒｏｐｅｒｌｙ,               ｂｅｃａｕｓｅ               ｔｈｅ               ｆａｃｉｌｉｔｙ               ｉｓ               ｓｏ               ｓｈｏｒｔ-ｓｔａｆｆｅｄ.

Ａｉｄｅｓ               ａｎｄ               ｎｕｒｓｅｓ               ｄｏ               ｎｏｔ               ｌｅａｒｎ               ｅｎｏｕｇｈ.

Ｔｈｅ               ｐｒｅｓｅｎｔａｔｉｏｎｓ               ａｒｅ               ｒｕｓｈｅｄ               ｏｒ               ｓｉｍｐｌｙ               ｏｖｅｒｌｏｏｋｅｄ.

Ｔｈｅｒｅ               ｊｕｓｔ               ｗｏｕｌｄ               ｎｏｔ               ｂｅ               ｅｎｏｕｇｈ               ｐｅｏｐｌｅ               ｏｎ               ｔｈｅ               ｆｌｏｏｒ               ｔｏ               ｃｏｎｄｕｃｔ               ａ               ｐｒｏｐｅｒ               ｔｒａｉｎｉｎｇ               ｓｅｓｓｉｏｎ.
               Ｓｉｌｅｎｔ               Ａｂｕｓｅ               4
               Ｔｈｅ               ｓｔａｔｅ               ｉｎｓｐｅｃｔｏｒｓ               ｄｏ               ｎｏｔ               ｓｅｅ               ｔｈｅｓｅ               ｔｈｉｎｇｓ.

Ｉｔ               ｉｓ               ａｌｌ               ｏｎ               ｐａｐｅｒ               ｔｈａｔ               ｔｈｅｓｅ               ｔｈｉｎｇｓ               ａｒｅ               ｄｏｎｅ,               ｗｈｅｎ,               ｉｎ               ｆａｃｔ,               ｔｈｅ               ｄｏｃｕｍｅｎｔｓ               ｈａｖｅ               ｂｅｅｎ               "ｄｏｃｔｏｒｅｄ".

Ｓｔａｆｆｉｎｇ               ｒｅｑｕｉｒｅｍｅｎｔｓ               ａｒｅ               ｏｆｔｅｎ               ｏｖｅｒｌｏｏｋｅｄ,               ｉｆ               ｔｈｉｎｇｓ               ａｐｐｅａｒ               ｔｏ               ｂｅ               ｒｕｎｎｉｎｇ               ｓｍｏｏｔｈｌｙ,               ｉｎ               ａ               ｆａｃｉｌｉｔｙ.
               Ｆｅｄｅｒａｌ               ｒｅｇｕｌａｔｉｏｎｓ               ｒｅｑｕｉｒｅ               ｓｔａｔｅ               ｉｎｓｐｅｃｔｏｒｓ               ｔｏ               ｄｏ               ａ               ｓｔａｎｄａｒｄ               ｓｕｒｖｅｙ               ａｔ               ｌｅａｓｔ               ｅｖｅｒｙ               ｎｉｎｅ               ｍｏｎｔｈｓ,               ａｎｄ               ｎｏｔ               ｌｏｎｇｅｒ               ｔｈａｎ               15               ｍｏｎｔｈｓ.

Ｔｈｉｓ               ｉｓ               ｔｈｅ               ｓｉｍｐｌｅ               ｓｕｒｖｅｙ               ｔｏ               ｓｅｅ               ｉｆ               ｒｅｓｉｄｅｎｔｓ               ａｒｅ               ｃｏｍｆｏｒｔａｂｌｅ,               ｈａｐｐｙ,               ａｎｄ               ｗｅｌｌ               ｃａｒｅｄ               ｆｏｒ.

Ｔｈｉｓ               ｓｔａｎｄａｒｄ               ｓｕｒｖｅｙ               ｉｓ               ｃｏｍｐｌｅｔｅｄ,               ｗｉｔｈｉｎ               ｆｏｕｒ               ｄａｙｓ.

Ｂｅｃａｕｓｅ               ｔｈｅｓｅ               ｉｎｓｐｅｃｔｉｏｎｓ               ａｒｅ               ｓｏ               ｒｅｇｕｌａｒ,               ｍｏｓｔ               ｆａｃｉｌｉｔｉｅｓ               ｋｎｏｗ               ａｐｐｒｏｘｉｍａｔｅｌｙ               ｗｈｅｎ               ｔｈｅｙ               ｗｉｌｌ               ｂｅ               ｔｈｅｒｅ               ａｎｄ               ｃａｎ               ｐｒｅｐａｒｅ               ｆｏｒ               ｔｈｅｍ.

(Ｎｕｒｓｉｎｇ               Ｈｏｍｅｓ:               Ｏｖｅｒｖｉｅｗ               ｏｆ               Ｓｔａｔｅ               Ｒｅｇｕｌａｔｉｏｎｓ)               Ｔｈｅｙ               ｗｉｌｌ               ｈｉｒｅ               ｅｘｔｒａ               ｗｏｒｋｅｒｓ               ｆｏｒ               ａ               ｔｅｍｐｏｒａｒｙ               ｓｔａｆｆ,               ｔｏ               ｍａｋｅ               ｉｔ               ａｐｐｅａｒ               ｔｈｅｙ               ａｒｅ               ｗｏｒｋｉｎｇ               ａｔ               ｆｕｌｌ               ｓｔａｆｆ               ｒｅｑｕｉｒｅｍｅｎｔｓ.

Ｔｈｉｓ               ｉｓ               ｗｈｅｎ               ｔｈｅｓｅ               ｆａｃｉｌｉｔｉｅｓ               ｐｕｔ               ｏｕｔ               ｔｈｅ               "ｇｏｏｄ"               ｓｈｅｅｔｓ,               ａｎｄ               ｅｎｓｕｒｅ               ｔｈｅ               ｌｉｎｅｎ               ｃｌｏｓｅｔｓ               ａｒｅ               ｆｕｌｌｙ               ｓｔｏｃｋｅｄ.

Ｔｈｅ               ｂｅｄｐａｎｓ               ａｎｄ               ｂａｔｈ               ｐａｎｓ               ａｒｅ               ｔｈｒｏｗｎ               ｏｕｔ,               ａｎｄ               ｒｅｐｌａｃｅｄ               ｗｉｔｈ               ｎｅｗ               ｏｎｅｓ.

Ａｉｄｅｓ               ａｎｄ               ｏｔｈｅｒ               ｗｏｒｋｅｒｓ               ａｒｅ               ｅｎｃｏｕｒａｇｅｄ               ｔｏ               ａｖｏｉｄ               ｉｎｓｐｅｃｔｏｒｓ.

Ｕｓｕａｌｌｙ,               ｔｈｅｙ               ａｒｅ               ｔｏｌｄ               ｗｈａｔ               ｔｏ               ｓａｙ,               ｉｆ               ａｐｐｒｏａｃｈｅｄ.
               Ｆｅｄｅｒａｌ               Ｎｕｒｓｉｎｇ               Ｓｔａｆｆ               Ｒｅｑｕｉｒｅｍｅｎｔｓ               ｓｔａｔｅｓ:
               "Ｓｕｒｖｅｙｏｒｓ               ｄｏ               ｎｏｔ               ｃｏｌｌｅｃｔ               ａｎｙ               ｉｎｆｏｒｍａｔｉｏｎ               ｏｎ               ｎｕｒｓｉｎｇ               ｓｔａｆｆ               ｌｅｖｅｌｓ               ａｓ               ｐａｒｔ               ｏｆ               ｏｆｆ-ｓｉｔｅ               ｐｒｅｐａｒａｔｉｏｎ               ｆｏｒ               ｔｈｅ               ｓｕｒｖｅｙ.

Ｍｏｒｅ               ｄｅｔａｉｌｅｄ               ｒｅｖｉｅｗ               ｏｆ               ｎｕｒｓｉｎｇ               ｓｔａｆｆ               ｓｕｆｆｉｃｉｅｎｃｙ               ｄｏｅｓ               ｎｏｔ               ｏｃｃｕｒ               ｕｎｄｅｒ               ｔｈｅ               ｆｅｄｅｒａｌ               ｐｒｏｔｏｃｏｌ               ｕｎｌｅｓｓ               ｓｅｒｉｏｕｓ               ｑｕａｌｉｔｙ-ｏｆ               ｃａｒｅ               ｐｒｏｂｌｅｍｓ               ａｒｅ               ｉｄｅｎｔｉｆｉｅｄ               ｐｒｉｏｒ               ｔｏ               ｏｒ               ｄｕｒｉｎｇ               ｔｈｅ               ａｎｎｕａｌ               ｓｕｒｖｅｙ               ｐｒｏｃｅｓｓ,               ｏｆ               ｉｔ               ａ               ｃｏｍｐｌａｉｎｔ               ａｂｏｕｔ               ｉｎａｄｅｑｕａｔｅ               ｎｕｒｓｉｎｇ               ｓｔａｆｆ               ｉｓ               ｒｅｃｅｉｖｅｄ."
               Ｓｉｌｅｎｔ               Ａｂｕｓｅ               5
               Ｉｆ,               ｂｙ               ｃｈａｎｃｅ,               ｔｈｅ               ｉｎｓｐｅｃｔｏｒｓ               ｆｉｎｄ               ｔｈａｔ               ｔｈｅ               ｑｕａｌｉｔｙ               ｏｆ               ｃａｒｅ               ｉｓ               ｂｅｌｏｗ               ｓｔａｎｄａｒｄ,               ｔｈｅｙ               ｆｉｎｅ               ｔｈｅ               ｆａｃｉｌｉｔｙ.

Ｔｈｅ               ｉｎｓｐｅｃｔｏｒｓ               ｓｅｎｄ               ａ               ｒｅｐｏｒｔ               ｏｎ               ｔｈｅ               ｐｒｏｂｌｅｍｓ               ｆｏｕｎｄ,               ａｎｄ               ｇｉｖｅ               ｔｈｅ               ｆａｃｉｌｉｔｙ               ａ               ｃｈａｎｃｅ               ｔｏ               ｃｏｒｒｅｃｔ               ｔｈｅ               ｄｅｆｉｃｉｅｎｃｉｅｓ.

Ｔｈｅ               ｆａｃｉｌｉｔｙ               ｉｓ               ｗａｔｃｈｅｄ               ｍｏｒｅ               ｃｌｏｓｅｌｙ,               ａｔ               ｔｈｉｓ               ｐｏｉｎｔ,               ａｎｄ               ｔｈｅｎ               ｔｈｅ               ｉｎｓｐｅｃｔｏｒｓ               ｄｏ               ａｎ               ｅｘｔｅｎｄｅｄ               ｓｕｒｖｅｙ.

Ｔｈｉｓ               ｉｓ               ａ               ｍｏｒｅ               ｄｅｔａｉｌｅｄ               ｉｎｓｐｅｃｔｉｏｎ.

Ａｌｌ               ｒｅｃｏｒｄｓ               ａｒｅ               ｔｈｏｒｏｕｇｈｌｙ               ｒｅｖｉｅｗｅｄ,               ａｎｄ               ｆａｍｉｌｉｅｓ,               ａｓ               ｗｅｌｌ               ａｓ               ｔｈｅ               ｒｅｓｉｄｅｎｔｓ               ａｒｅ               ｉｎｔｅｒｖｉｅｗｅｄ.

(Ｎｕｒｓｉｎｇ               Ｈｏｍｅｓ:               Ｏｖｅｒｖｉｅｗ               ｏｆ               Ｓｔａｔｅ               Ｒｅｇｕｌａｔｉｏｎｓ)               Ｔｈｉｓ               ｃａｎ               ｓｏｍｅｔｉｍｅｓ               ｃｙｃｌｅ               ｍａｎｙ               ｔｉｍｅｓ               ｔｈｒｏｕｇｈ.

Ａ               ｆａｃｉｌｉｔｙ               ｃａｎ               ｂｅ               ｆｏｕｎｄ,               ｍａｎｙ               ｔｉｍｅｓ               ｏｖｅｒ,               ｔｏ               ｐｒｏｄｕｃｅ               ｓｕｂｓｔａｎｄａｒｄ               ｑｕａｌｉｔｙ               ｏｆ               ｃａｒｅ;               ｂｕｔ,               ａｓ               ｌｏｎｇ               ａｓ               ｔｈｅｙ               ｐａｙ               ｔｈｅ               ｆｉｎｅｓ,               ａｎｄ               ｃｏｒｒｅｃｔ               ｔｈｅ               ｄｅｆｉｃｉｅｎｃｉｅｓ,               ｔｈｅｙ               ｃａｎ               ｃｏｎｔｉｎｕｅ               ｄｏｉｎｇ               ｂｕｓｉｎｅｓｓ               ｆｏｒ               ａｎｏｔｈｅｒ               ｙｅａｒ.

Ｔｈｉｓ               ｃｏｎｔｉｎｕｅｓ,               ｙｅａｒ               ａｆｔｅｒ               ｙｅａｒ,               ｗｉｔｈ               ｓｏ               ｍａｎｙ               ｆａｃｉｌｉｔｉｅｓ.

Ａｓ               ｌｏｎｇ               ａｓ               ｔｈｅｙ               ｃｏｎｔｉｎｕｅ               ｔｏ               ｐａｙ               ｔｈｅ               ｆｉｎｅｓ               ａｎｄ               ｃｏｎｔｉｎｕｅ               ｔｏ               ｓｅｅｍ               ｔｏ               "ｃｌｅａｎ               ｕｐ               ｔｈｅｉｒ               ａｃｔ",               ｔｈｅｙ               ｓｔａｙ               ｉｎ               ｂｕｓｉｎｅｓｓ.
               Ｔｈｅ               ｒｅｓｕｌｔｓ               ｏｆ               ａｌｌ               ｔｈｉｓ               ａｒｅ               ｔｈｅ               ｓｅｒｉｏｕｓ               ｈｅａｌｔｈ               ｒｉｓｋｓ               ｔｏ               ｔｈｅ               ｒｅｓｉｄｅｎｔｓ.

Ｉｆ               ｔｈｅｙ               ａｒｅ               ｎｏｔ               ｐｒｏｐｅｒｌｙ               ｔｕｒｎｅｄ               ａｎｄ               ｐｏｓｉｔｉｏｎｅｄ,               ｔｈｅｒｅ               ｉｓ               ｔｈｅ               ｒｉｓｋ               ｏｆ               ｐｒｅｓｓｕｒｅ               ｕｌｃｅｒｓ,               ｍｏｒｅ               ｃｏｍｍｏｎｌｙ               ｃａｌｌｅｄ               "ｂｅｄ               ｓｏｒｅｓ".

Ｓｏｍｅｔｉｍｅｓ,               ｔｈｅ               ｆａｃｉｌｉｔｙ               ｉｓ               ｓｏ               ｓｈｏｒｔ-ｓｔａｆｆｅｄ,               ｔｈｅｒｅ               ｉｓ               ｎｏ               ｔｉｍｅ               ｔｏ               ｐａｓｓ               ｏｕｔ               ｔｈｅ               ｉｃｅ               ｗａｔｅｒ,               ｗｈｉｃｈ               ｔｈｅｓｅ               ｐｅｏｐｌｅ               ｄｅｓｐｅｒａｔｅｌｙ               ｎｅｅｄ.

Ｔｈｉｓ               ｓｈｏｕｌｄ               ｂｅ               ｄｏｎｅ               ａｔ               ｔｈｅ               ｂｅｇｉｎｎｉｎｇ               ｏｆ               ｅａｃｈ               ｓｈｉｆｔ.

Ａｉｄｅｓ               ｃａｎ               ａｃｔｕａｌｌｙ               ｂｅ               ｔｏｌｄ,               ａｔ               ｔｈｅｓｅ               ｔｉｍｅｓ,               ｎｏｔ               ｔｏ               ｐａｓｓ               ｔｈｅ               ｉｃｅ.

Ｔｈｅｒｅ               ｉｓ               ｔｈｅ               ｒｉｓｋ               ｏｆ               ｄｅｈｙｄｒａｔｉｏｎ,               ｅｓｐｅｃｉａｌｌｙ               ｉｆ               ｔｈｅ               ｃａｒｅｔａｋｅｒｓ               ｄｏ               ｎｏｔ               ｔａｋｅ               ｔｈｅ               ｔｉｍｅ               ｔｏ               ｅｎｃｏｕｒａｇｅ               ｔｈｅｍ               ｔｏ               ｄｒｉｎｋ               ｔｈｅ               ｗａｔｅｒ.

Ｓｏｍｅ               ｃａｒｅｇｉｖｅｒｓ               ｔｅｎｄ               ｔｏ               ｆｏｒｃｅ-ｆｅｅｄ               ｒｅｓｉｄｅｎｔｓ,               ｔｏ               ｈｕｒｒｙ               ｔｈｒｏｕｇｈ               ｍｅａｌｔｉｍｅｓ,               ｒｉｓｋｉｎｇ               ａｓｐｉｒａｔｉｏｎ               ｐｎｅｕｍｏｎｉａ,               ｆｏｒ               ｔｈｏｓｅ               ｒｅｓｉｄｅｎｔｓ               ｗｈｏ               ｈａｖｅ               ｐｒｏｂｌｅｍｓ               ｓｗａｌｌｏｗｉｎｇ.

Ｔｈｅ               ｒｅｓｉｄｅｎｔｓ               ａｒｅ               ｐｒｅｓｓｕｒｅｄ               ｉｎｔｏ               ｅａｔｉｎｇ               ｆａｓｔｅｒ,               ｏｒ               ｎｏｔ               ａｌｌｏｗｅｄ               ｔｏ               ｆｉｎｉｓｈ               ｔｈｅ               ｆｏｏｄ               ｏｎ               ｔｈｅｉｒ               ｐｌａｔｅｓ.
               Ｔｈｅｒｅ               ｉｓ               ａｌｓｏ               ｔｈｅ               ｓｅｒｉｏｕｓ               ｒｉｓｋ               ｏｆ               ｓｐｒｅａｄ               ｏｆ               ｉｎｆｅｃｔｉｏｕｓ               ｄｉｓｅａｓｅｓ.

Ｃａｒｅｇｉｖｅｒｓ,               ｗｈｏ               ａｒｅ               ｈｕｒｒｉｅｄ,               ｔｅｎｄ               ｔｏ               ｈｕｒｒｙ               ｔｈｒｏｕｇｈ               ｏｒ               ｓｋｉｐ               ｒｅｓｉｄｅｎｔｓ'               ｓｈｏｗｅｒｓ.

Ｔｈｅ               ｂｅｓｔ               ｔｉｍｅ               ｔｏ               ｃｈｅｃｋ               ａ               ｒｅｓｉｄｅｎｔ               ｆｏｒ               ｓｋｉｎ               ｔｅａｒｓ               ａｎｄ               ｎｅｗ               ｂｒｕｉｓｅｓ               ｉｓ               ｌｏｓｔ,               ｂｅｃａｕｓｅ               ｒｕｓｈｉｎｇ               ｔｈｒｏｕｇｈ               ｒｅｄｕｃｅｓ               ｔｈｅ               ｃｈａｎｃｅｓ               ｏｆ               ｃａｔｃｈｉｎｇ               ｔｈｅｓｅ.

Ａｎ               ｏｐｅｎ               ｗｏｕｎｄ               ｉｓ               ａ               ｍａｇｎｅｔ               ｆｏｒ               ｂａｃｔｅｒｉａ.

Ｓｏｍｅ               ａｉｄｅｓ               ｔｅｎｄ               ｔｏ               ｓｋｉｐ               ｏｒａｌ               ｃａｒｅ,               ａｓ               ｗｅｌｌ.

Ｔｈｉｓ               ｃａｎ               ｌｅａｄ               ｔｏ               ｍａｎｙ               ｐｒｏｂｌｅｍｓ.
               Ｓｉｌｅｎｔ               Ａｂｕｓｅ               6
               Ａ               ｃａｒｅｇｉｖｅｒ               ｉｎ               ａ               ｈｕｒｒｙ               ｗｉｌｌ               ｔｈｒｏｗ               ｄｉｒｔｙ               ｌｉｎｅｎｓ               ｏｎ               ｔｈｅ               ｆｌｏｏｒ,               ｗｈｉｌｅ               ｃｈａｎｇｉｎｇ               ｔｈｅ               ｂｅｄｓ.

Ｔｈｉｓ               ｃａｕｓｅｓ               ｍａｎｙ               ｇｅｒｍｓ               ｔｏ               ｂｅ               ｓｐｒｅａｄ.

Ｔｈｅ               ｍｏｓｔ               ｐｒｏｂｌｅｍａｔｉｃ               ｉｓ               ｎｏｔ               ｆｏｌｌｏｗｉｎｇ               Ｕｎｉｖｅｒｓａｌ               Ｐｒｅｃａｕｔｉｏｎｓ.

Ｃａｒｅｇｉｖｅｒｓ               ｉｎ               ｓｕｃｈ               ａ               ｈｕｒｒｙ               ｔｈｅｙ               ｄｏ               ｎｏｔ               ｗｅａｒ               ｇｌｏｖｅｓ,               ｄｏ               ｎｏｔ               ｃｈａｎｇｅ               ｇｌｏｖｅｓ               ｂｅｔｗｅｅｎ               ｐａｔｉｅｎｔｓ,               ｄｏ               ｎｏｔ               ｗａｓｈ               ｔｈｅｉｒ               ｈａｎｄｓ               ａｆｔｅｒ               ｅｖｅｒｙ               ｐａｔｉｅｎｔ.

Ｎｅａｒｌｙ               ａｌｌ               ｉｎｆｅｃｔｉｏｕｓ               ｄｉｓｅａｓｅｓ               ｓｐｒｅａｄ               ｉｎ               ａ               ｆａｃｉｌｉｔｙ               ｉｓ               ｓｐｒｅａｄ               ｆｒｏｍ               ｔｈｉｓ               ｓｉｍｐｌｅ               ｐｒｏｂｌｅｍ.

(Ｃｅｎｔｅｒｓ               ｆｏｒ               Ｄｉｓｅａｓｅ               Ｃｏｎｔｒｏｌ               ａｎｄ               Ｐｒｅｖｅｎｔｉｏｎ)
               Ｉｔ               ａｌｌ               ｇｏｅｓ               ｂａｃｋ               ｔｏ               ｏｖｅｒｗｏｒｋｅｄ               ａｎｄ               ｕｎｄｅｒｐａｉｄ               ｓｔａｆｆ.

Ｗｈｅｎ               ａ               ｆａｃｉｌｉｔｙ               ｉｓ               ｕｎｄｅｒｓｔａｆｆｅｄ,               ｔｈｅｒｅ               ｉｓ               ｎｏ               ｔｅａｍｗｏｒｋ.

Ｏｎｅ               ｓｈｉｆｔ               ｗｏｒｋｓ               ａｇａｉｎｓｔ               ｔｈｅ               ｎｅｘｔ,               ｉｎｓｔｅａｄ               ｏｆ               ｗｏｒｋｉｎｇ               ｔｏｇｅｔｈｅｒ               ｆｏｒ               ｔｈｅ               ｓａｋｅ               ｏｆ               ｔｈｅ               ｒｅｓｉｄｅｎｔｓ.

Ａｉｄｅｓ               ｄｏ               ｎｏｔ               ｗｏｒｋ               ｔｏｇｅｔｈｅｒ               ａｓ               ａ               ｔｅａｍ,               ａｎｄ               ｍｕｓｔ               ｌｉｆｔ               ｒｅｓｉｄｅｎｔｓ               ａｌｏｎｅ,               ｓｏｍｅｔｉｍｅｓ               ｗｉｔｈｏｕｔ               ｐｒｏｐｅｒ               ｍｅｃｈａｎｉｃａｌ               ｌｉｆｔｓ.

Ｔｈｉｓ               ｌｅａｄｓ               ｔｏ               ｍａｎｙ               ｏｎ-ｔｈｅ-ｊｏｂ               ｉｎｊｕｒｉｅｓ,               ａｓ               ｗｅｌｌ               ａｓ               ｉｎｊｕｒｉｅｓ               ｔｏ               ｔｈｅ               ｒｅｓｉｄｅｎｔ.

Ｉｎ               ｔｈｅ               ｅｎｄ,               ｔｈｅｓｅ               ｃｏｓｔ               ａ               ｆａｃｉｌｉｔｙ               ｍｏｒｅ               ｍｏｎｅｙ               ｔｈａｎ               ｉｆ               ｔｈｅｙ               ｈａｄ               ｓｉｍｐｌｙ               ｈｉｒｅｄ               ｗｏｒｋｅｒｓ               ｔｈａｔ               ａｒｅ               ｍｏｒｅ               ｑｕａｌｉｆｉｅｄ.
               Ｔｈｅｒｅ               ａｒｅ               ｍａｎｙ               ｖｅｒｙ               ｇｏｏｄ               ｆａｃｉｌｉｔｉｅｓ               ｏｕｔ               ｔｈｅｒｅ,               ｂｕｔ               ｔｈｅｒｅ               ａｒｅ               ｓｏ               ｍａｎｙ               ｔｈａｔ               ａｒｅ               ｎｏｔ.

Ｔｈｅｙ               ｊｕｓｔ               ａｐｐｅａｒ               ｔｏ               ｂｅ,               ｏｎ               ｐａｐｅｒ,               ａｎｄ               ｔｏ               ｔｈｏｓｅ               ｗｈｏ               ａｒｅ               ｗａｔｃｈｉｎｇ.

Ｍａｎｙ               ｗｏｒｋｅｒｓ               ａｒｅ               ｎｏｔ               ａｓ               ｋｉｎｄ               ａｎｄ               ｃａｒｉｎｇ               ａｓ               ｔｈｅｙ               ａｐｐｅａｒ               ｔｏ               ｂｅ,               ｗｈｅｎ               ｔｈｅｙ               ａｒｅ               ｂｅｉｎｇ               ｗａｔｃｈｅｄ.

Ｔｈｅｒｅ               ａｒｅ               ｓｏ               ｍａｎｙ               ｓｔｏｒｉｅｓ               ｉｎ               ｔｈｅ               ｎｅｗｓ,               ｔｏｄａｙ,               ａｂｏｕｔ               ｔｈｅ               ｏｂｖｉｏｕｓ               ａｂｕｓｅ:               ｔｈｅ               ｐｈｙｓｉｃａｌ,               ｓｅｘｕａｌ,               ｅｍｏｔｉｏｎａｌ.

Ｉｔ               ｉｓ               ｗｈａｔ               ｉｓ               ｎｏｔ               ｓｅｅｎ               ｔｈａｔ               ｃａｎ               ａｌｓｏ               ｓｅｒｉｏｕｓｌｙ               ａｆｆｅｃｔ               ｔｈｅｓｅ               ｒｅｓｉｄｅｎｔｓ:               ｎｅｇｌｅｃｔ.

Ｉｔ               ｉｓ               ｔｈｅ               ｓｉｌｅｎｔ               ａｂｕｓｅ.

Ｉｔ               ｃａｎ               ｂｅ               ｔｈｉｎｇｓ               ｍｏｓｔ               ｏｖｅｒｌｏｏｋ,               ｂｅｃａｕｓｅ               ｔｈｅｙ               ｄｏ               ｎｏｔ               ｋｎｏｗ               ｉｔ               ｉｓ               ａｂｕｓｅ.

Ｓｏｍｅｔｉｍｅｓ,               ｉｎ               ｎｕｒｓｉｎｇ               ｈｏｍｅｓ,               ｔｈｉｎｇｓ               ａｒｅ               ｎｏｔ               ｗｈａｔ               ｔｈｅｙ               ｓｅｅｍ               ｔｏ               ｂｅ,               ｔｏ               ｔｈｅ               ｕｎｉｎｆｏｒｍｅｄ.
               Ｍｏｒｅ               ｐｅｏｐｌｅ               ｎｅｅｄ               ｔｏ               ｇｅｔ               ｉｎｖｏｌｖｅｄ               ａｎｄ               ｌｅａｒｎ               ｗｈａｔ               ｒｅａｌｌｙ               ｇｏｅｓ               ｏｎ               ｉｎ               ｓｏｍｅ               ｏｆ               ｔｈｅｓｅ               ｐｌａｃｅｓ,               ｌｅａｒｎ               ｗｈａｔ               ｓｔｅｐｓ               ｃａｎ               ｂｅ               ｔａｋｅｎ               ｔｏ               ｐｒｅｖｅｎｔ               ｔｈｅ               ｎｅｇｌｅｃｔ               ｏｆ               ｔｈｅ               ｅｌｄｅｒｌｙ.

Ｌｅａｒｎ               ｔｈｅ               ｓｔａｎｄａｒｄｓ               ａ               ｆａｃｉｌｉｔｙ               ｕｓｅｓ               ｔｏ               ｈｉｒｅ               ｅｍｐｌｏｙｅｅｓ.

Ｃｏｎｔａｃｔ               ｔｈｅ               ｓｔａｔｅ               ａｎｄ               ｆｅｄｅｒａｌ               ｇｏｖｅｒｎｍｅｎｔ,               ｔｏ               ｈｅｌｐ               ｓｔｏｐ               ｔｈｅ               Ｍｅｄｉｃａｉｄ/Ｍｅｄｉｃａｒｅ               ｃｕｔｂａｃｋｓ,               ｗｈｉｃｈ               ｐｒｅｖｅｎｔ               ｆａｃｉｌｉｔｉｅｓ               ｆｒｏｍ               ｈｉｒｉｎｇ               ｑｕａｌｉｆｉｅｄ               ｅｍｐｌｏｙｅｅｓ.
               Ｓｉｌｅｎｔ               Ａｂｕｓｅ               7
               Ｒｅｆｅｒｅｎｃｅｓ
               Ａｒｏｓｋａｒ,               Ｍｉｌａ               Ａｎｎ,               ＲＮ,               ＥｄＤ,               ＦＡＡＮ               (Ｄｅｃ.

31,               1998).
               Ａｄｍｉｎｉｓｔｒａｔｉｖｅ               Ｅｔｈｉｃｓ:               Ｐｅｒｓｐｅｃｔｉｖｅｓ               ｏｎ               Ｐａｔｉｅｎｔｓ               ａｎｄ               Ｃｏｍｍｕｎｉｔｙ-Ｂａｓｅｄ               Ｃａｒｅ.

Ｏｎｌｉｎｅ               Ｊｏｕｒｎａｌ               ｏｆ               Ｉｓｓｕｅｓ               ｉｎ               Ｎｕｒｓｉｎｇ.

Ｒｅｔｒｉｅｖｅｄ               Ａｕｇｕｓｔ               06,               2004,               ｆｒｏｍ               ｈｔｔｐ://ｗｗｗ.ｎｕｒｓｉｎｇｗｏｒｌｄ.ｏｒｇ/ｏｊｉｎ/ｔｏｐｉｃ8/ｔｏｐｉｃ8_4.ｈｔｍ
               Ｃｅｎｔｅｒｓ               ｆｏｒ               Ｄｉｓｅａｓｅ               Ｃｏｎｔｒｏｌ               ａｎｄ               Ｐｒｅｖｅｎｔｉｏｎ.

Ｐｅｒｓｐｅｃｔｉｖｅｓ               ｉｎ               Ｄｉｓｅａｓｅ               Ｐｒｅｖｅｎｔｉｏｎ               ａｎｄ               Ｈｅａｌｔｈ               Ｐｒｏｍｏｔｉｏｎ               Ｕｐｄａｔｅ:               Ｕｎｉｖｅｒｓａｌ               Ｐｒｅｃａｕｔｉｏｎｓ               ｆｏｒ               Ｐｒｅｖｅｎｔｉｏｎ               ｏｆ               Ｔｒａｎｓｍｉｓｓｉｏｎ               ｏｆ               Ｈｕｍａｎ               Ｉｍｍｕｎｏｄｅｆｉｃｉｅｎｃｙ               Ｖｉｒｕｓ,               Ｈｅｐａｔｉｔｉｓ               Ｂ               Ｖｉｒｕｓ,               ａｎｄ               Ｏｔｈｅｒ               Ｂｌｏｏｄ               ｂｏｒｎｅ               Ｐａｔｈｏｇｅｎｓ               ｉｎ               Ｈｅａｌｔｈ-Ｃａｒｅ               Ｓｅｔｔｉｎｇｓ.

Ｒｅｔｒｉｅｖｅｄ               ｏｎ               Ａｕｇｕｓｔ               16,               2004               ｆｒｏｍ               ｈｔｔｐ://ｗｗｗ.ｃｄｃ.ｇｏｖ/ｍｍｗｒ/ｐｒｅｖｉｅｗ/ｍｍｗｒｈｔｍｌ/00000039.ｈｔｍ
               Ｈａｒｒｉｎｇｔｏｎ,               Ｃｈａｒｌｅｎｅ,               ＰｈＤ.

Ｒｅｔｒｉｅｖｅｄ               ｏｎ               Ａｕｇｕｓｔ               05,               2004               ｆｒｏｍ               ｈｔｔｐ://ｗｗｗ.ＮｅｗｓＲＸ.ｃｏｍ
               ＨＣＦＡ,               Ａｐｐｒｏｐｒｉａｔｅｎｅｓｓ               ｏｆ               Ｍｉｎｉｍｕｍ               Ｎｕｒｓｅ               Ｓｔａｆｆｉｎｇ               Ｒａｔｉｏｓ               ｉｎ               Ｎｕｒｓｉｎｇ               Ｈｏｍｅｓ,
               Ｒｅｐｏｒｔ               ｔｏ               Ｃｏｎｇｒｅｓｓ,               Ｊｕｌｙ               2000.

Ｒｅｔｒｉｅｖｅｄ               Ａｕｇｕｓｔ               05,               2004,               ｆｒｏｍ               ｈｔｔｐ://ｗｗｗ.ｃｇａ.ｓｔａｔｅ.ｃｔ.ｕｓ/ｐｒｉ/ａｒｃｈｉｖｅｓ/2000ｓｉｒｅｐｏｒｔｃｈａｐ2.ｈｔｍ
               Ｍａｒｋｉｎｓｏｎ,               Ａｒｉ               Ｊ.

(Ｎｏｖｅｍｂｅｒ/Ｄｅｃｅｍｂｅｒ               2003).
               Ｎｕｒｓｉｎｇ               Ｈｏｍｅｓ:               Ｏｖｅｒｖｉｅｗ               ｏｆ               Ｓｔａｔｅ               Ｒｅｇｕｌａｔｉｏｎ.

Ｓｔａｔｅ               Ｂａｒ               Ｎｅｗｓ.
               Ｒｅｔｒｉｅｖｅｄ               Ａｕｇｕｓｔ               07,               2004,               ｆｒｏｍ               ｈｔｔｐ://ｅｂｇｌａｗ.ｃｏｍ/ａｒｔｉｃｌｅ_924.ｈｔｍｌ
               Ｎａｔｉｏｎａｌ               Ｃｉｔｉｚｅｎ'ｓ               Ｃｏａｌｉｔｉｏｎ               ｆｏｒ               Ｎｕｒｓｉｎｇ               Ｈｏｍｅ               Ｒｅｆｏｒｍ.

Ｃｏｎｓｅｎｓｕｓ               Ｓｔａｔｅｍｅｎｔ               ｏｎ               ｔｈｅ               Ｓｔａｆｆｉｎｇ               Ｃｒｉｓｉｓ               ｉｎ               Ｎｕｒｓｉｎｇ               Ｈｏｍｅｓ.

Ｒｅｔｒｉｅｖｅｄ               Ａｕｇｕｓｔ               06,               2004,               ｆｒｏｍ               ｈｔｔｐ://ｗｗｗ.ｎｃｃｎｈｒ.ｏｒｇ/ｇｏｖｐｏｌｉｃｙ/51_162_701.ｃｆｍ
               Ｏｆｆｉｃｅ               ｏｆ               Ｉｎｓｐｅｃｔｏｒ               Ｇｅｎｅｒａｌ.

Ｐｕｂｌｉｃａｔｉｏｎ               ｏｆ               ｔｈｅ               ＯＩＧ               Ｃｏｍｐｌｉａｎｃｅ               Ｐｒｏｇｒａｍ               Ｇｕｉｄａｎｃｅ               ｆｏｒ               Ｎｕｒｓｉｎｇ               Ｆａｃｉｌｉｔｉｅｓ.

(Ｍａｒｃｈ               16,               2000).

Ｎｏｔｉｃｅ.

Ｆｅｄｅｒａｌ               Ｒｅｇｉｓｔｅｒ,               Ｖｏｌ.

65,               Ｎｏ.

52.






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      ...Laurie Bassi, CEO, McBassi & Company, Inc. • People are accounted for as “costs” • Investments in developing people are “hidden...
    2. owenzidar.wordpress.com/   02/24/2013
      ... Accounting for [country] Wealth...up almost half of healthcare spending. Also, in the report they point..., but Baumol’s cost disease is...
    3. dogwalkeddownthestreet.blogspot.com/   06/02/2010
      ...after getting their degree on account of they will spend the next ten... off student loans (in contrast, healthcare costs have only risen 400 percent...
    4. carmeloruiz.blogspot.com/   07/15/2008
      ..., accounting for 31 per cent. Stern... the costs of not acting... in many developing.... The cost to healthcare becomes a...
    5. jobs.aol.com/   08/19/2011
      ... a large amount left in your use-it-or-lose-it FSA account for 2011, start thinking...They eventually help to contain healthcare costs. So pay careful attention to the...
    6. primalscreed.blogspot.com/   08/18/2006
      .... Healthcare, too, would be ...health savings accounts". Public education, a.... In the mid-20th... to limit its costs. But in the 1970s...
    7. labsoftnews.typepad.com/lab_soft_news/   05/10/2013
      ...that the recession accounted for about three-... a major role in the decline. The proportion...of their own health costs, and generally ... healthcare consumers...
    8. aharesourcecenter.wordpress.com/   02/14/2013
      ...by the Agency for Healthcare Research and Quality on costs for hospital stays in 2010. Here are... age 45 and over accounted for about two-...
    9. desertoftherealecononomicanalysis.blogspot.com/   12/15/2005
      ... Board Rule 45 (in case you are... to account for the cost of healthcare benefits...America’s profligate healthcare costs and clear evidence of...
    10. stockholmnetworkblog.wordpress.com/   10/12/2010
      ...healthcare fraud has cost the European Union €56... to the European Healthcare Fraud and Corruption Network... found in Belgium and the Netherlands... said to account for nearly 6% of EU...

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      Occupy Wall Streetbyowshealthcare
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      ...or click an icon to log in: Email (required... your WordPress.com account. ( Log Out / Change...Before Brooklyn Hospital Crisis: Healthcare for the 1% or the 99%? March...
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