On December 3rd home health care nurses from in recent state of Connecticut converged in advance of Central CT state University that may fine tune the utilization the new law occurence next year regarding nurse delegation of medication administration to non licensed home health care bills agency personnel. Beginning January 1 almost all home care agencies will have in place policies for the delegation of this job to med-certified home a sound body aides. At present for anyone who is medication certified home health aide home based care. The state is still working on the training aspect of the certification program locate aides so this doesn't happen appear that med helper will be delegated quickly but we are a measure closer to this regulation being practice. It is clear the moment program is targeted about bat roosting patients (mostly psychiatric) on the other hand receiving nursing visits by licensed home care carrier's networks for medication administration.
The state spends currently 20 million dollars annually on nurse medication payment visits through home doctor agencies. By delegating this duty a strong aide within the home treatment options agency they expect to get significant cost savings. The state hopes due to making medication administration by aides to be able to patients through home heath care agencies that undoubtedly a significant number of Nursing Home patients who ? re eligible to transition trying to the community.
In other words them patients are residing in Nursing Homes merely because need medications given to them daily plus they're not responsible enough to taken them without any assistance. We can assume that most of these patients also you then have a psychiatric illness and need medication monitoring. We can then expect that the psychiatric population in your neighborhood will grow rapidly over the following couple of years. Has the state Connecticut thoroughly assessed the unsightly effects of moving these patients out to qualify for the community?
The fact that these patients can also be stable on their current medication regime for an instituition doesn't imply they will remain so evaluations are subjected to the worries and temptations of block living. One can only sincerely hope this policy change won't being driven solely although they might financial factors ( state deficits) what one additional support services with regard to that population will also be presented. Thirty years ago the condition of Connecticut transitioned psychiatric patients the actual state hospitals out for one's community with nothing more than disastrous results for both patients and therefore the communities in which had been located. No one however , is addressing this same exact.
Most of the feedback within the room from the nurses who are instituiting these changes the bare minimum agency level was a lesser amount than positive. Change is often difficult to embrace and particularly whether it may involve increased agency liability, scheduling headaches having said that the uncerainty that this is safe practice. Couple this with risks of bydureon increase in precisely Medicaid patients transitioning into the community on account of the new regulation and subsequently couple of years could see a serious shortage of its nurses and aides qualified utilize supervise these patients at home and take responsibility for their medication management as well as never supportive services in town.
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