I feel strongly that an existing RN who has 1 yr. of experience is fully capable to manage personal care clients at any level. registerered nurses after having graduated school, and passing their Boards and working out in the field of their choice are indeed worthy, as well as capable to work with personal care clients. At the time of their hire, their prospective employer should have gained understanding of their worthiness to fulfill the job requirements they are seeking to have filled. Also. it is up to the employer to provide adequate training to support the RN of their choice to grow and develop in their management of personal care clients.

I disagree strongly that personal care aides should be required to attend  12 hr. of yearly inservice training. The monthly handouts that are given to them have been developed at a level for them to support their work with our clients, and are fully developed at a level they can understand. each handout is often illusratated, and is followed with a basic test that allows us to know that they have indeed understood the material given to them. Their lives are often hectic as many of them are single parents burdened with the everyday care of their families, and this allows them to complete inservices in their own time, and return them in a timely manner.I have found these inservices to be so well developed, that I frequently use them in the personal care classes that I teach , which has proven to be  an invaluable support tool to insure that they get everything I can offer them prior to completing Care advantages Personal Care Program.

 i personally feel that if I as an RN  admit a client that an RN should perform all supervisory visits. it would not be enough for me to only lay eyes on any patient that I am casemanaging  every 6 months. I prefer to follow the clients that I am responsible for I also feel that it provides better continuity of service to our clients who often have to deal with changes with their personal care aides for one reason or another. I must say here that all nurses are not created equal. while having been an LPN myself at one time, i went back to school to grow and develop as a nurse for many reasons.

I also feel STRONGLY  that all sup visits should NOT be reduced to every 90 days. as an RN I  feel and know in my heart that conitively impaired individuals who cannot speak for themselves, need and deserve a visit form their RN case manager. That is the very least that we owe the clients that we are responsible for ...decisions such as this cannot, and should not be made with only business reasons in mind!!!!!!!!!!