Nursing Homes Try to Get Exemptions from Covering Their Workers

The recent federal health care legislation requires that all employers with more than 50 employees provide affordable health care insurance for their workers.  Unfortunately, as it stands now, many nursing home staff simply cannot afford the health care coverage that their employers provide, and go without coverage entirely. 

As this article in the New York Times points out, it is especially important for health care workers, like nursing home employees, to be healthy, to receive regular preventative care, and to be able to obtain medical care whenever needed.  All too easily, a sick worker can spread her illness to a very vulnerable population. 

However, according to the Times article, at Lakeview Christian Home in Carlsbad, New Mexico, less than half of the employees have health coverage, because many cannot afford the $25/month they would have to pay.  In fact, over a quarter of front-line nursing home employees are not insured, according to the article. 

As the Times reports, though, rather than try to ensure that the nation's nursing home workers have access to affordable health insurance, the nursing home lobby is instead working to create loopholes for nursing homes. 

Hand-Washing Can Prevent Infections

A recent New York Times article, Doctor Leads Quest for Safer Ways to Care for Patients, highlights the critical importance of hand-washing in patient safety. Although the article is directed at patient safety in hospitals, the same principle applies to nursing homes. 

According to this article, most hospital doctors only wash their hands 30-40% of the time! Even the doctors at the better hospitals only wash their hands 70% of the time. Dr. Peter J. Pronovost of Johns Hopkins Hospital in Baltimore implemented a checklist that required hand-washing and empowered nurses to enforce the checklist. As a result of the checklist, infection rates went down to almost zero.

In our cases, we have heard stories from nurses and CNAs about how budget cuts have led to a shortage of sterile gloves, which are necessary for many routine procedures. We’ve heard about nursing staff having to reuse gloves on different patients while doing wound dressing changes. We’ve heard about people doing peri-care without hand-washing either before or after the process. For a person who has a weak immune system, a facility-acquired infection can be deadly. 

Dr. Pronovost suggests that patients ask about a facility’s infection rate. Before anyone touches you or your loved one, ask that person whether he or she has washed her hands. This simple action can prevent unnecessary infection and premature death.