Gov. Noem and Colleagues Send Letter Opposing President Biden’s Long-Term Care Regulations
PIERRE, S.D. – Today, Governor Kristi Noem and 14 of her fellow Republican governors sent a letter to President Biden opposing the Centers for Medicare and Medicaid Services’ (CMS) proposed new regulations for long-term care facilities. The governors called on President Biden to reconsider this unfunded mandate and engage in conversation on how to best serve residents of long-term care facilities. You can read the letter here.
“CMS proposed new regulations for long-term care facilities that impose unnecessary, one-size-fits-all staff requirements,” wrote Governor Noem and her colleagues. “If adopted, CMS’s proposed regulations will force many long-term care facilities in our communities to close, eroding access to healthcare for some of our most vulnerable citizens.”
The proposed regulations put additional burdens on an industry that is already experiencing a nationwide workforce shortage. They would also impose significant industry costs that would erode access to care.
“Republican governors are pulling multiple levers to ensure these facilities have the staff they need to care for their vulnerable residents,” continued Governor Noem and the other governors. “In contrast, your proposed rule treats this complex, deep-rooted problem as something to be solved with a simple wave of the bureaucratic wand.”
Governor Noem was joined by the following Republican governors in issuing the statement:
Iowa Governor Kim Reynolds, Nebraska Governor Jim Pillen, Georgia Governor Brian Kemp, Indiana Governor Eric Holcomb, Mississippi Governor Tate Reeves, Missouri Governor Mike Parson, Montana Governor Greg Gianforte, Nevada Governor Joe Lombardo, New Hampshire Governor Chris Sununu, Oklahoma Governor Kevin Stitt, South Carolina Governor Henry McMaster, Tennessee Governor Bill Lee, Texas Governor Greg Abbott, and Wyoming Governor Mark Gordon.
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If nursing homes have to have an RN on duty 24 hours a day, the state might look into making it easier for LPNs to become RNs.
And how would you propose that process?
The differences between the education of LPNs and RNs are significant.
I have always been surprised by how little LPNs know about physiology and pharmacology. Those two subjects, how the human body works and how drugs work, and what happens when they don’t work, are what’s missing. A nurse needs to be able to assess a problem and relay that information to a physician. That’s her job: knowing when things aren’t working. If those two classes are all they need to pass the NCLEX-RN exam why make them take anything else? Mitchell Tech has an LPN to RN program which requires a list of pre-requisites, then three semesters which include “Fundamentals of Speech” and “introduction to Sociology.” All three semesters include a class in “Health & Illness Concepts Across the Lifespan.”
and two semesters have classes in “Professional and Healthcare Concepts.”
CONCEPTS? What? Anybody with a functioning bullshit-detector should be on high alert reading that.
If an LPN has been working as a charge nurse in a skilled nursing home, she should receive work experience credits. So teach her what she needs to pass the NCLEX-RN and turn her loose.
a person who is a tech school mechanics grad, with solid lawnmower motor experience and a jiffy lube resume, should take a couple of classes in car concepts if they’re wanting to maintain and repair teslas and lamborghinis. the self made people who come in with a fully formed wide perspective are rare.