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| free cna training pittsburgh: Mary Regina's Nursing Home -- Academic and Library Edition William Beerman, Sr., 2018-03-07 This book shares insights gained through 5 years of personal experience and research by the author about nursing homes and the government oversight system for nursing homes. It is a substantive 380-page journalistic novel hybrid written by a retired former journalist and certified internal auditor, William J. Beerman, Sr. The author intends the book to provide important information to the public and especially to those who might have a nursing home for themselves or a loved one in their current or future lives. The book is named after William''s mother, Mary Regina, who died after a short stay in a nursing home. After Mary Regina''s death, William filed suit over the mistreatment his mother had suffered, and he began looking into how the government oversees nursing homes. What he found out was alarming. This book presents in an easy-to-read, memoir-like framework, a three-part narrative: (1) the human-interest background story of Mary Regina and William, (2) details of Mary Regina''s hospital and nursing home experiences, and (3) what William learned about government oversight of nursing homes. The book covers state attorneys general lawsuits involving 65 nursing homes and more than 1 million patient-days of nursing home care. The investigations for the lawsuits elicited reports on nursing home operations from former employees who became confidential witnesses. The investigations looked not only at resident treatment, but at how the nursing homes interacted with oversight agencies, and with their parent corporations. Audits by state and federal auditors, and the work of a nursing home quality improvement task force, are also covered. William reports, for example: * Many nursing home administrators knew in advance when state inspectors were coming for unannounced inspections. * The federal government''s ratings for nursing homes do not consider the opinions of the people who live in them. * State enforcement actions can vary wildly, from 171 a year under one governor, to two under another in the same state. * Lawyers sometimes seem to be more successful at holding nursing homes accountable than do the agencies established for that purpose. * Even when government lawyers allege that it was mathematically impossible for inadequate nursing home staffs to provide the required care, lawsuits might be thrown out of court based on legal technicalities. * Keeping continent residents in diapers can be less expensive in terms of staff hours for nursing homes than it is to escort them to the bathroom. * In recent years, the number of complaints about nursing homes has risen while the number of citations and enforcement actions has gone down. * Nursing home operators contend that they are victims of excessive regulations and costly unfounded lawsuits, and that Medicaid''s rates for nursing home care fall about $25 per patient-day, or collectively about $7 billion per year, below the cost of providing proper care. * Residents are still in jeopardy; some of the same conditions are reported decade after decade. William grew up in a dysfunctional family, as many of us do. He had a strained relationship with his mother, largely because of a ruthless 13-year scorched-earth divorce war that she waged against his father, who was a steelworker. As Mary Regina grew older, she lived in Pittsburgh, Pennsylvania, and William lived 1,775 miles away in Las Cruces, New Mexico. When William''s sister died young, he became his mother''s sole surviving offspring. And after Mary Regina broke her hip, William traveled to Pittsburgh and spent 20 days standing by at her bedside in a skilled nursing home. He observed what happened on the day shifts and listened as Mary Regina told him what happened at night. William''s complaints about the nursing home to the state department of health were not handled satisfactorily, so he began researching this book. |
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| free cna training pittsburgh: I Wasn't Strong Like This When I Started Out: True Stories of Becoming a Nurse Lee Gutkind, 2013-02-25 This collection of true narratives reflects the dynamism and diversity of nurses, who provide the first vital line of patient care. Here, nurses remember their first sticks, first births, and first deaths, and reflect on what gets them though long, demanding shifts, and keeps them in the profession. The stories reveal many voices from nurses at different stages of their careers: One nurse-in-training longs to be trusted with more important procedures, while another questions her ability to care for nursing home residents. An efficient young emergency room nurse finds his life and career irrevocably changed by a car accident. A nurse practitioner wonders whether she has violated professional boundaries in her care for a homeless man with AIDS, and a home care case manager is the sole attendee at a funeral for one of her patients. What connects these stories is the passion and strength of the writers, who struggle against burnout and bureaucracy to serve their patients with skill, empathy, and strength. |
| free cna training pittsburgh: The Future of Nursing Institute of Medicine, Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, 2011-02-08 The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing. |
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| free cna training pittsburgh: Learning How to Learn Barbara Oakley, PhD, Terrence Sejnowski, PhD, Alistair McConville, 2018-08-07 A surprisingly simple way for students to master any subject--based on one of the world's most popular online courses and the bestselling book A Mind for Numbers A Mind for Numbers and its wildly popular online companion course Learning How to Learn have empowered more than two million learners of all ages from around the world to master subjects that they once struggled with. Fans often wish they'd discovered these learning strategies earlier and ask how they can help their kids master these skills as well. Now in this new book for kids and teens, the authors reveal how to make the most of time spent studying. We all have the tools to learn what might not seem to come naturally to us at first--the secret is to understand how the brain works so we can unlock its power. This book explains: Why sometimes letting your mind wander is an important part of the learning process How to avoid rut think in order to think outside the box Why having a poor memory can be a good thing The value of metaphors in developing understanding A simple, yet powerful, way to stop procrastinating Filled with illustrations, application questions, and exercises, this book makes learning easy and fun. |
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| free cna training pittsburgh: Post-Secondary Education in Qatar Cathleen Stasz, Eric R. Eide, Paco Martorell, 2008-02-12 The government of Qatar has made significant investments in post-secondary education to ensure that Qataris are able to contribute to the country's social and economic goals. The authors describe RAND's analysis of occupational demand and related post-secondary educational opportunities, and offer recommendations for improving the country's current provision of post-secondary education. |
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| free cna training pittsburgh: I Want You! Bernard D. Rostker, K. C. Yeh, 2006-09-08 As U.S. military forces appear overcommitted and some ponder a possible return to the draft, the timing is ideal for a review of how the American military transformed itself over the past five decades, from a poorly disciplined force of conscripts and draft-motivated volunteers to a force of professionals revered throughout the world. Starting in the early 1960s, this account runs through the current war in Iraq, with alternating chapters on the history of the all-volunteer force and the analytic background that supported decisionmaking. The author participated as an analyst and government policymaker in many of the events covered in this book. His insider status and access offer a behind-the-scenes look at decisionmaking within the Pentagon and White House. The book includes a foreword by former Secretary of Defense Melvin R. Laird. The accompanying DVD contains more than 1,700 primary-source documents-government memoranda, Presidential memos and letters, staff papers, and reports-linked directly from citations in the electronic version of the book. This unique technology presents a treasure trove of materials for specialists, researchers, and students of military history, public administration, and government affairs to draw upon. |
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| free cna training pittsburgh: The Privileged Poor Anthony Abraham Jack, 2019-03-01 An NPR Favorite Book of the Year “Breaks new ground on social and educational questions of great import.” —Washington Post “An essential work, humane and candid, that challenges and expands our understanding of the lives of contemporary college students.” —Paul Tough, author of Helping Children Succeed “Eye-opening...Brings home the pain and reality of on-campus poverty and puts the blame squarely on elite institutions.” —Washington Post “Jack’s investigation redirects attention from the matter of access to the matter of inclusion...His book challenges universities to support the diversity they indulge in advertising.” —New Yorker The Ivy League looks different than it used to. College presidents and deans of admission have opened their doors—and their coffers—to support a more diverse student body. But is it enough just to admit these students? In this bracing exposé, Anthony Jack shows that many students’ struggles continue long after they’ve settled in their dorms. Admission, they quickly learn, is not the same as acceptance. This powerfully argued book documents how university policies and campus culture can exacerbate preexisting inequalities and reveals why some students are harder hit than others. |
| free cna training pittsburgh: PTCB Hero Medical Hero, 2021-07-15 FULLY UP-TO-DATE FOR 2021-2022! You need to pass your PTCB exam, but you don't want to spend months buried in long, boring textbooks. You don't want to be desperately trying to memorize hundreds of pages just in case it comes up on the exam. Well never fear, PTCB Hero is here! PTCB Hero is proud to be the shortest study prep guide on the market. Our team of experienced pharmacists and expert educators has distilled the PTCB syllabus into the essential information you need to pass your exam... and nothing else! PTCB Hero has been specifically built from the ground up to address the new PTCB curriculum (introduced in 2020, and fully up-to-date for 2021-2022), addressing the four knowledge domains of: Medications Federal Requirements Patient Safety and Quality Assurance Order Entry and Processing In addition to a no-fluff explanation of the essential material you need to know, PTCB Hero contains: Example exam questions throughout (complete with detailed explanations of why answers are right or wrong), so you can understand the context in which you might be tested on the material Essential exam day tips from those who've been there and passed, so you have the best chance of showing off your knowledge without nerves holding you back. And the journey doesn't stop there: as the owner of this book, you also qualify for a deep discount on our partner resource, PTCB Hero Online, which gives you access to hundreds more practice questions (with detailed expert feedback) and two full simulated exams to test yourself under exam conditions. Your exciting new career starts here, with PTCB Hero! Medical Hero is not affiliated with or endorsed by any official testing organization. All organizational and test names are trademarks of their respective owners. |
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| free cna training pittsburgh: Retooling for an Aging America Institute of Medicine, Board on Health Care Services, Committee on the Future Health Care Workforce for Older Americans, 2008-08-27 As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs. |
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| free cna training pittsburgh: Making Healthcare Safe Lucian L. Leape, 2021-05-28 This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care. |
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| free cna training pittsburgh: Growing Figs in Cold Climates Lee Reich, 2021-10-05 Discover how to grow fresh figs organically in cold climates—from Minnesota to Moscow—with the help of this informative guide. Growing Figs in Cold Climates is a complete, full-color, illustrated guide to organic methods for growing delicious figs in cold climates, well outside the traditional hot, arid home of this ancient fruiting tree. Coverage includes: Five methods for growing figs in cold climates including overwintering Cultivar selection for cool and cold climates Pruning techniques for a variety of methods of growing figs in cold climates Pest problems and solutions Harvesting, including ways to speed ripening, identify ripe fruit, and manage an overabundance Small-scale commercial fig production in cold climates Fresh figs are juicy, full-bodied, and filled with a honey-sweet flavor, and because truly ripe figs are highly perishable, they are only available to those who grow their own. By choosing the right cultivars and techniques, figs can be grown across cool and cold growing zones of North America, Europe, and beyond, putting them within reach of almost every gardener. Easy and delicious—if you can grow a houseplant, you can grow a fig. Praise for Growing Figs in Cold Climates “Lee Reich is a master at growing food, especially fruits, and his extensive personal knowledge about figs comes through clearly in his writings. . . . Follow his advice for growing figs and you are guaranteed success.” —Robert Pavlis, author, Garden Myths, Building Natural Ponds, and Soil Science for Gardeners, owner, Aspen Grove Gardens “We have grown this delicious fruit on Maine’s chilly coast, but Lee shows us how to do it even better.” —Barbara Damrosch and Eliot Coleman, farmers, Four Season Farm, authors |
| free cna training pittsburgh: The Kickass Single Mom Emma Johnson, 2017-10-17 When Emma Johnson's marriage ended she found herself broke, pregnant, and alone with a toddler. Searching for the advice she needed to navigate her new life as a single professional woman and parent, she discovered there was very little sage wisdom available. In response, Johnson launched the popular blog Wealthysinglemommy.com to speak to other women who, like herself, wanted to not just survive but thrive as single moms. Now, in this complete guide to single motherhood, Johnson guides women in confronting the naysayers in their lives (and in their own minds) to build a thriving career, achieve financial security, and to reignite their romantic life—all while being a kickass parent to their kids. The Kickass Single Mom shows readers how to: • Build a new life that is entirely on their own terms. • Find the time to devote to health, hobbies, friendships, faith, community and travel. • Be a joyful, present and fun mom, and proud role model to your kids. Full of practical advice and inspiration from Emma's life, as well as other successful single moms, this is a must-have resource for any single mom. |
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| free cna training pittsburgh: Filthy Animals Brandon Taylor, 2022-06-21 INSTANT NATIONAL BESTSELLER WINNER OF THE STORY PRIZE SHORTLISTED FOR THE DYLAN THOMAS PRIZE NAMED A BEST BOOK OF THE YEAR BY USA TODAY, NPR, VULTURE, MARIE CLAIRE, THE TIMES OF LONDON, GOOD HOUSEKEEPING, AND PUBLISHERS WEEKLY A group portrait of young adults enmeshed in desire and violence, a hotly charged, deeply satisfying new work of fiction from the author of Booker Prize finalist Real Life In the series of linked stories at the heart of Filthy Animals, set among young creatives in the American Midwest, a young man treads delicate emotional waters as he navigates a series of sexually fraught encounters with two dancers in an open relationship, forcing him to weigh his vulnerabilities against his loneliness. In other stories, a young woman battles with the cancers draining her body and her family; menacing undercurrents among a group of teenagers explode in violence on a winter night; a little girl tears through a house like a tornado, driving her babysitter to the brink; and couples feel out the jagged edges of connection, comfort, and cruelty. One of the breakout literary stars of 2020, Brandon Taylor has been hailed by Roxane Gay as “a writer who wields his craft in absolutely unforgettable ways.” With Filthy Animals he renews and expands on the promise made in Real Life, training his precise and unsentimental gaze on the tensions among friends and family, lovers and others. Psychologically taut and quietly devastating, Filthy Animals is a tender portrait of the fierce longing for intimacy, the lingering presence of pain, and the desire for love in a world that seems, more often than not, to withhold it. |
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| free cna training pittsburgh: Government Reports Announcements & Index , 1988 |
| free cna training pittsburgh: Funding for United States Study Institute of International Education (New York, N.Y.), 1996 |
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