Staffing! Staffing! With the changes that have happened in how facilities are paid, and many, many more definitely to come, staff will continue to be asked to do more with less. Now consider high acuity rehab in the LTC setting, where we are caring for SICK, SICK people who, a few years ago would still be in the hospital with a ratio of 1 nurse and 1 aide for 15 rehab patients…the equation is frightening when you see how sick these people really are!
But the really challenging question is, would you accept a cut in pay to get more staff? Because this is the business end of the equation.