In-hospital nursing home units arising due to SNF staffing, bed shortages – News



While nursing homes struggle to keep their doors open in the face of ongoing staff shortages, two New York hospitals have created on-site virtual nursing home units to care for post-operative patients they would normally be discharged to nursing homes for rehabilitation.

The ALC units were installed in the Strong Memorial and Highland hospitals of the University of Rochester in mid-December. Currently, Strong has about 40 such patients a day, Karen Keady, the facility’s senior nurse, told the Rochester Beacon.

“Moving these patients to an (ALC) unit frees up acute beds to decompress our emergency room and be able to do necessary surgeries and other things,” she said.

According to Keady, the ALC units are manned like nursing homes. Patient care technicians who already work in UR medicine hospitals are taking on the role of CNAs in nursing homes. When such technicians provide direct care to ALC patients, hospitals can deploy more acute care nurses, Keady said.

New York, like much of the nation, is grappling with a massive shortage of staff in its nursing homes. The state has been delivering National Guard troops to other facilities, and the governor has also postponed a new rule requiring operators to spend certain amounts on staffing.

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