A Description of Board and Care Facilities, Operators, and Residents. 5.4 Duties and Training

12/01/1995

Only half of the staff members in board and care homes who gave shots were LVNs or LPNs, and another one-fifth were RNs. Over one-fourth of the staff members in board and care homes who gave shots were not licensed nurses (28 percent). The vast majority of staff members who gave shots (86 percent) had training in caring for the elderly, mentally ill, and/or people with mental retardation and developmental disabilities as well as medication management, while 10 percent had training in caring for the elderly, MI, and/or MR/DD only (Exhibit 5-12).

EXHIBIT 5-11. Duties of Staff in Board and Care Homes by Size of Home
  Small Medium Large Significance
Level
Total
  %     SE     %     SE     %     SE     %     SE  
Percentage of staff who...
Give shots 13 4.5 15 3.2 21 6.0 NA 17 3.2
Pass medications 85 4.5 77 4.8 53 3.6 a 70 6.2
Percentage of staff whose duties include...
Housekeeping 92 2.1 70 5.2 27 10.2 b 61 9.7
Cooking 91 1.4 56 5.4 8 4.0 a 50 8.4
Laundry 88 2.2 68 4.5 31 5.8 b 61 7.3
Maintenance, repairs, yard work 54 4.4 24 3.1 6 2.6 a 28 5.3
Assisting residents with social/ recreational activities 90 2.0 88 2.8 69 3.2 b 81 1.3
Driving/escorting residents outside home 78 2.2 60 4.6 57 9.4 NS 65 3.4
Medication supervision/ management 93 1.8 82 3.0 70 5.2 a 81 2.7
Personal care of resident 94 1.8 87 5.2 97 1.0 NS 93 1.1
NS = Not significant.
  1. Difference between small, medium, and large homes significant at 0.01.
  2. Difference significant at 0.05.

In terms of passing medications, 73 percent of the staff members who claimed this responsibility were not licensed nurses; 18 percent were LVNs or LPNs and only 10 percent were RNs. As with giving shots, 72 percent of those staff members who passed medications were trained in both caring for the elderly, MI, and/or MR/DD only. Almost 10 percent of staff who passed medications had none of the above-mentioned training.

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