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  Free nursing schools Jamaica and Canada, Geriatric nursing jobs in Jamaica, Hotel hou
Posted by: Baypress - 04-10-2022, 01:36 PM - Forum: Jobs Online Paying $50 an hour - No Replies

Free nursing schools Jamaica and Canada, Geriatric nursing jobs in Jamaica, Hotel housekeeper jobs now hiring in Jamaica. Practical nursing jobs now hiring in Jamaica. Free nursing schools Jamaica. Move to New York, Florida or Vancouver B.C. . Free nursing schools in Jamaica.
Migrate to Toronto Canada from Jamaica. Migrate today !

[Image: ResettingHousekeeping_02082021.jpg]
Some types of nursing jobs include practical nurse, geriatric nurse, school nurse, hotel nurse etc
Earn up to $25.00 an hour. Free housing and travel.
Please send an email to: traveljobsworld@gmail.com
Whatsapp# 604 430 0685

[Image: jacuzzi.jpg]

Practical nurses support patients by providing basic nursing and medical care. Due to the nature of patient care, practical nurses perform many duties depending on where they choose to work. ... Taking vital signs and recording them in patient charts. Performing immunizations and other injections.

https://cosynewhomes.boards.net/thread/5...te-florida

Practical nursing jobs in Jamaica now hiring.
Montego Bay, St James
Kingston
Half Way Tree, St. Andrew
Mandeville, Manchester
Spanish Town, St. Catherine
Morant Bay, St. Thomas
Port Maria, St Mary
Port Antonio, Portland
St. Ann’s Bay, St. Ann
Falmouth, Trelawny
Montego Bay, St. James
Lucea Hanover
Savanna-La-Mar, Westmoreland
Black River, St. Elizabeth
May Pen, Clarendon
Ocho Rios, Jamaica
Negril, Jamaica
Old Harbour, Jamaica
Portmore, Jamaica

Jamaicans shattering the ceilings in Canada’s healthcare system

[Image: Mom-smiling-with-child-495x400.jpg]

At age nine, Dionne Sinclair was told by her Jamaican primary school educator, ‘Teacher Thomas’, that she was her “Scholarship Girl”, and that title directed her life throughout her illustrious career in the medical field in Canada.

Sinclair, who has made history by being named vice-president of Complex Care & Recovery & Chief Nursing Executive of Ontario’s largest mental health facility, the Centre for Addiction and Mental Health (CAMH), is one of the few black women in Canada’s healthcare system in such a position.

On July 26, she steps into her new position, where she will have 3,000 people reporting to her, while managing a budget of C$92 million.

Making the massive move to CAMH straight out of the Southlake Regional Hospital, Toronto, where she served as Multi-site Director in Diversity and Cultural Advancement, identifying gaps and developing strategies to create more just and equitable workplaces, the Resort, Manchester-born nurse, who holds a master’s in healthcare management, was forced to leave Canadian high school in 10th grade because of her accent; instead, she was told to take up vocational training.
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LIFE-CHANGING INFLUENCE

Had it not been for Teacher Thomas’ influence, which spurred Sinclair’s determination, the advice from her Canadian high school guidance counsellor that she was not college or university material would probably have been realised, but scholarship-oriented students are not easily dissuaded, particularly if they are coming from a solid foundation, and Sinclair had that in her favour.

“We were told to get our education in high school, so we, my brother Steve and I, were put in a technical school in London, Ontario, called HB Beale. I went into practical nursing and he did sheet metal work,” Sinclair told The Sunday Gleaner.

Hearing that the only education she could qualify for was high school was something Sinclair said never occurred to her at the time.

“An adult saying I am going to be done in high school and I never had to do any more school, I thought, ‘wow, what a sweet deal’,” she recalled.

The black and Caribbean students were not alone, though. Anyone who didn’t speak ‘English’, such as the Asians, were put into dry cleaning and the Spanish into the hospitality sector so they could change the sheets in the hotels. This was the 1980s in London, Ontario, where Sinclair’s parents moved to from Jamaica.

But, like a true trojan, the five-feet-four-inches tall woman did exceptionally well in the Registered Practical Nursing (RPN) programme, actually topping her class and went further, outpacing her peers in the provincial exam to get her nursing licence, inspiring an unbiased teacher who recommended her to a diploma class at Fanshawe College.

And that was all the encouragement Sinclair needed to become a registered nurse. Of course, the stumbling blocks were not out of her way. She had to tutor herself in 11th, 12th and 13th grade physics, biology and chemistry, because she had only made it to high school.

No easy nut to crack, her tenacity and diligence paid off, and today she quips about the struggle “dissecting the mitochondria (membrane-bound cell organelles that generate most of the chemical energy needed to power the cell’s biochemical reactions) into something, something”.

Entering two years of college at the University of Western Ontario without the requisite subjects, Sinclair still graduated with a 95 per cent average, “because I am Teacher Thomas’ scholarship girl and I could not fail”.

By then she had become a mother of two, and knowing their future was in her hands, she said failure was just not an option. Her parents were their guardian angels and like Jamaican families are renowned for, helped with the kids, while Sinclair was awarded her Bachelor of Science in Nursing.
UPWARD MOBILITY

The country girl from the cool hills of Manchester, where today the mangoes fall from the trees during season because there aren’t enough mouths to eat, graduated with her BSc, and immediately decided she couldn’t go back to bedpans in the hospitals.

It has been upward mobility since. She worked in the prison system as head nurse, taking the first institution she handled out of paper into automation. Within a few years, the Ministry of Corrections saw her worth and transferred her to Ottawa to set up an infirmary on a hospital wing inside the jail there.

Slowly, Sinclair became an agent of change in every environment she was placed, and because she was ambitious she couldn’t settle for anything that seemed stagnant. She had climbed the highest ladder in the system as healthcare coordinator and moved on next to the Royal Ottawa Hospital as a supervisor.

Again, she knew what she could bring to the table and in two years in quality improvement, she helped them through successful accreditation. Her next stint was at Humber River Hospital, where she met her mentor, Paula Villafana, director of mental health and addictions at the medical facility.

The rest is history, she said. “Paula saw my potential and she gave me a lot of leadership development, by coaching me and encouraging me when I decided to leave to become a director elsewhere.”

Sinclair moved into the world of directorship and started her first post in this new realm as director of complex care at St Vincent Hospital, where she had 330 beds, and managers and supervisors reporting to her directly.

At age 53, this Jamaican girl has shattered all the ceilings ever hovering over her head.

Free nursing schools in Canada.
https://freenursingschools.blogspot.com/...grate.html

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  Call center hotel jobs in montego bay now hiring earn US$150.00 per day
Posted by: Baypress - 04-10-2022, 01:16 PM - Forum: Jobs Online Paying $50 an hour - No Replies

Remote Work From Home Live Chat Moderator/Manager Jobs now hiring in Jamaica. Call center and hotel jobs online US$20 - $50 an hour.
Become a partner and receive up to JA$500,000 today to help start your dream business. (Limited space)

[Image: 1616275108610.jpg]

Visit

https://jamdex.boards.net/thread/20/soci...or-jamaica

What is Jamdex ?

It's an ackee design that has a kind of digital look. JAM-DEX is the digital version of the Jamaican dollar. It's exactly like physical money, except it can not be held in your hand. If you have been wondering how it is different from making a bank transfer, an important part of the difference is – no fees!

The government is offering $2500 in JAM-DEX – that’s Jamaica’s new digital currency, to anyone who opens a digital wallet. But if you’ve been wondering how this digital currency and wallet work, you’re not alone. Luckily, you have me!

[Image: JamDexLogo-1024x698.jpg?strip=all&lossy=1&ssl=1]

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  Jamdex Jobs Jamaica earn over J$15,000 per day replying to emails.
Posted by: Baypress - 04-10-2022, 12:56 PM - Forum: Jobs Online Paying $50 an hour - No Replies

Remote Work From Home Live Chat Moderator/Manager Jobs now hiring in Jamaica. Call center and hotel jobs online US$20 - $50 an hour.
Become a partner and receive up to JA$500,000 today to help start your dream business. (Limited space)

[Image: 1616275108610.jpg]

Visit

https://jamdex.boards.net/thread/20/soci...or-jamaica

What is Jamdex ?

It's an ackee design that has a kind of digital look. JAM-DEX is the digital version of the Jamaican dollar. It's exactly like physical money, except it can not be held in your hand. If you have been wondering how it is different from making a bank transfer, an important part of the difference is – no fees!

The government is offering $2500 in JAM-DEX – that’s Jamaica’s new digital currency, to anyone who opens a digital wallet. But if you’ve been wondering how this digital currency and wallet work, you’re not alone. Luckily, you have me!

[Image: JamDexLogo-1024x698.jpg?strip=all&lossy=1&ssl=1]

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  Get Free Money Online $50 Million Dollar Deal
Posted by: Baypress - 03-08-2022, 04:12 AM - Forum: Jobs Online Paying $50 an hour - No Replies

Affordable homes for sale in Florida. Best deals on homes in Florida. Receive up to US$500,000 today. Sign an International Marketing Deal.
Turn $500 in to $5000 per month. Access up to $500,000 in Funding.
International Jobs, World Property Investments and Small Business Funding.

[Image: 21-08-784864_mvc_logged-in_hero_554x292.jpg]

* Help People afford homes
* 500 New Home Deals Premium Membership. earn over US$5000 per month as an international partner.
* Earn from luxury homes and Beachfront Property Investments
* Career and job opportunities $20  an hour process and sorting housing applications,
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* Memberships, funding , marketing deals and International Franchise Opportunities.

Ocean-view homes for sale in Florida, Waterfront, beachfront homes for sale in Florida. Affordable homes for sale in Florida, financing assistance home buying help.
Become a partner today! Earn big money from Hotels and New Home Deals.
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[Image: beach-sun-fun-summer-picture-id815601474...pcJ-VO8UY=]

Florida Beachfront Property Investments

Become a partner and receive up to $500,000 today. (Limited space)
Email us: traveljobsworld@gmail.com

[Image: worldm.jpg]

Buying a beach house can bring an excellent return on investment, a reliable income stream, and access to a delightful vacation spot. Many beach house investors purchase homes that they subsequently rent out during peak tourism times. A beach house owner in Florida might make the house available to rent from November through April when residents of colder states crave sunshine.

Many beach house investors claim that their rental income for the colder half of the year covers their expenses for the entire year. That effectively lets them live in the house for free during the non-peak season.

Read more

https://worldpropertyinvestors.blogspot....ty-50.html
https://easysweet500.blogspot.com/
https://500homes.blogspot.com/
https://retireinflorida.createmybb4.com/thread-8.html

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  Hotel Travel Jobs in New York Now Hiring Access up to $50 Million in Funding
Posted by: Baypress - 03-07-2022, 12:23 PM - Forum: Jobs Online Paying $50 an hour - No Replies

Affordable homes for sale in Florida. Best deals on homes in Florida. Receive up to US$500,000 today. Sign an International Marketing Deal.
Turn $500 in to $5000 per month. Access up to $500,000 in Funding.
International Jobs, World Property Investments and Small Business Funding.

[Image: 21-08-784864_mvc_logged-in_hero_554x292.jpg]

* Help People afford homes
* 500 New Home Deals Premium Membership. earn over US$5000 per month as an international partner.
* Earn from luxury homes and Beachfront Property Investments
* Career and job opportunities $20  an hour process and sorting housing applications,
* Process foreign healthcare worker job applications (Green card jobs Worldwide) Up to $50 an hour.
* Memberships, funding , marketing deals and International Franchise Opportunities.

Ocean-view homes for sale in Florida, Waterfront, beachfront homes for sale in Florida. Affordable homes for sale in Florida, financing assistance home buying help.
Become a partner today! Earn big money from Hotels and New Home Deals.
International Jobs Market Partnership Program.

[Image: beach-sun-fun-summer-picture-id815601474...pcJ-VO8UY=]

Florida Beachfront Property Investments

Become a partner and receive up to $500,000 today. (Limited space)
Email us: traveljobsworld@gmail.com

[Image: worldm.jpg]

Buying a beach house can bring an excellent return on investment, a reliable income stream, and access to a delightful vacation spot. Many beach house investors purchase homes that they subsequently rent out during peak tourism times. A beach house owner in Florida might make the house available to rent from November through April when residents of colder states crave sunshine.

Many beach house investors claim that their rental income for the colder half of the year covers their expenses for the entire year. That effectively lets them live in the house for free during the non-peak season.

Read more

https://worldpropertyinvestors.blogspot....ty-50.html
https://easysweet500.blogspot.com/
https://500homes.blogspot.com/
https://retireinflorida.createmybb4.com/thread-8.html

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Wink Retire in Florida Affordable homes. Earn up to US$500,000 today
Posted by: Baypress - 02-12-2022, 11:53 AM - Forum: New Homes For Sale in Florida. ( Best Deals) - No Replies

$50 an hour jobs in New York and Florida. Affordable homes for sale in Florida earn up to $500,000 today..
Sign an International Marketing Deal.

* Help People afford homes
* Earn from luxury homes and Beachfront Property Investments
* Career and job opportunities $20  an hour process and sorting housing applications,
* Process foreign healthcare worker job applications (Green card jobs Worldwide) Up to $50 an hour.
* memberships, funding and marketing deals

Ocean-view homes for sale in Florida, Waterfront, beachfront homes for sale in Florida. Affordable homes for sale in Florida, financing assistance home buying help.
Become a partner today! Earn big money from Hotels and New Home Deals.
International Jobs Market Partnership Program.

[Image: beautiful-woman-working-online-laptop-wh...8-5329.jpg]

Florida Beachfront Property Investments

Become a partner and receive up to $500,000 today. (Limited space)
Email us: traveljobsworld@gmail.com

[Image: worldm.jpg]

Buying a beach house can bring an excellent return on investment, a reliable income stream, and access to a delightful vacation spot. Many beach house investors purchase homes that they subsequently rent out during peak tourism times. A beach house owner in Florida might make the house available to rent from November through April when residents of colder states crave sunshine.

[Image: ef3d156967de312beb5498015f30ac09]

Many beach house investors claim that their rental income for the colder half of the year covers their expenses for the entire year. That effectively lets them live in the house for free during the non-peak season.

Print this item

  The Prettiest Place on the Washington Coast Is a Town You've Probably Never Heard Of
Posted by: Baypress - 02-09-2022, 12:35 PM - Forum: News & Investment Deals - No Replies

The Washington coast is ancient and wild. It's a place where elk saunter across sandy beaches, waves crash over rocks, and hiking trails wind through forests so thick you can barely see the sky. It is, in short, breathtaking. You might expect a place this beautiful to be overrun with visitors, but despite its undeniable allure, tourism has never taken off here the way it has on the rest of the Pacific Coast. The California and Oregon coastlines are dotted with boardwalks and charming small towns, but for most of recent memory, there was no equivalent of Cannon Beach or Carmel-by-the-Sea in Washington. This is finally changing with Seabrook.
Perched on a bluff above the ocean, Seabrook is a unique destination on the Washington coast — a quaint community with a town square full of sweet shops, boutiques, and eateries. Despite being founded in 2004, it's decidedly old-fashioned. It's the type of place where you park your car and get around by foot or bicycle, waving to people you pass by. There's a neighborly feel here that can't be replicated in towns where you drive from place to place — a connection to the people and things around you that can only be felt in the open air.
[Image: 77b1cd9858dbf4aa9804acd8c1e76780]
Aerial photos over the Town of Seabrook, Washington on the Pacific Coastline

Getty Images
Seabrook feels a little like a secret, since many Washingtonians are unaware of its existence. Despite living in the Seattle area most of my life, I was one of those people. Once I learned there was a picture-perfect beach town on the Washington coast, though, I couldn't get there fast enough. I booked a two-bedroom home with my boyfriend and his parents, and we set off for the weekend. The drive from Seattle is just two and a half hours, and the trip takes you through small fishing and logging communities.
The Cottages and Town Square
Although there are a few hotels in the greater area, there are no properties in Seabrook itself. Instead, most visitors rent vacation cottages. We chose an impeccably decorated home with ocean views. The pictures online were gorgeous — and the reality only confirmed that. The views from here were so expansive that we stood in front of the windows with our mouths open like four people who'd never seen the ocean before. There was a path in front leading to the beach, but on our first night, we ordered takeout from the Mexican restaurant in town and soaked in the sunset through the window.
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Makeshift shelter structure from wood on the beach in Seabrook
Tamara Gane
Everything in Seabrook is close. You can get almost anywhere in about 10 minutes, and that's assuming a leisurely pace, so we decided to go for a walk the next day. The town square is full of specialty shops, including an independent bookstore and wine shop, a spa, and restaurants. In the summer, there's also a courtyard full of food trucks. I'm a firm believer that dessert tastes better when you can hear the ocean, so I was sure to buy some ice cream and candy at the sweet shop.
On the way back to our cottage, we walked along sidewalks of crushed oyster shells through a few neighborhoods. Seabrook was modeled after Seaside, Florida, where "The Truman Show," starring Jim Carrey, was filmed. And, indeed, Seabrook is so picturesque that it does look like something out of a movie. The homes were built around public gathering spaces with fire pits — some with large lawns, others with bocce ball courts or gazebos. If you want solitude in Seabrook, you'll find it, but if you're seeking community, you won't have to go far to find that either.
[Image: 92d47bbb7a8bc05313350e1d108e2cc2]
Sunset view on the beach in Seabrook, Washington
Tamara Gane
Outdoor Activities
There are two main paths leading down to the ocean, where you'll find wide stretches of beach for walking, beachcombing, and lounging. We were told that you can still occasionally find the old glass fishing floats washed up on the sand, and though we didn't find any, we had fun trying.
Biking is a big deal here. In addition to the fat tire bikes you'll spot on the beach, there are more than eight miles of interconnected trails through forests and ocean panoramas. And for families, the farm district has gardens, orchards, horses, and a playground with a zip line and basketball court.
We also passed by Buck's Northwest, where you can rent bicycles, take surf lessons, or hire adventure guides. According to their website, they offer guided razor clam digs, complete with equipment and licenses. Razor clams are a huge, meaty Pacific Northwest delicacy, but alas, digging season was closed during our visit.
[Image: 91e30ea1f454b974714468a93e0e5988]
Horizontal view of a visitor admiring the surf at Ruby Beach in Olympic National Park
Brian Logan/Getty Images
The Surrounding Area
Seabrook is only two hours from Olympic National Forest, one of the best hiking destinations in the country. Here, you'll find people from around the world heading out to climb mountains with their heavy, metal-framed backpacks, but there are also plenty of incredible day hikes and deep, green lakes for boating and water sports. If nothing else, visit Ruby Beach, which is hands down one of the most ruggedly beautiful beaches on the Pacific Coast. Bring your camera. The beach is famous for its rust-colored sand and rock formations springing dramatically from the water to the sky.
Less than a half-hour away, you'll find Ocean Shores, which lacks the pedestrian-friendly charm of Seabrook, but is nevertheless a popular destination due to the fact that it's home to the Quinault Beach Resort and Casino. It's also worth noting that it's legal to drive on the beach in Ocean Shores, so the experience is completely different than what you'll have in Seabrook. At sunset, it often feels like a tailgate party, with people eating pizza out of cardboard boxes on the roof of their cars while watching the streaks of color melt like wax across the sky.
If you're just visiting for a weekend, however, there's really no need to venture out. We took great pleasure in simply surrendering ourselves to a place where everything could be reached on foot. Before leaving, we took one more trip down to the beach, hopping across streams of water in the sand. The ocean seemed to go on forever, but unfortunately our time in Seabrook had come to an end.

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  Why So Many Americans Are Moving (and Where They’re Going) in 2022
Posted by: Baypress - 02-09-2022, 12:34 PM - Forum: News & Investment Deals - No Replies

[Image: woman_packing_moving_boxes_in_apartment_...h-1200.jpg]Image source: Getty Images
Americans are on the move, despite -- or due to -- the pandemic.


Key points
  • The number of people moving has been on the rise since the first news of COVID-19 hit.
  • People appear to be looking for homes in affordable areas with wide, open spaces.
Check out The Ascent's best mortgage lenders for 2022

More than 10% of Americans moved residences in the first part of 2021. That's nearly 1% more than typically would do so in an entire year. That means somewhere around 33.5 million people picked up and moved as a global pandemic raged.

Why?
Here are a few of the big reasons.
Family
34.5% of respondents in the United Van Lines 2021 Annual National Movers Study said they were making a move to be closer to family. Here's how it breaks down demographically:
Age
Percent Moving To Be Closer Family 18-34
16.1%
35-44
18.6%
45-54
23.2%
55-64
31.2%
65+
49.3%
Because older adults are less likely to be tied down to a location by a job, it makes sense that they're leading the charge on big moves. It appears that one aftermath of the global pandemic will be that a higher number of people, no matter their age, feel compelled to spend more time with loved ones.
Job transfer
34.6% of respondents in the United Van Lines study report that they moved due to a job transfer. That's down from 60.1% in 2015 and 51.4% in 2019. Still, job transfers were one of the top reasons people moved last year.

Space
As Americans began to use their homes as schools, gyms, and offices, available space became more important. A 2020 study by the National Association of Realtors (NAR) found that the desire for a larger home was the second most commonly stated reason for making a move.


One need only think back to the 1980s and '90s to remember many homebuyers' "bigger is better" mentality. Today, it's less about impressing peers than about having enough space to use a home for multiple purposes.
Suburbia
According to research from Extra Space Storage, there appears to be a shift from downtown living to surrounding suburbs. Suburban homes tend to have more space and highly-rated school districts. Now that more people are working from home and no longer deal with a daily commute, moving to the 'burbs makes sense for some.
Affordability
Another reason folks may be heading to the suburbs is relative affordability. Suburban homes tend to cost less than homes closer to cities. Affordability plays a significant role in where people are willing to move. Given the unemployment rates in 2020 and into 2021, it's no surprise that people want a home they can afford even if things go south. More money in the bank account means more security.
Where are they going?
When Extra Space Storage looked into where people moved in 2021, they noticed some trends they believe will carry over into this year. States with lower living costs and more space attract the most significant numbers of new residents. They include:

Arizona
Digital nomads seeking sunshine and heat get plenty of both in Arizona, making it the top destination for Americans moving to a new state.
Florida
Relocations are on the rise in Florida. Again, warm weather is a huge draw. So is the fact that Florida has no state income tax, and property taxes are low.
Idaho
It was only a matter of time before more people figured out how huge and sparsely populated Idaho is. More than twice as many people moved to the state than moved out in 2020.
North Carolina
With its low cost of living, opportunities to enjoy the great outdoors, and its rank as one of the top states for remote work, North Carolina is another popular destination for movers. Add to that the number of big companies that have moved to the state, and it's easy to see why its population is rapidly expanding.
South Carolina
The median home price in Charleston and Columbia -- two of the most popular cities in South Carolina -- comes in at $300,000. That's incredibly affordable compared to many areas of the country, and is a draw for people who have no interest in taking out a large mortgage.

Texas
Texas is another state with an influx of new businesses. While big cities like Austin and Dallas continue to thrive, smaller suburban towns like Richmond and Katy have seen the most dramatic growth. That's because these towns (and towns like them across the state) offer a low cost of living and affordable housing.
Someday, when the pandemic is behind us, we may look back and remember this time as a period of reflection. And as it turns out, a whole lot of us thought about what we wanted in life and realized we would need to move to find it.
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  Low-wage workers prop up the nursing home industry. They're quitting in droves.
Posted by: Baypress - 01-24-2022, 12:40 AM - Forum: News & Investment Deals - No Replies

WASHINGTON - In the eight years she has worked at nursing homes, LaToya Francis, 34, has been yelled at, kicked at and had feces thrown at her for little more than the minimum wage. She endured it because she loved being a certified nursing assistant, she said.
But she's not sure she can hold out much longer.

[Image: 5bf0b77a384480d33df8963c51b012b0]

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As the omicron variant of the novel coronavirus drives record staff shortages at nursing homes nationwide, Francis has increasingly found herself alone on her $19-an-hour overnight shifts at Bridgepoint Healthcare's skilled nursing facility in Southwest Washington, fighting off panic attacks as she tries to feed, clean and rotate more bed-bound residents than she can handle. Some nights, she retreats to a corner of the facility, where she calls her partner and sobs. Other nights, all she can feel is anger.
"I've never, ever felt this disrespected," Francis said.
Frustration is surging among the low-wage workers who make up the backbone of the nursing home industry, as tens of thousands of their colleagues call out sick with covid-19, inflaming shortages that already were at crisis levels. Hailed as "heroes" during the early months of the pandemic, these workers, most of whom are women and people of color, say they're facing untenable levels of pressure.
Government support has failed to end the crisis, advocates say, allowing care for the elderly and the infirm to worsen, forcing facilities to limit admission or close entirely and clogging up hospital beds. According to the U.S. Bureau of Labor Statistics, the nursing home industry has lost more than 420,000 jobs since the start of the pandemic, reducing its workforce to the size it was 15 years ago. Some employees chose to retire early rather than face the intense workload and coronavirus risks at their jobs; others have been lured away by companies, including Amazon, that offer wages with which nursing homes say they cannot compete.
And even as the coronavirus's omicron variant retreats, the staffing crunch will persist, nursing home leaders and unions say. At community colleges, interest in skilled nursing courses has plunged, with some class sizes dropping to half what they were before the pandemic. Of those training to become nursing assistants, many are avoiding nursing homes - where they would earn a median annual wage of $30,120, according to BLS data - and are looking instead for jobs as travel nurses or home health aides.
Meanwhile, the aging trend that the U.S. Census Bureau calls the "gray tsunami" looms ever closer, with all baby boomers - the original cohort was more than 70 million people - set to be at least age 65 by 2030.
That threat is now prompting alarm among elected officials over what workers such as Francis say they have known for years: They're essential but underpaid and overworked.
"This is a crisis on steroids," said David Grabowski, a Harvard researcher who studies the economics of long-term care. "The long-standing issue of underinvesting and undervaluing this workforce is coming back to bite us."
Bridgepoint Healthcare chief executive Marc Ferrell said that his company has tried to offer competitive wages but that it's a "well-known fact" that the nursing home workforce has shrunk.
"This is a national issue," he said, "not a Bridgepoint issue."
- - -
Few places in the United States have been harder hit by the virus's omicron variant than the District of Columbia and the surrounding states, where new-case counts per capita rose sharply in early January, outpacing the rates of infection in many less-vaccinated jurisdictions.
In Virginia, where 9,500 or so nursing home workers have left the industry since February 2020, about 2,700 care workers have tested positive for the coronavirus this month. In Maryland, 7 in 10 nursing homes have reported new outbreaks, and as many as 5,000 workers have had to stay home after testing positive, said Joseph DeMattos Jr., the president of the Health Facilities Association of Maryland. Washington D.C.'s health department did not respond to inquiries on infections at its long-term-care facilities, but leaders at 1199 SEIU, a union that represents health-care workers in Washington, said the staffing situation has never been worse.
All three jurisdictions recently reissued states of emergency to ease the staffing shortages, including by extending the expiration dates for nursing licenses and allowing nursing graduates to start work more quickly. On Jan. 13, Maryland Republican Gov. Larry Hogan also implemented testing requirements for staffers and visitors at nursing homes.
But such efforts fall far short of what is truly needed, workers say.
"It seems like the folks in charge . . . are trying everything except what the front-line workers want," said Yvonne Slosarski, a spokeswoman for the 1199 SEIU Maryland/DC Division. "We know what actually retains workers: It's more pay, more leave and safer working conditions."
Rhonda Davis and Darrie Neely, both 61, agree. They left their nursing home jobs in Baltimore last year after contracting covid-19.
Neely, who previously worked 30 years as a housekeeper, said she passed the virus on to multiple members of her family in the fall of 2020, which is when she decided the nursing home job wasn't worth it. "No one wants to stay for the money that they're paying," she said.
Davis, who previously was a cook for 19 years, said she's passionate about caring for older adults but grew sick of spending vacation days working because her supervisors were taking months to replace employees. Isolating alone in her apartment last November, the decision to resign became clear. "I can't live like this," she remembers telling herself.
Davis said what she grew to resent was the inequity. Nursing home workers are the lowest paid in the health-care industry.
"Whether you scrub the floor in a nursing home or cook the meals, it matters," she said. "It matters to the residents."
Grabowski, the Harvard researcher, said the low pay for nursing home workers partly reflects the type of work and the type of worker that the country values. "There's some ageism, classism and racism at work here," he said.
But it also reflects the challenges of trying to fix an industry that is being taken over by large corporations, private-equity groups and investment-management firms seeking to profit off elder care, Grabowski said. The federal government is the biggest payer for long-term care through its Medicaid program. And while advocates within and outside the industry agree that nursing home workers ought to earn more, some worry that higher Medicaid reimbursement rates would just end up lining the pockets of facility owners, not staffers.
"If we're going to pay more," Grabowski said, "we also need to make sure the money is going toward what it's intended for."
A group of U.S. senators tried last year with the Nursing Home Improvement and Accountability Act, which would, among its provisions, establish minimum staffing levels at nursing homes and increase federal oversight of care. Some aspects of the bill were folded into President Biden's Build Back Better spending plan, which has been caught in congressional gridlock.
- - -
Meanwhile, hundreds of thousands of nursing home workers nationwide continue to clock in.
In Northeast Washington one recent evening, Francis leaned her 5-foot-9 frame over her kitchen counter, tapping on her phone to figure out her schedule. She recently started a second job as a home health aide, picking up shifts on days off to help with the mad scramble she goes through at the end of every month to afford rent ($1,250), car payments ($200), gas and food.
"My social worker just called," Candace Johnson, her fiancee, said. "We can get the car seat Tuesday."
"Oh, clutch," Francis replied, looking up. "Oh, wait, no, no. I'm working the new job Tuesday."
There was only one pickup day for the free seat. Johnson, 43, sighed.
"I know, that thing saves us $80," Francis said, biting her lip. "Let me check the schedule again."
Johnson nodded. She had quit her job as a mechanic last year after the symptoms of her sickle cell disease worsened, becoming a stay-at-home parent to Francis's two children. It hurt her when Francis called from work to say she was again the only certified nursing assistant in her unit, or when she found Francis holding back tears as she stripped out of her scrubs at the door, afraid that she may have brought the virus home. Most days, she said, Francis got less than three hours of sleep before it was time to pick up the children from school.
"Everrrrrly!"
Gabriel, Francis's 11-year-old son, screeched. His 2-year-old sister was making a mess again. Francis marched into the little girl's room, picking her up with one hand and tickling her with the other. These two hours she had with her children before work were precious. Even when she was exhausted, she tried to be present.
"Good job, big girl," she said, stroking Everly's hair as she swung her hips to the soundtrack of "Frozen" blaring from a tablet.
In an ideal world, Francis said, she would be working during the day and taking classes at night to become a registered nurse. Other RNs had told her she'd be great at it, and she knew she would be, too. But she couldn't afford the time or the money, so she was stuck, she said, in a job that felt impossibly hard but far from "heroic."
"When I can't even spend time sitting with someone in hospice who is near dying because I know there are 14 other people waiting for me, I don't feel like a hero," she said. "How can I?"
Just after 6:30 p.m., Francis packed up her lunch and hugged her children.
"We're going to get through tonight," Johnson said as she kissed her partner goodbye. Francis tightened her mouth into a small smile and headed out.
The following night, as the city sheltered from a snowstorm, the nursing assistant did it all over again.

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