This dual consultant/survey model is not new. It is the model that existed throughout the 70s and 80s—a model that resulted in such poor care, it prompted Congress to pass the 1987 Nursing Home Reform Act. This law deemed it unlawful for nurse surveyors to provide facility consults, then turn around and write deficiencies and citations for advice that they, themselves, had given, due to conflict of interest. Although the CA Health and Safety Code (1417.3) allows nurse surveyors to provide instruction to facilities on occasion, it makes it illegal to provide instruction if it will diminish survey efforts. However, given the degree of facility involvement required of nurses per the new model, survey efforts will clearly be diminished, as there are simply not enough nurses in the state of CA to implement the new survey model and still have time for surveys and complaint investigations. The new survey model is redundant and represents an inefficient and wasteful use of government spending: nursing homes already have full-time Infection Preventionists on staff, CDPH has infection-control experts that can provide consults without it being a conflict of interest, and the Center for Medicare and Medicaid (CMS) has Quality Improvement Organizations and Quality Improvement Networks that are already providing oversight and education on quality improvement . The new survey model is in violation of the Nurse Practice Act: the training has not been standardized, the new survey policy was not written by an RN, and Covid-infection control is out of the scope of practice of many nurse surveyors, not all of whom have the Public Health Nurse license required engage in control of communicable disease in the community setting. The new survey model is in violation of the American Nurses Association Code of Ethics, which obligates nurses not to accept assignments that place patients, or themselves, at risk, or assignments that involve conflicts of interest. Since the majority of nursing home residents in CA are minorities, the new survey model stands to further harm a patient population that is already underserved by the healthcare system, by further ignoring the healthcare and quality of life needs of CA’s many Latino, African American and Asian nursing-home residents. Implementation of this new model will severely limit the ability of nurse surveyors to hold specific nursing-home administrators accountable for their actions, or hold the nursing-home industry at large for the motivations of a business that is for-profit, and thereby lacking in incentive to provide quality care in the first place.

This is important to limit the unnecessary deaths of the citizens of the state of Florida due to Covid19. A Florida Governor cannot be recalled. This petition will put pressure on the Governor to follow SCIENCE. SIGNATURES=PRESSURE=CHANGE IN BEHAVIOR

The North East neighborhood of St. Cloud desperately needs more street lighting to keep our youth safe. Why is this important? The North East neighborhood of St. Cloud is very poorly lit, and this is cause for concern for youth safety. The streets that are particularly concerning are 3rd St NE and 4th St NE leading to the bus stop on Wilson Ave NE. Youth and adults deserve a well-lit neighborhood to stay safe when walking at night to access public transportation. Help us keep our community safe by illuminating the North East neighborhood of St. Cloud!

Imagine a scenario in which a domestic dispute occurred between you and a partner. Which professional would you feel more comfortable speaking with? Which professional do you feel would be more capable of providing you resources for next steps? An armed officer? Or a plains clothed, unarmed social worker? Sign this petition to enact social workers into non violent roles in the community. A calming, unarmed presence, aimed to reduce escalation can decrease brutality between police and citizens, and in addition, can save lives.

People can’t move forward with life and stay positive through this horrible time if they are constantly worried about losing there home, not being able to pay for lights, internet for school, car payments for vehicles used to care for families, essentials toilet paper, dog food? When will they stop arguing about the tits for tats and do something. It continues to get worse and worse in this country yet no one is doing anything to help long term only in the moment!

If we can afford 5 trillion dollars for the wealthiest thousand citizens and endless wars, we can afford college for lower to lower middle income families as an investment in our collective future. All of the things are and more are possible........Let’s do them!!!

I have no idea if this is feasible, or is against the 1st Amendment ( but it is my free speech), I think this is an option that should be considered. Our government needs to pay more attention to this looming double crisis as it will effect the country as Covid-19 has.

We have a right not to die or put ourselves in harms way when we vote.Save the post office to ensure we the people can vote without harming ourselves. PS Could someone at move on post a american flag with constitution saying with liberty and justice for all as my logo..I dont know how to do this.

To keep alive the future of this and next generation and to provide a safe future for all of us.

The Postal Service is by far the most popular government agency, with a 90% approval rating. It is one of the largest employers in the U.S., with a workforce of 630,000 people, 40% of whom are people of color. Our mail is delivered, rain or shine, six days a week, regardless of where we live in the United States. Privatizing the postal service would be a terrible blow for rural citizens. We need to stymie the Trump Administration and keep the USPS healthy and strong.

We, the undersigned call on The Association of State and Provincial Psychology Board and the American Psychological Association to move the Examination for Professional Practice in Psychology (EPPP) testing and State Board testing to remote testing online access. The current pandemic has lead to increased mental illness and a surge in mental health crises across the world. Clinicians are currently unable to gain licensure due to the Pearson test center closures or reduced test taking abilities. Once the test centers reopen, it calls into question the safety of clinicians taking the test in a potentially compromised environment for four hours. As a result, this is causing a delay of competent clinicians becoming licensed and being able to provide services and support to those struggling in the community. All the while individuals are struggling to manage their mental health symptoms during this lockdown. The delay is not only affecting our potential patients, but it is also affecting the clinicians. Each month, clinicians are spending hundreds, sometimes thousands of dollars to continue subscriptions to test materials in the hope they may be able to find a test date. Also, some clinicians suffer from medical concerns that make wearing a mask problematic and detrimental to performance. Wearing a mask for some leads to lightheadedness, feeling faint, or feeling smothered. Have validity tests been conducted for taking the EPPP while wearing a mask? Since starting this petition, we have learned that the LSAT is offering an online remote proctored test due to Covid-19. The Michigan Supreme Court has announced that the Bar exam will be taken online as a remote essay test. The Supreme Court of Washington has allowed an emergency diploma allowing those who registered for the bar exam in July or September to be licensed in the state without passing the exam.

We are all told to shelter in place, keep six feet distance between us and use a face mask when we go anywhere for our safety and the safety of our fellow Americans and yet we expect the meat processing workers to endanger their lives and ours by continuing to work in unsafe conditions.