That night I laid in bed and stretched myself beyond my usual confines sprawling myself across the entire mattress. back to school nights, Christmas pagents, teacher's conferences, back to school bbq, end of school bbq, school auctions, graduation festivities, endless kids' sporting games, couples business dinners, family functions, parties, double dates, vacations, Yes, I live a life separate from my husband. I'll hold my gripes inside, fearing the judgment I know I would be met with... And when I dwell on that sentiment, it does make me lonely. Just like I could never be a doctor, my husband could never be a doctor's wife.
His career is demanding of his time and attention leaving me ALONE. And yet, I find myself working hard to stifle the loneliness.
In addition, two or more adult care homes who are under common control are affiliates. (b) The license shall be conspicuously posted in a public place in the home. 131D-2.4; 131D-2.7; 131D-2.16; 131D-4.5; 143B-165; Eff. (6) If a resident has been hospitalized, the facility shall have a completed FL-2 or MR-2 or a transfer form or discharge summary with signed prescribing practitioner orders upon the resident's return to the facility from the hospital. (e) The facility shall make arrangements for any resident, who has been an inpatient of a psychiatric facility within 12 months before entering the home and who does not have a current plan for psychiatric care, to be examined by a local physician or a physician in a mental health center within 30 days after admission and to have a plan for psychiatric follow‑up care when indicated. (2) a written copy of all house rules, including facility policies on smoking, alcohol consumption, visitation, refunds and the requirements for discharge of residents consistent with the rules of this Subchapter, and amendments disclosing any changes in the house rules; (3) a copy of the Declaration of Residents' Rights as found in G. 131D-21; (4) a copy of the home's grievance procedures which shall indicate how the resident is to present complaints and make suggestions as to the home's policies and services on behalf of himself or others; and (5) a statement as to whether the home has signed Form DSS-1464, Statement of Assurance of Compliance with Title VI of the Civil Rights Act of 1964 for Other Agencies, Institutions, Organizations or Facilities, and which shall also indicate that, if the home does not choose to comply or is found to be in non-compliance, the residents of the home would not be able to receive State-County Special Assistance for Adults and the home would not receive supportive services from the county department of social services.
(2) "Owner" means any person who has or had legal or equitable title to or a majority interest in an adult care home. 10A NCAC 13F .0202 THE LICENSE (a) Except as otherwise provided in Rule .0203 of this Section, the Department shall issue an adult care home license to any person who submits the application material according to Rule .0204 of this Section and the Department determines that the applicant complies with the provisions of all applicable State adult care home licensure statutes and rules. (4) If the information on the FL-2 or MR-2 is not clear or is insufficient, the facility shall contact the physician for clarification in order to determine if the services of the facility can meet the individual's needs. The information shall include the following: (1) the resident contract to which the following applies: (A) the contract shall specify rates for resident services and accommodations, including the cost of different levels of service, if applicable, and any other charges or fees; (B) the contract shall disclose any health needs or conditions that the facility has determined it cannot meet pursuant to G. 131D-2(a1)(4); (C) the contract shall be signed and dated by the administrator or administrator-in-charge and the resident or responsible person, a copy given to the resident or responsible person and a copy kept in the resident's record; (D) the resident or responsible person shall be notified as soon as any change is known, but not less than 30 days before the change for rate changes initiated by the facility, of any changes in the contract and be provided an amended contract or an amendment to the contract for review and signature; (E) gratuities in addition to the established rates shall not be accepted; and (F) the maximum monthly adult care home rate that may be charged to Special Assistance recipients is established by the North Carolina Social Services Commission and the North Carolina General Assembly.
s ECTION .0200 licensing 10A NCAC 13F .0201 DEFINITIONS The following definitions shall apply throughout this Section: (1) "Person" means an individual; a trust or estate; a partnership; a corporation; or any grouping of individuals, each of whom owns five percent or more of a partnership or corporation, who collectively own a majority interest of either a partnership or a corporation. (3) In the case of an emergency admission, the medical examination and completion of the FL-2 or MR-2 as required by this rule shall be within 72 hours of admission as long as current medication and treatment orders are available upon admission or there has been an emergency medical evaluation, including any orders for medications and treatments, upon admission. A statement indicating that this information has been received upon admission or amendment as required by this Rule shall be signed and dated by each person to whom it is given and retained in the resident's record in the home.
It was his second night away from home; the first time he had traveled to our vacation/retirement home completely alone. He rang me up before bed, gave me a run down on how the landscaping renovations are coming along and then he said, "I wish you were up here. He brings home an awesome paycheck." Well, I don't know about you, but I didn't marry for a paycheck.
It's really lonely up here all by myself." And that stayed with me. I am alone while he is: in clinic, in the OR, in meetings, in conference calls, rounding, dictating, charting, scheduling, speaking with patients, speaking with patients' families, attends conferences, attends M&M's, attends board meetings, meets with colleagues, meets with administrators, mentors residents, meets with attorneys, meets with bio tech execs, meets with engineers, takes call, etcetera, etcetera. I married for love, for his companionship, for a life partner.
While I couldn't do my husband's job, he couldn't do mine, either.
He couldn't deal with the loneliness of being a doctor's wife.It must contain: For the “Date of the order” described above, use the date the supplier is contacted by the physician (for verbal orders) or the date entered by the physician (for written dispensing orders). Signatures must comply with the CMS signature requirements outlined in PIM 220.127.116.11.The dispensing order must be available upon request.subchapter 13f licensing of adult care homes of seven or more beds section .0100 - definitions 10A NCAC 13F .0101 DEFINITIONS History Note: Authority G. (5) "Indirect control" means any situation where one person is in a position to act through another person over whom the first person has control due to the legal or economic relationship between the two. The Resident Register is available on the internet website, or at no charge from the Division of Health Service Regulation, Adult Care Licensure Section, 2708 Mail Service Center, Raleigh, NC 27699-2708. (4) "Principal" means any person who is or was the owner or operator of an adult care home, an executive officer of a corporation that does or did own or operate an adult care home, a general partner of a partnership that does or did own or operate an adult care home, or a sole proprietorship that does or did own or operate an adult care home. 131D-2.4; 131D-2.16; 131D-4.5; 143B-165; Temporary Adoption Eff. (c) When a provisional license is issued, the administrator shall post the provisional license and a copy of the notice from the Division of Health Service Regulation identifying the reasons for it, in place of the full license. (e) The license shall be terminated when the home is licensed to provide a higher level of care or a combination of a higher level of care and adult care home level of care. (d) Each resident shall be immunized against pneumococcal disease and annually against influenza virus according to G. (b) The administrator or administrator-in-charge and the resident or the resident's responsible person shall complete and sign the Resident Register within 72 hours of the resident's admission to the facility and revise the information on the form as needed.In the overwhelming majority of patients with chronic urticaria, a definite etiology is not identified.