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Vaccination News for Alameda County Long-Term Care Facility Staff

The Alameda County Health Care Services Agency is pleased to announce that all Alameda County Long-Term Care Facility Staff are invited to be vaccinated at an Alameda County vaccination Point of Dispensing (POD) clinic beginning the week of January 18, 2021.

Attention Alameda County Long-Term Care Facility Leadership Teams:

Alameda County Health Care Services Agency (HCSA) has officially opened vaccination PODs for your Long-Term Care Facility (LTCF) staff to get vaccinated next week.

Alameda County Long-Term Care Facilities who are participating in the federal vaccination partnership program with both CVS and Walgreens should continue to schedule vaccination clinics with these national pharmacies. HCSA is working closely with both CVS and Walgreens to ensure that the LTCF vaccination clinic scheduling proceeds as planned. Both pharmacies are supportive of HCSA’s plans to provide all Alameda County LTCF staff the opportunity to get vaccinated before the scheduled vaccination clinic date at their LTCF.

Long-Term Care Facility Staff include the employees working in both licensed and unlicensed: Residential Care Facilities for the Elderly (RCFE), Mental Health Rehabilitation Centers (MHRC), Intermediate Care Facilities (ICF), Adult Residential Care Facilities (ARF), Assisted Living Memory Care Facilities (AL/MC), Intermediate Care Facilities for the Developmentally Disabled (ICF-DD), and Skilled Nursing Facilities (SNFs).

Benefits of taking advantage of HCSA’s invitation for LTCF staff to come to a vaccination POD:

  • Alameda County’s LTCF staff will be vaccinated
  • Vaccination PODs offer the LTCF staff additional opportunities to get
  • If many LTCF staff get vaccinated at the vaccination PODs, your scheduled CVS and Walgreens vaccination clinics will be more

INVITATION INFORMATION: Please read through all the following information

Vaccine is available by appointment only, please click on your preferred date and location to make your appointment. *Walk-up appointments will NOT be available.*

 Lake Merritt BART Station

Castro Valley Library

Confirmation emails can take several minutes to appear in your inbox and please check your spam folder for an email from no-reply@multistatep4p.com.

If you are having trouble with the appointment links, please paste the links into your browsers.

The following information is about the PrepMod website from the California Department of Public Health (CDPH): If you require technical support, please call our Help Desk at 888-503-0515 or email techsupport@vaccineconsent.com.

Important information for your appointment:

  • Please bring a government issued ID, your clinical ID or recent paystub, and proof of registration to your
  • Appointments for this week are available for clinicians only; office staff will be covered in later phases.
  • Due to COVID-19 physical distancing and safety precautions, please do not bring with you anyone who does not have an
  • To achieve the greatest level of effectiveness, two doses of the vaccine must be administered 28 days apart. Onsite staff will provide guidance to schedule your second dose after you receive your first

We strongly encourage you to take advantage of this opportunity to receive the COVID vaccine. If you have questions about the vaccines, here are some useful resources:

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Provider Information Notices (PINs)

6Beds, Inc. has been made aware that some providers may not know of the existence or may not receive Provider Information Notices (PINs) released by the Department of Social Services, Community Care Licensing Division (CCLD). PINs are very important communication documents intended to help Residential Care Facilities for the Elderly (RCFE) licensees, administrators and facility staff operate in full compliance with licensing requirements. CCLD releases PINs by email to providers who subscribe to receive them.  All PINs are also located on CCLD’s internet website. 6Beds, Inc. strongly encourages providers to subscribe to receive Provider Information Notices (PINs) via e-mail. If you have already subscribed to receive them, but they are not received in your email inbox, please check your SPAM email.  Below are examples of important information shared with providers via PINs:

  • new guidance – especially important during this time of COVID-19;
  • upcoming informational and training calls (these are statewide calls for providers to attend and allowed to ask questions)
  • law and regulation changes;
  • reminders; and
  • time-sensitive developments that may affect you, residents, and your facility.

Recent PINs are also translated into other languages (Spanish, Chinese, and Tagalog) and, when they may be of particular interest to residents, include a Resident Fact Sheet to be distributed to residents. You can view PINs  at the Adult and Senior Care (ASC) Program PIN page on the CCLD website.

To subscribe to CCLD PINs, please go to the Important Information webpage on the CCLD website and provide the requested information, such as your email address.  6Beds, Inc. also encourages you to forward this email to your colleagues and friends who provide care in RCFEs to share this important message. 

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San Mateo County grants rental assistance to elderly facing evictions in care homes

A much-needed rental assistance for elders in dire need was granted by the San Mateo County as part of federal CARES Act to somehow alleviate the plight of those who respite from the ongoing challenges posed especially by the COVD-19 pandemic.

Supervisor David J. Canepa announced that the San Mateo County Board of Supervisors approved a $500,000 grant in the CARES Act funding to the Institute on Aging to provide rental assistance to individuals facing eviction in Residential Care Facilities for the Elderly (RCFE).

“Many residents in these facilities have fallen behind in their rents, face eviction and possibly homelessness in the middle of a deadly pandemic. We are talking about people as old as 94 and others with dementia and other critical needs,” Canepa acknowledged. “These people are unable to live by themselves who live in facilities where the rents can be as high as $8,000 a month. If evicted, these individuals face more than just the specter of homelessness but also a heightened risk of infection and death due to COVID. This funding will protect many of these individuals from eviction and that’s an investment I’m proud to make.”

Canepa represents San Mateo County District 5 which includes the cities of Daly City, Colma, Brisbane, portions of South San Francisco and San Bruno and the unincorporated Broadmoor Village.

It was observed that the there are San Mateo County RCFE residents that have run out of money in and are in a quandary on how to take care of basic needs much less on rental dues.

The San Mateo County Ombudsman Services reported that there are at least 10 residents that will face eviction as of December 31, 2020 because of back rent due and not able to meet the monthly rent that they now must pay.

“They either have run out of money, have no family left, or their children can no longer help them due to the coronavirus and loss of jobs. These residents use their social security income plus what the family can contribute to meet the monthly rent,” San Mateo inc. Ombudsman Services Executive Director Bernadette “Bernie” Mellott laments. “Some owe back rent up to $60,000 and others do not have any back rent but no ‘gap funds’ to bridge their social security money and the cost of rent per month. The CARES funds can really help with the ‘gap fund’ as a bridge to help these residents ‘age in place’.”

Mellot shared that there is a 94 year old who has run out of money, has no one to help, and is also on hospice.

“You cannot evict this person but what does the facility do in this case? There are many of these cases and more happening each day,” Mellot added.

The Ombudsman Services of San Mateo County Inc. (OSSMC) works to ensure the protection of residents of long-term care facilities, including RCFEs, in the county through advocacy, direct intervention and education in collaboration with service providers.

Presently, there are 248 RCFEs in the county, with their individual capacity ranging from 6 beds to 50 beds per facility, and a collective capacity of 5,346 beds according to records of the OSSMC.

It is also OSSMC’s job to make sure your stay is safe, comfortable, and dignified, and that each resident receives the quality of care that he or she rightfully deserves.

They are committed to changing the face of aging in the Bay Area. In addition to actively investigating complaints, we are proactive in providing resources and ongoing support to residents and their families. We know how challenging it can be to navigate the long-term care system and we are here to help you.

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Provider Profile: S3C Energy

Your stand-up kind of back-up

The wildfire season and PG&E’s public safety power shut offs brings home the necessity of power back-ups for care homes. What can you do to make sure your care home is safe with enough power that your lights stay on and medicines and rooms stay cool when these shut offs are unexpected and can last for days.? There is a “stand-up kind of back up” source for power available to you when you partner with nature and go solar! Today, Solar+Battery Storage can provide backup power for your care home to provide you a peace of mind at NO UPFRONT COST, cutting your power bill in half, you home care will have power as long as the sun is there.

Are you surprised? This package is what solar power company S3C Energy can do for 6Beds members and other customers.
S3C co-founder Alex Alino says, “Our solar plus battery back-up system can be configured to back up your entire home or at minimum provide back up power for your most important appliances, equipments and rooms. Your choice will determine the number of batteries for your specific installation.”

He explained, “We have installed a lot of solar panels for 6Beds, so we understand the needs of a typical 6Beds care home. We can put together a solar package with financing that will not increase their ‘debt-to-income’ ratio and preserve their buying power in the future.”

“We found out that a typical care home can save anywhere from $90,000 to $180,000 on their electricity bills (depending on the system size) over 25 years. That’s a reduction in costs running between 50-60 percent and giving the care home a huge savings.”

“Just to give you an actual example: We were asked by an owner to put solar power systems on their nine care home facilities. The total estimated savings for electricity costs over 25 years for the nine homes is a little over $1,000,000. These savings were achieved with the S3C no-upfront cost program and without carrying a loan by simply paying for power produced by their solar system at a fixed low monthly payment for the next 25 years. The only requirement S3C has is that the care home owner must have a FICO score of at least 650 and be identified as owner on the care home title.”

Solar power systems and installations have changed a lot since the days of the failed solar company Solyndra. “Back then” homeowners are required to pay cash for acquisition and typically takes an average of 8-10 years to realize a Return-On-Investment (ROI).

Alino said, “All our 6Beds customers realize savings immediately – the moment we turn on their system. Since the care homes didn’t put money out, they didn’t have to worry about ‘rate of return’ or ‘payback in future months.’ Their solar bills are a lot less than their current monthly electricity bill and over the years they’ll see those savings as long as they qualify for our solar program.”

“S3C service is one-stop-shop. We handle your solar project from beginning to end. We can also include roofing work, upgrading your electrical main panel or any additional work to complete your solar project.”

In the early days there was no uniformity in approvals for solar installations. Both the ‘pro’ installers and the home owners faced regulatory hurdles with some local city departments declining to issue permits and/or did not know the required documents. It used to be if you found a city that would issue solar permits, each of those cities had its own timeline.

Alino: “Fortunately today it is not hard to get a solar permit from the city. Typical documents you’ll need include – architectural plan, load calculation, solar panel technical specification up to any materials we will use to install the solar panels (i.e. screws, conduit sizes, wires, etc.). Plus, the roof must be in good condition and the electrical panel must meet the load requirement for the size of the system. Some cities issue permits over the counter while others take two to three weeks or more depending on the city current workloads. With COVID-19, the reduced city workforce could prolong the timeline.”

Homeowners, solar companies, and industry advocates alike were given a big Christmas gift in 2015 when Congress approved the 2016 federal spending bill and extended the solar panel tax credit. The December 18 bill contained a 5-year solar tax credit extension, which makes solar energy more affordable for all Americans.

Fortunately, Alino said, “There is still a Federal tax credit which is 26 percent for 2020. This will go down to 22 percent in 2021, but the tax credit is expiring in 2022. This helps providing a low monthly payment for your solar panels whether you lease or purchase the system.”

Today’s solar panel is much improved in efficiency and size. Customers can now monitor their solar system production from their mobile phone by downloading the monitoring app. In addition, it is easier to acquire solar system nowadays due to NO UPFRONT COST as long as the homeowner has a decent FICO Score of 650.

Alino explains, “We install an optimizer on each solar panel so it minimizes the effects of shadows – so flights of birds, trees and chimneys don’t reduce our panel efficiency. Also, we consider shadows when we design your solar system and compensate by adding more panels. As far as cleaning panels, it is not required. Solar panels nowadays are built to resist dust. It wash out the dirt when it rains. We meet all challenges like installing on metal, clay or tile roofs, or mounting panels on the ground and patio which often times are turned-down by other solar companies due to being time consuming to complete.”

S3C Energy solar projects run typically two to three months from start to finish, unlike bigger solar companies that could take six to eight months for the same project because they sell more projects than us.

S3C Energy has been a member provider for 6Beds for two years now. They understand the needs of a home care owner from saving on their electricity cost to providing a backup power solution during power outages.

By Harvey Barkin

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Maestro Medical offers mobile COVID-19 testing 24/7 for care residents, students and TV/movie crews

A new company formed by a medical front liner who has been conducting tests practically since the pandemic wreaked havoc in California offers COVID-19 testing to nearly anyone all-week and 24/7 with fast results and NO LONG WAITS!

Such is the claim by Maestro Medical Testing’s owner and Intensive Care Unit nurse, Andrea Mcauliff. The company also prides itself with providing both polymerase chain reaction (PCR) testing, the so-called gold standard test, and rapid antigen testing.

Before Maestro, Macauliff worked on a COVID STRIKE TEAM of San Mateo County. During March 2020 they built a swab team that went out to test the congregate care facilities in most of San Mateo. “Several residential care facilities for elderly (RCFEs) and assisted living facilities (ALFs) reached out asking for help and for resources (for testing), and I did not know what to say to help them… until about 2 weeks later when I decided I would try to start a company so we could keep testing,” In other words, Maestro was started to specialize in emergency testing for outbreak prevention and to provide rotation schedule testing 24/7 while operating in full compliance with state and county testing standards.

“We come to you no matter where you need the testing or what time you need the tests. Maestro is fully mobile so we arrive as soon as possible removing your risks of exposure and hassles with transport. We do all the paperwork and handle all the billing as well. Once we test, your samples are double/triple checked and brought to FedEx where they are sent over night to the lab,” she added.

Maestro says their procedure is an easier non-invasive test. They use a laboratory machine that is so specific that their mid nasal or anterior nares swab using a bigger Q-tip only touches the front or middle part of the nose. This is procedure does not draw a sample from far back of the nose anymore and no one should view the new test procedure as painful.

Maestro PCR tests are taken to either Molecular Labs in Washington or Warrior Labs in Colorado. Both labs are CLIA approved and report test results to CALREDIE with a 24-72 hour (1-3 days) turnaround from the time the lab received the samples.

Because the COVID-19 emergency is requiring a lot of testing – both employees and residents – you’ll want to understand the expenses involved. Each test, whether PCR or antigen, costs $15 for Maestro to administer. All PCR tests are billable to insurance companies which are, in turn, required to reimburse the lab that runs the test. If the person is covered by insurance the lab cost of $105 will be paid. Those without out insurance will pay the lab costs. The rapid antigen total test kit cost is $90 on top of the cost to administer. However, these tests are not covered by insurance.

The Maestro Rapid Antigen testing, is indeed ‘rapid.’ It takes only about 20 min to get results! This test is most useful for symptomatic individuals (those who have symptoms) so it can quickly determine if they are Covid-positive for immediate isolation. On the other hand, antigen testing is not the type of test recommended for surveillance testing.

Maestro’s Medical Testing is often used by other groups and events where their speciality mobile testing is highly desirable. Frequent customers include: film/TV productions before shoots so that the cast and crew can go to work safely; weddings; parties, etc. Maestro also tests businesses with employees that are re-joining the move to work from their offices again.

Mcauliff hopes to make the side of Maestro that tests congregate living facilities into a non-profit organization in the next 30-60 days. This would allow Maestro to pair with other non-profits in accessing some government resources to provide less expensive, or possibly free, testing to those that desperately need it and cannot afford it. They would keep the TV/film testing side as the for-profit Maestro entity that would donate funds to the non-profit to help pay for more tests.

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Virtual Town Hall Meeting: December 9, 2020

Registration is now open for the 6Beds Virtual Town Hall on Wednesday, December 9 from 9 am – 4 pm.  Participants will be able to earn 4 CEUs by FOBI Pharmacy.

Agenda

Emcee: Ron Simpson and Gina Wasdyke
Moderator: Roberta Mendonca
Zoom Host: Chris Minnery

8:45 AM – Sign in via Zoom
9:00 AM – Welcome – Dorie Paniza, 6Beds NorCal President
9:05 AM 6Beds – Ron Simpson, 6Beds SoCal President & Director
9:20 AM – Why I joined 6Beds – Angie Marinda, Secretary
9:25 AM – Membership Benefits – Gina Wasdyke, 6Beds Founder and Director
9:30 AM –  2020 – Legislative Recap – George Kutnerian, Senior VP of Public Policy & Legislation & Director with Atty. Robert Naylor and Roxanne Gould, Lobbyists
10:00 AM – Break (10 Min)
10:10 AM – Preferred Vendor Presentation – Olive Deanda, Treasurer
11 AM – 1 PM – Medication Administration and Documentation Part 1 – FOBI Pharmacy
1:00 PM –  Break (10 Min)
1:10 PM – Preferred Vendor Presentation – Ines Otbo, Vice President
2 PM – 4 PM – Medication Administration and Documentation Part 2 – FOBI Pharmacy

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Last Chance to Register and Earn 4 CEUs at the 6 Year Anniversary Conference

The 6 Year Anniversary FREE Zoom Training Conference is only 2 days away. Participants will be able to earn 4 CEUs! Guest speakers from Department of Social Services and State Legislators will address our industry during these unprecedented times as well as share best practices and risk management during the COVID-19 Pandemic. Register here now!! See below for the full conference agenda, and click here to download the agenda.

 

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Register for 6Beds 6th Year Anniversary Conference on October 22

To celebrate the 6th Year Anniversary of 6Beds, join us on October 22 for a FREE Zoom training conference. Participants will be able to earn 4 CEUs! Guest speakers from Department of Social Services and State Legislators will address our industry during these unprecedented times as well as share best practices and risk management during the COVID-19 Pandemic. Register online now!!

Conference CEU Sessions

The zoom training sessions are open to all RCFE and ARF operators. CEU Sessions will include:

9-10 am
Caring for Residents with a Communicable Disease (Part 1)
Guidance/PINs/Best Practices for care of COVID Residents Updates to the Admission Agreement and Service Plan for COVID
Presenter: Cyndy Minnery, RN

11 am-1 pm
Labor Training
Covers Wage and Hour Training for both Federal and State
Presenters: Atty. Alecia Winfield, Atty. Ashley Brick and Atty. Shiva Davoudian

2-3 pm
Caring for Residents with a Communicable Disease (Part 2)
Guidance/PINs/Best Practices for care of COVID Residents Updates to the Admission Agreement and Service Plan for COVID
Presenter: Cyndy Minnery, RN

In order to receive 4 CEUs attendees must attend the entire duration of the CEU class.

Conference Details
Date: October 22
9 am – 3 pm CST
Register Online

Below is the full conference agenda:

9 AM – 10 AM
Resident Care and Communicable Disease
Presenter: Cyndy Minnery. RN

10 AM – 10:30 AM
6Beds Officers, Leaders and Lobbyists

10:30 – 11 AM
Preferred Vendors serving RCFE and ARF

11 AM – 1 PM
Labor Training (Includes 30 minute Q and A)
Covers Wage and Hour Training for both Federal and State
Presenters: Atty. Alecia Winfield, Atty. Ashley Brick and Atty.
Shiva Davoudian

1:00 PM – 1:30 PM
Department of Social Services
Department of Developmental Services
California Legislators

1:30 PM – 2:00 PM
Preferred Vendors serving RCFE and ARF

2 PM – 3 PM
Resident Care and Communicable Disease
Presenter: Cyndy Minnery. RN

For vendor sponsorship details, please contact Ines Otbo or Olive DeAnda.

We look forward to seeing you on Oct. 22!

 

Sponsored by

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6Beds, Inc. Priority Bills

AB 2926 (Calderon) — Referral agencies for RCFEs: Oppose unless amended.

Enacts disclosure requirements for referral agencies designed to make their practices more transparent to consumers. Since the Bill is sponsored by A Place for Mom, it lacks two important provisions: (1) It does not require disclosures before a referral has already been committed to and (2) It does not allow a recipient of referral services to terminate a contract at any time and use another agency. We asked for those amendments. Bill has passed the Assembly. We will continue to oppose in Senate. Supported by California Assisted Living Association as at least some reform.

AB 1796 (Levine) — Bars hiring of employee until criminal background clearances are received from both CA Department of Justice and FBI: Oppose.

This will cause sometimes significant delay in hiring in some cases. Bill passed the Assembly. We will continue opposing in Senate.

SB 1259 (Hurtado) — Would require Department of Social Services to do report on how to meet the housing and care needs of SSI/SSP recipients: Support. Awaiting action in Senate Appropriations.

SB 1264 (Hurtado) — Extend RCFE emergency and disaster plan requirements to ARFs: Support. Awaiting action in Senate Appropriations.

AB 2024 (Holden) — Increased provider rates for certain DDS vendors to reflect increase in state minimum wage: Support. Defeated by being held on Assembly Appropriations suspense file (budget pressures).

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CBD: Chronic Pain Management Without the Addiction

Addiction shifted from opium to opioid … by then ‘recreational use’ could not capture the demand for a better pain reliever without the addiction and side-effects

As early as 2700 B.C., the Chinese documented marijuana’s usefulness for gout, rheumatism and malaria. In old India it was used for anxiety release, dysentery, easier digestion and even sunstroke. In 1500 B.C. Egyptians used cannabis (the tall plant used to produce hemp fiber and marijuana drug) against inflammation.

But when the Spaniards brought cannabis to the new world in 1500, they grew it for hemp – fiber for clothes and ropes for rigging in sailing ships. When steam ships replaced sailing ships in the late 1800s, cotton replaced hemp as a cash crop.

In 1910, people fleeing from the Mexican revolution began bringing cannabis into the U.S. Shortly, the use of marihuana was banned in the 1912 Opium Convention and the 1914 Harrison Act. By 1938 cannabis was restricted in 13 countries, including the U.S.

It’s interesting to note that marijuana was listed in the US Pharmacopeia from 1850 to 1941 and prescribed for nausea, rheumatism and labor pains.

In the 1930s, the Feds campaigned to highlight marijuana addiction that caused some users to be violent. This, despite its use by jazz musicians in the 1920s, then the beatniks in the 1950s and the hippies in the 1960s.

The Controlled Substance Act of 1970 set marijuana alongside LSD and heroin as Schedule 1 drugs. The category meant a high potential for abuse with no accepted medical use.

From 1982 to 1992 saw the passage of stricter drug laws all over the world. But surprisingly, marijuana use among teens declined in the mid-1980s to the early 1990s.

It didn’t take long for addiction to shift from opium to opioid. About four million people were dependent on opioids primarily for pain relief in 2011. By 2013 more than 30 million were using opioid illicitly between ages 15 to 65. In 2015, increased use and addiction were brought about by over-prescription of opioids.

By then, “recreational use” could not fully capture the urgent demand for a better pain reliever without the addiction and the side-effects. Even the toxins extracted from snakes were useful against specific diseases.

Cannabis extraction has been around for a while. In the 1970s, there were several publicized methods for extracting “hash oil”. But it was not until the early 2000s when different methods and different products began to appear on-line.

In 2014, the Rohrabacher-Farr amendment became law and stopped the Justice Department from meddling with state medical cannabis law. Then the 2018 farm bill effectively removed hemp-derived cannabinoids (CBD) from the Controlled Substances Act nationwide.

Former 6Beds provider and Senior Community Learning CEO Mickey Gray explained, “CBD is extracted from either the marijuana plant or hemp through a process called Super Critical carbon dioxide (CO2) extraction. Pressurized CO2 acts as a solvent at certain temperatures and pressure levels to isolate the active compounds from the unwanted phytochemicals (THC) and plant matter. The supercritical CO2 passes through high quality, CBD-rich marijuana or hemp in an extractor. The CO2 will draw the cannabinoids, terpenes and essential oils out of the plant material.”

California is the first state to adopt medical marijuana.

Gray clarified, “Hemp derived CBD is federally legal but marijuana-derived CBD is more complicated because it is derived from a plant that is federally illegal. In states where marijuana is legal for recreational use, marijuana-derived CBD is also legal.”

According to Gray, “CBD oil is not addictive because it does not impact the brain’s dopamine-reward system. Made from the stalks and seeds of hemp or marijuana, CBD oil is dominated by cannabidiol, a naturally occurring and non-psychoactive cannabinoid.”

Based on studies, the FDA has approved CBD products for pain, anxiety and depression, epilepsy, symptoms related to cancer treatment, acne and other skin issues, high blood pressure, addiction, diabetes, nausea and vomiting, seizures, psychosis disorders, inflammation and neuro-degenerative disorders.

CBD can be taken by the patient as oil drops under the tongue for quick absorption (but Gray said, “the flavor can be unpleasant.”) If ingested as capsule or soft gel, it takes longer to absorb. Lotions, balms and creams would be ideal for eczema and acne. CBD-laced food and beverages have the lowest potency.

Although there are no set rules, Clinical Anesthesiology Professor and Chair of the Pain Medicine Department at the University of California San Diego Dr. Mark Wallace recommends if ingested, patients should wait eight hours before driving; if inhaled, wait two hours and if taken transmucosal, wait four hours.

Unfortunately, most everybody is still unprepared to dispense medical cannabis. Dr. Wallace said most states allow only four ounces of marijuana dispensed at a time.

The good news is, a survey in 2016, found a 64 percent reduction in opioid use, decreased side effects and an improved quality of life. A year later, another study revealed a 23 percent reduction in opioid dependence.

Dr. Wallace’s approach in treating patients suffering from chronic pain is to wean them off opioids then introduce medical cannabis. He believes medical cannabis can provide pain relief with little side effects and even manage withdrawal from side-effects caused by opioid.

Gray said “patrons above 21 can enter and purchase from any establishment that carries CBD oil. Since CBD is federally legal, no prescription is required. For use as a medication in a long-term care setting, a simple doctor’s order is needed.”

Stella has been an RN for 25 years and had a brush with the law shortly before CBD was legal. “Doctors did not encourage (it’s use) because of legality in California before 2019. For us in the care home facility, I was about to be cited in 2018. I said it was not even medicine, it was a supplement. You can get it over-the-counter without prescription.”

Stella related her experience with a patient who had 10 to 20 seizures every day since his infancy. She said they tried almost all kinds of anti-seizure medication but the patient still had seizures.

A Stanford pediatric neurologist evaluated the patient every three to six months after two other doctors. Reaching out to other parents in the same situation, they decided to try CBD. The mother started with CBD in 2010. The patient has been at Stella’s facility since 2017. Nowadays, the patient will have at most two to four seizures a day.

Stella said the CBD is delivered in liquid form through a gastrostomy tube, two times daily with a 2ml dose each time. Seizure control stays 24 hours in divided doses. She observed that the only side-effect on the patient was sleepiness.

Senior Community Learning medication training instructor Joan Riordan said, “Side effects are rare but the most commonly reported are tiredness/fatigue diarrhea, nausea, changes in appetite, dry mouth and low blood pressure.”

According to Riordan, CBD studies have not observed a tolerance for CBD. “In human studies, CBD administration did not induce side effects across a wide range of dosages, including acute and chronic does regimens and tolerance to CBD did not develop.”

“For CBD to become toxic to the system through overdosing, someone would need to ingest over 20,000 mg of CBD all at once, which would be an extremely difficult feat to pull off. Since marijuana and its derivative CBD is legal in California, there is no penalty to usage.”

She added, “In most cases, it is highly unlikely that hemp-derived CBD oil will lead to a positive drug test, so discrimination should not be an issue.”
Still, CBD oil treatment is still not common to most care homes.

But Riordan stands by CBD. “I have personally had residents who had successful outcomes with the use of CBD oil for pain management, sleep difficulties and anxiety. CBD was used as replacement for opioids, addictive prescription sleep drugs and addictive anti-anxiety medications like Ativan. Alleviation of symptoms appeared to be more comprehensive than in manufactured medications and with fewer side-effects and contra-indications. The impact of CBD on the body will be apparent at different speeds based on the method of delivery, with drops/tinctures having the fastest reaction times and creams being slowest, based on absorption rates. There is no limit as to how long a person can utilize CBD products.”