Attention Nurses, Nursing Assistants, and other hospital assistive personnel!

Nursing Students CNA/MA

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assesment, and reasessment, IV push and so on so forth. Just like Physical Therapists Assistants are not Physical Therapists, Pharmacy Techs are Not Pharmicists, Deacons are not priests, Physician Assistants are not physicians, LPNs are not RNs, RNs are not Nurse Practicioners or Doctors,or nurse anesthitists, or midwives. Just like Personal Care, Home Care Assistants, and Direct support PCS workers are not CNAs, and know matter how many times they call themselves one, they do not assist nurses or perform tasks delegated by a Nurse Supervisor, and did not attend an OBRA NATCEP CNA training course and cannot work as a CNA until they go through the 3-5months of training, and get their certification and are listed on the registry.

I was always taught in my CNA class by an EXCELLENT Gerontology Certified RN instructor that you should never focus on what you are not, but what you are. We are Nursing Assistants. Vital tools to nursing. We are healthcare professionals assistants, certified by the state to do the basic nursing tasks on stable residents or patients. We are a part of Nursing, we do perform basic old school style nursing services under the supervision of a Registred Nurse. In long term care facilities we are held liable for our actions. If we carelessly drop a resident or forgert to lock the bedwheels, or carelessly feedthem til they choke, etc. we will be held responsible, and this negligent behavior will be placed by our name on the state CNA registry, and we will never find a job or be elidgble for CNA Certification again. We do have a Scope of practice established by the DHH and OBRA, in Long Term Care (all states) and Subacute Care (Some states).

And it is ILLEGAL to work as a Nursing Assistant in Sub Acute care in some states, and in a Sklilled Nursing Long Term Care Facility in all states as defined by OBRA 1987 and NATCEP. With all this being said we are NOT NURSES. At the end of the day nurses are Nurses and were Assistants. Nurses have much more comlex and advanced roles in patient care than we do. RNs have to maintaing a 3.5 GPA while in college to get accepted into nursing programs. They have to study their rears off to finish. They earn the title Registred Nurse. They dont want a Licensed Practical Nurse who went through 9-14 months of Vo Tech training assuming their responsiblities and acting like they know more than them. LPNs dont want CNAs who went through 3-5 months of training at a Votech, calling themselves Nurses and assuming their roles and responsiblities ILLEGALLY. LPNs go through 9-14 intense months of training to sit for there boards licensing test. Just like CNAs dont want uncertified personal care and support workers or other unlicnesed assistive personell not certified calling themslves a Certified Nursing Assistant.

CNAs go through 3-5 months of moderately challenging tarining. They learn signs and symptoms of many diseases, how to measure vital signs, the 5 step ADPIE nursing process, HIPPA practices, how to assist the Nurse with various procedure an much more stuff. WE ARE NOT NURSES. WE ARE NURSING ASSISTANTS. WE NEED TO BE PROUD OF WHO ARE, AND BE HAPPY TO HELP NURSES IN ANYWAY WE CAN. BUT THE KEY WORD IS HELP/ASSIST THE NURSE, NOT BE THE NURSE! Whether we are State Cerified Nursing Assistants or some type of other Unlicensed Uncertified Assistive personell such as medical assistants, Patient Care Technicians/Assistants and so on so forth. So lets make nurses stop ripping there hair out and professionally introduce ourselves as Nursing Assistants or or Assitive Personell (if uncertified) and respect each others levels of traininig and work together!

The top of the page was a comparison to how LPNs have a differnt scope than RNs and cannot pretend to be RNs are assume duties of an RN that are not within there legal scope. THIS POST IS TO EXPLAIN WHY Nursing Assistants are not nurses!! Some of the top got cut off some how. Btw I am a CNA state certified.

If a CNA is CPR certified, there's no real BON regulation that says they can't perform CPR. It's the LTC facilities themselves that choose to make this rule. Ditto with doing fingersticks or inserting a foley. All delegateable(sp?) tasks. I think it's just the culture established in LTC that dictates CNAs stick strictly to direct, custodial care. I've never really been able to figure out why....

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
If a CNA is CPR certified, there's no real BON regulation that says they can't perform CPR. It's the LTC facilities themselves that choose to make this rule. Ditto with doing finger sticks or inserting a foley. All delegatable(sp?) tasks. I think it's just the culture established in LTC that dictates CNAs stick strictly to direct, custodial care. I've never really been able to figure out why....

I think that it was the facilities decision to not allow CNA's to perform CPR due to the fact the CNA performed CPR on a DNR and SAVED the patient......

There are many regulatory reasons that may or may not allow the CNA to perform certain duties. I have found in LTC that the facilities don't want to spend the time ensuring competency of the CNA's to satisfy regulations and institute measure to ensure reporting and quality control amongst the unlicensed personnel (UAP).

OK?? In what state can you finish an LPN program in 9 months?????? Do more research on that? Also there are associate degree LPN programs that requires an LPN to go to school for 2yrs and come out with an associates degree in practical nursing. looks like you need to do your homework. And one more thing if it takes and RN 3 1/2 years to finish an associates degree program some thing is terribly wrong with that picture...their either failing some courses or working at a really slow pace....Make sure you have all the facts before you begin posting. You are correct the LPN and the RN are two different licenses with different scopes of practice..mostly because of the year gap between the diploma program and the associates program. Most LPN programs are no less than 12 months. You also have to look at the state laws that determine what license can do. In my state there are two things that LPN's can't do that RN's can. Initial assessments and push narcotics. And there are alot of RN's out here who can't hold a candle to some of the LPN's out here. I get upset when people try to down play the role of the Licensed Practical Nurse. Nurse being the key word here. The pay is not to shabby either for an LPN. :kiss

I just want to ad I'm not an RN hater; I will beginning classes on Monday for mine but everyone needs to keep in mind that all medical professionals including nursing assistants are important and no one should try to down play anyone else to make them feel better about the profession they chose. -- and so I don't sound too crazy I am responding to a post from "downsouthlaff":up:

You forgot CNA's that think they are MD's. I work with one of those...:rolleyes:

Ughhhh oh my gosh I know!!!! Some of these CNA's that think they are nurses and a few LPN's I work with think they are doctors. Those are the absolute worst!!! Then a few nurses think they are physical therapists saying we need to walk someone down the hall who is not stable. I say unless a physical therapist tells me to do something, no. That is not their scope of practice!

And about the people who think the SLP's don't know what they are talking about, that kills me! A patient at work was on nectar thickened and pureed food after they SLP did a swallow test on her. The CNA was too lazy to sit down and feed the woman. So she gave the woman a sandwich (since she actually liked them). The woman ended up aspirating because she couldn't swallow the sandwich like she was supposed to. She got sick and passed away a few weeks ago all because of it. I know it can get frustrating but that is just pure laziness! Like some people do not need to be providing care to others if they don't want to put forth the effort! Kills me!

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