as an rn that does not have an issue with helping my cnas i can say this: even with our help, the residents are not getting the proper care r/t improper staffing ratios. a realistic number of cnas to resident ratios would be 1:10 (heaven would be 1:6, but that will never happen, due to corporate greed). i would not have a problem dealing with my 24 bed unit, even if full, if we had sufficient people to care for and give our residents the personal touch they require for a holistic approach to their treatment. my unit has high acuity. having one cna for 20+ residents when we have a no show or when they schedule inappropriately is unrealistic. having call lights answered within 1 minute with what i consider a skeleton crew is not only unrealistic, but insane.
why can we not get organized enough to work for legislative measures to ensure patient safety? we do not think we can make a difference. not enough of us are willing to stand up and make the extra effort it takes to organize. i have heard many people say how they no longer belong to any organization. i know for a fact almost no one at my facility is part of any professional group, save those in management and a few of the nurses.
there are not enough of us active vs the organizations and affiliations working for the large corporations making profits at the expense of our patients. every time we turn away from what we perceive to be inappropriate or unsafe, we are facilitating these corporations' practices. every time we choose to make do with what we have and drive on, we are facilitating them. every time we become discouraged and inactive, we are facilitating them. in the long run, we will all pay for our inability to stand up and say, "this is wrong." we are all getting older. i, for one, would prefer that something be done before i am in need of our services. otherwise, it is going to be quite ugly.
everyone complains that ratios will never improve. yet, those are the same people who are unwilling to get up and do something about it. if we have a problem with something, we need to get up and fix it or at least attempt to do so. complaining never solved anything, unless it was used to fuel change.