Why become a CNA? Be a Medical assistant instead

Nursing Students CNA/MA

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This isn't a commercial but a warning.

Like most folks here, I decided to become a CNA to learn from the "ground up"," pay my dues", get in contact with healthcare professionals. It's the biggest mistake I've made in recent years.

Know why? CNA school doesnt really tell you what being a CNA is about. The private CNA school admission officers lie and gloss over the truth all the while collecting that exorbitant tuition. At a skilled nursing facility where 99% of you will start in, it's 80% changing diapers and making beds. It is a back-breaking, thankless, feces-collecting, low-paying scut job that you can master within months if not weeks or days. I should know. I have.

All those techniques of bedbathing, turning, grooming? Hah. Out the window. CNA school makes you think you have all the time in the world to attend to these patient needs. No way. You have an overloaded roster of patients and no time to talk, let alone groom them. You have your lead CNAs, your other residents and the nurses themselves yelling at you to attend to their needs. The first month, I was almost crippled for a week because my back was so aching and I had used proper body mechanics. These patients are so overweight, that turning them on the bed just to change their diaper is excruciating at times. CNA school didn't help with that problem among the other REAL situations that arise in LTC.

Being a CNA means you see the whiniest, neediest dark side of people. After I became one, I've heard one consistent caveat amongst nursing professionals, "You'll get burnt out and will start hating your patients." All true.

Another caveat? The nurses, whom you work with and are hoping to become one day, you eventually deeply resent. Why? CNAs do ALL the heavy lifting. If a resident vomits or ***** in his pants? Guess who the nurse immediately calls because she can't stomach it. You'll have three call lights to answer and the nurse is yelling at you on top of that to get her vitals done.

And for those hoping to get into a hospital? Good luck, because to basically get in you have to be a blood relative or really lucky. Especially if you have no experience. Those CNAs working at those hospitals are basically lifers doing the same thing over and over for years on end. Don't envy them too much.

Become a Medical assistant. You have more interaction with the doctors and nurses, higher variety of patients rather than just old people. No heavy lifting except for maybe transferring once in a long while. The pay is roughly the same, the schooling is longer though. Tuition is a little more but totally worth it. It also counts as healthcare experience which is key since my eventual goal is to get into physician assistant school. Barring that, then nursing school.

I came in like you all nursing hopefuls wanting to help people. It gets harder week by week to maintain that attitude but there are some bright spots like when one of my residents relatives pulled me aside to tell me that her mother loves me taking care of her. Yet, I can feel my attitude waning. I've been in for three months and it feels like years.

I'm doing you a favor here. Do yourself a favor and wave off becoming a CNA and be a MA. I wish I did. As for the tuition? There are public school options. I found one for $750, that teaches front and back office at local adult school here in California.

You have been warned.

IMO I think the reason why there's so many unhappy people in the SNF is because of the lack of resources and staffing ratios.

I've worked as a CNA in the SNF and also in the hospitals. The resources and staffing ratios are much better in the hospitals. The patients aren't any different because most of them end up in the SNF for long term or rehab. The ratios for CNAs on AM & PM aren't much different than in the hospital, but for the noc shift there's a big difference. In the hospitals you can't have no more than 10-12 patients depending on the acuity. In the SNF I remember having about 20 patients for noc shift. The hospitals tend to staff better for nurses and that could be the reason why nurses are so eager to help the CNAs for the most part. In the SNF they wont lift a finger and most of the time it's due to the fact that they're busy as heck. Some of them will help once they're finished with all their work, and those good ones end up leaving due a to better job offer. IMO if there were better ratios in the SNF workers might get a long better, be happier, and treat patients better.

Personally, and it's becoming more like this in our state, I think every person entering the nursing field should have to experience being a CNA first. I have been a CNA for years now (getting ready to enter nursing school soon), and it has been the most fulfilling job I have ever had. I love helping people, and yes the job can be stressful, but it also matters where you work. Nursing homes are by far the hardest because a lot of times you can't get help when you need it due to low staff of CNAs.

But the thing that bothers me the most about what you said is that you will begin to hate your patients. I have NEVER felt that way, and I was told a long time ago if you hate your patients or if you have the attitude that you don't care anymore, then it's time for you to leave and find another profession. Quite frankly, I am appalled that anyone would tell you that, and if they feel that way, they have NO business being in the medical field.

Sounds to me like you need to find another profession.

Specializes in Medical Assisting.
No one hires Medical Assistants anymore. There are 3 girls in my CNA class who are med assistants, but have been working in that same field for over 10 years. They are in the class, because they now need to be state certified. That means CNA class. Also, phlebotemists can not get hired unless they have a CNA license.

In what aspect do you speak of? Where I'm at, phlebotomists get hired on by Carter blood care, quest diagnostics, and Lab corp. I would assume that it depends on your geographical area and the demand for certain skills. To say that NO ONE hires MA's is just too general...It is a competitive field, however, many offices in certain areas do hire MA's with the right experience, certifications, and skills otherwise I wouldn't have a job! You just have to be better than the rest! Again, it all depends upon the need for certain skill sets in the area to which you refer. These schools pump out MA's like nothing else, just to make money. Only the top, very creme de la creme make it a career. I've been one for 5+ years now. I do pretty well with it and is what encouraged me to pursue rn.

Specializes in Medical Assisting.

I totally concur w/ you! It's all about attitude! If you can't be in this field for the patient, then it might be time to look into something else. I'd say as far as CNA vs MA vs any other health care profession, do research into job descriptions, pay rate in your demographic area, and so forth, plus the education required for such professions and then decide where you want to go w/ that info.

I agree. I have a CNA license it has to be the worst job possible. It is a totally underpaid job and a disgusting one as well. I would advise my worst enemy to go and become a CNA. Ugh. It actually helped me to decide that nursing most likely isn't for me because being a CNA is so gross.

While I agree it is grossly underpaid, if you can't see the forest for the trees, then get a different job. Most people don't aspire to be a CNA their whole life, and if they do, then God bless them. In most cases it's a stepping stone. You strike me as one of those people that think they'll waltz into nursing because it pays well, without realizing what it entails. Every NS should REQUIRE students to work as a CNA for a while to weed students out, and a lot of NSs are catching drift. You need to toughen up or get a desk job.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

In the "olden days" before my time of course, the idea that a nurse could be a nurse without knowing how to do the things CNAs do would be unheard of. It used to be built into the system in the days of diploma nurses and actual nursing dorms! The students were treated kinda like indentured servants and did everything!

And yeah, if you hate your patients/residents do us all a favor and get out. Please.

Specializes in med/surg and Tele.

Whoever this original poster is they must hate themselves. To go to MA school in my area is about $10k. When I went to CNA school for about $500, and get paid WAY more then an MA. So Why become an MA, be a CNA instead! Get your information correct before you vent off about things that you dont know about.

It all depends on the person, being a CNA might be for someone, and being a MA isn't, and vise versa. In the SNF in my area they make the same as MAs. But in the hospitals the CNAs make more than the MAs.

Anyway, what the original poster described is a lot what I've seen in SNF. It's very true that what you learn in CNA school isn't reality in the SNF. Conditions are much better in the hospitals as the staffing ratios are much better and people seem happier there. That's just my experience. I enjoyed being a CNA in the SNF but it was a lot of hard work and yes the patients would crap all the time. I had this one patient who would crap everytime you moved her to no end. I hated it because you could never get your work done because the family was always constantly calling you to please change their mother so you would spend 80% of your time in there and divide the other 20% between everyone else. It wasn't the ladies fault that she was always crapping, but in that situation that patient would be high maintenance and needed one CNA who could be there everytime the family called, but unfortunately in the SNF it doesn't work that way, your work load is always going to be hard.

Specializes in Geriatrics.

FOREWARNING: I am not here to offend you (OP). I am only stating MY opinion.

I'd have to say I agree with the OP about it being a back breaking job. However, if someone goes into it with "just as a stepping stone" to become something higher, than yes, someone would view the job as demeaning and would end up hating it after a short while.

I was a CNA/CHHA. I worked in the facilities and did private duty. I worked with elderly people in the facility, and also within the private sector. I also worked for a VNA (Visiting Nurse Assoc.) in my city where I worked mainly with Hospice clients. Both young and old.

I perfer working with the elderly. I have worked around the elderly for over 20 years. Some don't. and yes, it looks like you're one of them. And it breaks my heart that people are "just doing their job" with no passion when working around elderly. They don't take the time to really understand what it is like to become old. Everything about you becomes someone elses responsibility. When you are old, you are treated like a baby and that can be very disheartening.

There are many who are CNA's and LOVE their jobs working in facilities and private sectors. They WANT to be a CNA. I WANTED to be a CNA, NOT because of the money, but because I WANTED TO HELP people. All people who needed it.

Maybe you should really look at why you're THINKING of pursuing your nursing career? You will ALWAYS take care of people of all ages. You WILL have to clean up the vomit and change diapers IF your work place is understaff, as it is almost always the case. True, you may not do as many of the "CNA" duties as an actual CNA, but once in awhile you will have to step in. THAT IS PART OF YOUR CAREER.

No, a CNA is NOT a glamorous job. Either is nursing. I'm sorry you are so filled with hatred in your current position. I hope you decide NOT to work wherever you're working because you are doing a great disservice to the human beings you are supposedly suppose to care for. You may think they don't see/feel it, but they do.

Specializes in ICU/CCU.

Becoming an MA is a terrible idea if your going to nursing. No I am not talking about experience but rather the waste of money and time. You can simply go to community college, take one semester, pay around $250.00, become a CNA and then apply to nursing school. Second every field or career is less glamorous then advertised including nursing. Everyones always overworked, someones always complaining. But the higher your education, and experience level the more control you gain over your own life.

There are lots of CNA openings at LTCs because the jobs suck. It's like working in a psyche ward with disabled, incontinent, tyrannical geriatrics.

I can't believe u (student800) just said that. I hate to burst your bubble, but u will work with geriatric patients for the rest of your life if you are going into the medical field. Everyone has a story and that story shapes them whether positively or negatively. And who are u to judge?

It takes compassion, patients, and love to work with people. Maybe u need to rethink the field u are going into. Also, no matter what u will have to deal with incontinent patient and sometimes dementia or delerium related to meds. If u can't handle LTC, then u won't handle everyday patients whether in LTC or hospital or just walking pass on the street

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