RN's forced to do CNA work - page 7

I am a new nurse and was wondering if this is a standard practice. When my floor needs to use a CNA to sit with a patient, they often have an RN take on the CNA's job for that shift. The RN no... Read More

  1. by   Glycerine82
    Quote from julz68
    You go, Girl! You sound like the type of CNA that I once was. You are going to be an AWESOME nurse!!!
    Thank you very much :-) I can't freaking wait.
  2. by   Bhavana
    Quote from Glycerine82
    Seriously? Honey? Seriously?

    Anyone who doesn't like patient care shouldn't be a (bedside) nurse. Patient care is all things related to NURSING. The profession that you joined. What, I'm not a nurse so I don't get to have an opinion? Well, I am a person and I am educated, and you stated that:

    A) You didn't go to school to do CNA work, hence my comment. There is no such thing as CNA only work. Its all YOUR JOB which some of it can be delegated, yes, but its not like the CNA's are there to do those things so that you don't ever have to and that is how you made it sound. Is that not what you are saying? Some facilities have an all RN staff and all the above falls under the nurse.

    and B) That you don't like patient care. If you don't like patient care why the crap did you become a nurse? Of course everyone has one aspect or another that they don't like but come on. That is my opinion. People who don't like patient care shouldn't be in nursing. Period. Or, they should be in an aspect of nursing that.....oh, I don't know, doesn't have patients. You are saying you don't like taking care of patients, because that's what patient care is. Do we have different definitions of the phrase?

    No, I am not a nurse (yet) BUT i work alongside some wonderful nurses. Side by side with them and I see what its like. I watch what they do and although I haven't physically done it yet, I get it. Not in the same way I'll get It when I'm a nursing student and a nurse but its not like I deliver Pizzas. I totally get it when they are too busy to help me and they totally get it when I need help doing an occupied bed strip. They totally get it when I can't be two places at once and if they are able they go to my other patient for me. And in return I am there to help them do whatever they need me to. I'll collect a specimen, label it and send it to the lab, all things I don't have to do but if it helps them out I'm glad to do it. No, obviously I can't pass meds or hang blood but there are a lot of things that I can do and they appreciate it. And btw, legally I can do whatever they delegate to me in short of passing meds. I can put in foleys, do EKG's, draw blood ....whatever. Its not the norm but it is perfectly legal.

    OH and I have a job waiting for me when I graduate because I work in a hospital and they are paying for my tuition. In return I have agreed to sign on with them when I become a nurse but that is beside the point.

    I do apologize for my harshness but it really gets my panties in a twist when I hear a nurse insinuate that CNA work is beneath them or that they shouldn't have to do it and I am being honest when I say that I have never met a nurse who told me they didn't like patient care yet still liked and wanted to continue (bedside) nursing.

    What I will add however, is that I do recognize that LTC is much harder than it is in the hospital and you likely don't have time to do much more than pass meds.
    working as a cna and observing nurses is not the same as being one. Respectfully, it is always the ones who have no idea who think they know the most. where you live and work also has a lot to do with your duties. where I work, and in most large cities, rns do not do patient care on the same level cnas do. you seem to be stuck on changing diapers and schlepping bed pans as all a part of "nursing", and while that may technically be so, it is not practical for an rn to stop what she is doing and run to empty a bed pan every time a bell goes off. the more interruptions a nurse has, the more likely it is that she will make a mistake. This is a proven fact.

    I only hear honesty in the op's attitude. Just because he or she does not want to do the dirty part of patient care does not make he or she any less entitled to be a nurse. You have no nursing experience, but feel the right to judge someone on their career choice because they don't see it the way you do? nursing is a varied field with endless options. we are not all robots who leave nursing school thinking the same way and wanting to do the same things. And the op is 100% spot on about time constraints. nurses do not sit around all night reading avon books and waiting for call bells to go off. often they have more duties than they have time for, this is the way it is in most nursing jobs. not sure where you will work, but what sums it up is too many patients per nurse and very little time for comforting and plumping pillows, its all run run run, and run some more. you are likely to have a change in attitude when your responsibilities increase, a day will come when the 5th call bell for toileting goes off and there are no aides around to get it. having to stop what you are doing to take care of "cna work" every half hour adds up to a lot of time at the end of the night that you will have to stay past your clock out time to try to finish up your work. time you are not likely to be paid for.

    you are entitled to your opinion, but there is a huge difference between the two jobs. while the line between the two may occasionally blur, there is a reason why one requires a college education and one does not. There is a reason why one pays well and the other generally does not. while a nurse may occasionally have to help out with patient care, it is her job to delegate most of it, and this is in black and white on the job descriptions for RN's at places that employ both CNAs and RNs.

    Being humble and not coming off like you know everything there is to know about nursing, and other nurses and their motives, will help you immensely once you get out of school. Just an FYI to keep an open mind and realize that not everyone, including some great nurses, sees things as you do. Best of luck.
  3. by   Flygirl23462
    I'm a CNA who works as a Clin tech.. I plan to go back to shool to be an RN .. I am so glad the RNs I work with did my job prior .. They rock!!
    Nothing is below them and we are a super busy floor.. But I do see their work load increasing and if they are doing any hiring it is hiring more techs. That being said with the squeeze coming it is apparent if you don't roll with the punches .. You are gonna roll somewhere else
  4. by   Glycerine82
    Ok, I said my peace. I just know what kind of nurse I don't want to be, and that's a good thing. I'm not going to have this argument over and over. It's just my opinion and God knows it doesn't count for much since I'm not a nurse yet. I appreciate your insight, and will consider some of it.

    Just more notes to self.

  5. by   Neldavi
    Quote from nursej22
    I actually enjoy "CNA" work and wish I had more time to provide basic cares and get to know my patients on a more personal basis. As it is, on most nights I am so hurried with assessments, meds, and documentation that I seldom get to interact with my patients much more that hi, bye (exaggerating, of course).
    We have been very short on aides though, and from time to time an RN works as a CNA on our floor.
    Maybe I don't mind assisting patients because I originally trained as an LPN and is was seen as honorable. I used to work with a doc who put himself through medical school as an orderly and he would volunteer to help clean, turn or boost a patient.
    Yes, this. I appreciate a CNA **** once in a while for a break from all the charting and calling doctors, not to mention that I kind of see CNA work as the base of nursing. We just don't do it so much as nurses because there's no time to do everything if you have 5-7 patients.
  6. by   Bhavana
    Quote from Glycerine82
    Ok, I said my peace. I just know what kind of nurse I don't want to be, and that's a good thing. I'm not going to have this argument over and over. It's just my opinion and God knows it doesn't count for much since I'm not a nurse yet. I appreciate your insight, and will consider some of it.

    Just more notes to self.

    No one said you are not allowed to have an opinion, but like many of the CNA's that have responded to this post, you seem to be taking it personally when someone says that they wouldn't want to do cna work. I think your feelings are coloring your judgement. I know a lot of great nurses who never worked as CNA's. It is not a prerequisite for nursing. And all of this is strongly dependent on the type of nursing you choose - a hospital or rehab nurse with 5 or 6 patients may have more time to pitch in with patient care than a LTC nurse, some of whom might have up to 30 (25 of them incontinent) patients to medicate and do treatments on every shift. With the average 2 med passes, that puts you at approximately 60 times you are medicating - and with the elderly, you don't just give them a few pills to swallow and that's it. Pills have to be crushed, BP's have to be checked, there are peg tubes and there are neb treatments, there are blood sugars to be checked and insulin to give...and don't forget, some patients with dementia can be combative when you try to get them to do things. So you have to be pretty creative to get them to participate sometimes.

    Your attitude and willingness to do it all are commendable, but may not be realistic in a good deal of nursing situations. I am sure you will be a great nurse, though. Good luck with school, it's awesome that where you work now is paying for it, I have never heard of that for a CNA. In fact, seems that even paying for furthering education for RN's is becoming a thing of the past. Where I work used to do it, but not anymore. With all the cuts recently, this has become one of the first things to go, and I live in an area where there are a lot of people, and a lot of new nurses because we have so many nursing schools. Competition for jobs is brutal. Guess all the hospitals and nursing homes could go broke trying to get us all our BSN and Master's degrees.

    Anyway, I do wish you well. Not my intention to argue, just to show a different view.
  7. by   PeacockMaiden
    I am a RN charge nurse in a skilled nursing facility. I am responsible for 60 patients, plus supervising the work of the 2 CNAs for those patients. I will help with personal patient care when I have time, but the reality is that I don't even have enough time to do my job. It's very sad how understaffed these places are because it's the patients that suffer.
    But the bottom line is if I don't get my job done within the shift, they will fire me. That is the reason I can't do much personal patient care, I need to do my own job so I don't get fired.