To all the wonderful CNAs out there, thank you for being the fantastic assistants you are. You are greatly appreciated for everything you do. You help to keep things running smoothly and by performing what seem like menial tasks, you free the nurses you work with up to handle more pressing issues. Reporting important information is extremely important and for those of you who do this I thank you. Although I may consider myself a competent and worthy nurse, I am not super-human and do not have eyes in the back of my head, so I count on you to give me insight to what's going on in many situations. B/Ps outside parameters, febrile temps, broken skin, and the multitude of other things you might discover while providing care. I can not possibly express the gratitude I truly have for your contributions to the health and well being of our patients. Thank you!
That said, for future reference, please try to refrain from telling me how to do my job. When you come to me to report a patient is in pain, great! I got it. I'll do what I can. When a patient is having an episode of increased confusion, again, I'll try to do everything possible to help that pt. But, just because I don't jump and run to a pt who says he is in pain does not mean I haven't done anything or don't plan to. There may be circumstances you are not aware of, circumstances that I am not at liberty to discuss with you, or feel I have to explain. Its not your call. Its mine. Just because a pt is causing you to get behind in your other duties, having to put them back into bed because he/she is crawling out, or screaming out for what seems like no reason, does not mean I am going to sedate or chemically restrain that pt. so you can move on to other things. It is my call. It is my decision. It is also illegal to chemically restrain a pt without express orders from the doctor. Also, many medications ordered for decreasing anxiety and agitation in dementia patients don't work. Often they have a paradoxical effect. That is the opposite effect of the one they're supposed to have. Rather than calming the pt, the medication might make their anxiety/agitation worsen. Not that I need to explain, but perhaps explaining may give you a better picture. Many times talking to the pt, getting their attention and re-directing them proves more helpful than meds anyway. Toilet or change him/her, give him a snack, sit down and just talk to her. So, you get five minutes behind. You can easily catch up. However, coming to me every few minutes to tell me (not ask), to "do something" isn't helping at all.