Major venting about some CNA's - page 3
First, let me say that I am not venting against all CNA's or even most...I've been one myself. I know how hard they work. I applaude the good ones. My problem is the majority of the ones at... Read More
Dec 6, '02Nurse leigh-CNAS doing accu checks is pretty standard. It doesn't take a rocket scientist to stick someone in the finger.
Dec 6, '02Its me.....I didn't attend the CNA training because I was already a student and the first semester is mostly CNA stuff, but yes, CNAS ARE trained to do accuchecks and yes, CNAS ARE taught to report the out of range results STAT. Why take the sugars if the don't plan on reporting them? For the hell of it? They are taught the ranges during their 6 week training. Also, the machine gives a prompt. Like a blood sugar of 40 would flash " Critical low result" That sort of thing. Seriously, it's not that difficult.Last edit by Flo1216 on Dec 6, '02
Dec 6, '02Originally posted by Flo1216
Nurse leigh-CNAS doing accu checks is pretty standard. It doesn't take a rocket scientist to stick someone in the finger.
Dec 6, '02Exactly. AS a cna I was a little offended by the insinuation that a finger stick is way too involved for a CNA to comprehend or the question, " Do CNAS knows to report out of range accuchecks STAT"? Duh, no we just wait for the pt to go into a diabetic coma before we say anything.
Dec 6, '02As a student - the other week my pt was diabetic and our CNA's do the accu checks - I was really hopping to get to do it sometime but - we, as students, don't even get to learn them ) Her blood sug was 80 and "Mary" said nothing and within 10 minutes my lady was having as she put it "one of my diabetic things" and I got her juice we laid her down then she came around - totally freaked me out...this CNA really acted like she hates us students - if we would nicely ask her not to take our pts V/S (which the instructors claimed the aids know to let us do them) she would do them anyway...
Dec 6, '02flo, I was not meaning that CNA's dont have the brains, where I am from they havent got the training. Also as far as that goes, patients at home can give themselves or there own kids or parents meds, but once in a facility, it is the nurses job to give those same meds. I have seen more than one time where someone comes in with a multitude of pills in one bottle and said " this is how i do it at home" . My post was not intended to offend anyone. i was once a cna too.
Dec 6, '02I, too, was in no way insinuating(if any of ya'll took it that way) that CNA's aren't smart enough. I did not take "CNA" classes either but the accuchecks aren't included in the LPN training until the second semester here. I know the facility I work at does NOT let CNA's do them and just thought that it was a universal thing that nurses do their own accuchecks.
itsme has a great statement regarding pt doing thier own, a patient can give themselves OCD's but not when admitted to the hospital. Even a simple tylenol that they may have in stock in thier bathroom requires a doctors order in the hospital setting.
In the hospital that I am going to work at Lab does all accuchecks.
My only point was that in my training the finger sticks were taught later in the game and therefore would not be done by CNA's. Anywho, thanks for educating me that CNA's are doing them elsewhere. I find it very interesting that the same job title holds many different job descriptions around the country
Dec 6, '02Originally posted by itsme
what training does a CNA have for accu checks? Is she aware that she needs to tell the nurse STAT if it isnt in normal range? Just curious, because where I am at a CNA doesnt even do vital signs (except temps) let alone an accu check.
Dec 7, '02Originally posted by l.rae
l might wonder too, what critical thinking skills are you employing when you determine if a request is being made for convenience or pt benefit?...
Dec 7, '02OKay, I'm an LPN student who's graduating next week. I work as a CNA/ Medication Aide in a LTCF. Where I work, even the TMAs don't get trained to do Glucometers until the DON thinks we're ready. CNAs don't do VS, Glucometers, etc. They're busy enough.
All I can say is in the same situation, I'd have done the glucometers myself and reported the CNA's attitude when the boss was in. For the safety and comfort of the resident, it would be worth the extra 30 seconds of my time.
Dec 8, '02I'm the night charge nurse in a LTC facility but have never heard of CNA's doing glucometers. I've been at a facility for about 11/2 yrs. now and I've had the worst time with CNA's here. One actually stood in the hall and called me a PIA. She no longer works on my unit. Since I started at this facilty I've had problems with the CNA's sleeping (during off-break time). I was appalled when I came here to find them sleeping most of the time. They made 2 rounds per shift and the rest is downtime. Iv'e gone to the DON whose answer is write them up. I have, twice, and one of them a year ago. No one has addressed that one yet. Wrote one up for not completing a shower, (she refused actually, because it was scheduled for Sunday AM). Next night before report she performed some kind of religious ritual, running around in front of nse station shaking and chanting "In the name of the father,...etc" and making the sign of the cross, and then stands before me and says "proceed". Didn't say anything then, but called my supervisor and told her I wasn't going to put up with this. She backed me on that one. After writing up that CNA, for the shower refusal and insubordination, several went to administration saying I'm predudiced. Not true. But I expect people to do their job. No sleeping, (I am the only night nurse who does not tolerate this) make at least 3 rounds per shift, and check those residents hourly in between. Sorry if this was lengthy but it's such a problem and thought it might fit in here. I've had terrific CNA's and they are worth their weight in gold, have one here also, and it's great to have someone to rely on, there are a couple who do just what they have to, but even that is ok as I know this is a job, in most cases, not a career. Since coming to this site a few wks ago, I have decided to fix this problem. I will write them up for sleeping, no more waking them night after night. If suspension or termination follows, that is not my fault, it's theirs'. And if administration doesn't back me, then I will leave. I don't talk down to CNA's, we're all just people, but since I am a charge nurse, it's my job to see that their job gets done and that's just the way it goes. I am no longer going to tolerate a CNA refusing to do her job, sleeping on the job, or insubordination. Any comments are welcomed.
Dec 8, '02I can relate Maggie. I took a temp job at a LTC once to find similar circumstances...CNA's ignoring patients, sleeping, watching videos, and eating. When I asked them essentially to do their job per policy I was mocked. I did not stay there either...the DON cried and begged me to stay and 'help her', but she did not assist me with viable solutions so what else can we do....? I will not round, turn, and brief the entire facility AND do all the meds and paperwork while the aides play around and refuse to work.
When a whole group gets together against another group or an individual it's workplace mobbing. These facilities will not be able to keep good help unless management gets involved to correct the problem.
While I agree that good manners help in dealing with others.... one cannot blame another's lack of manners as an excuse NOT to do the job they were hired for. Doctors 'tell' me what to do sometimes...and I can't get all bent out of shape...what's the point?? Sometimes I'll respond to a doc's bluntness with humor..." a salute and "YESSIR" or a "Say pretty please....."...and he may grin and say "OK, sorry I was barking orders again.." But I DON'T refuse to do my job.
Good luck to those struggling in bad workplaces..let us know how administration responds to your concerns.
For the record...I've also seen nurses, docs and RT's behave in similar ways at facilities...the group's bad behavior makes it hard on everyone else. It's not just CNA's who mob.... so CNA's needn't feel singled out.Last edit by mattsmom81 on Dec 8, '02
Dec 8, '02I made a mistake in my post. (UGH!!). I thought CNAs at my facility were doing accuchecks, but its the CNA-NTs (I am one of those as well) that are doing them. Evidently there are more of us than I knew about and this was made clear to me when my partner ( I was working a different floor) was astonished that my nurse would tell me which of her patients needed accuchecks (she told me 'we can't do those!').
sorry for the mistake.