Major venting about some CNA's - page 7

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

  1. by   jacolaur
    This thread has been all over the place. Even my computer was sssmmmokkinnn!
  2. by   Ortho_RN
    Rebel.. I agree with you 150%...

    Luckily the floor I work on we all help each other.... If I am busy and can't get something then the nurse has no problem getting it for the patient.. And that is the way it should be... I help the nurses as much as possible, but then again they trust in me a lil more than they do some of the other PCA's. HOWEVER when we have a pulled PCA you can tell a big difference... An IV starts beeping and they don't even go see WHY it is... they just tell the nurse "the IV is beeping", so if Im not busy I usually go see what it is, and yes there are times I can't do anything about it... I have had more problems with fellow PCAs than I have ever had with any of the nurses..

    Only had one problem with a LPN, who gave a patient insulin, who SHOULD NOT have gotten it... And she was just gonna ignore the fact that she did it.. And I am talking about a MAJOR dose, it was like 40 units.... The patient brought it to my attention and said "why did I get insulin" and I was like HUH?? So I went to the charge nurse and told her and she went to investigate and this LPN said she did not give it.. She said the patient and the aide don't know what they are talking about... Well it became a big ole mess... LPN jumping on me telling me I was just trying to start trouble.. UMM NO, I was trying to take care of my patient... Well this smart LPN had labeled her syringe with the dose the patient in the next room should have got.. Well she was busted, and guess what she got fired.... But I was the one who felt like **** for ratting on an employee..
    Don't know what this has to do with anything, but
  3. by   rebelwaclause
    ^5 nurse2b.

    (Eyes shrugged in absolute dismay)....Yes...40 units of insulin is an unusually high amount of insulin."

    (Thinking to myself...It couldn't have been 40 units. Then again.....).
  4. by   Flo1216
    NURS2B....it is not the responsibility of the CNA to troubleshoot the IV pumps. It is up to the nurse to figure out why it is beeping. CNAS aren't supposed to be messing with the pumps anyway, so why is it wrong to merely inform the nurse the pump is beeping? The nurse has to go in there to fix it so I am sure she will figure it out.
    Last edit by Flo1216 on Dec 12, '02
  5. by   Ortho_RN
    Well Flo.. I don't fix them.. But it isn't going to hurt for me to go and see what the problem is... If it is just a distal line occlusion I am capable of looking for the kink then restarting it... I think it is just laziness for them not to go and see what the deal is and SILENCE the dang pump..

    And Rebel.. It was 40 units.. The lady that was suppose to get this stuff weighed almost 400lbs.. But the LPN gave it to a 145lb lady... That ladies blood sugar dropped to like 70 by the end of my shift, but we were making her eat so it wouldn't bottem out.. She ended up being just fine..

    Flo.. Are you a nurse or student?? Just curious?
  6. by   Flo1216
    CNAS in my hospital are not even allowed to do that(silence the pump). Sure it is a courtesy to tell the nurse why it is beeping but it isn't a requirement. Maybe you have more of an incentive to find out what's wrong since you are a student and will eventually have to deal with this problem yourself. I know I do. Also, however, in a CNA'S defense, oftentimes, the call lights will go off in response to an IV beeping and the CNA will inform the nurse who in turn, ignores them. So then of course the lights continue to go off until an angry patient or family member starts wigging out. Even though the CNA knows the light is ringing because of the beeping, they still have to go answer it and take the abuse even though there is nothing they can do. I try to see both points of view since I will be an RN soon and it is defintely a 2-way street.
  7. by   Flo1216
    Nurs2B....I am a student. I graduate in June.
  8. by   Ortho_RN
    Well we are allowed to do certain things to the IVs, heck when we do I&Os we clear them out at night.. So... I guess every place is different... I just think if I can make my evening and the nurses easier then I do... But I guess that is just me..
  9. by   ktwlpn
    Originally posted by nurs2b
    Well then does it make a difference to you whether the CNA/PCA is also a nursing student rather than just working as a CNA? I am just curious, not trying to start an arguement or anything...
    If the student is working as a cna I would expect them to perform within that scope of practice.If the facilty has student "externs" or whatever-I would expect their scope to be a bit broader but that they would continue to perform within that scope.....As I said previously-my experience is with nurses doing the fingersticks and administering the insulin.Often a particular task is within the cna's scope of practice and the nurse in charge of the pt will carry it out herself....as I would.(No argumentative tone detected by me-it's ok to have a difference of opinion....) I think a valid point that I would like to make here is that if I administering insulin based on a fingerstick and sliding scale coverage then I am obtaining the fingerstick...Even if another nurse offers to help me out I would rather do it myself-unless that nurse is going to admin the coverage,too....In my mind it is no different then not administering a med you have not drawn up...It is not so much a cna vs.nurse thing to me.....
  10. by   rebelwaclause
    nurs2b...PLEASE come work with me!!!!!! (WE NEED YOU!!!)

    Hahahahaha.

    And 40 units should have put that LVN before the licensing committee. That high of a dose would've turned on a lightbulb for ANY nurse to check the actual MD order. THEN, it probably would've been realized it wasn't for the patient thought of.

    Duh.
  11. by   mario_ragucci
    When I here that "lighthouse pinging" noise from the IV pump, I go in and make it stop. If its displays "OCCL" then I figure the obvious. If it has low numbers on it, then i can tell the PT it is finished and the nurse'll be in to take it out.
    IV pumps blow me away because I know zilch about them.
    As a CNA, the areas I have purposely avoided inquires to the RN's about are IV pumps and chart. Out of respect to the RN's I would never ask a frivilous question. Think I'll have to figure out IV pumps very formally.
  12. by   chicory
    40 units could be w/in the norm if it was Lantus.
    And also the intended patient was large..even 70/30 doses can be that high in a large and/or insulin resistant person.
    (just my 2 cents)
  13. by   rebelwaclause
    Yes Lantus is a high dose Insulin. I'm thinking of the sliding scales at my facility (different at every facility - I presume?). Our docs cut off at about 12 units (regular) and specify to notify them, usually leading to an amp of something (D5).

    We do not use Lantus. Is anyone using Lantus in the hospital setting? Expensive, new and a little temperamental for an insulin.

    At any rate, 40 units of any insulin deserves a quick "CYA" peek at the patients chart. Again, this poor 145 pound woman wouldn't have been subjected to a dropped BS if done so.
    Last edit by rebelwaclause on Dec 12, '02

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