Older PCA/CNA - pg.5 | allnurses

Older PCA/CNA - page 7

I usually agree with the idea that with age comes wisdom, more experience, and improved quality because of these factors, but when hiring assistant staff, STOP hiring old people!!!!!!! Lmao, my floor... Read More

  1. Visit  Ruby Vee profile page
    3
    Quote from leslie :-d
    it compromises the pt's breathing by the diaphragm smushing against the lungs.
    a minute or two is ok, but not much longer.

    i found a couple of cna's doing this, and i went nuts (not really but you get my drift) on them.
    pt w/advanced copd in trendelenberg, face bright red, lips blue.
    lungs cannot expand in this position.
    the cna's would do this typically, very obese pts.

    leslie
    without lift equipment or six helpers, there's no other way to pull up an obese patient. usually, it takes less than a minute.
    pixie120, RNDance, and Altra like this.
  2. Visit  chevyv profile page
    1
    Quote from Girlygirl69
    You argued one point, what is the other?
    The other point would be that a younger cna might have some more pep in their step. I'm what I consider middle age now and I have mess energy than I did when I was 19. I like to think I now work smarter not harder, but I doubt that. So being young comes with perhaps more energy to run.
    Girlygirl69 likes this.
  3. Visit  Girlygirl69 profile page
    0
    [QUOTE=pixie120;5592917]Ok, I will go gently here. I don't care what age a person is, not their creed, religion or their color. The only thing that I care about is, can they figure out how to answer a calllight. After that, the team can all work together to fill in the blanks. I hurt my back when I was a 19 year old CNA. I can pull up in bed, 2 person assist transfer and 1 person pivot transfer anyone. I will help transfer anyone. I put down my MAR (cuz we are NOT married) and I focus on the resident and my team. The rest comes with a team approach. I have seen very young, seemingly agile nurses apparently without movement below the waist, who move like slugs. I worry about them. I feel they will be enormous-ly dissapointed in the years to come. Who will give direct patient care if the RN's won't? I don't understand the mentality that has time to point out all the deficiences of their co-workers rather than mentoring and leading them. Am I wrong

    I refuse to be a hero such as yourself because I'd actually like to avoid hurting my back like you did. No hospital will cover me if I'm reckless and try to be super nurse. Do you think your patient would risk their body and perform maneuvers which were unsafe? Yeah you go ahead and be super nurse. I'll pass. I haven't even had kids yet ii need my back. Let me help YOU understand the mentality..... I shouldn't be lifting patients by myself. I work in an ICU, not a nursing home, so my patient are sedated and are dead weight. Is it reasonable to expect me to do clean a 300 lb intubated patient by myself. That's not safe. Have you ever had a an ET tube migrate 2cm after washing ampatient by yourself? Well let me tell you it sucks. Reintubating a patient because it was my fault sucks
  4. Visit  Girlygirl69 profile page
    0
    Quote from ruby vee
    without lift equipment or six helpers, there's no other way to pull up an obese patient. usually, it takes less than a minute.
    and imagine one nurse doing it by him or herself
  5. Visit  Girlygirl69 profile page
    0
    Quote from pixie120
    Draw labs, not an RN responsibility?
    Empty foleys,
    Nurse does it for her......Are these patients your patients, or hers?
    They are OUR patients and we need to coordinate to provide care, but if half of the team refuses because their physically
    Not up to the job, then I'll do I'll be @seed out
    And doing it by myself
  6. Visit  Girlygirl69 profile page
    0
    Quote from mamaxmaria
    I don't think she meant it the way you are implying she meant it....
    It seems your implying that she is a nurse with a superiority complex that is too good to so the basic nursing tasks that PCT;s/CNA's like myself are hired to do....

    The way I read it.... They are overwhelmed on their unit and need assistance... so they hired someone to do the basic nursing tasks... but the woman they hired is up in years and refuses to the job required because of physical limitations....sooo how much help is she really if she was hired to help the nurses but can't do much of anything anyway????
    But let me correct one of your statements. The CNA is hired to assist me in doing patient care because he/she shouldn't do it alone. We should work together to get the job done. What's the point of hiring an aide who can't do the job at all? I'll still be doing all the work by myself
  7. Visit  RNDance profile page
    1
    [quote=Girlygirl69;5608481]
    Quote from pixie120
    Ok, I will go gently here. I don't care what age a person is, not their creed, religion or their color. The only thing that I care about is, can they figure out how to answer a calllight. After that, the team can all work together to fill in the blanks. I hurt my back when I was a 19 year old CNA. I can pull up in bed, 2 person assist transfer and 1 person pivot transfer anyone. I will help transfer anyone. I put down my MAR (cuz we are NOT married) and I focus on the resident and my team. The rest comes with a team approach. I have seen very young, seemingly agile nurses apparently without movement below the waist, who move like slugs. I worry about them. I feel they will be enormous-ly dissapointed in the years to come. Who will give direct patient care if the RN's won't? I don't understand the mentality that has time to point out all the deficiences of their co-workers rather than mentoring and leading them. Am I wrong

    I refuse to be a hero such as yourself because I'd actually like to avoid hurting my back like you did. No hospital will cover me if I'm reckless and try to be super nurse. Do you think your patient would risk their body and perform maneuvers which were unsafe? Yeah you go ahead and be super nurse. I'll pass. I haven't even had kids yet ii need my back. Let me help YOU understand the mentality..... I shouldn't be lifting patients by myself. I work in an ICU, not a nursing home, so my patient are sedated and are dead weight. Is it reasonable to expect me to do clean a 300 lb intubated patient by myself. That's not safe. Have you ever had a an ET tube migrate 2cm after washing ampatient by yourself? Well let me tell you it sucks. Reintubating a patient because it was my fault sucks
    Rest assured, Girlygirl. There is no danger of you ever being accused of being a Super Nurse.
    And I'm curious---why would a patient have to be re-intubated after an ETT migrated 2 cm? Sounds like a matter of ETT adjustment and re-taping, if anything. 2 cm is not even an inch-worth of movement. Most ETT are anywhere from 22-26 cm at the lip. A movement of 2 cm is not worthy of re-intubation.
    Sorry, but this whole thing is just turning into a really weird b***h session with some really questionable posts here.
    Last edit by RNDance on Sep 10, '11
    pixie120 likes this.
  8. Visit  RNDance profile page
    3
    Quote from Girlygirl69
    And imagine one nurse doing it by him or herself
    That's ridiculous. I've worked in ICU's for many years and there is no way that I couldn't get a group of co-workers together to help lift a heavy patient. And yes, my co-workers certainly do pitch in---if for no other reason than they know that the help they gave will be returned in kind when they need it.
    We routinely have patients weighing over 300 pounds and it is not unusual for us to have patients weighing more than 500 pounds. We alll help each other. On the rare occasions where we have a CNA on the unit he or she pitches in too. Yep, we have a few elderly ones who can't lift but really....some have been lifting for thirty or forty years and we treasure what they are still able to do but don't ask them to kill themselves by lifting a heavy patient.
    It's just human kindness, from one human to another. Try it once in a while, instead of being so incredibly angry about being so terribly wronged.
    BTW, I usually make a linen bedroll and wash the front of my patient myself, even if we have a CNA. Then I call someone (or several people if it is a bariatric patient) to help turn so I (yes, ME MYSELF) can wash the back of the patient (great opportunity to inspect the skin) and put on the new linen.
    We also do all our own labs, wound care, dressing changes, foley insertions, etc. Never worked in a place that had techs, LOL. Amazing what you can do when you have to. Frankly, I wouldn't want a tech doing my dressing changes or much of anything else beyond assisting me directly (that means with me in the room!) and stocking supplies. I want to know what is going on, first hand, and with a max of two patients in most of the ICU's I work in now I feel that it's my duty to know.
    Methinks thou dost protest too much, Girlygirl.
    Last edit by RNDance on Sep 10, '11
    DookieMeisterRN, pixie120, and OCNRN63 like this.
  9. Visit  Girlygirl69 profile page
    0
    Negative
  10. Visit  Girlygirl69 profile page
    0
    So you agree with hiring a worker who doesn't work
  11. Visit  pixie120 profile page
    1
    [quote=Girlygirl69;5608481]
    Quote from pixie120
    Ok, I will go gently here. I don't care what age a person is, not their creed, religion or their color. The only thing that I care about is, can they figure out how to answer a calllight. After that, the team can all work together to fill in the blanks. I hurt my back when I was a 19 year old CNA. I can pull up in bed, 2 person assist transfer and 1 person pivot transfer anyone. I will help transfer anyone. I put down my MAR (cuz we are NOT married) and I focus on the resident and my team. The rest comes with a team approach. I have seen very young, seemingly agile nurses apparently without movement below the waist, who move like slugs. I worry about them. I feel they will be enormous-ly dissapointed in the years to come. Who will give direct patient care if the RN's won't? I don't understand the mentality that has time to point out all the deficiences of their co-workers rather than mentoring and leading them. Am I wrong

    I refuse to be a hero such as yourself because I'd actually like to avoid hurting my back like you did. No hospital will cover me if I'm reckless and try to be super nurse. Do you think your patient would risk their body and perform maneuvers which were unsafe? Yeah you go ahead and be super nurse. I'll pass. I haven't even had kids yet ii need my back. Let me help YOU understand the mentality..... I shouldn't be lifting patients by myself. I work in an ICU, not a nursing home, so my patient are sedated and are dead weight. Is it reasonable to expect me to do clean a 300 lb intubated patient by myself. That's not safe. Have you ever had a an ET tube migrate 2cm after washing ampatient by yourself? Well let me tell you it sucks. Reintubating a patient because it was my fault sucks
    sO.... not a hero nurse, do work in SNF, encouraging all to work as team and not JUST focus on the task before us. I hurt my back in early 1970's working in a SNF, SNF's were really different then, no gait belts, no help, no teams. I mentioned it because despite this back injury, I am still capable of assisting the CNA's to do 2 ,3 or 4 person transfer up in bed, the rest is all hoyer lift, every facility in this area is now a no-lift facility. I am quite sure the ICU is different, but where are the teams that can help you, in the ICU? I have no idea if it is reasonable, in your hospital, ICU for anyone to dead weight clean, turn, transfer ICU patients. I wouldn't reccomend it, nor did I advocate that in my post. My other question is, what is the team situation that is available for you, in the ICU? I do understand your frustration, but I don't understand slamming the "super nurses" or me, for that matter. If you don't have enough help or a team mentality to move that 300 pound person, that is a problem. What I was specifically referring to, and my apologies for not making this more clear, was in the SNF arena, the nurses need to step up to the plate and help the CNA's do care, like turning the heavier patients side to side in bed, or up in bed, or whatever might be needed, maybe help with the hoyer lift. It just makes everyones job easier when we approach it from the team mentality, which is kinda a new idea/new frontier in SNF. (and exactly how so many of us DO have injuries from working prior to the no-lift SNF policies). And just because you are not GOING to do certain things (your perogative) doesn't mean that my choices are wrong or that as a nurse, you should slam me. I will take that title of super nurse though, cuz....I have earned it.
    OCNRN63 likes this.
  12. Visit  pixie120 profile page
    1
    Quote from Girlygirl69
    And imagine one nurse doing it by him or herself
    Why? I think this explains and answers the problem at hand. An RN that doesn't see the total care of the resident as the RN responsibility, believes certain portions of care are NOT RN duties, and is frustrated that the "Team" won't help, or can't, or is on light duty. Trust me, whenever I have someone on light duty, I am never short on tasks, lol. Lots of stuff can be done, but it requires mentoring and educating, particularly if the CNA hasn't done the task before. As a side note, many CNA's have learned in SNF/AL to assist the nurses at a much higher capacity, we have one that is fully cross trained for central supply, activities assistant, MDS activities, Social Worker assistant, CNA and rna, AND med tech. She is like a sponge, and wants to learn it all. She is proficient at many CNA tasks as well. Many nurses have taken time out of their day over the last yearto train her and the training has developed her to a much higher level, and we have 4 more that we are working on.
    OCNRN63 likes this.
  13. Visit  Girlygirl69 profile page
    0
    Pixie120, thats great that you work with a cna who wants to learn other tasks to help around the unit, but where I work we already have a social worker, a central supply man, and a housekeeper. This particular person was hired as a CNA and no other position. Also the nurses on my unit work well together but it's painful to watch my fellow nurse help me clean my patient while our aide sits at the desk and plays on the computer. What's the excuse???? My neck hurts, my back hurts,...... and I believe her because she walks with a major limp to prove it. But my issue is what was the point of hiring her. She was always his way. She didn't hurt her back on the job, she came with the limp, and she came with the back aches.

    Please dead the notion that I feel I'm above patient care because if you comprehended anything from my posts you would see that all I ask for an aide to do is aid me in caring for patients.

    I used to be an aide and one thing I despise is when YOU nurses say it's MY patient. When i was an aide, the nurses would give the CNA's report at the beginning of every shift and a list of tasks which needed to be done. We as CNA's were given our own patients and just like the nurses those patients were ours. That gave us a feeling of responsibility. The aides used to compete amongst one another on who could get all of thier patients OOB, bathed, eating, and looking pretty. Maybe that's what's missing, aides don't feel part of the team. They feel like theyre just servants, so they don't always take pride in their work. It would be hard for me to take pride in my work when I dont feel needed.
    But anyway, I just want my hospital to hire an aide who can do the flipping job. Aide me !!!!!!!! Do you get my drift? Please dont mistake me for someone who's nasty but its frustrating to be labelled as some snooty nurse when I know I am the exact opposite. But the blessing is that aides and my fellow nurses always tell me different and most importantly I know me. Please let's not get into a battle of who is a better nurse because that's irrelevant, just as long as my check clears at the end of the week, I'm good.
    Excuse my typos, I'm tired
    Last edit by Girlygirl69 on Sep 12, '11


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