What CNAs need to tell the nurse - page 2

in a postop, i want to hear about: pain level (could indicate compartment syndrome or that dose needs adjusting) c/o nausea/vomiting (could indicate an ileus) bp over 140/80 or under... Read More

  1. by   NurseyBaby'05
    Anything abnormal. ***And, pretty please, don't wait until you're done with vitals, blood sugars, etc. for all the patients on the floor first and then tell me.*** In the time that it took you to finish all of them, I could have been getting treatment for the ones having a problem.
  2. by   emsboss
    CNA's....GOD LOVE'EM...'Cause I do!!!!!!!!!!!!!! ...They have our backs, just like was said previously. For me they need to tell me the abnormals, normals, and ANYTHING that concerns them with the pt. You know, the vague things, like, he/she just don't look right, something is not right, etc. A good CNA is my eyes and ears...I LOVE'EM!!!!!!!!:kiss :1luvu:
  3. by   chadash
    thanks! this is sooo sooooo helpful! keep them coming! It is great to rehearse some of this in the quiet of my home, cause when you are running, you have to interrupt a very busy nurse who has plenty else to do!
  4. by   MidnightTang
    I work on an ortho floor and all our total knees and hips are nwb on the affected leg, but they all get up the day after surgery. We don't run them around the hospital, but they do sit in a chair.
  5. by   UM Review RN
    Weird smells. Like really foul urine, or that distinct C-Diff odor. The smell of a GI bleed.

    Weird colors. Blue lips, green stool, orange urine.

    Any patient who c/o chest pain needs to have the nurse alerted and a stat full set of vitals, and prepare to do a stat EKG.

    Blood pressures under 90 systolic needs treatment asap, in case I didn't mention that before.

    Sudden severe headache, blurred or double vision, numbness or weakness (especially on one side).
  6. by   UM Review RN
    Rashes.

    Decubs. Blisters. Bruises. (Had one patient who had sudden bruising on her arm--turned out that her Coumadin level was too high and the automated BP cuff was too tight and caused the bruise!)

    Perineal irritation.

    Reddened skin folds.

    Oh, and for the older gents--the inability to pee more than 50 cc's at one time, yet having to pee more than once every couple of hours. He's probably retaining due to an enlarged prostate.
  7. by   AuntieRN
    The pt who you know is incontinent a lot and all of a sudden is now dry for a period of time.

    The open area on the bottom of a pt that noone told you about.

    The pt who will not eat or drink anything.

    I too love my CNAs...(not just because I used to be one either....)
  8. by   bethin
    Quote from Angie O'Plasty, RN
    Blood pressures under 90 systolic needs treatment asap, in case I didn't mention that before.

    Sudden severe headache, blurred or double vision, numbness or weakness (especially on one side).
    Is there anything CNA's can do for nurses in these situations (besides vitals - that's what I'd do first while I send someone else to get the nurse). Sometimes in these situations I feel useless and that I should be doing something.

    I love my job, but hate being a CNA. Sometimes you just feel useless because you can't help the nurse pass meds, call dr's, do assessments, etc.
  9. by   NurseyBaby'05
    Beth-
    What you aides do in these situations for the nurses is the most important. You act as their eyes and ears when they can't. The aides that are able to pick up on these things and inform us right away are worth their weight in gold. The other thing you can do, if it is feasible, is to stay with the pt if he/she needs calming while the nurse is running around like a chicken. Again, to reiterate, acting as eyes/ears of the nurses is the best thing you can do.
  10. by   UM Review RN
    Quote from bethin
    Is there anything CNA's can do for nurses in these situations (besides vitals - that's what I'd do first while I send someone else to get the nurse). Sometimes in these situations I feel useless and that I should be doing something.

    I love my job, but hate being a CNA. Sometimes you just feel useless because you can't help the nurse pass meds, call dr's, do assessments, etc.

    You can be ready to get the supplies and things that the patient will need for treatment--such as the crash cart, O2 tubing, a Foley kit, suction apparatus, the EKG machine. Know where to find all the emergency stuff on your unit.

    I never wished that I had 15 hands and six pairs of feet more than when a patient is crashing.

    In fact, it happened the other night. I had techs runnining everywhere to gather supplies while I assessed and monitored the patient.

    They did such a great job, everything was set up so fast, that we were able to to transfer the patient so rapidly, I forgot to call Rapid Response team! Patient survived and is doing much better. But it would've taken another half-hour to round up all the supplies and equipment I needed by myself, and then who's monitoring the poor patient?

    Thank God for PCTs!
    Last edit by UM Review RN on Nov 21, '06
  11. by   all4schwa
    Quote from bethin
    Is there anything CNA's can do for nurses in these situations (besides vitals - that's what I'd do first while I send someone else to get the nurse). Sometimes in these situations I feel useless and that I should be doing something.

    I love my job, but hate being a CNA. Sometimes you just feel useless because you can't help the nurse pass meds, call dr's, do assessments, etc.
    coming from a new nurse, you can offer to do what you can...sometimes i feel like the techs are too busy to be bothered and only ask them to do stuff when i absolutely can't. i'm really relieved when they offer to help....
  12. by   texas_lvn
    has anyone mentioned the change in appreance of stool? In anyway.
  13. by   chadash
    Thanks guys!
    And bethin, remember that the nurses really need your observation. You are in the room more, and can alert them: they cant be everywhere. But also, sounds like you might want to go to nursing school so you can do more.

    Right now I am trying to work smarter at this level. this has been so helpful.

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