why are cna's treated like they are stupid and replaceable?

The first link didn't work, and the second was for PROPOSED changes.



I didn't say that there are not Medication Aides, or Med Techs. This is NOT the same thing as a CNA. You said yourself it is a 6-month PROGRAM.

This is what I was referrring to when I posted:





No offense, but you just proved my point that it is "not allowed" for a CNA to place a catheter or change a colostomy bag - you said yourself "I outright told her that if state came in I could get fired for changing a colostomy bag" -
---the nurse said she "didn't care" and "she wasn't changing it?"

Well obviously, the thing to do was to report her.

Not to do it for her.

You could use your job for that, to say the very least.

Nurse Aide II Tasks Performed by Nurse Aide I Personnel*
Agency: __________________________________________________ __________
Address:__________________________________________ __________________
__________________________________________________ __________
Phone: __________________________________________________ ___________
List below the Nurse Aide II task(s) to be performed by Nurse Aide I personnel in your agency. For each task listed, identify the approved curriculum used in training and indicate the effective date of the written policy and procedure for the performance of this task by the Nurse Aide I.
1) Curriculum Name:_______________________
Curriculum has been: (a) Board-developed (Module # __________)
(b) Agency developed and Board approved on ________(date)
Written policy and procedure effective as of ____________ (date)

2) Curriculum Name:_______________________
Curriculum has been: (a) Board-developed (Module # __________)
(b) Agency developed and Board approved on ________(date)
Written policy and procedure effective as of ____________ (date)

3) Curriculum Name:_______________________
Curriculum has been: (a) Board-developed (Module # __________)
(b) Agency developed and Board approved on ________(date)
Written policy and procedure effective as of ____________ (date)

4) Curriculum Name:_______________________
Curriculum has been: (a) Board-developed (Module # __________)
(b) Agency developed and Board approved on ________(date)
Written policy and procedure effective as of ____________ (date)

As the Chief Nurse Administrator, I hereby verify that the requirements set forth by the North Carolina Board of Nursing for Nurse Aide I personnel performing the above listed Nurse Aide II tasks in this clinical agency, including documentation of the clinical competency of each Nurse Aide I for each task to be performed, have been met.
Date:____________________ Signature:________________________________________ _________
Print Name: ____________________________________ Title:_______________________________
*PLEASE NOTE THAT EACH AGENCY MAY CHOOSE NO MORE THAN FOUR NURSE AIDE II TASKS TO BE PERFORMED BY THAT AGENCY BY NURSE AIDE I PERSONNEL WHO HAVE NOT COMPLETED THE ENTIRE NURSE AIDE II TRAINING AND COMPETENCY EVALUATION PROGRAM.

NOTE: THE STERILE TECHNIQUE MODULE (#3) IS INCLUDED AS A REQUIRED COMPONENT OF THE
FOLLOWING MODULES:
MODULE #4 - WOUND CARE
MODULE #5 - SUCTIONING
MODULE #6 - TRACHEOSTOMY CARE
MODULE #7 - PERIPHERAL IV FLUIDS
MODULE #8 - URINARY CATHETER

But at the same time in Florida, why become an RN when LPNs get pretty much the same pay and do most of the same procedures that an RN does. No differentiation in FL btwn RNs and LPNs.

Sorry to interrupt the thread, but this needs correction.
I have no idea where you got your information, but that information is simply not true.

Isn't that the truth! That nurse needs to try and do her job without a good CNA.

I am busting my butt paying quite a bit for a BSN and my starting wages will be comparable to that of an LPN. From what I have seen in my clinicals, LPNs are doing pretty much the same thing the RN is doing. The one difference I have seen is an LPN can not give a Narc push via IV. Now, if it is different in your neck of the woods, then I need to relocate.

Maybe you need to work somewhere else? We're both in Florida. You can look up the Nurse Practice Act on the BON website. The differences between the RN and the LPN are spelled out pretty clearly there.

At my facility, I have to do the LPN's admission assessments. Our LPNs can give IVP narcs and do central line draws only if they have passed an IV Cert class. Unlike the RN, the LPN cannot work independently and must work under the direction of an RN.

There's a bigger difference between my salary and the LPN's than there is between my salary and the BSN's. I make about $5/hour more than the LPN, but only about $1/hr less than the BSN.

PS We greatly value our PCTs. I think they're the best! We encourage them to further their nursing career with a nice tuition reimbursement program. Many places don't value their CNAs, but I've known many dedicated CNAs who've saved patients' lives. I wish they'd get paid a living wage for all they do.

I have tried. Every day that I go to work.

First off, we need to stop generalizing. :smiley_ab I am so fed up with the support staff where I work. They barely do their vital signs, let alone personal care. I work in peds, where the majority of personal care is done by the parent. But there are cases where there is no parent there. We have a kid who has been in and out of the hospital for the last 6 months (was in for 90% of that time). They don't touch this kid, and it's not like they're waiting for the parent to come (we know it's not happening)!! One aide actually changes her diaper (I will give her credit). But how can someone walk into a room, do vitals, and walk out without checking her diaper? And don't say "the nurse can do it too", because that's who ends up doing it (if we don't it doesn't get done- I wish I was exaggerating). And these are the same Aides who trip over urinals on their way out of the room. So who does it, we do!! I've said it before, and I'll say it again, we can do everything they do, but who is left to do our work???? And we don't have a leg to stand on, b/c as soon as a nurse complains, they come in with a union rep (the nurses are NOT unionized). Eyes and ears, my tush!!!

I know this thread was originally speaking about LTC. I also sup in a (peds) LTC. I can proudly say the exact opposite is true here. Here, they do so much for these kids, and staffing is really good (usually). They do everything for these kids- head to toe (and everything in between). And I've told them how much I (even though I'm just a sup) value what they do here. THe aides in the hosp do a quarter of what they do in LTC, and complain twice as much. But it will never change, because it's gone on for too far. And they think they have no responsibilty to their pts. That what gets me the most :angryfire Okay, you're not a nurse, but you are providing patient care (or barely)...