CNA's slow me down - page 2

:uhoh3: I am a new LPN in a ltc. I have only worked three shifts thus far. I think I mentioned in an earlier thread that I feel the nurses do things the CNA's should be delegated. I gave my first med pass on my own the other... Read More

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    I have to agree with what others have said. I have no problem doing anything that benefits our residents and/or helps out a coworker, but there are times when you are just too busy and can't drop everything unless it is a true emergency. Assisting ambulating a pt is not one, it can wait. You have to make your med pass a priority and shouldn't be interrupted during it. You need to stay focused to prevent making a med error, plus you don't have a big window of time to finish it. With experience you will learn when you need to lock up the cart and attend to a resident.
    The bottom line, I have found that you need to be able to delegate and be confident about it. When I first started, rumor went around that "I love working with her(me), she's so easy"....Not quite a compliment, I had a hard time when it came to say, vital signs, all the other nurses had theirs by a certain time and me, well, let's say that 30minutes before end of shift, I'd be running around getting them. One cna would say, I'm sorry I forgot, and I'd be like that's ok. Dinner breaks, some would be gone for over an hr and I would say nothing...Not anymore. We are all adults and we all know what is expected of us. I have become more assertive and firm in my decisions regarding assignments/breaks etc....Now, serveral yrs later, those who are still there enjoy working with me, not because "I'm easy" but because they respect me,
    I am fair, not afraid to help out. Big difference. There are those who will try and take advantage of you and it is not limited to the cna's. I have had another nurse who works days, who always left the MD callboard full, treatments that should of been done that weren't etc....why? Because she knew that I would take care of it. Thank God, she is no longer there. I always pull my weight and try to make sure that at the end of my shift I completed what needed to be done. Ofcourse, sometimes you have to leave something because you had an extremely busy day, a death, a fall, somebody going to hosp etc...that is understanding. It's really about mutual respect. That goes for everyone, doesn't matter if it's a nurse, cna, housekeeper, laundry, dietary and so on. You have to give respect to earn it. Always remember that the CNA, are your eyes and ears. They often can tell you when something is just not right with Mr. Jones. The care that they give to pts allows them to notice any changes esp physically. Come on, when's the last time say, you saw Mr. Jones bottom? If your pt can't tell you, it's your cna that will come to you and say, "his bottom is starting to get reddened"......The cna's that I work with are regularlly assigned to the unit I work and let me tell you they have great skills and often have caught something early on with the pts.
    I don't remember every saying, "no" to anyone at work,(take that back, I have said "NO" when asked to work 10 days in a row, lol"). You know the old saying, "one hand washes the other" true. It's all in how you approach others too. All of this you will learn with experience, as there is no way you can learn this in school.

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    I was a CNA for 10 years before I became a LPN. I understand how hard the job of a CNA is and now understand how hard the job for a LPN is. I too work in LTC. I work mostly the 3p to 11p shift, so ya'll know that we have more residents to staff ratio then during the day shift. Sometimes while on my med passes, a resident might ask for assistance to the bathroom or help to get into bed. Even though I am trying to get my med pass done on time, I always try to help. Sometimes I will assist them to the toilet, make sure they know where the call light is and how to use, and then tell the CNAs that are working that particular hall that so and so resident is in the bathroom and watch for the call light to go off. It only takes a few minutes at the most to assist these residents. So, maybe sometimes my med pass may not be done on time, but I know I am not like some of those nurses that think they are above and beyond from doing the "dirty" work. I try to do the best for my residents and help out my co-workers. My CNAs do know that I have to get MY work finished, but that I will help out when and where I can.
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    does anyone know website to help me for lpn
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    Quote from luv2quilt:)
    I am allowed to delegate any duty that they are trained in. They can do things like ambulate, bathe, feed, personal cares, etc.
    Lorraine, are you a nurse?
    The CNAs already are doing these things, it's their job. Seems to me "everybody" gets such a power trip on this delegation thing and it really is a bunch of bolony. How can you delegate something to someone if it is already part of their assignment? Part of their duties? The whole concept of delegation is rediculous. You can not delegate anything that is not within a persons scope. If it is within their scope, it is already part of their assignment. What would you be delegating? Are you planning to chase after them and tell them to do something they have been doing for possibly longer than you have been alive?

    The way I see it, if it is within the CNAs scope of practice, it is within yours. Don't set yourself up for poor relations with your CNAs if you expect any help from them. And you will need help from them.

    I've been an LPN for roughly 30 years, since 1977. I've seen just about everything and I can guarantee one thing, cooperation and an understanding of the concepts of delegation (me the boss you the subordinate) and working as a team make all the difference in the world. You actaully get done in your shift if you work as a team (most of the time.)

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