No cna's ?? - page 2

by littlenurse23 6,195 Views | 23 Comments

I just got my first RN med-surg position and during the interview she said they don't have any cna's right now?!?!? How can this be?? I took the job because I'm a new grad and I don't have many options....I am nervous about this!!... Read More


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    Quote from PediLove2147

    I would be nervous too! CNAs in my opinion make the day much easier. If I had to take VS, BS, bathe, and toilet in addition to passing meds, admitting, discharging, charting, and communicating with doctors, I wouldn't have nearly enough time in my shift to adequately care for my patients.

    OP: is this temporary? Are they working on getting CNAs?
    Hahahah come to Australia! Nurses perform ALL cares, it's part of the job over here. What a difference in nursing culture...
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    I die a little inside when I hear they canceled our OB Tech/CNA. It's such a hard day when they aren't there
    Orange Tree likes this.
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    One of my good friends works on a medical unit with no CNAs... she loves it.

    If you have good CNAs, they can make your day easier... my experience in the hospital was with lazy ones- I'd have rather had none at all. If I started my day knowing that I had to do vitals, baths, all I&Os, etc. I could arrange my day better from the start. As it was, I'd start my day thinking I had a CNA helping me with my 2 heavy patients but at 10am, no vitals were done, no Is&Os were entered, no beds were changed, patients hadn't even been offered baths and the CNAs were sitting down eating breakfast or hiding in the locker room talking on their phones. At night, we'd often find them sleeping. So then, I'd be scrambling to make up for stuff they didn't do and would get behind. Overall, I don't think lack of CNAs is any sort of red flag- the unit may run just fine, ask a lot of questions!
    anotherone and Orange Tree like this.
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    Quote from KelRN215
    One of my good friends works on a medical unit with no CNAs... she loves it.

    If you have good CNAs, they can make your day easier... my experience in the hospital was with lazy ones- I'd have rather had none at all. If I started my day knowing that I had to do vitals, baths, all I&Os, etc. I could arrange my day better from the start. As it was, I'd start my day thinking I had a CNA helping me with my 2 heavy patients but at 10am, no vitals were done, no Is&Os were entered, no beds were changed, patients hadn't even been offered baths and the CNAs were sitting down eating breakfast or hiding in the locker room talking on their phones. At night, we'd often find them sleeping. So then, I'd be scrambling to make up for stuff they didn't do and would get behind. Overall, I don't think lack of CNAs is any sort of red flag- the unit may run just fine, ask a lot of questions!
    I definitely agree with this. I sometimes would rather do it myself with some of the CNAs we get. I would be able to do it if I had to but I've had the luxury of always having CNAs so it would be something I would need to get used to.
    anotherone likes this.
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    Maybe the acuity and nurse to patient ratio is different, hard to judge cultures unless you worked in both
    CrazyGoonRN likes this.
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    One of the hospitals in my area doesn't use CNAs. They have a team nursing model where a RN and an LPN provide all of the care for 8 (I think) patients on med/surg.
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    I work in Canada. My province does not use aides much in hospitals. I'd like to keep it that way. If there were aides I'd have more pts and less time. I like bathing pts, I can do skin assessment, look at dressings, listen to breathing, assess for pain, discover knew things. Best of all it's surprising how well you get to know someone just by helping them to the bathroom.Good luck! I'd like to think your ratios are less by not having aides
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    Not a nurse, I'm a student...but I did clinical on a floor that only had one aide, and they would get floated to a different floor some days. The nurses were kept very busy! As nursing students, we really helped them out by doing baths, ambulation, toileting, etc. The floor wasn't that big, and the nurses had about 4 patients each. If your floor is similar, you're probably going to do okay. If you're on a bigger floor with more than 5 patients, you may have a difficult time adjusting (at least, I would). I am in semester 3 of nursing school, so this is coming from someone who observed rather than did.
    anotherone likes this.
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    The ratio will be 4 pt's to one RN unless short staffed she said possibly 5 pt's to one RN...this to me sounds almost ridiculous!!!! I don't know how I can do all my RN duties on top of CNA work?!? It's hard to get into the hospital as a new grad so I'm thankful however, I'm nervous as to how I can perform my job safely :/
  10. 1
    Quote from PediLove2147

    I definitely agree with this. I sometimes would rather do it myself with some of the CNAs we get. I would be able to do it if I had to but I've had the luxury of always having CNAs so it would be something I would need to get used to.
    I agree as well actually now that I think about. It's sometimes to do the work yourself and know that's its done! Rather than nagging a lazy CNA over and over. But if I have 5 pt's with high acuity it will be tough :/
    loriangel14 likes this.


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