No cna's ?? - page 3

by littlenurse23 6,201 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


  1. 0
    Quote from littlenurse23
    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 :/
    1:4 with no tech is doable. I frequently work in an overflow area where I have 3-4 pts (5 max only if none of the others are step-down status). You just encorporate vital signs and blood sugars into your rounds, and remember to keep track of I&O's. The times I do have a tech they really don't have much to do and they are honestly bored. I do work mainly nights so it is easier to do a small assignment without a tech on nights as opposed to days when you are doing baths
  2. 0
    I used to work 5-6 with no aides and it is doable.
  3. 0
    It is definitely doable. It's a really good idea to start working in a SNF, you find out what you can really do! I worked in a SNF w/sub acute patients mixed w/ LTC patients, 30 patients total and I was a new nurse. At 5pm med pass I had to get BS on at least 5-7 patients and inevitably an aid would tell me about someone's B/P that was lower than normal, so I would manually go and take it. If I was outside out a room and the patient needed to use the bathroom, I would take them. I can't forgot that sometimes a patient would fall in the middle of med pass and the RN has to do the assessment, start neuro paperwork- even if they didn't hurt themselves! All while doing a med pass for 29 other patients! You will learn excellent time management skills- it's doable
  4. 0
    I worked LTC/SNF for 3 years. I never felt like I gave my patients the care they deserved. I ran around in a 12 hour shift and only took one 10 minute brake and even stayed over at least an hour (sometimes 3) to finish my charting. I wouldn't wish that on my worst enemy. Where I worked nurses (not techs) did all the VS making it even more difficult to get things done on time.

    I am now working med surg in a hospital and its like a vacation. I have a hard time sitting in the brake room for my full 30min lunch break because I feel like I am getting behind on my work, but in reality I'm not. I love it. I am still PRN at the LTC/SNF, but I am considering quitting. How could I go back to that after I've had a taste of the good life?

    Quote from milfordmom
    It is definitely doable. It's a really good idea to start working in a SNF, you find out what you can really do! I worked in a SNF w/sub acute patients mixed w/ LTC patients, 30 patients total and I was a new nurse. At 5pm med pass I had to get BS on at least 5-7 patients and inevitably an aid would tell me about someone's B/P that was lower than normal, so I would manually go and take it. If I was outside out a room and the patient needed to use the bathroom, I would take them. I can't forgot that sometimes a patient would fall in the middle of med pass and the RN has to do the assessment, start neuro paperwork- even if they didn't hurt themselves! All while doing a med pass for 29 other patients! You will learn excellent time management skills- it's doable


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