Silver_Rik, CNA 975 Views
Joined: May 8, '17;
Posts: 36 (39% Liked)
; Likes: 30
I kinda felt like it was the significant others that had the problems more than the actual pts.
I'm glad someone finally mentioned a glow in the dark watch (though maybe others assumed it was implied.) Not in Clinical, but at work we start taking vitals at 0400 - pts appreciate not having the lights turned up. Some people have evening clinicals
A pair of bandage scissors can come in handy and will make you popular among hospital staff and classmates (though I can't carry them at work)
I went from 1. Working full time in a non healthcare job first semester and a half of prereqs (I took them at night and online so they didn't even know what I was doing until I put in my notice) 2. Working full time plus available overtime at 2 CNA type jobs (LTC and psych) to finish my prereqs and summer before starting nursing school. 3. Dropped to 24 hours/week average in first semester (Fundamentals). 4. Only working 12 hours/week in 2nd semester (Med Surge and Maternity.) I could handle more, and I'll load up on hours at work over the summer, but I want time with my wife and kids and a life outside school as well as more study time. I'm not sure what I'll do second year. I might actually try going back to 24 hours until I get into practicum. I'm lucky that my wife has a great career in IT so we can afford to go a few years with me focused on school instead of income.
All of that aside, experience as a CNA/SRNA has been helpful in nursing school, though the advantage is pretty much only in the first semester. The students who have patient care experience and definitely more comfortable in first semester clinical. We also already know the basics of safety and infection control (because we've had to gown and mask for a c-diff patient), etc. In 2nd semester I don't think It's made that much difference; though I hope my experience in psych will be useful when we do Mental Health next year. The other (probably bigger) benefit to working as a CNA through school is that many facilities seem to give preference (maybe not officially, but de facto) to their own CNA's/Techs who become RNs
I've liked clinical better than lecture. I'm exam average is 2 points under failing. Luckily we have quizzes and a teaching project to pick up some extra points. I'll still can't afford to fail either of my last two exams.
I'm the only male in my clinical group, and it hasn't been a problem at all. I understand it's touchy to share personal stuff with patients, but I told my first patient in L&D that I have children and have seen all of this a few times. It wouldn't have mattered, she was totally cool with whomever in the room. By the time the baby came there were 15 people in the room with her! The rest I just said "Hi, I'm so and so, I'm a nursing student at... do you mind if I (take care of you/observe/help/whatever?" Even one who didn't want any students in the room for her delivery was cool with me helping with postpartum care.
I agree, postpartum can be boring but I lucked out by getting a great mentor who took me around doing everything with her. Unlike my classmates who got 1 mom each, I had 4 including a newly arrived on the unit post C-Section and a post-hysterectomy. I looked at it like postpartum is really not that different from PACU. The typical acuity is not as high, but the same potential problems exist.
I regret that I had a chance to see an epidural and missed it, and haven't been able to observe a C-Section (2 classmates were selected to see one). We have one more clinical day - coming up this week. I'll be on newborn which everyone who's already done it has loved.
My wife says she could definitely see me working maternity. I feel like I need to get my grade up to a B at least.
A couple of stories from the other side. A coworker claimed she remembered my dad from the nursing home where she used to work. He had been a resident there for only three days three years previously, before being admitted to the hospital and then hospice.
Another time someone came into my office to rent apartment from me when I worked in property management. We started talking and it turned out she was one of the nurses at the facility where i'd had a colonoscopy.
A few weeks ago the patient I was taking care of for MedSurg clinical started asking questions about the psych hospital. We are part of the same network, and send patients there for medical treatment. I wondered if he had been one of our patients, because I couldn't figure out why he was asking me of all people. It turned out they were looking at transferring him to the traumatic brain injury long-term care unit at my work. Just out of the blue coincidence that he picked me to ask about the place.
I work in a psychiatric hospital. We have strict policy about outside interactions with former patients. We are not supposed to initiate any interaction or acknowledgement if we run across a former patient in public.
Now I'm the one taking my time to respond. Just really busy here with school etc.
- You have a cap of 3 PNA per unit with 20 max census. How do you handle 1:1's or 2:1's if you have them?
Now to your questions
1. There is no MHA (PNA) handoff at shift change. When the PNA doing Q15/Q30 checks is ready to hand off that responsibility they are supposed to physically transfer the check sheets - not just leave them at the nurses' station - and might give some updates on specific patients' whereabouts and behavior, but generally no.
2. We have MHA (PNA) leads but it's a supervisory (not sure if they have official supervisory authority) and support position with one per shift for the whole hospital. They split time between the shift coordinator's office and the units. They also respond to psych codes.
3. A PNA handoff with report at shift change sounds great; but you need one shift of PNAs out on the floor. You can't have your entire floor staff in the meeting room.
Does it make any sense to ask / offer to come back and work for them as a CRNA after you graduate?
Or, I know CRNA programs prohibit or strongly discourage working, but is it at all feasible to put in your last two months working over breaks?
I wouldn't think so at all. I loved the 'softball team' part. She didn't mention any names. I loved the video. I found her refreshing and real, not sarcastic. She's probably saved lives already and will continue to do so with her 'viral' video. Kudos to "Viral Nurse Katherine"!
Wonder if she's on AN?
It's like this "everywhere" not just healthcare. It's called salary compression, new people get hired in at more than you're making and compensation policies and manager bonus structures restrict how much increase existing employees can get.
My wife works in IT. She's a team lead with 11 years experience in her specify specialty and 6 at her current employer. New people with less experience who are always coming to her for help with their code are being hired in at $20K more than her. She could probably get that or more by going elsewhere; but likes the environment at her current work.
MHA (Mental Health Assistant, i.e. PNA) and SRNA (only required at my facility to work with geriatric and acquired brain injury pts, but it was a requirement for nursing school) at a state inpatient facility, adult 18+ only. Our typical shifts are 12's 7-7:30 (30 min lunch), though there are some 4's, 8's, and 16's. I've been on nights and just switched to days. I'm also an ADN student. Per unit census is up to 28 pts. Unit staffing on nights is typically 1-2 RNs, 1 LPN, 2-8+ MHAs (this depends on pt census, acuity, number of "closes" - i.e. LOS, 1:1, 2:1 - that to be covered.
7 PM we attend handoff report with the nurses. On most units they try to keep us engaged by passing out patient summaries so we can follow along, but some don't and kind of ignore us. Then we get our assignments for 7:30-11:30 - usually in 1 or 2 hour blocks. Assignments typically include: 15 min checks, taking vitals, charting vitals, close observations (1:1, 2:1, line of sight), passing snack, supervising visitation, transferring patients in from admissions, floor duty (cleaning, laundry, etc.), assisting with ADLs. There are some group activities on night shift but limited. Day shift of course has to take pts to group activities (therapy, occupational, music, computer lab, gym, library, etc.) As a male, I often sit 1:1 or 2:1 on high risk male pts for most of my shift plus maybe an hour or two of 15 min checks, taking vitals, preparing paperwork. As PRN/float without a home unit I probably dislike being assigned 15 min checks at the start of shift more than anything because I don't know the new patients. Similar situation with snack, since you need to know their dietary restrictions - especially fluids (volume limits and thickeners) and consistency.
At 11:30 we get our assignments for the rest of the shift 11:30-7:30. The assignment sheet is the primary form of structured communication. Usually the med nurse and another if we have enough nursing staff are in the med room to handle 8 PM med pass and follow-up, charge nurse is working in the conference room, and if we have another nurse they are in the conference room or chart room. They come out on the floor as needed to perform assessments, med administration, and other licensed tasks, plus help us - though how much they assist the aides depends on the nurse, unit, and staffing. If they need our help of course they tell us what they need - for example additional vital signs for medication admin.
I'm not sure if this helps you at all. Feel free to ask more specific questions, and I'll try to answer.
My grandmother worked during the War in a parachute factory. I've visited the location, it's an art gallery now. Airborne soldiers and air crews literally put their lives in her hands. Later in life, in the 1960's, she became an LPN and worked for over 20 years at the predecessor location to the same state mental health facility where I work now. She retired from nursing in the 80's and passed away just days after 9-11-2001
Between acceptance and starting the program.
I need to look at my program handbook to confirm; but I don't think we get tested again except for cause.
As a 50 year old nursing student and CNA with silver hair, in scrubs and maybe wearing a lab coat? All the time
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