SleeepyRN 11,759 Views
Joined Oct 26, '11 - from 'Berwyn, IL, US'.
Posts: 1,095 (54% Liked)
Becoming an MA or a CNA is NOT a step toward becoming a licensed nurse. The rest of your post is so unintelligible, I cannot even begin to respond.
My fb friend I was speaking of earlier just called herself miss nurse. Ugh I'm so irritated. I did just ask if she was an lvn/RN because that's an "awesome accomplishment". I da*n well know she's a CNA and there's nothing wrong with that!
This is what I did yesterday when I was sitting on my butt.
- write and send the referral for the patient who is cognitively declining, so much so having previously been very tidily dressed now wondering around naked. (30 minutes)
- write up the wound documentation from the day before for the patient with a grade 1 pressure ulcer (20 minutes)
- write up the wound documentation from the patient with bilateral leg ulcers (30 minutes)
- Clinical review of patient B, approx 90 minutes for the review. Started rewriting the care plan which needs to be done (30 minutes)
- Interrai review assessment (approx 50 minutes)
Total time 4 hours and 10 minutes. Not necessarily getting at you persay. Many of my HCAs also complain about these pesky nurses who sit on their butts. They dont seem to understand exactly what we are mandated to do in our roles as RNs and assume that any sitting down time must be "nurses being lazy time).
Add to that 4 hours and 10 minutes admin, another 90 minutes to declog a badly clogged catheter, liasing with the doctors because of the patients acute condition and having to write those notes.
We havent forgotten about the patients, its simply a case of we are drowning in all the admin we are expected to do for the patients. I could easily fill up my entire shift with required admin without doing any hands on nursing care
Oh I think you are worrying about something silly,focus on you and not them,especially if they are a patient,do not confront them,they may be performing some duties which we real nurses are doing and feel like they are in the field of nursing,which some are actually not but its not the time and place to have the showdown,just find out as much about what they know and take the teaching from there,never assume even if its a RN that they already know.
I sometimes run into people who, when they find out I'm a nurse, say something like "I'm going to nursing school".
Translation - I'm thinking about probably logging on to the school's web site and looking at some classes I might take. Maybe.
Or on a good day they are taking a prereg.
I have to agree. When I worked in LTC the CNAs would love to pretend to be nurses. I remember one time, very distinctly a CNA came up to me telling me about a resident who was constipated. She told me to give said resident MOM. I was so irritated that she was telling me exactly what to give the resident.
"Why do you feel the need to put down other professions? I worked in a clinic that did not employ nurses on site so yeah, I was the one administering first aid. without another clinic at the very least OR hospital or urgent care less than 9 miles radius. I have been very important in the role of caring for patients assuming because it's a clinic it is equipped for any medical problems. People walking in with PE's, lacerations, shock symptoms, burns, chest pain, bacterial meningitis, the list goes on."
- Seems unlikely that (what as you are describing, sounds like an emergency clinic) there would be no nurses in a setting as described above. If so, I'd take my chances in a true emergency by traveling the 9 extra miles to where nurses are actually employed. This sounds VERY dangerous. That being said, I like the emergency clinic I have gone to before where great MAs are employed along with at least 1 nurse. However, the MAs know their role well, are productive valuable team members, and know they are not performing in the same role as the nurses.
"Medical assistants are the ones that first see the patient and get a general sense of their condition when they come in, and a good medical assistant will be aware of concerning signs and symptoms and take further steps. Many times I've positioned patients to help with breathing, obtain EKGs before the doc even has to ask, start running labs that are pertinent, and set up procedure rooms stat for lac repairs or casting or whatever!"
- Assessment is a nurse's role, not an MA's. (Funny though, how in another post you claim you do not do this. But I see many inconsistencies with your bating posts.) And unless there are strict written protocols for starting labs and EKGs that have yet to be ordered, you are greatly stepping outside your role, and I wouldn't let someone with such poor judgment so much as check my temperature let alone start performing workups at your discretion. As for setting up rooms....Great job. THAT is your role. Not assessing patients, but gathering data through obtaining v/s. Not ordering your own labs, but following orders by the practitioner and THEN drawing blood for labs. This is a valuable, important role, but NOT nursing as you state below. I'll get to that.
"Medical assistants and LPNs play the same role in every clinic I've ever come in contact with."
- Therein lies the problem. Many MAs truly think they are playing the same role as a nurse with no clue of the brains behind the tasks at hand. You are either diminishing the role of an LPN, or you are saying you perform nursing responsibilities. It sounds to me like you are doing both.
"In my state, LPNs DO NOT work in hospitals AT ALL so I could say the same "not saving lives" mumbo jumbo that you said right back at you. But I won't "
- A direct quote from you basically saying hospitals are the only places nurses save lives. Which you deny saying. I'm not making this quote up. LPNs (and RNs) are employed in many settings where we save lives on a regular basis. Whether it's with a code and humping on a chest, or notifying the practitioner of s/s of a patient close to circling the drain. Thus getting the patient tx before that even happens. Doing CPR is not the only way to save lives. The general public is taught CPR, it is certainly not a special skill if done as taught. NURSING ASSESSMENT saves lives. You pass along v/s to a practitioner who THEN assesses the patient. An important role, no doubt, but certainly not a job where I'd ever say you save lives for a living.
End rant, and end of debate with you. I have completely had it with your posts. Please, leave Allnurses if we "All Nurses people" offend you so much. Because I am SO DONE with your outright offensive and outrageously defensive posts based not on facts but your emotions. Report my post. Don't care. DONE
For some people I think it is because they want to be a nurse or perceive that they do the same things that a nurse does.
For others, it is just easier to say nurse then explain, or try and discuss the different tiers in health care.
When I was in nursing school and working as a CNA. I would answer CNA when asked the question, and people would then continue to ask what is that? how is that different? so it is like a nurse? I would get so tired of explaining, I would sometimes say when asked if I was a nurse, I would answer "almost" (this was in my last two semesters of school). Once I answered that, there was no follow up.
It is one thing to intentionally deceive someone, especially if there is something to gain. As for the MAs, if the doctor in the clinic is calling them their nurse, then even though it is wrong, I see how they might be confused, or just answer yes out of habit
How is bedside nursing hurting your marriage?
Why are there so many negative theads by certain individuals on this board, aimed at lecturing new grads? It's always the same theme, the same people posting it.
Contrary to most of the sheepish comments here, I applaud the facility in the OP for being one of the few who are so willing to hire large numbers of new grads.
Are people afraid of their unit's power structure being threatened or something? Drop the complex already, guys. New grads are the future. The new graduate nurse's role today is more skilled, more technical, relies on a larger body of knowledge, and it is quite honestly way more difficult now than it ever has been. Here's for a change of pace: I applaud all the new graduate nurses who are starting fresh on their orientations. All of them rock, and the more young faces we have, the better off the profession will be, regardless of whether they are thin or not. I know some people resent hearing this, but the young, new nurses are the ones who bring about change to the profession and they are truly the heart of nursing. New grads shouldn't change to the stale culture of their workplace. Instead, they should be actively encouraged to make the workplace change more to their liking.
It is my belief that their young, vibrant personalities and skill with technology will make them far superior nurses than their predecessors have ever been, and I applaud them for that. To all the new grads out there: Holla. Rock on, and continue to show your confidence. You're doing great, and you are fine the way you are.
Commuter hit the nail on the head. Well worded.
Funny- I thought physicians decided (by way of orders) what meds to give, and when, and when not. I must be missing something.
Good evening ,
We all have to start somewhere . I am debating on doing the LPN or the RN program . The LPN will get me into a hospital , I believe . Then off to an RN degree if God allows . Stay blessed as you are but never stop climbing for the sky . I want to work in a children's hospital . I am trying to figure out how to make college affordable or free .
I respect that you do what you need to do and you do it well .
If they have a script for it, I don't think it is any of your business to report it. That being said, if you notice a student during clinical that to your opinion doesn't look as if they are acting safely, you can bring that to the attention of your clinical instructor leaving the medication knowledge out of it. At that point, it us in the instructor's hands ans you did your duty to protect patients.
I'm hearing judgment on your end of people who take medications. That's great that you are super nurse/mom/student/wife without medication. I personally have a prescription for xanax, and during nursing school I provided my school with a note from my psychiatrist stating that I was safe to work with patients. I wish I didn't have the debilitating performance anxiety I have in new situations. I wish I didn't have to take xanax to keep from having a complete panick attack. I truly am glad that you can wear so many hats and remain very mentally sound. But some of us need help. More than you realize actually. My psychiatrist and PCP tell me they themselves need anxiolytics and ambien sometimes, and that they treat many health care professionals with these types of drugs. Try not to judge.
Congrats on your license! I shouldnt have allowed myself to listen to the negativity that it would take 4+ months. I too got my licence like a week after I submitted the documents. After 25+ applications, I got my first job today!!! I went in to fill out an app and the administrator walked by right then, overhearing what I was applying for, and asked "do you have time for an interview right now" next thing I knew I was in the DONs office being told "Id like you on our team" Im so excited!!! All that worry and anger over the court stuff for no reason. : )
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