I've never had the privilege of working with CNAs or techs of any kind. When I worked on a regular pediatric floor, we were piloting a new program which eliminate the role of the CNA and had slightly better nurse to patient ratios, so that the nurse could do total patient care. Then I worked in the NICU, where we also did not utilize CNAs; again, nurses were expected to provide total patient care. And now that I work in the PICU, we again do not utilize CNAs. Nurses provide all of the patient care.
When I float to our pediatric floor at this current hospital, although we use CNAs up there, I always tell them I will provide all care for my own patients. I prefer it that way. I especially prefer to take my own vital signs. Vital signs, to me, are part of my assessment, as are I&Os. I don't want to rely on someone else taking those vitals and then having to either track that individual down or having to look that information up.
Sometimes, I wish we did have CNAs, especially when I have a very busy patient and then a baby who is alone and could use some attention. Or when I have a very heavy patient and need help lifting. If we did have CNAs in those situations, I think I'd bend down and kiss the ground they walk on.
I remember being in nursing school
and working as a CNA myself. It was a very thankless job, most of the time.