Attention Nurses, Nursing Assistants, and other hospital assistive personnel!

Nursing Students CNA/MA

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assesment, and reasessment, IV push and so on so forth. Just like Physical Therapists Assistants are not Physical Therapists, Pharmacy Techs are Not Pharmicists, Deacons are not priests, Physician Assistants are not physicians, LPNs are not RNs, RNs are not Nurse Practicioners or Doctors,or nurse anesthitists, or midwives. Just like Personal Care, Home Care Assistants, and Direct support PCS workers are not CNAs, and know matter how many times they call themselves one, they do not assist nurses or perform tasks delegated by a Nurse Supervisor, and did not attend an OBRA NATCEP CNA training course and cannot work as a CNA until they go through the 3-5months of training, and get their certification and are listed on the registry.

I was always taught in my CNA class by an EXCELLENT Gerontology Certified RN instructor that you should never focus on what you are not, but what you are. We are Nursing Assistants. Vital tools to nursing. We are healthcare professionals assistants, certified by the state to do the basic nursing tasks on stable residents or patients. We are a part of Nursing, we do perform basic old school style nursing services under the supervision of a Registred Nurse. In long term care facilities we are held liable for our actions. If we carelessly drop a resident or forgert to lock the bedwheels, or carelessly feedthem til they choke, etc. we will be held responsible, and this negligent behavior will be placed by our name on the state CNA registry, and we will never find a job or be elidgble for CNA Certification again. We do have a Scope of practice established by the DHH and OBRA, in Long Term Care (all states) and Subacute Care (Some states).

And it is ILLEGAL to work as a Nursing Assistant in Sub Acute care in some states, and in a Sklilled Nursing Long Term Care Facility in all states as defined by OBRA 1987 and NATCEP. With all this being said we are NOT NURSES. At the end of the day nurses are Nurses and were Assistants. Nurses have much more comlex and advanced roles in patient care than we do. RNs have to maintaing a 3.5 GPA while in college to get accepted into nursing programs. They have to study their rears off to finish. They earn the title Registred Nurse. They dont want a Licensed Practical Nurse who went through 9-14 months of Vo Tech training assuming their responsiblities and acting like they know more than them. LPNs dont want CNAs who went through 3-5 months of training at a Votech, calling themselves Nurses and assuming their roles and responsiblities ILLEGALLY. LPNs go through 9-14 intense months of training to sit for there boards licensing test. Just like CNAs dont want uncertified personal care and support workers or other unlicnesed assistive personell not certified calling themslves a Certified Nursing Assistant.

CNAs go through 3-5 months of moderately challenging tarining. They learn signs and symptoms of many diseases, how to measure vital signs, the 5 step ADPIE nursing process, HIPPA practices, how to assist the Nurse with various procedure an much more stuff. WE ARE NOT NURSES. WE ARE NURSING ASSISTANTS. WE NEED TO BE PROUD OF WHO ARE, AND BE HAPPY TO HELP NURSES IN ANYWAY WE CAN. BUT THE KEY WORD IS HELP/ASSIST THE NURSE, NOT BE THE NURSE! Whether we are State Cerified Nursing Assistants or some type of other Unlicensed Uncertified Assistive personell such as medical assistants, Patient Care Technicians/Assistants and so on so forth. So lets make nurses stop ripping there hair out and professionally introduce ourselves as Nursing Assistants or or Assitive Personell (if uncertified) and respect each others levels of traininig and work together!

The top of the page was a comparison to how LPNs have a differnt scope than RNs and cannot pretend to be RNs are assume duties of an RN that are not within there legal scope. THIS POST IS TO EXPLAIN WHY Nursing Assistants are not nurses!! Some of the top got cut off some how. Btw I am a CNA state certified.

Specializes in Nursing Home.
In New York State RNs and LPNs are licensed professionals who fall under the DofE/Office of Professions thus can be held accountable via the state's practice acts and BON.

https://www.prometric.com/en-us/clients/Nurseaide/Documents/New York/NY NA Manual_20120703 Web version.pdf

Certified Nursing Assistants do not hold a license professional or otherwise and thus do not fall under the control of the Office of the Professions as above. Rather the NYS Department of Health maintains as per federal law a registry of persons whom have met educational, training, background and other requirements to be listed as nursing assistants.

In theory what you say is true, yes the state's BON does not have direct control of nursing home or other UAPs, but it can do so via other methods.

UAPs work under the direct supervision of licensed professional nurses (RNs/LPNs), who are held accountable by law for patients in their charge. As employees of a facility nurses and UAPs are held accountable to whomever owns the place by state and federal laws and rules. Thus out of liability and several other areas a state's BON and or those licensed as professional nurses have more than a few arrows in their quiver to *regulate* CNAs in any setting.

As a nurse if you know the state BON takes a very hard line regarding complaints regarding UAPs (failing to properly supervise, improper delegation of tasks, failure to protect patients from unsafe assistive personnel, etc...) to the point of suspending and or yanking your license, you are going to do what it takes to protect the thing. If complaints to administration/management do not correct problems with CNAs/UAPs you can bet nurses who value their license will find someplace else to work, fast.

There is no such thing as UAPs. UAP stands for Unlicensed Assistive Personell, the term is used to describe a certain personell, such as medical personell, surgery personell, licensed nursing personell, and assistive personell. There is no such position as an Unlicensed Assistive Personell or Unlicensed Assistive Personells its not even gramatically correct. We dont walk around calling Nurses LNPs or Doctors MPs or Surgeons SPs so why do people say UAPs?? When your talking about a mass of people i understand but UAPs cmon??? CNA, PCT, Nurse Aide whatever your training permits, but please dont call me a UAP! I am part of Unlicensed Assistive Personell classification, but I am a Certified Nurse Aide not a UAP. Just like your a Licensed Practical Nurse or Registered Nurse not an LNP (Licensed Nursing Personell), one person cant make up an entire personell. Personell is plural. Its not a title like CNA, LPN , RN etc. So please not UAPs, Nurse Aides! Its just a Pet Peeve of mine!

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
It doesn't matter what an RN feels appropriate in a Nursing Home setting, they can not delegate any task to a CNA that's not defined in the CNAs scope of practice that is defined by OBRA, DHH, and the State board of Nursing Facility Administrators and Nurse Aide Registry. In the hospital setting NCLEX defines Unlicensed Assistive Personnel scope of practice and what the RN can and cant delegate, but the nursing homes a different ball game. If state surveyors catch a CNA getting a blood glucose reading in a nursing home, the facility will be fined greatly, the Charge Nurse will lose there license, the CNA will lose there certification permanently, to my understanding.

This is where many discussions begin.....each state has specific regulations and some state leave it up to the RN.....we need to remember that we are a international forum and there are different rules and regs for each state in the Union....let Alone internationally.

Specializes in Med/surg, Quality & Risk.
There is no such thing as UAPs. UAP stands for Unlicensed Assistive Personell, the term is used to describe a certain personell, such as medical personell, surgery personell, licensed nursing personell, and assistive personell. There is no such position as an Unlicensed Assistive Personell or Unlicensed Assistive Personells its not even gramatically correct. We dont walk around calling Nurses LNPs or Doctors MPs or Surgeons SPs so why do people say UAPs?? When your talking about a mass of people i understand but UAPs cmon??? CNA, PCT, Nurse Aide whatever your training permits, but please dont call me a UAP! I am part of Unlicensed Assistive Personell classification, but I am a Certified Nurse Aide not a UAP. Just like your a Licensed Practical Nurse or Registered Nurse not an LNP (Licensed Nursing Personell), one person cant make up an entire personell. Personell is plural. Its not a title like CNA, LPN , RN etc. So please not UAPs, Nurse Aides! Its just a Pet Peeve of mine!

Well then, I guess you could ask NCLEX, nursing boards, legislatures and authoritative textbooks to stop using that terminology?

If state surveyors catch a CNA getting a blood glucose reading in a nursing home, the facility will be fined greatly, the Charge Nurse will lose there license, the CNA will lose there certification permanently, to my understanding.

I worked as a CNA in a nursing home and we took blood glucose readings all the time. We had to enter our employee numbers into the glucometer, the residents ID number, and upload the information immediately after taking a reading, so its not like this was something done in secret. We also did control tests on the glucometer on night shift.

There is no such thing as UAPs. UAP stands for Unlicensed Assistive Personell, the term is used to describe a certain personell, such as medical personell, surgery personell, licensed nursing personell, and assistive personell. There is no such position as an Unlicensed Assistive Personell or Unlicensed Assistive Personells its not even gramatically correct. We dont walk around calling Nurses LNPs or Doctors MPs or Surgeons SPs so why do people say UAPs?? When your talking about a mass of people i understand but UAPs cmon??? CNA, PCT, Nurse Aide whatever your training permits, but please dont call me a UAP! I am part of Unlicensed Assistive Personell classification, but I am a Certified Nurse Aide not a UAP. Just like your a Licensed Practical Nurse or Registered Nurse not an LNP (Licensed Nursing Personell), one person cant make up an entire personell. Personell is plural. Its not a title like CNA, LPN , RN etc. So please not UAPs, Nurse Aides! Its just a Pet Peeve of mine!

Excuse me but, according to New York State laws and elsewhere there are at least two kinds of nursing personnel, those with a licence (RNs, LPNs) and those without (UAPs). There are more flavors of "nursing assistants" than Baskin Robins has ice cream, and no one has time to spell out who and what they are, hence the nice neat term "Unlicensed Assistive Personnel".

"The term, "unlicensed assistive personnel" is used generically in the development of these guidelines. The term may include, but is not limited to, home health aides, personal care aides, nurse technicians and nursing assistants."

See: Nursing's Utilization of Unlicensed Assistive Personnel | Position Statement | NYS Nurses Association

Don't care if you call yourself "Grand Mistress of the Stool" and can stand up on a stage and recite Lippincott's Manual Of Nursing Practice from cover to cover complete with a Powerpoint presentation, that's just is the way it is.

Specializes in Nursing Home.

You dont seem to understand what I mean. UAPs is unproper grammar. Its a personell not a job title. And your from New York state and I am fromm Louisina, two completely different ballgames with the BONs. For information on CNAs here, visit www.labenfa.com. Its the board that regualtes CNA scope of practice, and Certification and Regsitration.

You dont seem to understand what I mean. UAPs is unproper grammar. Its a personell not a job title. And your from New York state and I am fromm Louisina, two completely different ballgames with the BONs. For information on CNAs here, visit www.labenfa.com. Its the board that regualtes CNA scope of practice, and Certification and Regsitration.

The word is actually spelled "Personnel"

Just thought you wanted to know since you're so adamant on being grammatically correct.

Sent from my iPhone using allnurses.com

Specializes in hospice.
you dont seem to understand what i mean. uaps is unproper grammar. its a personell not a job title. and your from new york state and i am fromm louisina, two completely different ballgames with the bons. for information on cnas here, visit www.labenfa.com. its the board that regualtes cna scope of practice, and certification and regsitration.

you don't seem to understand what i mean. uaps is improper grammar. it's a personnel not a job title. and you're from new york state and i am from louisiana, two completely different ballgames with the bons. for information on cnas here, visit www.labenfa.com. it's the board that regulates cna scope of practice, and certification and registration.

since we're getting snitty about grammar, i decided to correct yours, and i fixed some spelling too. i didn't take on your sentence structure, though i could have had a field day with it. cheers.

Specializes in Transitional Nursing.

I know nurses that don't know their orifices from their elbows. I know drs who ignore important information because they have their heads stuck up their orifices. I know cnas who could be doctors and doctors who'd be better off pushing a mop. It takes all knew as they say. Everyone has a scope of practice. And to clarify if you drop the pt you may be reprimanded but the nurse is the one responsible for that patient. Accidents of course happen and often times its no ones fault. Just making a point. Just be glad your able to help people. Honestly I'd stay a cna forever if it would oh the bills and my body would hold out.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

I think what we have here is a failure to communicate.

Each state and state board of nursing has their own definition of Unlicensed personnel. Which differs than the definition that nursing schools use. Nursing school refers to UAPs and anyone who is involved in patient care that does NOT have a license. CNA's, Techs, Externs,sitters, Aides, care providers....whatever the title the person is called by HR. They assist the nurses with the care of the patient AND they do not have a license. Discussion always ensue because every state does not own thing......something that I have found annoying for 34 years.:rolleyes:

These definitions vary state to state. In hospitals they vary even more. I have worked in facilities that divided it even further. CNA's were the aides that had state certification....they did the technical non RN required duties. Fingersticks, lab draws, EKG's etc. Aides were the bathers and were helped by the CNA's when the were available. UAPs on the other hand were the transporters, runners, and sitters.....they were Not allowed to by the facilities policies to perform any patient care without the presence of, at least, the CNA.

For the most part the term "UAP" is the reference to any personal that is not LICENSED in that particular state that care for patients and are under the direction of the licensed personnel.

We can agree to disagree without being disagreeable.:D

Thank goodness. Thanks to the OP for this thread. As soon as I heard in my CNA training program that it's against the law for CNAs to call themselves nurses my mind went directly to allnurses.com

All the time I see CNAs referring to themselves as nurses on this site. It drives me bananas. I have never run into a CNA in person that ever thought of her/himself as a nurse.

I'm a CNA in CA.

My employer is so strict on CNAs adhering to a CNA's scope of practice. CNAs at my workplace (LTC) can not even give CPR! There was a huge lawsuit involving an incident where a CNA commenced CPR successfully on a DNR...

And I know that there are CNAs who think they're nurses checking this post out. I doubt they're getting the picture.

Read this --> CNAs ARE NOT NURSES.

We all have a CPR/BLS "certification" we do not have a CPR/BLS" license"

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