Certified Nursing Assistants - The Nurses think we have it so easy.

Nursing Students CNA/MA

Published

Let me start off by saying that a Certified Nurses Aide (CNA) are the backbones of every Nursing home. Without our assistance, the Nurses job would be way more difficult than it is. Apparently CNA's have it so easy and our job is 100% stress free according to some Nurses that I work with. If our job is so easy then why are we in such high demand? Also if that were to be true, then why can't the Nurses (RN and LPN) handle their work plus ours in a 12 hour shift?

Responsibilities of a CNA;

1. Get residents dressed for the day.

2. Shower and or bathe residents.

3. Toilet residents.

4. Assist residents with eating if applicable.

5. Assist residents with Physical Therapy needs such as restorative walking or passive range of motion.

6. Provide emotional support to residents and residents family members.

7. Answer each and every call light as soon as it is noticed and accomodate resident with their requests.

Although the responsibilities of a CNA versus a Nurse differ vastly, and the nurses resposibilities listed look noticeably longer - a CNA encounters much more physical and mental stress in an eight hour work day than a nurse does in a twelve hour day.

Nurses want to *****, moan, and complain about how they have it so hard. To be quite honest, a nurse in a nursing home setting mostly does the following;

1. Pass medications when a QMA (Qualified Medications Aide) is not on staff for that shift. 5% physical work*

2. Residents treatments (ex: wound dressing changes) 10% physical work**

3. Check blood sugars (when a QMA is not on staff for the shift) 2% physical work*

4. Deliver insulins. 1% physical work

5. Resident charting. (medications, behaviors, vital signs, etc.) NO PHYSICAL WORK REQUIRED

6. Resident assesments. NO PHYSICAL WORK REQUIRED

For the most part, the above list is about all a Nurse has to do in a nursing home setting. The CNA has to lift heavy people in and out of bed, on and off the toilet, up and down out of a wheelchair...and get around 11 or more residents ready for bed each day. We only have eight hours to take care of 11+ people and have to provide accurate care following every step correctly according to nursing guidelines with no leway whatsoever at all.

I'm sorry but our job definitely involves way MORE physical and mentally stressful work than a nurses does, and whoever disagrees with me, so be it. I know first hand.

*Estimated percentage of physical work

**Estimated percentage with the assistance of a CNA or QMA

Wow. So many comments! I have learned alot of the 'background' info about Nursing/CNA jobs just by reading these posts over the last year....and I have so little experience (clinicals at an LTC; home-health aide work), but I gotta tell you....I had to respect the LVN and RN who worked at the LTC where I did my clinicals. The place was not the 'pretty' ones you see in brochures, let me tell you! Anytime I asked the RN or LVN on duty about a resident, I was helped quickly....I know that my training is for CNA, and I was the one who had to do the physical assists, but when I asked the RN on our wing about pain meds for my assigned resident, she was quick to let me know of the resident's med scheduling and that it would be really soon...and it was. I tried to always be helpful and not bother the nurses as they got the meds together and were going over charts...and I answered any call light that went off.

One of those nurses told me to apply for work at that LTC. I may just do that if I can get a decent schedule around my full-time schooling. Oh yeah, I'm not young, by any means. I was the oldest student in the class (I'm 50), and I am still trying to get my education....whew!

All I can say is that I observed no disrespect towards the CNA's from the LVN's and RN's at the LTC. In fact, on our last day, one of the wing RN's came in to thank us for our hard work and to always remember what it is like to work as a CNA since most of us are going for our RN's.....I will never forget that.

Thank God for Nurses, Nursing Assistants, volunteers. Many, many patients' lives would be hell without them!

Specializes in Geriatrics.

I so appreciate my CNA's. They are awesome. I used to be one of them ( a long time ago). to the op- yes the CNA's do the PHYSICAL work, and they are the backbone of LTC. I agree 100%. What you fail to realize is that the RN and LPN may not do so much physically, but they do the BRAIN work. We are part of a team. We need each other in LTC to make it work. If you think it is much easier to be a nurse- then become one. I have the most respect for the CNA's I work with. I think the op is perhaps in the wrong career choice.... Just my 2 cents...

I'm a CNA, and I find this thread to ignorant. All I know is, when we got behind with our duties in the nursing home, our LPNs we're right there with us, helping! && Most LPNs and RNs were CNAs before they became nurses!!! Like others have mentioned, this is not a competition & you cannot compare these two jobs.

I'm sorry that you work in a facility with no mutual respect. But, teamwork is key. We're a team working together to provide great care for our residents. Period. This is not a contest.

I haven't read all the comments but I want to apologize that you've had a seemingly rough experience with some professionals. I have worked in 4 states and in 4 facilities and all three shifts. I have only worked with ONE lpn that had a bad attitude but every single other professional I have worked with has jumped in with out question and worked as hard as I have. Just because they're not always toileting someone or what not does not mean their job is less difficult than ours. And an attitude like this is a very POOR attitude to have. If you come off with an attitude like this to a professional I am not surprised they're not willing to help you. I wouldnt even be willing to assist you.

I am a nursing student who just started working as a nurse tech at a local hospital. I just finished my second week of orientation, I've done shifts on the med/surg and medical floors, and will orient to the pcu before I finish (med/sure will be my "home base")... I know that CNA's/nursing assistants bust their butts! You know the patient the best, you spend the most time with them, and are the most intimate with them. I have nothing but respect for CNA/NACs, and the work that you/we do. It's been exhausting and overwhelming at times and very stressful (especially as a newbie), but I love it, despite all that and I know that I will be a better nurse for this experience that I am gaining on the job now.

I saw this thread and I wanted to pop in and let you know that as a soon to be nurse (I graduate in December) I will not forget this experience and will always be grateful to have the help that you guys provide. Thank you for everything you do. You are all rock stars! :)

Specializes in LTC,Hospice/palliative care,acute care.

Update,OP? I see in another thread that you were just terminated from your job in the nursing home.Remember,when one door closes,another opens.I think the Power Above is showing you The Way....get out of health care....stat

The OP sounds frustrated with their personal work situation. Good nurses appreciate and respect good CNAs, and good CNAs appreciate and respect good nurses. It's all about creating an environment that is beneficial to the residents. I would much rather work with the nurses at my facility than have to deal with some of my fellow CNAs, hands down, any day. I consider myself an excellent CNA because I put my residents first, every day, all the time, no matter what. My nurses consider me an excellent CNA because they recognize that mentality in me.

If a nurse is giving a supp to one of my residents, I will help turn the resident. When the resident has a BM, it is not uncommon for a few of my good nurses to come by and help me change that resident.

Specializes in hospice.
Good nurses appreciate and respect good CNAs, and good CNAs appreciate and respect good nurses.

And there's the rub. Good nurses don't sit in the nurse's station facebooking on their phones while call lights are going off and the aides are getting report on shift change. (Ours is an hour earlier than theirs, so they can supposedly answer lights while we get report.) Good nurses don't call an aide who is alone on her floor and responsible for 15 patients, and already in another room providing care, to get a Sprite when they are already in that room and could get it themselves in one minute. Good nurses don't hide in the break room texting an hour before their shift is over. I have seen all this and more on the unit I work in the hospital, and have spoken to my charge nurses about the problems it creates. I am ignored, these nurses keep acting this way, with no reprimands and no fear for their jobs.

Also, good nurse administrators don't CONSTANTLY run the floor short, telling an aide her patient load will be X upon hiring, knowing that in reality, it will almost always be 2X instead. That's just dirty pool.

And that's why I am getting out. I am moving on to a position with a hospice company, and I did a lot of research on that company before applying. The most important thing I looked for was employee reviews, and those plus my experiences in their interview process have already told me the culture is radically different. I expect to fit in better and be much happier there.

The few nurses I really like and respect, and a couple of my fellow aides, I will be sorry to leave. I am collecting contact information from those I really want to stay in touch with. But for the most part, I will be leaving with no regrets.

Apparently, according to another poster, the OP has since been terminated from the job he posted about. So s/he should use this as an opportunity to find a better place to work. Better yet, if your workplace is truly awful, start looking long before you get burned out enough to do something that will get you fired! There are 100 ways to be a CNA. Hospital, SNF, LTC, ALF, hospice, home care, rehab hospitals, even outpatient facilities and doctor's offices. If your job is truly awful and grinding you down.... dude, find another one. Recession or not, there are always CNA jobs.

95% of the RNs I work with are great, never have had any problems with nearly all of them, either working in long term care or on med/surg.

OR Nurses are another story altogether, some of them I've encountered at work are just plain evil. Not sure what it is about them, if its ego or what(not sure why, their scope of practice seems pretty limited), but I have encountered outright hostility from them, and many other Med/surg RNs and PCTs have said the same thing. Theyve also hurt a couple peoples backs transferring surgical patients in a hurry. I told one of them to slow down or someones going to get hurt transferring people(they always take the easiest position when transferring), she looked at me like she wanted to claw my eyeballs out lol. Sure enough a PCT went down with a serious back injury thanks to her.

Specializes in ER, progressive care.

I'm an RN but I worked as an aide and also a nurse tech (an aide + I was allowed to do other things) before becoming an RN. I appreciate every CNA I work with. CNAs truly are the backbone in nursing - not just in LTC but in all units. There are days where we would drown without the help of the CNAs. As others have mentioned, you cannot really compare the two unless an RN has been a CNA and a CNA has become an RN. They are both very difficult jobs in their own aspect, but that's where team work comes into play. With team work, your shift goes more smoothly.

@Duskyjewel

You felt the need to quote me, why? Those aren't examples of good nurses. My point exactly.

I respect RNs, obviously they have more responsibility than CNAs. amd im sure this added responsibility is stressful, but I agreed with some of what the original poster said simply because you cant overestimate the physical toll of being a CNA.

If you are a CNA long enough, you WILL have back problems, period. Some of these back problems will be crippling, at a fairly young age. I have seen aides in their late 30s and 40s who cant walk straight. Oddly some of them will deny their back problems and go on about how if you use proper lifting mechanics you will be fine, but thats the thing. You cant use ideal lifting mechanics all the time when lifting something as awkward as the human body, and situations arise where all you can do is try to minimize the wear and tear on yourself but still get the job done.

RNs deal with stress, but CNAs are out there every day sacrificing their bodies for their patients and residents, AND dealing with more than a little bit of stress themselves, with little to no thanks, and in some cases continuous criticism from families, patients and other staff. Its just the nature of the job.

Although Ive had my differences with plenty of CNAs I work with, Ive become a huge fan of anyone who is able to do this job. I had zero notion of how hard it was when I began, and when I move on to something else, I wont forget the job these people do.

+ Add a Comment