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

Nursing Students CNA/MA

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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

I'll give one example from one patient of why being a CNA can be a lot more stressful and difficult than some RNs think. Not long ago we had a patient who was mean as a rattlesnake, one minute he would be smiling and joking and fully lucid, the next he would be calling an aide a disgusting pig and trying choke them, and he was a big strong guy.

A Nurse orientee was doing total care on him one night, but I was doing my best to keep an eye on him in addition to all my patients. He was on high flow 02 through a nasal cannula. Anyway I walked by his room and peeked in on him since he was unusually quiet. He had his nasal cannula on but he was gasping and looked cyanotic. I checked his line and found that it was hooked to a port that didnt have o2 coming through it. Im not sure how it happened, if the RN had given him a neb treatment through a different port and had not switched it back over properly(and amazingly didnt notice his bubbler was silent). She was probably distracted by his almost certain behavioral outbursts or unkind words.

So I got his 02 going and checked his o2 sat, which was dangerously low but rising, and got one of the RNs in there to take a look at him, as he wasnt doing very well. If I hadnt peeked in and realized his o2 was off there was a good chance he would have coded.

So of course the thanks I got was getting to add him as one of my patients for the rest of the shift, getting a full urinal thrown at me later on, dealing with his demanding RN wife who never had a kind word to say about any CNA that busted their butt taking care of him, and after making the mistake of turning my back on him at the end of the shift, getting clocked in the temple by him with his room phone.

This same guy also tryed strangeling another CNA with his telemetry wires. He was also a real back breaker transferring, especially as he was rarely cooperative. He and his wife insisted he be showered every night when he was able to physically move. He was just a joy to take care of, and he was a regular. The CNAs were the ones bearing the brunt of his behavior and taking all of the criticism from his demanding wife, who worked in another part of the hospital as an RN and seemed to have a pathological hatred of CNAs. In all that time every CNA gave him outstanding care. Sometimes they would call one of us in to sit for him, but usually we had to take care of him plus 10 to 15 other patients. I also sat for him, and that wasnt a lot easier as 12 hours straight of dealing with him could be a real treat.

Wow...

I was a CNA for 3 yrs in LTC & 4 yrs in a hospital before becoming an RN. Previous posters are correct in that the RN really does take the brunt of it all. I have gotten hit & spit on just as often as an RN, if not more, than when I was a CNA. I am not going to ramble off a list of all the things that the RN is responsible for ad it would probably take up a good couple of pages. As an RN I still perform tons of incontinent care, baths, transfers & the like. In regard to a previous poster, I have worked with plenty of aides who are constantly cruising the Internet, Facebook, texting excessively & the like. When you mention that work is not the time nor place for this, especially when dealing with people's lives, they get offended & become indignant. This is especially true of aides, & in many cases RNs, from the float pool who have no connection, & in many cases for some strange reason no accountability to the unit they are working on. I also believe that you need to look for another profession & think that your firing may have actually been a blessing to you, & quite frankly for the residents you were responsible for. Even though I am often stuck at work for up to 3 hrs after my shift documenting, & on many instances jumping in to help the nurses AND aides on the oncoming shift who are "drowning," I would not want to go back to being an aide: this is not because it more physical but because I love to help my patients in a myriad of ways including direct patient care. Apples & oranges my friend. I hope you find something that truly makes you happy as this career does not seem to be it. Peace.

Specializes in Geriatric and Mental Heath.

You are frustrated and feel unappreciated and it shows. I'm not going to bash you for you comments. You obviously don't know what an RN does bc I'm sure the RN's at your job have never told you exactly what they do, and they obviously don't value what you do if they say you have it easy. There is a HUGE disconnect so im not surprised that you wrote what you wrote. The grass is always greener...

I can only speak for the LTC that I work at. Being a CNA (at my job) is 100% more physically demanding, and disgusting, than being a RN.

That's why the RN's tell me to hurry up and get my BSN! LOL!

Seriously though..

I don't think that CNA's have it harder in general. RN's have it bad when things go wrong. right now, when things go wrong, I can go home at the end of my shift. The RN has to stay as long as it takes. That's why they get paid 4x more and get sweet OT. Being an RN Means MAJOR responsibility. being CNA means hard physical labor but not as much responisibility (at my job).

When i worked in an ALF, i worked alone with no nurse. i passed out meds as well. it was very stressful. i had to document everything, keep track of meds, pass meds, contact doctors and pharmacies plus my basic CNA duties. thats only a fraction of what RN's do, and i still felt overwhelmed.

(My bitter CNA story)

The nurse that works in the other LTC unit came to my unit and asked me to clean up a diarrhea mess for her bc her CNA was on break. i told her no. She was upset, but that wasnt my problem. That really made me upset.

Other than that, The nurses have been really cool.

don't let a few jerks make you bitter.

There are many places were teamwork is valued. you just need to find one.

Healthcare is not for the faint of heart. It is physically and emotionally draining. Intellectually challenging. Every member of the team is just as important as the next. We are interdependent on each other. No one person worth more or less than the next. If the janitor is the first one hanging onto a rope above a volcano and everyone else is behind him, including the nurse and the CNA.....if the janitor lets go we will all burn together and will be equally dead.

Each person has their responsibilities and job descriptions. Each position is interdependent of each other. We need to acknowledge that we respect and admire the other person's participation to the care of the patient.

You have to give respect to get respect. I personally LOVE my aides and they love me. We work together and pump out baths, bed changes and whatever else needs to be done......so that at the end of the day when I need to focus on the duties performed exclusively by the RN the CNA has my back keeping my patients happy....and quiet.

Well said, I'm a AUA working getting LPN, you hit it right on. We all have a duty to patients, if we are a team it all goes well.

Well....we really don't work with OP so we don't know what HER working environment is like. It could just be a crappy facility with even crappier management.

I would like to say to hfullerCNA

THANK YOU FOR YOUR VERY HARD WORK, I appreciate you.

To be honest, I was never aware of how hard a CNA works, but I am now.

When I go into a hospital, its like I'M seeing the CNA's for the first time in my life.

You have open my eyes.

Specializes in Geriatrics.
In a hospital, I think the RNs have it worse, after all they pretty much do the job of the CNAs plus their own job on a somewhat regular basis, but as for LTC, I dont buy it that RNs have it worse. Maybe it varies by facility, but where I used to work, CNAs were fired all the time, they were investigated all the time, they suffered career ending back injuries, and despite much better than average pay, they quit all the time. It was tough to get CNAs through orientation, and getting through orientation just meant they a 90 day try out. I dont think a single RN would have traded places with the aides, and they would come out and say that.

You ran all shift long, with no breaks. On a good day you had a chance to go to the bathroom. You were hit, punched, slapped, spit on, bitten, puked on, ****** on, yelled at by family, by residents, and occasionally RNs and supervisors, all while busting your back getting people in and out of wheel chairs and on and off the toilet all day. At any time you could be called into the supervisors office and told you are being investigated, so the stress wasnt just in losing your job, but effectively ending your health care career.

From what it sounds like, this is pretty much the typical LTC CNA experience.

Jesus Christ, is this all for real?? This is making me re-think getting certified and working as a CNA... I realize it's far from a glamorous job, but it is really THAT common to be investigated and lose your certification/chances of furthering your healthcare career??

Jesus Christ, is this all for real?? This is making me re-think getting certified and working as a CNA... I realize it's far from a glamorous job, but it is really THAT common to be investigated and lose your certification/chances of furthering your healthcare career??

No, I don't believe this is common.

It sounds to me like the author of that post worked in a rather nasty facility (and some are quite foul).

If you maintain good ethical and moral standards, you should have no fear of losing your certification.

That said, if you ever find yourself working in a questionable facility... leave and leave quick.

The first place I ever worked was so awful, I told the ADON I was walking out and I did.

I had no problem getting hired after that (yes, I told them why I walked out) because no one with any morals or conscience would have stayed!

No, I don't believe this is common.It sounds to me like the author of that post worked in a rather nasty facility (and some are quite foul).If you maintain good ethical and moral standards, you should haveno fear of losing your certification.That said, if you ever find yourself working in a questionable facility... leave and leave quick.The first place I ever worked was so awful, I told the ADON I was walking out and I did.I had no problem getting hired after that (yes, I told them why I walked out) because no one with any morals or conscience would have stayed!
I don't blame you for leaving, but I disagree with the last line that "no one with morals would have stayed". I don't think that's fair to the staff that *does* stay at a place like this. The residents there still need care. And even the worst LTC facility from Medicaid Hell has *some* good staff who are just doing the best they can in a bad situation.
I don't blame you for leaving, but I disagree with the last line that "no one with morals would have stayed". I don't think that's fair to the staff that *does* stay at a place like this. The residents there still need care. And even the worst LTC facility from Medicaid Hell has *some* good staff who are just doing the best they can in a bad situation.

You are absolutely 100% correct.

Blanket statements always get us into trouble.

I could have left that out and made my point.

Thanks for pointing that out because I know we all do the best we can do in crappy situations and I sure as heck wouldn't insult anyone who tries hard in the worst of conditions.

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