Major venting about some CNA's - page 14
First, let me say that I am not venting against all CNA's or even most...I've been one myself. I know how hard they work. I applaude the good ones. My problem is the majority of the ones at... Read More
Dec 23, '02Occupation: nurse Joined: Dec '02; Posts: 54; Likes: 2i don't know about your facility, but at mine, if we would all quit thinking about what job is the cna's and what job is the nurses', and just do whatever it takes to care for the people we are in this profession to care for, we might even make a difference in some lives. We, too, can't seem to stop the bickering about what who does what and why.
Perhaps we should re-read the job description. especially the part that says...."MUST BE ABLE TO DO ALL ASPECTS OF PATIENT CARE!!!"
Dec 23, '02Occupation: Proud and Educated Licensed Vocation Nurse Joined: Jun '02; Posts: 1,286; Likes: 27Lateblumer, I hear you, the bottom line is the patient. But if I'm doing my job and the majority of what the CNA can do...What patient is really getting the best of care?
Dec 23, '02Joined: Jan '02; Posts: 1,614; Likes: 2Lol - this is the coolest info to read. I would help any RN who ask me because I am a certified and liscenced certified nursing assistant. If RN ask me to help with bedside stuff, I am the one who starts raising the bed on one side. Two people working side to side is easiest, and saves time (logical.) At this beginning point in healthcare (<2years) I do not expect any cna to help me as a RN as I help the RN's now as a shooting star cna :-(
Dec 23, '02Occupation: Patient Education Specialty: 7 year(s) of experience in LDRP; Education ; Joined: Mar '01; Posts: 7,470; Likes: 56Originally posted by rebelwaclause
Lateblumer, I hear you, the bottom line is the patient. But if I'm doing my job and the majority of what the CNA can do...What patient is really getting the best of care?
Dec 23, '02Occupation: L.P.N. in LTC Specialty: med surg,homecare,hospice ; Joined: Aug '00; Posts: 4,682; Likes: 4,824Originally posted by KellieRN
I DID NOT MEAN TO COME ACROSS AS MEAN ABOUT LVN'S HAVING AUTHORITY OVER CNA'S. YES I UNDERSTAND THAT WE AS CNA'S ARE THERE TO ASSIST THE NURSE IN PATIENT CARE. BUT IN MY POSITION, I WAS INSTRUCTED TO TAKE THE PATIENTS TO SMOKE...........I DON'T SMOKE, SO WHEN I SAID NO I'M NOT DOING IT B/C I DON'T SMOKE.........I WAS NOT WRONG ABOUT THAT, WHY SHOULD I HAVE TO RISK MY LUNGS GETTING CANCER BECAUSE SHES TOO LAZY TO GO OUT THERE AND INTERUPT HER DAY FOR IT. ABOUT THE RESPECT ISSUE, I DIDN'T MEAN THAT AN LVN SHOULD HAVE TO EARN MY RESPECT. I GIVE EVERYONE RESPECT AS A HUMAN BEING, BUT ONCE YOU ORDER ME TO DO ANYTHING, I LOSE ALL RESPECT WETHER YOUR THE DON OR THE LVN OR MY FELLOW CNA. I THINK IF YOU THINK YOUR TOO GOOD TO HAVE TO EARN ANYONES RESPECT, WETHER ITS A CNA'S OR A FELLOW LVN'S THEN YOU SHOULD MAYBE GET A MIRROR AND LOOK IN IT AND ASK YOURSELF WHAT KIND OF NURSE YOUR PATIENTS REALLY HAVE TAKING CARE OF THEM. REMEMBER OUTSIDE OF THAT NURSES UNIFORM, WE ARE ALL THE SAME, RESPECT COMES IN ALL DIFFERENT SHAPES AND SIZES.
Dec 24, '02Joined: Jan '02; Posts: 5,673; Likes: 159BB, I can relate when you say it is often easier to do the job yourself. I just worry about nurses who do this continuously...as I feel it can lead to nurse burnout. Plus it enables lazy coworkers.
It is indeed 'easier' and 'faster' to handle many things ourselves but we need to learn to delegate too if we work in a team setting. When I'm way OT and breakless and others get all their breaks and leave on time that's a big clue I need to delegate more to others.
I understand about picking battles...but there is no way I can do my job PLUS the CNA's job...if a CNA is in my ICU it is because we are probably short a nurse so I desperately NEED him/her to help get things done.
Have you tried to get a good CNA to help write a CNA job description/expectation to make policy...and ask your director to use for evaluations? We did this on my PCU and it was helpful in motivating the lazy ones. We even named her 'lead' CNA and she oriented new CNA's...it worked well too and she made some extra $$ with her new title..
So true we all have to 'take orders' and answer to someone in healthcare. Even docs can lose their privileges and their license if they fail to impress the right people one too many times.
Dec 24, '02Occupation: Level II Nursery RN Joined: Aug '01; Posts: 265; Likes: 3Originally posted by mattsmom81
BB, I can relate when you say it is often easier to do the job yourself..
Have you tried to get a good CNA to help write a CNA job description/expectation to make policy...and ask your director to use for evaluations?
Dec 24, '02Occupation: student Joined: Aug '02; Posts: 8merry hoho and all that jazz
let me say that having finished my first clinical rotation i have a healthy respect for cna's, who by the way do way more than they can handle....however, being overworked as they are does lend itself to certain behaviors that stumpted (sp?) even this first year lpn student....
1. strange disappearances...when we student lpns were on ...they disappeared....was it a black hole or a vortex?
2. playing hide and seek with the cna's. they hid the supplies while we hunted them down...
3. finally, the different p.o.v. (point of view) when it came to patient care..fast vs. patient oriented...
4. grandma...was right...one does get more with honey than attitude...a please and wow...thanx went a long way in getting certain things ...ie...peri-spray to clean a patient that was incontinent....
so any comments....
Dec 24, '02Occupation: qualified nurse Joined: Dec '02; Posts: 8
hi, can someone explain what a crn is? In england we have auxillary nurses, i think crn must be the same thing?
Dec 25, '02Joined: Jan '02; Posts: 5,673; Likes: 159Karma your comment about playing hide and seek made me smile...my favorite CNA in the world would 'hide' our IV pumps and other stuff after she had cleaned them to make sure another unit didn't steal them.
At first I wasn't sure what to make of it...but we sure were glad later in the shift that she did this for us...hehe!
Don't ya'll hate running all over the hospital hunting for your own pumps and equipment??? Specially when you have a patient going bad and there's no pump for emergency drugs...
Dec 25, '02Joined: Jan '02; Posts: 1,614; Likes: 2Originally posted by mattsmom81
Specially when you have a patient going bad and there's no pump for emergency drugs...
Dec 25, '02Occupation: Enterprise Application Systems Analyst Specialty: 27 year(s) of experience in Everything except surgery ; Joined: Mar '01; Posts: 5,601; Likes: 174I'm sorry I have to agree with Kellie. I don't believe a non-smoker should have to take pts. out to smoke. I feel this is violation of what most hospitals and businesses have enacted. To provide people with a smoke free environment inside their facilites. Most pts. in this part of the country who smoke and enter into the hospital, are offered a patch/stop smoking aids. Those who refused to try to stop, wait for visitors, and or those who smoke to take them out.
If the pt./resident needs to smoke, and there are no smokers...or those willing to risk their health. So be it! I have never asked anyone to do this task, and never would direct anyone who didn't want to do it!
Dec 25, '02Joined: Dec '01; Posts: 2,865; Likes: 15well I avoided this thread for awhile , but like the gory accident you just cant help but looking at , I returned. I was on nights last night (yeah yeah merry xmas I know!) and I was speaking with the nurses on shift about their ideas about the skill mix on our unit. We work on a busy crazy med surg unit and have noticed a huge increase in the acuity of the patients we are recieving. We have RPN's and RN's and it seems like the RPN's are able to get away with not doing work that is within their scope of practice. This is where the problem occurs, if the RN is busy and asks the RPN to do something , the response tends to be (not always , there are some DAMN good RPN's where I work, so much so that I would trust them over several of the RN's I work with!) that they are somehow doing a favour for us or bending over backwards. That simply is not the case. It is within the scope of practice of an RPN to do a drsg, check the blood sugars and do vitals!
The RN's on our unit are never able to say "thats not my job!" or "someone else will have to do that" or "I'm going for my break RIGHT now"....this leads to so much frustration and a breakdown in the teamwork and professional relationships. I am not anti anyone, each person has a specific role in the health care setting. However each person also has responsibilities and expectations of practicing within their role, whatever that role may be. If you're not happy with the work involved in your "role" then change the situation by furthering your education or working in a facility that better suits your needs...
*phew* feel much better now, sit down and pass the turkey! merry xmas!