Major venting about some CNA's - page 15

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

  1. by   jenac
    " I 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!!!"

    Ok- I've been on both sides of this fence, as a CNA and now as an LPN. I'm sorry, but I can't help but respond to this one. If I spend 8 hours doing someone else's job- how will I get mine done? If I have to interrupt my med pass 25 times to help so-and-so do everything how can I possibly be the nurse my resident's- and the state- expect me to be? I will always help out, when I can- if I can, but I work hard at my job. I do what is expected of me- and I get paid for it. I expect everyone working with me, and recieving a paycheck along side me, to do their jobs as well. Yes- my responsibilites are patient care- but if I have to do all the bathing, dressing, and care- how am I do to all the nursing too? I will do what I can for my aides- every day, in whatever way I can- all I ask is that they do their jobs. Period. If not- than McDonald's is always hiring. We're dealing with people here- not Big Mac's. And it's a team effort. Either be a productive member- or get off my team. I don't expect to have to ask people to do their jobs. I'll give some leeway- and I don't ride them if they just do what they were hired to do. For the record- as a CNA- I expected the same thing of every other CNA and nurse I worked with.
  2. by   Flo1216
    What the heck is an RPN? And speaking of breaks, I hate when I have a pt screaming in pain and the RN says, " He'll have to wait-I'm on break" and the covering RN says, " Wait until Nancy gets back from break," and the pt blames ME. That's not cool.
    a rpn is equivalent to lpn/lvn in canada & possibly the uk. the rpns in canada don't have the same scope of practice as many of the lpn/lvns have in the us. the rpns seem to be limited in their craft...i think.

    merry xmas to you too hapeewendy!!!
    cheers - moe.
  4. by   mattsmom81
    Originally posted by Brownms46
    I'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.
    I agree with Kelli and Brownie.. The patient's 'right' to smoke ends at my nose, IMO.

    This got so bad at my last facility (patients demanding the staff take them outside to smoke) that we created a specific policy for it. The doc must write an order " patient may smoke in designated areas"...BUT it is up to the family to provide an escort if one is needed. The policy states it is NOT up to the staff to escort; the patient and family sign this in agreement and it is placed in the chart.

    Some smoking staff don't mind taking patients to smoke, but the patient must understand this will be at the staff member's discretion and availability.

    I understand smoking residents may be managed differently at LTC centers but I think the above policy is a great way to manage the issue in acute facilities. :roll
  5. by   mario_ragucci
    This is so cool. On my Oregon CNA exam there was multiple choice question about this subject of taking out an altzhimers PT at a LTC to smoke.
    I don't know if I got tht question wrong or not.

    \Accroding to the State of Oregon BON criteria for CNA, if a w/c PT (under my care) @LTC facility with altzhiemers rightously asked me to go out on the patio to smoke,...what is right to do????
    a. refuse them access outside and document
    b. hide their cigarettes and ask the RN to med them
    c. open the door to the patio and let them outside and come back in 10 minutes to check on them
    d. check their clothing, accompany them outside and stay with them and make sure the PT is safe.

    What could you do? answer is D, right?
  6. by   SKM-NURSIEPOOH the backward state of nj...residents in ltc facilities have a right to smoke as these places are their homes.

    i've seen many staff member fight over whose turn it is to "light them up." even the smoking staff get a bit hot under the collar because where i work specifically, the residents have a smoke room which is suppose to be filtered...but it quite horrible for those who aren't smoking at that particular moment. smoking staff aren't even allowed to have a cigarette while they're watching the smoking residents if they want to....grrrr.

    fortunately, the smoke room has these huge windows where one can light-up all of the residents' cigarettes & watch them from just outside of the room...with them inside & the door closed. the irritating part of it is that if staff have asthma or a common cold, they've got to hold their breaths, light all the cigarettes, & then make a dash for the door. god help any of them if something happens inside that room right in the middle of all that smoking.

    i personally don't think that non-smokers should have smoking duties, especially those with lung problems...i strongly feel that goes against those individuals' personal right to work in a hazard-free environment. in addition, i don't feel that the smoking staff should have to expose themselves to more lung damage by inhaling second hand smoke...if they don't wish to be...despite them being smokers. if people are made to work in hazardous conditions (this qualify as being such), then they should be compensated some how...but no about of money in the world is worth developing lung ca from secondary cigarette smoking...jmho.

    ciao - moe.
  7. by   mattsmom81
    Flight attendants have won class action lawsuits against airlines that forced them to be in smoke filled cabins (before the clean indoor air acts) and led to the development of lung disease.

    Healthcare workers forced by job description to inhale resident's smoke should also have the right to challenge this in court. If what Moe describes is 'state mandated' perhaps a suit against the agency mandating this is order. When will nurses stand up for nurses rights and stop sacrificing their own health and wellbeing???

    Sorry...this is a bit off topic but is a hot button for me. I have never smoked but have mild asthma/chronic bronchitis due to exposure to chain smoking parents and smoky patient and report rooms over the years. It pizzes me off.

    Yes, Mario, 'D' is probably the correct answer, as I know LTC residents' rights are a big issue today.
  8. by   Love-A-Nurse
    interesting thread.
  9. by   Furball
    Cig smoke makes me nauseous. If I had to go home ill every time then I would think "they" wouldn't ask me to take pts out to smoke. Silly......a hospital is there to help sick people get BETTER not worse.
  10. by   Q.
    Here's my question.

    Say you work with a bunch of non-smokers who refuse to take patients out for smoke breaks? Then what? Who does it then?

    Isn't it along the same lines of refusing to take care of a TB, AIDS, pneumonia or other infectious patient because it's bad for your health?
  11. by   Ortho_RN
    Well we had a dr. who actually came to see his patient and the patient wasn't in his room... The dr. asked where he was and the nurse said that he was outside smoking... That dr. went off.. Yelling something about malpractice..blah blah... I thought it was interesting... I do not take smoking patients out.. I am a non-smoker so I just don't do it.. We have enough smoking nurses/pca's that are more than happy to go out and smoke themselves...

    And when we have patients that can't go out and smoke (broken hips etc..) they end up lighting up in their room.. Which is against hospital policy, but they do it anyways... I will go in the room if it is NECESSARY.. but otherwise I stay out.. Cig smoke makes my eyes burn and bothers my breathing... So I am not going to do it... And our charge nurse has no problem with it.. She understands...
  12. by   SmilingBluEyes
    AHHH why I love where I work. NO SMOKING ALLOWED ANYWHERE ON HOSPITAL GROUNDS OR WITHIN 50 yards of it. NO one has to take pt's out to smoke....nonsmokers don't get to whine about smokers taking too many breaks cause NO ONE CAN SMOKE when at this HOSPITAL PERIOD. Makes it fair for EVERYone. Those smoking patients who can't handle withdrawal are offered patches.......if they demand to go out to smoke, it's AMA. It can get dicey, but I think it communicates the right message to our patient/family population. Smoking is NOT healthy and NOT done by healthcare workers or patients while in our hospital. I like it!
  13. by   mattsmom81
    Originally posted by Susy K
    Here's my question.

    Say you work with a bunch of non-smokers who refuse to take patients out for smoke breaks? Then what? Who does it then?

    Isn't it along the same lines of refusing to take care of a TB, AIDS, pneumonia or other infectious patient because it's bad for your health?
    As I said, it is policy in my hospital... family takes smokers out to smoke or it likely does not get done. We also offer patches and gum. I'm glad my hospital has taken this step for it's staff.

    We have PPE and even reverse airflow rooms for infectous situations like TB, VRE, HIV etc. But what protection are we given from the smoke? Even the outdoor designated smoking areas are hard to take for those who are sensitive to smoke. The smokers congregate in that one small area and it gets pretty thick.

    I suppose nonsmokers could wear hepa masks...can't see the facility liking that idea...

    I remember the days when nurses were were discouraged from wearing gloves to 'avoid offending the patient.' I'm glad those days are past and we can now protect ourselves from some hazards.