NA's not professionals

Nurses General Nursing

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I was the recipient of a complaint yesterday from another employee. An NA told me she had been called off before her shift and told on the phone that instead of having her work, the floor would run with "3 professionals." She took offence at the notion that she was being referred to as not being "professional." While I understand the callers true meaning was RN's and had nothing to do with "professionalism" it non-the-less offended the NA.

I then wrote an e-mail to all the people who may be calling staff off and informed them that this might be offensive and we should monitor ourselves with what we say and to whom. I got a response back from a manager stating that this is an industry term and the NA needs to be "talked to." She also asked me to provide the name of the NA.

Personally I know it that the meaning of "professionals" was not meant to be offensive and only referred to RN's. But, perhaps it's more offensive then I think? I would like to hear from some NA's if they would find it offenses that RN's are referred to as "professionals" and NA's are not.

Tonight I have to decide how to respond to the mangers e-mail with out turning it into a huge issue, but still respecting the NA.

Specializes in Utilization Management.
Isn't that taking the approach again that NA's are really nurses in training and should thus understand our thought patterns? I'm not arguing either way, but I do believe that part of getting more education is learning more about interpersonal communications and how different things are interpreted differently by different people. As nurses, it should be our responsibility to continually promote better relationships with our colleagues.

No, it's understanding one's position and scope of practice in the chain-of-command. CNAs are supposed to know this stuff because they are under the authority of the RN. In other words, CNAs are supposed to know exactly what their role is, what they can and cannot do, and who they are to report to and take direction from.

All of that should've been covered in CNA training and it should be review to student nurses who have worked as CNAs.

Specializes in Utilization Management.

And one more thing:

To the OP, I would suggest offering this website to the CNA first mentioned. Notice that they refer to themselves as "Career" CNAs, not "professional" CNAs.

http://www.cna-network.org/pages/NA_Week_2007.htm

You also might want to give that CNA a membership to the 20-Year-Club, linked on the left of the page.

I'm glad to have found this website as I work with a couple of outstanding CNAs who are eligible for this award.

Specializes in Med-Surg/Tele, ER.

I'd like to steer clear of the debate which has taken place on the thread and just address the OP.

It really seems that there was just a misunderstanding, and the reason for the misunderstanding is at the heart of the issue being debated here. While the aide may be very knowledgeable in patient care and demonstrate a high degree of professionalism (adjective), the aide has not received the education to be a professional (noun), or even to know that such a debate exists. I think the manager is correct - the aide needs to know what is meant by professional (noun) vs professional (adjective). It would likely also help to explain the education one receives in nursing school with regards to this issue, that there is A LOT of backstory. Also, as has been stated previously - reinforcing the difference between a vocation and a profession, and reinforcing how the terms are used in the industry.

Yeah...I agree...

The CNA was offended because she thought she was being called unprofessional. She's probably (rightfully) proud of the work she does, and thought that she was being looked down upon by the nursing staff.

I wouldn't tell the manager which CNA said it, that isn't really important.

I don't mind somebody saying that a CNA isn't a professional...but I will say this...there is nothing I hate MORE than being called a TECH!

Ugh. Gross. I am not a Patient Care Technician (or however any facility words it.) WTH does that even mean? There are no technical skills involved in my work. I am a Nursing Assistant. I assist with nursing cares.

WTH does that even mean? There are no technical skills involved in my work. I am a Nursing Assistant. I assist with nursing cares.

As if the people you care for are electronic equipment.

It's different in dialysis, there are no CNAs- the UAPs are called pt care technicians, and their badges all have this title on them. They do work with machines and do a lot of technical/mechanical type of work. They work w/ pts, as well.

Suesquatch-I know, right?

Hellllllo Nurse- that's ok then...but some facilities/nurses refer to ALL CNAs as Techs...that I don't like.

Specializes in Med-Surg/Tele, ER.

I never realized that "Patient Care Technician" could be offensive to some who work in this capacity. I always though the title "Patient Care Technician" seemed a little more diplomatic, as it didn't justify the individual's role with regard to the nurse's role, which indicates they are inferior to the nurse.

I never realized that "Patient Care Technician" could be offensive to some who work in this capacity. I always though the title "Patient Care Technician" seemed a little more diplomatic, as it didn't justify the individual's role with regard to the nurse's role, which indicates they are inferior to the nurse.

No...I don't regard CNA or even NA as offensive, because the title is NURSING assistant...as in I assist with nursing care. Not a NURSE'S assistant (even though I am) which then does sound inferior. I just don't like Tech. It sounds so impersonal.

Specializes in Med-Surg/Tele, ER.
No...I don't regard CNA or even NA as offensive, because the title is NURSING assistant...as in I assist with nursing care. Not a NURSE'S assistant (even though I am) which then does sound inferior. I just don't like Tech. It sounds so impersonal.

Ah, I see. Good point.

If being a tech is not professional because nurses work is harder, then I would venture to say nurses aren't professional because being a surgeon is harder.... Yeah, it's not right is it? It's offensive too.

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People do hard work all the time. I don't see where learning another language has anything to do with this thread. Also, an RN isn't called a "doctor assistant." Two separate professions.

I am a CNA. I am also an LVN. I am also a BSN student. These all took my time and effort to accomplish. CNA's are certified. They do the grunt work that the LVNs and RNs don't have time for or just plain DONT WANT TO DO. a good CNA could be a great asset to an LVN/RN. They can alert you if something isn't right right away. They deserve the respect of being called a professional.

We are forgetting how MOST nursing schools started. Their training began just like CNA training- on the floor. IT was a Certificate program, run by Hospitals, not Colleges or Universities. You don't always have to have a 2 year or 4 year degree to be a "professional".

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