Quote from brownbook
Blackmamba123. When you write a long post could you please make a lot of paragraphs.
I'm confused about how an aide would respond differently than a nurse towards a patient in distress.
If I'm working as an aide I'd call for help. I don't understand what would be different? "I was working as a CNA so I didn't do anything when the patient's blood pressure was 60/30, or his dressing was saturated with blood".
Maybe I'm missing something or not understanding? I tend to be a little dense sometimes.
You mean my one big paragraph is unacceptable?
I guess I should've explained more in my original post. I was chatting with a group of nurses who mentioned how they frequently work as CNA's on their unit, and they felt that if they are assigned as a CNA, they are not responsible to their patients as a nurse.
In some respects I agreed, in terms of charting assessments on patients and passing medications etc. However, it concerned me when I said should something serious go down with a patient, you do realize you would be expected to do what a "good and prudent nurse" would? The overwhelming response was "no, because I was working as the CNA that day".
So in the scenario you mentioned above with the abnormal blood pressure and dressing, they felt, let me get your nurse. It's like they felt they're not responsible as the nurse in any way.
It made me think about that scenario, and working as a CNA when you're a nurse. As I mentioned earlier, in the land of CYA, it seems that choosing to work as a CNA when you are a licensed nurse is a very slippery slope. The argument I always get when I state my case is that I act like aide work is beneath nurses. That is so far from true. We do that kind of work every day.
However, it's not nor should it be the bulk of what we do. That's why we have nursing assistants. And I disagree with nurses working as CNA's for the day. We are nurses, we work as nurses. We assist patients and do nursing duties. We're hired as nurses, receive nursing compensation, and we have a job description that usually in no way shape or form includes working as the CNA or unit clerk etc. Just my two to three cents.