What CNAs need to tell the nurse - page 7
in a postop, i want to hear about: pain level (could indicate compartment syndrome or that dose needs adjusting) c/o nausea/vomiting (could indicate an ileus) bp over 140/80 or under... Read More
Dec 9, '06Joined: Jul '05; Posts: 53; Likes: 15Quote from P_RNYep, we do it every day. Usually it's pt who gets them up for the first time, but after that the CNAs and nurses get them up to the commode or chair. Today, I had to get a total knee nwb up to the commode a total of 10 times in an 8 hour day, she had a bladder infection. As long a you use appropriate techniques it's not a problem.A couple of pages back someone said something about not getting a total knee up......we did that all the time. Different doctors, different parameters.
Sorry, didn't mean to hijack either. Carry on Nurses.
Dec 9, '06Joined: Dec '06; Posts: 51; Likes: 1Where I work we all use clipboards so if someone needs to communicate something to us they can stick a note on our clipboard where we know it'll be seen (clipboards stay in the nurses st or wallaro so the world can't see any info) If it can't wait they track us down and tell us. A side note, someone mentioned a few pages back about CNA's telling nurses critical info an the nurse looks at them with a clueless look. I've been there. When I started working as a CNA (nursing pre-req at the time) I had worked as an EMT for years so I knew what was important and needed to be addressed ASAP. I don't know how many times I would go to this particular nurse and get a blank stare. After awhile I went to my charge with the info. I would much rather have a CNA tell me something un-important than not tell me anything at all. The CNAs spend a lot more time with the patients and probably know them better than anyone.
Dec 9, '06Occupation: staff nurse Specialty: Critical Care, Pediatrics, Geriatrics ; Joined: Mar '05; Posts: 1,783; Likes: 108I wish our floors would hire more CNAs...last time I checked there wasn't a shortage. The nurses are already overloaded with 7-8 pts each and on the weekends, maybe more. Then the CNAs have twice that! It's amazing anything gets done at all! Both individuals being so stressed and behind all the time does nothing but strain the working relationship.