CNA Bonus Plan

  1. Hi there,

    I'm a Compensation Analyst for the LTC world. I fight everyday to prove that CNAs are the heart of the centers and need to be recognized more for their efforts.

    With that being said I am attempting to design a bonus plan for CNAs. My goal is to give CNAs the ability to control their earnings based on their performance. Since I am not in a center I don't have first hand knowledge of how a CNA affects the success of centers.

    I'm reaching out to you to help me design the perfect CNA bonus structure for individual performance. Things to consider:
    What should a CNA be measured on?
    How easy would it be for a Supervisor to keep track of the CNAs performance?
    Should a CNA be rewarded on a monthly basis or annual?
    What are some fair eligibility rules?

    Any help would be greatly appreciated, not just from me but the 6,000+ CNAs my company employs nationally.

    Respectfully,
    Marie
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  2. Visit Mariesmith profile page

    About Mariesmith

    Joined: Mar '16; Posts: 7

    61 Comments

  3. by   Been there,done that
    ** crickets**
    Most CNA's work hard and any $$ they can earn are well deserved.

    but please...
    You will not be able to prove that CNAs are the heart of LTC, because nurses are.
  4. by   roser13
    I think the CNA's are the heart of LTC. But I don't have any advice for your compensation plan.
  5. by   Mariesmith
    See now, I would say RNs are the brain of LTC. Nonetheless, there has to be responsibilities that a CNA does that can be evaluated and rewarded for. Can CNA's prevent ulcers from occurring? Or falls from happening?
  6. by   dishes
    I suggest you put money into safe patient/staff ratios, not fake rewards.
  7. by   Been there,done that
    Quote from Mariesmith
    See now, I would say RNs are the brain of LTC. Nonetheless, there has to be responsibilities that a CNA does that can be evaluated and rewarded for. Can CNA's prevent ulcers from occurring? Or falls from happening?
    See now, nurses are the brain and the heart.

    ANYTHING CNA's do is under the direction of the professional nurse.
    Last edit by Been there,done that on Mar 29, '16
  8. by   mindofmidwifery
    Quote from Been there,done that
    See now, nurses are the brain and the heart.

    ANYTHING CNA's do are under the direction of the professional nurse.
    That doesn't mean the nurses direct the CNAs to put their hearts into what they do. I believe CNAs are much more involved with patients all around in LTC, therefore, they are the hearts.
  9. by   Pangea Reunited
    Quote from dishes
    I suggest you put money into safe patient/staff ratios, not fake rewards.
    That's it. The idea of a bonus plan sounds pretty gimmicky and avoids the real issue(s). If your LTCs are well-staffed and supportive of employees, your CNAs will want to stay and your falls, pressure ulcers, etc. will be reduced.
    I also can't think of any fair evaluation method for CNAs beyond constant, on-the -floor observation. A great CNA can have two falls in the same week and a lousy one can get lucky.
  10. by   mindofmidwifery
    Why have a bonus plan just for CNAs? I don't understand the though process behind this. All LTC staff are generally overworked and underpaid. Most companies and facilities implement 6 month and/or annual raises so I don't see how you could better that.
  11. by   Been there,done that
    Quote from mindofmidwifery
    That doesn't mean the nurses direct the CNAs to put their hearts into what they do. I believe CNAs are much more involved with patients all around in LTC, therefore, they are the hearts.
    All righty then. Show up to work... without a nurse on duty. See how far your heart gets you.
  12. by   mindofmidwifery
    Quote from Been there,done that
    All righty then. Show up to work... without a nurse on duty. See how far your heart gets you.
    You know that's not what I'm saying. As said previously, nurses bring the brains. But CNAs truly are the hearts.
  13. by   Been there,done that
    Quote from mindofmidwifery
    You know that's not what I'm saying. As said previously, nurses bring the brains. But CNAs truly are the hearts.
    I have 30 years of experience at the bedside. ICU to private duty and everything in between.
    Each and every patient received my heart, body , and soul... while I was applying my brain.
    I am saying CNA's work under MY direction. Without the professional nurse.. you don't have a job.
    Last edit by Been there,done that on Mar 29, '16
  14. by   JustBeachyNurse
    While a noble idea I think your highly misguided. Without nurses you have no CNAs. Period. Put the compensation plan into better staff ratios. Better ratios > more effective staff >> happier staff + happier residents + happier families and reduced negative outcomes when you have proper ratios of adequately paid staff

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