Have you been accused of being more of a CNA, then a RN.

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I have been told that i need to stop doing the job of the CNA, and concentrate more on being a nurse,(RN). I feel that my job encompasses all, from CNA work, up to RN work. I love the hands on duties that the CNAs have. I love it when my patient feels comfortable with me, and can trust me, to take the best care i can of them. I dont know why i get reprimanded by my fellow nurses for this, but i feel that i can be a great nurse this way. There have been times when there was no CNA on my shift. So, do I not empty their foley, or help them to the BSC? Dont help them with their dinner, because that's a CNA duty? Does any one understand where I am coming from?

I know what you mean, but the passing of meds, tx, care plans, etc. are time sensitive and can only be done by a licensed nurse. Stopping to do nursing assistant tasks does interfere with your duties. We only have a limited amount of time to do this stuff and have to prioritize. Whenever we blur the boundaries it can lead to problems. If we are walking into a room and see it needs the attention of a CNA then we need to step back and let them do what they need to do.

How do you delegate when there is no cna on your shift, half the time? I work the night shift, and i also feel that my don believes that we have more time, to do the cna job as well. The dayshift may have 4 nurses on, a cna, and a unit clerk. Until i have cna on my shift to delegate, i will continue to do what i need to do for my patients.

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