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Discussion

Nursing Hell.

Nursing has become increasing dangerous. Employers just want to make money. They don't care about the safety of the patients or the nurses. A nursing home facility in Baltimore Maryland called St. Elizabeth's uses GNA's and CNA's to supervise their medical units. These "supervisors" have NO medical training. Or understanding of the nursing process. Don't understand medical terminology or labs. When nurse are hired they tell them that they are charge nurses; when in fact they aren't. These CNA's and GNA's are the supervisors and are in control of the floor. All the nurses RN's and LPN's and other GNS's are under them. Surprisingly, the nurses that work there don't seem to mind risking their licenses.

These "supervisors" attend care plan meetings and talk with the patients families; not the nurses. Which us a break in continuity of care. How can a nurse follow up or document on a medical issue if she doesn't know about it? The nurse does all the floor work. Meds and treatments. However, if anything goes wrong it comes back to the nurse.

In talking to other LPNs and RNs this is newest trend in nursing. Employer don't want to use LPNs anymore. Many of the LPN positions are being phased out in favor of Techs and Medical Assistants. I am seriously considering leaving nursing. It bad enough that I have to worked with nurses that are trained but have use poor judgement. But to work with people that aren't trained in the field is a bit much.

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    How could a CNA be a floor supervisor? Sorry, I must be misunderstanding something.

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    How could a CNA be a floor supervisor? Sorry, I must be misunderstanding something.

    The question should be "why is a CNA a floor supervisor?"

    There is nothing stopping a facility from making a CNA a floor supervisor. It might not sound good, or be attractive to nurses working there, but a business is a business and allowed to make such a decision.

    My position on this is that the CNA should be wiping bums while the RN does the supervising. However, I am not the manager there, so I am not there to make that call.

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    OP do you have any evidence to support your claims?

    I don't know about others but my BS meter is going off... New account, just joined and first post. I may be wrong but I have a hard time believing these claims.

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    The question should be "why is a CNA a floor supervisor?"

    There is nothing stopping a facility from making a CNA a floor supervisor. It might not sound good, or be attractive to nurses working there, but a business is a business and allowed to make such a decision.

    My position on this is that the CNA should be wiping bums while the RN does the supervising. However, I am not the manager there, so I am not there to make that call.

    Actually I agree with the previous poster. I think "how could a CNA be a floor supervisor?" is absolutely appropriate. According to chain of command I do not report to CNAs or UAPs. I actually am not even a big fan of RNs reporting to LPNs only for the fact that according to chain of command and scope of practice, it is not correct (don't go crazy on me - I know MANY amazing LPNs!). I don't think nurses (LPNs or RNs) should report to someone that is unable to take over their duties if there were an emergency and they had to leave the floor.

    OP do you have any evidence to support your claims?

    I don't know about others but my BS meter is going off... New account, just joined and first post. I may be wrong but I have a hard time believing these claims.

    I do have to admit that it's hard for me to imagine this being true. I'm not trying to question or acuse the OP but this is a bit far fetched.

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    • Admin

    By floor manager, is it described by the facility as an administrative role? While nurses can't clinically be supervised by someone with a lesser licensure, they can be administratively supervised by anyone the facility deems appropriate. However, attending the care plan meetings does seem a bit off.

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    In NC, CNA can get a Med Tech certificate and a SIC ( Supervisor In Charge) certificate for Assisted Livings not Acute Care.

    A RN only has to be present a day or two a week.

    The Med techs pass meds and the SIC not only passes meds but supervises the rest of the CNA'S and Med techs for that shift. They do not Supervise RNS or LPNs

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    • Author

    No I am not mistaking. Read their article. They state that they don't use nurse. They call these "supervisor" Neighbor Guides. I had a conversation with one of the "managers". They told me that they had two months of training.

    Skilled Nursing Care

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    "In talking to other LPNs and RNs"

    Ok..so you have talked with "other" staff members and you have deducted what exactly? That the entire United States is "phasing out" LPNs?

    What is the point of the original post? That managers are not all RNs..and even if they are all use "poor judgement"?

    This is your deduction and you will apply it to the entire United States?

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    • Experts

    I have looked over the link you provided and this is what I found:

    "These specialized neighborhoods are staffed by interdisciplinary teams led by empowered human service professionals, known as Neighborhood Guides, who manage all aspects of care. This allows Neighborhood Nurses, with a full-time geriatric physician, to devote their time to attending to the medical needs of elders. The Neighborhoods at St. Elizabeth require all staff to have a substantial knowledge base so that each employee can participate in decision making. - See more at: http://www.catholiccharities-md.org/jenkins-senior-community/st-elizabeth-rehabilitation/the-neigbhorhoods-at-st-elizabeth-recognized-for-excellence-in-senior-care.html#sthash.dzITU4Zb.dpuf"

    From this, I'm gathering that the Neighborhood Guides care for the patients ADLs and non-clinical needs. I don't see anything about CNAs being the supervisor. Perhaps I missed it?

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    Unless I am missing something, there was nothing I read in these articles that implied that these "neighborhood guides" are aides. They are using nontraditional titles, although from what I have been seeing in healthcare this is not uncommon. Where I work our patients are called guests, our DON has the title of Director of wellness and our HR has a different title also. Just because different titles are being used doesn't not mean that the criteria to fulfill these positions have.

    As for job opportunities for LPNs, it really depends on the area. From what I have seen positions for LPNs exist mainly within long term care and home health. Even that has been changing some in the recent years with some places looking for at least an RN, BSN at many hospitals. With that you have a few choices, either find a place that will hire you as an LPN, or continue your education to achieve the required level where you would like to work. I am not going to say that one is better than the other, although in general as one increases their education their opportunities will increase.

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    • Author

    You can read their article on the new trend. They call these CNAs and GNAs " Neighbor Guides" in the article they state "The managers of the neighborhoods are now Neighborhood Guides rather than Nurse Managers. "- See more at: Skilled Nursing Care

    Skilled Nursing Care

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