how did they pass theyre boards??

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im just wonderin how some of these nurses passed theyre boards. i am a stna and i was workin an this guy couldnt breathe he was really nervus and his 02 stat was 92 so i told the nurse he need a breathing treatment. she just looked at me lik i was crazy and kept doin whatever she was doin at the nurse station. so i put it on him and he said thank you thank you and he was better, but the nurse got mad at me!!! she should be the on mad at herself for not caring about her pateints and just sitting at the station when her patience are sick. im glad when i become a nurse i wont be like her :D

i undrestand what your saying and i did tell the nurse but what is the next thing to do wen she is ignoring the patient? it is hard to just ignore someone especialy if they say they cant breath.....

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Specializes in LTC/Rehab.

As a cna, I would never 'tell' the nurse what a resident needs. The nurse is much more highly trained in medicine and medical practice than I am. I would have just reported the situation to the nurse, and volunteer my 'assistance' ...not take charge. Who am I to wonder how they passed their boards? All I know is they managed to pass the NCLEX, and I have not yet. They are a licensed professional nurse, and I am not yet. PERIOD.

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Specializes in LTC/Rehab.
i undrestand what your saying and i did tell the nurse but what is the next thing to do wen she is ignoring the patient? it is hard to just ignore someone especialy if they say they cant breath.....

Did you report the situation to the nurse manager?

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"finally another cna lol! well he is really nervus all the time and he was already on oxygen and i turned it all th way up and he STILL couldnt breath." :eek:

Not always the best move. Some people with respiratory issues shouldn't be given that much O2. But you learn those things in nursing school. You are acting WAY beyond your scope.

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Specializes in Medical and general practice now LTC.

OP at the end of the day you have to follow your scope as well as chain of command, if client is talking then they are able to breath, you could insist the trained staff look at the client and if they don't document everything and if necessary go higher or ring 911

I am wondering how you was able to give 'breathing treatment' if you mean medication via nebuliser then how did you get it as the facility where I work only the trained staff can get to the treatments?

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Did you report the situation to the nurse manager?

no because it was the evning and the don already left and we only have 1 charge nurse from 3-11 so she was the only nurse in the whole place.

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OP at the end of the day you have to follow your scope as well as chain of command, if client is talking then they are able to breath, you could insist the trained staff look at the client and if they don't document everything and if necessary go higher or ring 911

I am wondering how you was able to give 'breathing treatment' if you mean medication via nebuliser then how did you get it as the facility where I work only the trained staff can get to the treatments?

the machine is on the bed sid table and the little tubes of medicne are in the drawers of the table

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WoW..thats all I can say..I could mention the points brought up from earlier post about administering tx's and medication (O2) outside of your scope and the dangers and RISK "YOU" PUT THE PATIENT IN but that would be redundant. To be quite honest I am surprised and slightly remiss your nurse didn't

A: Throw you off the unit

B: Report you to the DON

C: Report you to the state board for CNA's

I've had cna's that have saved patients lives by pointing out symptoms that were leading to a bad outcome, and I have cna's that grab me everytime a pt passes wind thinking it's relevant. I still go and check it out just to make sure and CMA, but if a cna doesnt agree with my judgement they need to go over my head or even grab another nurse before they go practicing outside their scope and even meddle into "practicing" medicine w/o a license which in itself is not only morally wrong but is illegal with sever consequences.

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Specializes in Medical and general practice now LTC.

Then you are administering medication and unless that is in your scope you are way out and in danger of loosing your job/license

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Specializes in LTC/Rehab.
no because it was the evning and the don already left and we only have 1 charge nurse from 3-11 so she was the only nurse in the whole place.

Are you saying that the charge nurse was the only nurse in the 'whole place'? If your assigned floor nurse was 'ignoring the patient', then why not report the incident to the charge nurse? Are you saying there was only one nurse in the 'whole place'?

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Specializes in PICU now, Peds and med-surg in the past.

As a STNA you are not yet able to do the thorough assessment that is required to know whether or not a breathing treatment is necessary. Obviously not being there to see the patient myself I can't provide an accurate assessment either but what I can say is the following: (1) As a STNA you are very much over stepping your bounds by ADMINISTERING MEDICATION as you did. (2) As an STNA you are not able to perform critical assessment. Not all situations where a patient can't breathe will require or be improved with a nebulizer. Also, especially taking into consideration the patient's baseline or possibly history of lung disease, 92% very well may be perfectly adequate for the patient. It's also quite possible that the source of breathing difficulty may not be respiratory at all (i.e cardiac, anxiety related etc). I cannot comment on the nurse's action or lack of action since I wasn't there to see how it all carried out but my advice to you: in no position, as an STNA now or a nurse later should you EVER be comfortable over stepping your bounds. You may be very good at your job but you are not a nurse, doc, or RRT so making a decision to administer a med (as you did, which was essentially practicing medicine without a license) is not in your scope of practice. You could really put yourself in hot water some day if practicing above your scope is something you do regularly and a bad outcome is noted. Also remember that if you make a serious mistake and harm a patient that the nurse who is overseeing you may likely be disciplined as well as yourself. If the nurse refused to assess the patient after a couple mentions of your concerns and the patient seems in obvious distress and you feel you have to, go to a supervisor. Best of luck to you, just remember where your job ends!

im just wonderin how some of these nurses passed theyre boards. i am a stna and i was workin an this guy couldnt breathe he was really nervus and his 02 stat was 92 so i told the nurse he need a breathing treatment. she just looked at me lik i was crazy and kept doin whatever she was doin at the nurse station. so i put it on him and he said thank you thank you and he was better, but the nurse got mad at me!!! she should be the on mad at herself for not caring about her pateints and just sitting at the station when her patience are sick. im glad when i become a nurse i wont be like her :D
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Specializes in Critical Care.

This is either assisted living or a really bad facility

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