This is random but I just wanted to get this off my chest. First, before a CNA gets offended, I have to say I love CNAs. I was a CNA myself, and it is hard, under appreciated work. My pet peeve? I work in a LTC/SNF. The aides are constantly saying with an attitude "he needs a prn."
It's not the aides job to tell me what med to give and when. I simply want to hear what observations they made of the resident, then I, the nurse, will assess the resident and decide what action I feel is best to take. I remember one specific time, a CNA told me her resident needed her "prn." This resident had no psychotropic meds. The CNA snottily said "well the doctor needs to know he needs one." No, the doctor needs to know my assessment, and he/she can decide from there the best course of action to take. Many types of sedatives are contraindicated in the elderly especially combined with their diagnoses, which could cause an adverse reaction or even make the resident more agitated.
I just want to hear from the CNA what he/she observed, and I will take it from there. I've only experienced this at one place, so once again, no offense to CNAs. Just a handful at my facility.