Thank you for the reply. First of all I am not taking this personally I have come on here to get advice from everyone to figure out a better way to deal with patient report and I am taking all of the advice on board.
I refer to the CNA making a serious error part. This you have read wrong. I stated that I have not had any serious errors with a patient thanks to a CNAs quick thinking. In other words the CNA picked up on a clinical issue and reported it back to myself and I was able to act. This is what I meant. There is no legal scope for thinking! I otherwise may have walked into disaster in a patients room on a few occasions. Beacause I spend way less time with a patient that assistants do.
It is a hard one because as some people have decided to point out we have scope, legalities, RN assessment. Twenty years later you know I could write a book on all of this with my eyes closed.
I will bring this all back to the original point. More places than not have provided a FULL PATIENT REPORT to RN and CNA at the START of a shift. The places that did, teamwork was better, patient care was better and there where less issues. The places that provided a need to know report at the START of each shift. Well, the shift could be scatty to say the least. Especially in my current hospital.
You mention NAs standing around while nurses discuss x, y, z. For example I would not call my CNAs and say I just need to tell you that the doctor called and changed this patients orders, or the lab called and reported, whatever it may be.
I am specifically talking about the beginning of a shift. In order for patients to have appropriate, holistic based care from the entire 'NURSING' team. The RN and CNA must have the full report. Anything after that first intital report is a need to know basis I totally agree.
Hopefully the trial will work I will keep you all updated and please anymore advice or suggestions please let me know. I really do take it all on board. It is what nursing is about. We all have to chip in to make things better.