hookyarnandblanket

In Kansas, you can get a CNA cert at 16 but you cannot operate patient lifting equipment.

To be honest? You really need the LTC experience before working in a hospital. I have rarely seen a brand new CNA come into the hospital setting and handle it well. I can think of one situation where it worked out.

My clinical instructor was a no nonsense, old school RN who was by the book. By the end of my clinicals, I appreciated her more than I could express. She made me a good CNA. Maybe that is what your instructors are doing. They probably see too many lazy students who aren't doing this because they feel called to do it but because it is their only option. You can't motivate people like that, but you can motivate and home those who want to be good. Yes, tasks can get to the point it feels repetitive, but keep in mind, even RNs have to perform those tasks, too. They don't go away after you become a RN.

I did, but that is because I am that type of person. I know many who never eve cracked the book open or purchased the book. It is all individual preference.

You probably need to look at being a home health aide instead. Most facilities are not going to let you come in or leave at a time convenient for you. In fact, there would be times you wouldn't be able to leave at 0630 because the next shift could be running late or they called in. If there isn't someone available to come in after you, you are essentially mandated to stay until someone does come in to take over.

It would probably be best to make what you can of your current position. Going to an administrator and saying you don't feel the current position is a good fit will likely be interpreted as you saying you're quitting. With your hiring being so new, there is no solid reason for them to move you unless that was the only option available. You will still gain knowledge in things related to acute care, bit just not as much. Don't lock yourself down into one area of nursing; make yourself valuable by being open to all different kinds of nursing. The nurses where I work do a huge variety of roles; They are ED nurses, acute nurses, skilled nurses, intermediate nurses, and staff nurses because we have no other option or staff. I say give it time because.you never know when you may find yourself in a position where you need to change mindsets in a hurry.

There is no easy answer to this, unfortunately. If the nurses are relaxed about not helping, and one is notorious for sleeping and not helping out, management likely already knows and won't do anything to correct it. The only solution I would do in that situation would be to not pick up any more shifts in that department. It's highly disturbing that the RN didn't come in to help with the admission to do a cursory assessment and get some sort of brief report from transport.

I started in a nursing home and moved into hospital work. I can't say it's much different for me because they limit our scope of practice in our hospital. As far difference, there are more moments for equipment to get in the way, more opportunities for patient status to go south in a hurry, more exposure to infectious disease, and probably the biggest for me: The goal for the majority is discharge to home, so the emphasis on getting the patient to do their own ADLs and be compliant with Dr.'s orders is highly emphasized.

I was in full blown HTN and untreated when both my CNA jobs hired me. You should have nothing to worry about.

You need to contact the program director and ask. Every clinical site and class provider is going to be different.

If your supervisor isn't willing to do anything about it, and the facility is always chronically understaffed, I think you know what the answer is. You can't panic and try to put out a fire someone else started. I can understand the benefits of the job; I had great benefits at my previous job, too. I also ran myself practically into a nervous breakdown trying to compensate for the choices of the higher ups. I never complained to them when I was punished for the actions of the administration pets. I took on extra shifts, gave up my days off, stayed late, came in early, and only called in once in 2 years because my stomach hurt so bad, I had to crawl across the floor to call them. I did all that because the CNAs who did the same as me and the residents needed me. The nurses there needed me, too, but in the end, I had no choice but to leave before I put myself in the hospital. The administration didn't care that I worked twice as hard as anyone else there on the floor as a CNA. They only worried about keeping the ones who didn't do anything happy and at the job. It was my mental health or the job. Now things are better, I don't commute to work, but I am valued as an employee and I work with RNs and CNAs who care about their jobs and help out no matter the letters behind their names. You probably know deep down what to do. Just food for thought.

It will largely depend on where you live and the cost of living in your area. I live in a rural area of Kansas and base wage at the hospital where I work is $9.25 per hour. The nursing home 13 miles away pays $10 per hour base wage.

If you feel like she is neglecting residents (I would consider not wiping them neglect) or she is jeopardizing resident safety, report her. Otherwise, try to get through orientation and steer clear of this CNA.

This sadly is commonplace. Waiting it out for the six months was a good idea to get the experience. This sounds like a place that needs management overhaul and to get their priorities straight. Good luck finding the right fit. It's out there waiting for you.

At the time this was more commonplace, the parents, the state, and whomever held custody of the individual made the choice as the thinking was that anyone who had some sort of mental impairment wasn't capable of making their own decisions, even if they were mostly cogent. We have come a very long way in autonomy for those with special needs, but there is still a long way to go. This is actually a matter my husband and I are struggling with currently. My youngest step daughter is 16, autistic, intellectually disabled to a mild extent which makes her comprehension level somewhere close to the age of 13. Legally, he can still make the decision for her to be on depo, and we have done it. However, when she turns 18, we will have to make the decision to either file for permanent guardianship or file for financial and medical power of attorney due to the fact she can't make those decisions on her own since her mental disabilities impair her ability to make choices even with informed consent.