Kystudentrn

I've been doing some relief charging here lately and I've come across a small issue. We have a new nurse who used to be an aid on the floor. I know the other aids mistreated him a bit when he was an aid but he never really said anything. Fast forward now and I'm getting reports from the aides that he's been rather hateful to them and over delegating. Personally I have not seen this and to be honest I can kinda see where he's coming from but do I have an obligation to report this to the director or should I just let it go.

I can only speak for my area. LTC gets a bad rap. My instructors in nursing school never really even spoke about that environment. It was very much implied that if you couldn't get a job in an acute setting then you could try LTC. It was viewed as a last ditch effort for employment.

Where I am they are certified and are in no way considered licensed. Only Lpns and RNs are considered licensed professionals.

I was answering as a nurse regardless your intended audience. I put myself through nursing school working as an aide so I can definately understand where some of them are coming from. There are nurses who will not assist with adls in any way. There are nurses who the aides barely hear from as well. Now are there times when delegation is necessary? Of course there are. However, are there nurses who abuse this? Absolutely. I would tell the op just do the best you can with what you have.

I am a nurse. I am well aware of what responsibilities nurse has. Yes, some nurses are needier then others.

I'm not going to sugar coat it for you. The job sucks. I was a Cna for a little over three years while in school. I would say my average day consisted of mostly butt wiping, bathing, butt wiping, vital signs, more butt wiping, possibly feeding and then again yes, more butt wiping.

Alright I have a different take on this. Being a Cna had absolutely no bearing on my acceptance into nursing school. I'm not saying that's the case everywhere but for me it was not a factor. I'm mixed on recommending a Cna position to anyone. The job is horrible and the pay is even worse. You have the least respect of anyone in the hospital and the nurses have a tendency to speak to you like you're a 5 year old. In fact when I graduated I was offered a position on the same floor where I worked as an aide and extern but I turned it down and was given a different floor. I had no desire to work with condescending people who's attitudes suddenly changed because I graduated. That being said you do learn about the basics of nursing care. I wouldn't recommend it but it's up to you.

Where I am only licensed staff can go to acls. I was a Cna in a hospital while going to nursing school and they did pay a little more then ltc but not much. The only way to raise your pay, is go to nursing school.

It depends on what you're doing. I'd be tickled pink if you are helping with vitals, getting the room set up, getting supplies for the pt, etc... I do get irritated when cnas/techs try to be nurses. Mainly because it's my butt on the line not yours.

I agree with the fact that cnas are not licensed. I never understood why they aren't considered professionals.

When I was an aide I did what hookyarnandablanket did. If there was an abnormality I notified the nurse, charted such, and called it done. if you start making a habit of calling out your nurses you're just asking for trouble. At best you'll find your self on a different floor and more likely you'll find yourself at a different job.

I've seen the cna vs rn battle a million times. Mostly in ltc but that was just my experience.

I meant to say I am an rna

4 years ago as a Cna in a ltc they started me at 7.35. At the hospital I started a 9.46. When I became an nurse extern it got bumped to 11.70. I'm not an RNA (haven't taken nclex yet) making 18 and I bump to 24 once I take test.

I think this is the third or fourth time I've heard about issues between housekeeping and cnas.

I'd check into ltc but as far as a hospital goes that's very unlikely. It may depend on the facility. Ours will hire students as pcas unless they are in their last year. At that point they can hired in as a nurse extern. However one of the stipulations at ours was you had to work at least 1 shift per week or resign your position. They absolutely want to hire students and essentially grow their own nurses but at the same time they need you to work as well. They've been burned by students too many times. Then you have people that have worked full time plus the entire time through nursing school

I don't think any nurse I've ever known will say a cnas role isn't important. You make there job so much easier. The only time I've ever heard nurses get snippy is when cnas start to think they are nurses. It's the whole stay in your lane thing.

Nursing school is competitive for a reason, there are lives at stake. You need to have the absolutely best minds you can get. The gpa average for my class was a 3.7. I also want to say in retrospect getting into the program was really the easy part. It's graduating that's rough. My class started off with 60 students. 24 will graduate with me in two weeks. It's a great journey and absolutely worth it but there is a reason for it being the way that it is.

I speak from experience. Before you start calling out a nurse you had better make sure you are 1000% right or you will probably get yourself in some trouble. Nurses have a tendency to "circle the wagons" when under attack. Yes absolutely there are nurses out there that will delegate everything that can be delegated. Yes they can make your night suck. However please know there is a much bigger picture that you as a UAP may not be aware of.

Yes! This happens all the time at our hospital too!

Im a little curious why the cnas can't do vitals.

I also wanted to say probably 50-60 percent of the aides in my hospital are nursing students. When I was in long term care they were mostly young kids or retirees.

Well in our hospital there is a distinction between the techs and the aides. The techs are used in the Ed as well as icu. They have a bit more training in that they can draw labs and do ekgs. I would expect more team interaction there as that's a pretty close knit group. The aides do work well with the nurses and at our facility there is great communication between the nurses and the aides. At least on my floor the mds had no communication with the aides unless they absolutely had to. Then again we have a brand new md who has no problem talking to anybody. It could be a generational thing.

I think it depends on the area to be honest. Nursing homes here in western ky pay 7.60-9 for srnas (Cna). Hospitals start pcas around 10. Nurses around here start around 23-27 an hour.

It's really going to vary. As a Cna in ltc I could do vitals, adls, ambulation, charting, emptying foleys, changing briefs and applying creams. As a pca in the hospital all of that plus d/c ivs and foleys. Applying telemetry devices, and Bg checks. As a nurse extern all of the above plus insertion of foleys or I/O caths, ng tubes, IVs. Youll find it really varies on where you are and the administration