STNA assessing lung sounds?

[Denali_25]

The Scene: You walk into your patient's room/home. After chatting for a bit you pull out your stethoscope and begin to listen to your patient's lungs. Your patient then tells you that her STNA previously informed her that her lung sounds are clear. You ask her how the STNA knew this? Patient tells you that the STNA used her stethoscope to assess the patient before telling the patient that her lungs sound good.

Your Reaction: ???

[Pangea Reunited, ASN, RN]

My first reaction would be to wonder if it was an RT, instead.

[Denali_25]

It was not, and you are sure of this.

[applesxoranges, BSN, RN]

I would mention that it is still my duty as an RN to listen to her lungs as I am the licensed individual.

[Pangea Reunited, ASN, RN]

It was not, and you are sure of this.

In that case I would be curious and ask the CNA about it ...and of course, I would still listen to the patient's lungs, myself.

[Denali_25]

Of course. But why would you ask the CNA about it? What would you say?

[roser13, ASN, RN]

WERE the lung sounds good?

[Denali_25]

WERE the lung sounds good?

No, they are not.

[ProgressiveActivist, BSN, RN]

Duplicate post, disregard .

[ProgressiveActivist, BSN, RN]

What is a STNA?

If that is an acronym for a nursing student, let her practice.

If this person is a nursing assistant or home health aide, then she needs to stop doing nursing assessments.

[Pangea Reunited, ASN, RN]

Of course. But why would you ask the CNA about it? What would you say?

I would be genuinely curious and probably a little annoyed. I'd just say, "Hey, the patient in 206 refused to let me listen to her lungs because she said you already did it ....what's up?". Then, I'd see what they had to say and go from there.

[applesxoranges, BSN, RN]

I would be genuinely curious and probably a little annoyed. I'd just say, "Hey, the patient in 206 refused to let me listen to her lungs because she said you already did it ....what's up?". Then, I'd see what they had to say and go from there.

She didn't say that she refused to let the RN listen, just that the patient said that the STNA/nursing assistant (some states use "state tested nursing assistant" instead of CNA) listened.