Vital Signs and the Nursing Asst

Nurses General Nursing

Published

I work on a medical floor. Our usual pt load on nights is 6-8, we are required to take one set of vitals, for all of our Pt's, at some point during our shift. This was initially so the aides could do more baths. Nurses complained because sometimes thats not always possible. Then we were told that the nurse should be taking one set of vitals, just to make sure they are accurate. I do not mind doing vitals, anytime I get a BP that seems out of the ordinary, I do a manual BP. Now the aides have come to expect us to do it, even when sometimes we have 8-9 Pt's. The director has told them, we are to do one set, and they tend to stick with it. Now they are sitting around at the desk, as nurses are trying to do port draws, call critical values, and pass am meds. Does any one else have to do their own vitals? From time to time we do primary care for 4-5 Pt's, when for what ever reason their are not enough aides on that night. i would rather do primary care, Then to have a full pt load, and do their vitals as they sit. and yes the director has been made aware, but seems to go back and forth with her opinion

Specializes in LTC.

I work LTC as well, and CNA's or NA's are taught within the first week of their training to preform v/s's on each other with the machine and manually. But, as one writer already mentioned the na's on the floor stated "I'm waiting for the cna to show me how to do it properly":confused:. I also explained to the na I knew for a fact that the staff is shown in the first week of the position as na that they are doing v/s's with accuracy or they would not be on our floor working:madface:. I asked one particular na to perform v/s's on their residents one noc 4 times. I then wrote the na up and told our class instructor the na needs more time with v/s's the instructor came unglued:bluecry1:. Instructor told me they had been over the v/s portion with this na approx. 6 times:banghead:. Geez some people:bugeyes:.

Specializes in LTC.

Where I work the staffing is a little bit different, but the nurses do their own vital signs. Or at least they do the first set. It's apart of their assessment.

I always love it when they tell me 'i dont know how to do that", be it vital signs or emptying a bag. My usual response is that i was an aide for 7 years, i went through the same certification as you did, and i know for a fact that to be certified that you have to know how to do this so either your lying to me, or you need to go back to school. That usually gets them moving and stops the argument, if not then the threat of a write up with a full explination of what the person "does not know how to do" does.

Ah, I always loved the "I don't know how to do that" or "I've never done that before" response. In me, it ALWAYS elicits a HUGE smile, a far-too-cheery tone, and the phrase "Well, GREAT! Let me SHOW you! Come with me....RIGHT now and we'll do it together!" :D

They can't tell me no after that: I've just offered to teach them, LOL. I then show them how pitifully EASY it is to do whatever it was they couldn't possibly do on their own.

And I NEVER want to hear that excuse again from the same aide. And you know what? I never do. :D

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