A certified nursing assistant that gets to work in hospital is assigned to a specific unit to which he has to work most of the time. He may be asked to replace certain co-worker if he is aware of that unit and floor requirements. A CNA in the hospital will do the same tasks in the intensive care, emergency room or the medical surgical units, but if the CNA has never worked in a hospital ever before, then certain environments can become quite intense. Emergency room or the intensive care department can become a bit hectic compared to the medical surgical floors which are at low key generally. The CNA may experience the job rotation through several units that is done to make them acquainted of all the units with different settings and environs.
The CNA, who is assigned to work on the post-mortem floor or the labor and delivery unit, will be comfortably serving the basic care to the female patients who have gone through labor. This CNA may also rotate to some other hospital unit generally the medical surgical units. A nursing assistant working in the emergency department will be exposed to the patients of different ages and problems and will learn to deal with different age groups, a child or an elderly person. Similarly a CNA working in the intensive care unit will assist the registered nurses who will take care of acutely ill patients. These patients are generally put on ventilators, oxygen and heart monitors and get many intravenous medications with parenteral nutrition. The CNA is helped and instructed by the registered nurse while providing the baths and similar basic care to these patients who are critically ill.
The day of a CNA is started with the assignment which states the room numbers where their patients are placed also, the registered nurse that the CNA should report to. Normally, the CNA who finishes up the shift gives the brief report of the patient to the oncoming nurse aide, in a hospital setting. This process is referred to as going on “rounds” in the medical field. The hospital patients are discharged from the hospital as and when they get stable and sound. This does not happen in long term care facilities, since the clients are there for an extended period being the residents of the nursing home. The practise of going on “rounds” enables the CNA to take a better care of the patient. The nurse aide can also discuss to find out the special needs of the patients with the registered nurse, while briefing the oncoming nurse aide. The shift will include the measuring and recording of the vital signs on specific intervals, making the beds, measuring and recording the output, assisting with toileting and bathing, answering the call lights and providing the patients with the clean linens, gowns and other supplies.
There are some patients in the hospital who require special monitoring. While providing care to the diabeticpatient, a special blood glucose monitor is used to test the blood glucose levels. This is done by the CNA at the beginning and at the end of the shifts, generally. The CNA will also monitor the diet that the diabetic patients are taking. A CNA should remember that not all of the patients need complete hygiene care. Most of the patients will be able to use the bathroom and will be able to perform their basic daily activities if they are getting the right hygienic supplies.
The nursing home patients however are fully dependant of the CNA for washing bathing and other similar day to day activities. Another regular work on a CNA in a hospital is to shift and move the patient to one unit to other and help him with the discharging. The patient who cannot move for some reasons will need a physical effort to move them almost pushing the bed to the new position. At times these beds may be harder to maneuver, even with the wheels, for a fresher to this job.
All the belongings and property of the patient is gathered at one place by the CNA at the time of the patients discharge, so that the inventory can be made and a wheel chair is provided and the CNA will escort the patient. The CNA may not get to know the patients working in a hospital unlike the long term facilities which make a bond between the patient and the nurse aide. The CNA gets to know almost everything about the patients including the patients’ family. This kind of practice is considered better in quality as per the studies show. The CNA who gets to work in hospital should be able to learn quickly and should look forward to a continuous care for all the patients he is responsible for.
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