Wednesday, October 4, 2017

Consumer Complaints about Nursing Assistants

Consumer Complaints about Nursing Assistants

Most Nursing Assistants work very hard to ensure the safety of patients as well as provide them with quality care. However, consumer complaints happen often, resulting in the profession not getting a fair look. Too often the focus is on the negative that takes place during interactions with Nursing Assistants than reporting good staff to the proper people.

One of the biggest complaints about Nursing Assistants by consumers is that they are too rushed. They often have to hurry through bathing and dressing because they have too many demands on their time in a given shift. This often results in patients getting cared for, but quickly and robotically. The personal touch is often smothered in an effort to get it all done.

For patients, simple requests are on of the few perks they have in a medical facility. It also allows they to still exercise some control over their decisions. This is very important to someone who no longer is able to be at home or do basic tasks for themselves without assistance. These requests can be as simple as helping them from the bed to a chair or bringing them a pen and paper to write a letter. It is easy for Nursing Assistants to get side tracked or forget. However, since these simply requests are important to the patient, it is very important that Nursing Assistants follow through with them. Carrying a pen and notepad to jot down requests is a great way to remember them.

Patients don’t like to be kept waiting. It is very hard to adjust to. They may forget they are not the only patient. Nursing Assistants do the best they can to stay on schedule. However, working short staffed and medical emergencies can quickly put them behind schedule. Nursing Assistants have to prioritize, so sometimes helping someone who has fallen is more important than giving the patient a shower on time. Since confidentiality is so important, the Nursing Assistant can’t tell the patient why they are running late.

Never discuss a patient with another staff member or family member in a manner that makes the patient feel as if they are not in the room. Speak with them in mind. It is important to carefully choose your words, even when you think they are asleep or in a coma. Many patients have filed complaints regarding conversations they overheard while Nursing Assistants thought they were sleeping or unresponsive.

One huge area of controversy is that many consumers are uneasy with who quickly a Nursing Assistant can obtain a license. They do not feel there is adequate training time to do an effective job. Federal guidelines require all Nursing Assistant programs to have a minimum of 75 hours of training. The actual amount will depend on the program coordinator and the state requirements for a particular program. However, it is often debated that to be certified as a manicurist, it takes over 1000 hours of training, but so little to become a Nursing Assistant.

Medical facilities and program developers defend the hours required to earn a certificate as a Nursing Assistant. They feel the training builds on an individuals basic concepts of feeding, bathing, and dressing individuals. It is routine tasks we have all done at some point in our lives. They also stress that the clinical hours are hands on training in a medical facility with close observation. This type of training is more effective than just classroom curriculums of other programs. In addition, Nursing Assistants are closely supervised by Nursing staff on a regular basis.

Nursing Assistants work hard to do an effective job of meeting the needs of consumers. Complaints will continue to be file as long as Nursing Assistants maintain such high workloads. With the demand of this field continuing to grow, it is not likely that the workloads will get anything but larger over time.
Counseling for Nursing Assistants

The day to day activities of a Nursing Assistant can be rewarding and draining. Most of us only know that they offer assistance with feeding, dressing, and bathing patients. However, they do so much more. They develop ongoing relationships with the patients as they have more one on one time with them than any other medical staff. They also provide comfort to the patient and their family. They do all they can from reading to them, helping them write letters, and holding their hand as they move from life to death.

Experiencing the negative activities that occur in the Nursing Assistant profession can really take a toll on an individual. It is especially hard when someone they have been caring for takes a turn for the work, becomes terminally ill, or dies. They still have to go on with their other patients, but they can be left feeling empty and at a loss.

Many medical facilities are aware of this issue. With being compassionate comes true feelings of friendship and loss. Counseling is a good way to help Nursing Assistants deal with the events that take place in the working environment. This counseling can be conducted through the employer or at the expense of the Nursing Assistant from an outside resource.

Counseling services offered on site to Nursing Assistants is generally offered free of charge, as long as the information being discussed is work related. The employer may have several paid counselors that only provide services to employees. Others use their counselors to provide services to their employees, patients, and the family and friends of patients. You will need to look into how it is set up at your place of employment for specific details.

These counseling sessions can be ongoing or set up only when a Nursing Assistant feels the need to do so. It is important to understand that the information you discuss with the counselor at your worksite will not be shared with your employer. Too often, Nursing Assistants avoid this type of support and help because they are afraid their boss is going to get a transcript of the entire session. All counseling sessions are held in strict confidentiality. They only time anything is reported is if the counselor feels you are in danger of hurting yourself or others.

Since counseling is important in the medical profession, you may be able to encourage administration at your place of employment to set up services for employees. While they may argue that it is costly and not in the budget, be prepared to discuss the benefits to the overall effectiveness of the staff. Employees with good mental health will do a better job. They will also choose to continue employment longer than staff that needs counseling but does not receive it.

If your employer does not offer counseling services, it is important that you look into an outside resource for such services. The Nursing Assistant field can be draining and emotional. A key to staying on top of the game is to take care of yourself. This means both on a physical and emotional level. In reality, you aren’t going to be effectively caring for patients if you haven’t been taking care of your own needs. Counseling services can be expensive, but most health insurance plans cover them. If yours doesn’t or you don’t have health insurance, check in your area for discount programs and sliding scale fees.

Counseling services for Nursing Assistants is a vital key to staying compassionate and interested in your work. If you let the dark side of the profession consume you, then you will no longer be contributing to the well being of the patients you care for. Being a Nursing Assistant is a great opportunity to care for others and give something of yourself to society. However, it can’t be stressed enough that you must take the opportunity and time to properly meet your own needs. This is one of the biggest reasons so many people in the medical field suffer from burnout. They simply do not take their own needs into consideration at the level they should.

Duties of a Nursing Assistant

Duties of a Nursing Assistant

Most of us are familiar with Nursing Assistants, but we don’t really know all that is required for them to complete their work efficiently and of the best quality. Time restraints can often make it difficult to decide to do a job better or to get more done. Thus, having an outstanding work ethic is of the utmost importance.

Nursing Assistants must also have excellent communication skills. They are required to have interactions with patients, family members, Nurses, and a variety of other medical professionals. It is imperative that they are able to effectively reply and communication that needs to take place with these various types of individuals.

It is widely known that Nursing Assistants provide basic are for patients including feeding, bathing, and dressing. However, this is just the tip of the iceberg when you take a look at all the various duties involved in being an effective Nurse Assistant. While the specific duties will vary according to the medical facility you work for, there are some that are found in most every one.

Bathing is generally either a shower or a bed bath depending on the level of care the patient requires. Personal hygiene including combing hair, brushing teeth, applying makeup, cleaning dentures all needs to be done for each individual patient. Shaving is also to be taken into consideration, and completed as needed.

Taking patients vital signs are a daily requirement of Nursing Assistants. Taking vital signs includes temperature, pulse, respiration, and blood pressure. This information that is recorded on the patients chart, and reviewed by the Nursing staff and other medical professionals.

For patients requiring assistance with eating, the routine can take 20-60 minutes depending on the abilities of the patient and how much food they consume. The Nursing Assistant needs to document the type of food and drink consumed and the quantities of each on the patient’s chart. Some patients will need to take vitamins and other nutritional supplements, also the duty of the Nursing Assistant to administer.

It is also the duty of the Nursing Assistant in many medical facilities to be responsible for getting those who can feed themselves ready to be taken to the dining area. This may just be having their grooming done or helping to lift them into a wheelchair and take them to the dining area.

Nursing assistants will need to change any bedding or other soiled materials if found on the patient. This is a case by case basis and will vary each day. While interacting with the patient, you will need to document their behaviors. It is important that you notify the Nurse on duty if you see any changes that are unexpected or not generally seen. You will be trained in what to look for.

Keeping a sharp eye for details will assist any Nursing Assistant with successfully performing all duties. Caring for people changes because their needs change as well as those you are caring for changes. How quickly you are caring for new patients depends on the type of medical facility you work for.

In addition to performing all of these essential duties, Nursing Assistants are responsible for providing emotional support to patients and their families. This can be helping patients feel comfortable with their surroundings, hanging a photo on the wall for them, or helping them compose a letter. Family members may want you to certain things for a patient such as braid their hair daily or keep their fingernails short.

Performing all the duties of a Nursing Assistant takes practice, dedication, organization, and a sincere desire to help others. It can be an exhausting effort on some days, and often a job no one thanks them for doing. However, for those who enjoy what they do and take pride in it, we need to stop and see all that they do in a days work. They provide valuable services to patients and the medical profession.
Disadvantages of Being a Nursing Assistant

Being a Nursing Assistant can be a very rewarding career for those who are compassionate, hardworking, and who enjoy helping others. They are a necessary part of the medical field. Often, their work goes unappreciated by others in the medical profession. There are disadvantages to being a Nursing Assistant that can lead to someone no longer enjoying their job. The Nursing Assistant profession has one of the highest turn over rates in the medical field.

Most people who become certified as a Nursing Assistant don’t do it for the pay. They are interested as a way of helping others and working with other medical professionals. The low cost of the program as well as the short amount of time it takes to complete it are also big motivators to enroll in such a program.

We all like to feel appreciated, both professionally and personally. Nursing Assistants who don’t feel respected and appreciated by the other medical staff quickly come to dislike their job. It can lead to feelings of inadequacy and resentment. In some cases, it can result in not performing duties to the best of your ability. In others, it can result in simply not performing the duties you don’t enjoy doing.

While Nursing Assistants help keep things running smooth for everyone including patients, families, and other medical staff, they are often not paid very well. This type of position is considered entry level. The starting pay is generally a few dollars above minimum wage, but when compared to the earnings of Nursing staff, the pay is still considered to be very low.

Being a Nursing Assistant exposes you to a wide variety of patients. Meeting their needs including feeding, bathing, and dressing can often be difficult. Nursing Assistants are also required to be able to assist the Nursing staff with anything that arises during their shift. Nursing Assistants often find themselves running short on time to complete everything on the agenda for a given day.

One of the most difficult things for Nursing Assistants to deal with is the behaviors of patients. While most appreciate the help being offered, others become very angry and mean towards the Nursing Assistant. The risk of both physical and emotional abuse is very high in this profession. This can definitely take a toll of anyone.

As with any area of the medical field, Nursing Assistants are exposed to death and dying. There are times when feelings of hopelessness are felt by the Nursing Assistant as they see patients that they aren’t able to help as much as they would like to. While they understand that is part of the medical profession, it can still be very difficult to take.

Even the most dedicated and responsible Nursing Assistants can start to feel burnout in association with their job. This is when your job becomes so overwhelming that you lose interest in it, as well as other activities. It can be the result of working too many hours, working short staff, or a combination of other factors. Watch for the warning signs.

The decision to pursue employment as a Nursing Assistant lead to a wonderful career for you. However, it is important that you are fully aware of the disadvantages of the career choice as well. This way you can make an informed decision. You will need to ask yourself if the advantages outweigh the disadvantages. It will also help you prepare for signs of such disadvantages that you can overcome.

For example, you can obtain counseling services if you are experiencing negative feelings related to the death of a patient or other such issue. You can prepare yourself for issues that arise with other staff, and know where in your facility to go with that information for a solution. You can also prepare yourself to avoid burnout with the job, and take the necessary steps if you start to feel that way.

Home Health Employment with a Nursing Assistant Certification

Home Health Employment with a Nursing Assistant Certification

Many individuals who are certified as a Nursing Assistant become frustrated with the medical facility environment. The often have to work as scheduled including holidays, deal with internal issues among staff, want more pay for the work they are doing, and don’t feel appreciated.

Home health care offers a great alternative to Nursing Assistants who want more freedom as well as the opportunity to get to know those they are caring for on a more personal level. Home health care is exactly that, offering basic assistance to those who need it in the privacy and comfort of their own home. Nursing Assistants will be performing many of the same tasks including feeding, bathing, and dressing the patients.

Most Nursing Assistants interested in working for home health seek employment with a home health agency. These agencies contract with the patient or their family to offer them services to be able to remain in their home rather than an assisted living facility. However, Nursing Assistants need to be aware home health care agencies generally offer additional services that they will be required to perform including paying bills, running errands, picking up medications, and taking the patient to scheduled appointments. In addition, there may be cooking and light housekeeping involved.

Many Nursing Assistants love home health care because it allows them to develop a schedule that works for them and they get to know their patients. Home health care generally allows you to make your own schedule. It will be reviewed by your supervisor as well as checked with the patients. Every effort is made to accommodate all involved. It is very likely you can customize the schedule around holidays and other events, giving you those days off.

Getting to know your patients while doing home health care is a perk you don’t often get in a medical facility. You sometimes can if you work in a long term care facility, but even then time is often limited and Nursing Assistants have to run to complete the workload they are given. Getting to know the patients in home health care can make the job more enjoyable.

Since home health care takes place in a person’s home with very little supervision, the background check is more intense than what is done to work in a medical facility. This is for the complete protection of the patients. You will have complete access to their home as well as be interacting with them one on one. Therefore any time of issue on your background check can keep you from being employed in home health care.

Be prepared for a references and past employers to be contacted. Home health care agencies will be looking for more than the length of employment and your skills. They will want to find out if you are organized, motivated, and able to work on your own without constant supervision. They will be investigating your promptness as well as how often you call off work, as well as the reasons why.

This is because home health care agencies don’t have the volume of staff to cover your patients if you show up late or don’t show up at all. This can result in patients needs going unmet and them becoming upset. That could result in patients choosing to end their contract with that home health care agency.

Nursing Assistants are more likely to earn more at a home health agency than in a medical facility. On average $2.25 more per hour. They are also more likely to be treated respectfully by their employer and co-workers. They want employees to be happy as this will help keep them as quality employees. Patients do not like for their assistant to continually change. They don’t like having that many new people in and out of their home. The home health care agency has to properly balance keeping the employees and the patients happy.

Before accepting any employment with a home health care agency, take the time to research them with the Better Business Bureau and state Medical Board. You do not want to involve yourself with any agency that does not participate in proper procedures for care of their patients. It is important to report any such issues immediately.
Helping Nursing Assistants with Dying and Death

Nursing Assistants are a unique group of individuals who are dedicated to providing patients with the best possible care. They work hard to make sure their basic needs are met. They often go the extra mile to provide patients and their families comfort. They are trained to work hard, multi-task, and assist Nurses with any type of emergency that arises on any given day. However, their goal is to help others feel better. Dealing with the harsh reality of dying and death can be very difficult for Nursing Assistants to deal with, especially for those new to the profession.

Dealing with the issue of dying and death is relevant in any field of the medical profession. It is even more common if you are working in a critical care of elderly care facility. This issue should be taken into careful consideration before a Nursing Assistant accepts a position in such a facility.

Since all people view death differently, a Nursing Assistant will be exposed to many things going on during this time, both with the patient and with their family members. For those who are very religious, praying and possibly figures from their Church will be present. Others are afraid to die, and fight for every last breath trying to hold on. Respecting the wishes of the patient and the family is very important during dying and death.

There are those Nursing Assistants who are upset when they have to deal with dying and death. They feel this is not what they signed up for. They want to help people. However, Nursing Assistants can be a great source of comfort and compassion for patients and their families during those precious last hours. Do all you can to keep the patient comfortable. Often, their mouths become very dry. Even if they don’t appear coherent, attempt to give them ongoing sips of water or ice chips. The lips may begin to crack, apply Chap Stick or Vaseline to prevent soreness.

Caring for dying patients requires you to remember details about them before they became so ill. For example, if a patient asked to be turned often because of soreness, continue to rotate how they are laying. Pay attention to their body temperature and adjust bedding, air conditioning, and heating as needed. A person will often become cold in the hours before death, so it is important to keep them as comfortable as possible.

Some signs of death Nursing Assistants should be familiar with include the loss of muscle tone, the slowing of circulation, changes in breathing, and blurred vision. It is important that the Nursing Assistant document such changes in the patient’s chart and immediately notify the charge Nurse of the situation.

While a patient is dying, the Nursing Assistant can help make the process easier for the patient. Adequate pain medications should be administered as needed to reduce the pain. Play the music the patient enjoys. Consider reading them a favorite book or Bible passages. Sometimes they will need extra comfort including someone to hold their hand. A Nursing Assistant can assume this role. Often, Nursing Assistants can rely on each other to help make the situation easier. Many employers also offer counseling services if you feel they are necessary after dealing with dying and death of one of  your patients. It is often easy to become attached to patients you care for on a regular basis. Your employer is well aware of this, and will want to help you feel better in your role as a Nursing Assistant.


Powered by Blogger.