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Certified Nursing Assistants Role in Basic Nursing

A certified nursing assistant (CNA) by virtue of his/her completing prescribed number of hours duty and clearing the theoretical examination has a very vital role in providing nursing care to the patients in hospitals established by Government, large industrial organizations and charitable trusts besides Nursing homes and Community Centers.

They work under the supervision of a Licensed Practical Nurse or a Registered Nurse as the case may be. They form an important link between the Doctor and the patients and maintain hourly record of the status of health of the patient and are responsible for administration of advised medicines to the patient as specified in the history sheet of the patient during his stay in the hospital.

Opportunity of Career Development:

A (CNA) does not possess complete training and can not exercise discretionary practices restricted only to a Registered Nurse although by working as CAN one can acquire knowledge of health care practices and administration. Being a (CNA) on provisional job can be utilized to have first hand experience and in due course complete professional education leading to get a Degree or Doctorate in the health care field.

Duty in Day & Night Shifts:

Providing of health care is a round the clock service, which requires the CNA’s to work in three shifts spread over day and night. Each shift on an average is of 7-8 hours with half an hour break for taking lunch, tea or dinner depending upon the timing of the shift.

There are certain occasions when the CNA’s do double shift duty with purpose of earning money or to handle the responsibility if one of their colleagues is on leave. Some of them do two jobs at different places to raise money for their needs and responsibilities.

The Duties of (CNA):

The duties of a (CNA) vary from his/her posting in a specific Department. To make them all rounder the Hospital Administration arrange their postings routinely in different departments of the health care centre, where they are working. With such practices the (CNA) after completing their on job training in all the Departments, they become all rounder in health care administration. Following are their general duties:

• Making observations of Indoor Patients during their stay and bringing to the notice of the Supervising Nurse, any abnormal finding in the health of the patient.

• Looking after personal hygiene of the patient like:

i) Sponge bath
ii) Shaving of beard,
iii) Nail Trimming.

• Helping the patient do toilet on bed or otherwise depending on condition of the patient.
• To ensure tat the catheter bag is emptied from time to time.
• Recording at specified intervals temperature reading, do pulse & breath count and measure blood pressure.
• Providing meal in tray to patient.
• Recording details of food given and fluid intake in some patients. Render help in case patient requires help in taking meals.
• Maintaining cleanliness of bed and routinely change of bed sheet to achieve this.
• Maintaining a clean and sanitized environment around patient.
• Shifting the patient for investigations and consultation with doctor, if required.
• Taking care of bed confined patient by changing side for prevention of bed sore occurrence.

Formal Education for CNA:

• There are no specified norms for education standards, the candidate should have interest and capable to imbibe on job learning.
• An opportunity to become a (CNA) is available at Health care centers and community colleges.
• One can achieve his/her Certification by completing the prescribed number of hours on the job successfully passing theoretical examination carried out from time to time for the eligible candidates.
• The examination scope is confined to on job practical proficiency achieved.
Salary Payable:

A (CNA) can expect to get a salary of $9 to $12 depending upon the capability achieved by on job training.

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