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afrokock
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Posted: Jan 22 2013 at 9:25pm |
kkscottdale wrote:
afrokock wrote:
kkscottdale wrote:
I side eye some of the other CNA's who give me report on my patients at the start of my shift. They will tell me, "Oooh he has HIV so u know I just gown up and do this and that." This is not the 80's. We know how you can get HIV now. There is no reason to put these people in isolation and put on all this protective gear unless somethig warrants it. Ex. They're coughing everywhere? Put on a mask. Puking everywhere. Put on a gown. And all times wear your gloves.
And @ afro they just don't make beds. In hospitals, they help monitor the patient through frequent vital signs and just being the nurse's aide(cleaning, hygiene stuff, take blood sugars, simple wound dressings, in the er they let them draw blood I heard,etc. Sometimes a good aide can either make or break your shift as a nurse.
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i just wanted you to highlight how they are more likely to be at risk than the rgn/rn as a result of those tasks listed up there |
I guess the main concern is bodily fluid contact but I've never thought to be more or less at risk than the nurse. I just follow UP for everyone and keep it moving. Treat everyone as if they could be infected. I almost got bit by a patient yesterday and God knows what she had.
| and thats the point, how would a rn knowing make any difference to her practice than it would yours? its a discussion, i just dont see how a nurse should know and an hca/cna shouldnt when in practice it shouldnt really change anyone's practice just for discussion sake.. should nurses even know a patients HIV status? how will knowing a clients status impact their day to day duties? why not keep that status to dr bradley and dr kwame
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f8dagrate
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Posted: Jan 22 2013 at 9:28pm |
afrokock wrote:
kkscottdale wrote:
afrokock wrote:
kkscottdale wrote:
I side eye some of the other CNA's who give me report on my patients at the start of my shift. They will tell me, "Oooh he has HIV so u know I just gown up and do this and that." This is not the 80's. We know how you can get HIV now. There is no reason to put these people in isolation and put on all this protective gear unless somethig warrants it. Ex. They're coughing everywhere? Put on a mask. Puking everywhere. Put on a gown. And all times wear your gloves.
And @ afro they just don't make beds. In hospitals, they help monitor the patient through frequent vital signs and just being the nurse's aide(cleaning, hygiene stuff, take blood sugars, simple wound dressings, in the er they let them draw blood I heard,etc. Sometimes a good aide can either make or break your shift as a nurse.
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i just wanted you to highlight how they are more likely to be at risk than the rgn/rn as a result of those tasks listed up there |
I guess the main concern is bodily fluid contact but I've never thought to be more or less at risk than the nurse. I just follow UP for everyone and keep it moving. Treat everyone as if they could be infected. I almost got bit by a patient yesterday and God knows what she had.
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and thats the point,
how would a rn knowing make any difference to her practice than it would yours?
its a discussion,
i just dont see how a nurse should know and an hca/cna shouldnt when in practice it shouldnt really change anyone's practice
just for discussion sake.. should nurses even know a patients HIV status? how will knowing a clients status impact their day to day duties? why not keep that status to dr bradley and dr kwame | because a nurse is involved directly with the patients care e.g adminstering meds and pt teaching etc. You will not walk into a hospital and see a doc administering meds unless rare circumstances. A doctor is not seen by the pt as much as the rn is. She/he is working with mucous membranes, blood of the pt.
Edited by f8dagrate - Jan 22 2013 at 9:30pm
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laceyfront
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Posted: Jan 22 2013 at 9:28pm |
She running round wit a new body and giving these mens her aids virus, talking bout she didn't want the test smh
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nala52808
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Posted: Jan 22 2013 at 9:31pm |
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Where I work, I wouldn't trust none of these cnas with that kind of information. Plus many would use it as an excuse as to why they didn't do there job properly. Cnas know the procedures when dealing with body fluids, and washing their hands and stuff, so if they want to be the fool and mess with someones blood from a wound with no gloves on, without washing the hands, then its their fault if they catch that HIV.
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ms_wonderland
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Posted: Jan 22 2013 at 9:31pm |
laceyfront wrote:
She running round wit a new body and giving these mens her aids virus, talking bout she didn't want the test smh | Yep. My op is that she knew she was HIV positive but wanted the ability to continue to live on in ignorance to absolve herself of liability. I cannot fathom why a person on such a journey to become healthy would not want to know their status, especially when the purpose of the test was to pinpoint deficiencies in her blood. This story is about more than someone knowing their rights. There's something very dark going on here... Eta: but te law is the law so whatever.
Edited by ms_wonderland - Jan 22 2013 at 9:32pm
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PeacefulOne
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Posted: Jan 22 2013 at 9:33pm |
afrokock wrote:
its a discussion,
i just dont see how a nurse should know and an hca/cna shouldnt when in practice it shouldnt really change anyone's practice
just for discussion sake.. should nurses even know a patients HIV status? how will knowing a clients status impact their day to day duties? why not keep that status to dr bradley and dr kwame |
Nurses are looking at lab values, blood work, assessing the patient, etc, and need to report any new symptoms, changes in values, medication reactions, etc.
Also they need to be able tyo recognize other opprotunistic infections that may result due to meds, ie, antibiotics can cause fungal infections, so they will assess for thrush, etc.
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joileprincess
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Posted: Jan 22 2013 at 9:33pm |
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Afro, the RN incorporates that knowledge into her assessment and monitoring of the patient. The CNA is not responsible for assessment, more so assistance and data collection. The HIV status can be useful for the interpretation of the data but not relevant for assistance with ADL's which is a large part of what the CNA is responsible for.
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PeacefulOne
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Posted: Jan 22 2013 at 9:34pm |
laceyfront wrote:
She running round wit a new body and giving these mens her aids virus, talking bout she didn't want the test smh |
Yep. pretty much.
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PeacefulOne
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Posted: Jan 22 2013 at 9:37pm |
joileprincess wrote:
Afro, the RN incorporates that knowledge into her assessment and monitoring of the patient. The CNA is not responsible for assessment, more so assistance and data collection. The HIV status can be useful for the interpretation of the data but not relevant for assistance with ADL's which is a large part of what the CNA is responsible for.
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Joile you're so classy. 
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afrokock
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Posted: Jan 22 2013 at 9:39pm |
f8dagrate wrote:
afrokock wrote:
kkscottdale wrote:
afrokock wrote:
kkscottdale wrote:
I side eye some of the other CNA's who give me report on my patients at the start of my shift. They will tell me, "Oooh he has HIV so u know I just gown up and do this and that." This is not the 80's. We know how you can get HIV now. There is no reason to put these people in isolation and put on all this protective gear unless somethig warrants it. Ex. They're coughing everywhere? Put on a mask. Puking everywhere. Put on a gown. And all times wear your gloves.
And @ afro they just don't make beds. In hospitals, they help monitor the patient through frequent vital signs and just being the nurse's aide(cleaning, hygiene stuff, take blood sugars, simple wound dressings, in the er they let them draw blood I heard,etc. Sometimes a good aide can either make or break your shift as a nurse.
|
i just wanted you to highlight how they are more likely to be at risk than the rgn/rn as a result of those tasks listed up there |
I guess the main concern is bodily fluid contact but I've never thought to be more or less at risk than the nurse. I just follow UP for everyone and keep it moving. Treat everyone as if they could be infected. I almost got bit by a patient yesterday and God knows what she had.
|
and thats the point,
how would a rn knowing make any difference to her practice than it would yours?
its a discussion,
i just dont see how a nurse should know and an hca/cna shouldnt when in practice it shouldnt really change anyone's practice
just for discussion sake.. should nurses even know a patients HIV status? how will knowing a clients status impact their day to day duties? why not keep that status to dr bradley and dr kwame |
because a nurse is involved directly with the patients care e.g adminstering meds and pt teaching etc. You will not walk into a hospital and see a doc administering meds unless rare circumstances. A doctor is not seen by the pt as much as the rn is. She/he is working with mucous membranes, blood of the pt.
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removing the teaching bit and dispensing meds, how is that much diff from a cna? no one has said 'this is why a cna shouldnt know'
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