As a Certified Nursing Assistant, you get to work in almost any possible healthcare settings. You get to work with different kinds of patients, most especially the elderly since they are the kind of people who needs assistance the most. As part of your job as a Certified Nursing Assistant, it is your duty to assist your patient in everything that they do like feeding, bathing and grooming themselves. You tend to their needs and make sure that you meet all of it. It is also your job to make sure that they would be in the best possible health condition by preventing the occurrence of threats such as bed sores. As people aged, they lose some of the vigor that they have as a young people, this may be emotionally as well as physically, which is in terms of expected deterioration on their health such as elasticity of the skin and also on the other parts of their body. It is then your duty to prevent the effects that this may cause. One of the things that a care giver should remember to watch out for is the risk for Aspiration.
Aspiration can usually occur among older people since as they ages, they also develop slow swallowing rate which may result to dysphagia or difficulty in chewing and swallowing. This is may be due to existing condition such as Dementia and Parkinson’s disease. Therefore, as the one who took care of them, it is important that you know something about Aspiration Prevention.
Some of the things that you can do are:
- Providing a 30 minute break before feeding your patient as a rested person has a less possibility of difficulty in swallowing.
- Position your patient so as to avoid aspiration by having him sit on a chair during meals or if he is bedridden, you could then elevate the head of the bed up to 90 degrees.
- Do not be in a hurry in feeding your patient. Let him chew his food on his own time and pace.
- Serve him food on a small amount or if how much he can tolerate.
- If the patient is experiencing facial paralysis, put the food on the unaffected side of his face.
- Also avoid things that may distract the patient during his meal time.
- Also provide oral care to the patient before and after his meal.
- Do not also try feeding a patient that was heavily sedated.
These are the things that could help you prevent aspiration however, remember that a proper assessment could also be very helpful so as to know the early signs of aspiration or any possible factors that could lead to aspiration.
As a certified nursing assistant, you are very hands on with your client. You are responsible for the very basic needs of your client including his or her mobility. As the primary caregiver of the client, one of your duties is the safety of your clients when transferring them from bed to chair, bed to stretcher and vice versa. Strength is not only necessary, but also the proper and safe transfer techniques so you’ll not be physically strained. Proper transferring will not only benefit your client, but also yourself.
Before the transfer, here are the general considerations a CNA can follow:
- Plan the transfer well. Determine the sequence, space used, number of assistants necessary, the skill and strength of the CNA, and the assessment of the client’s capabilities and tolerance.
- Make sure your equipment is complete and ready and safe to use.
- Remove unnecessary obstacles from the area used for transfer.
- Explain the transfer to the client and assisting personnel, including specific directions of their participation.
- Always support and hold the client, rather than the equipment.
- During the transfer, explain to the client what he or she should do step by step.
For the equipments to be used, the CNA may keep this in mind:
- Walking belts for transfer provide the greatest safety since the CNA can grasp the belt to control the movement of the client during the transfer.
- Slings, lapboards, bath blankets, pillows and nonskid shoes may help in facilitating efficient and effective transfer.
- For bed to wheelchair transfer, position the chair parallel or on a 45 degree angle to the bed, depending the ability to walk of the client. Ensure that the wheelchair’s brakes are locked, the footplates are removed, and the bed brakes are also locked.
- For bed to stretcher transfer, position stretcher parallel to the bed, lock the stretcher and the bed brakes.
- For a mechanical or hydraulic lift, use a frame, canvas strips or chains, and a hammock or canvas strips.
- Assuming that the client is capable of sitting, place the bed in the lowest position with the client’s feet resting flat on the floor.
- Ask or assist the client to: move, sit at the edge of the bed, slightly lean forward from the hips, place the stronger foot beneath the edge of the bed, and the other foot forward. Place the client’s hand on the bed or on the CNA’s shoulder to push while standing.
- The can stands directly in front of the client, leans forward from the hips, knees and ankles, and assumes a broad stance, placing one foot forward and one foot back.
- Encircle client’s waist with arms and grasp the transfer belt at the back.
- Assist client to stand and move together toward the wheelchair.
- Assist the client to sit. Ensure that the client’s legs are placed against the chair.
- Secure client’s safety. The back of the client must rest well on the chair, feet are on lowered footplates and seat belt is applied as required.
- Lower the head of the bed until it is flat or until the client can tolerate.
- Raise the bed until it is slightly higher than the surface of the stretcher.
- Pull the drawsheet out from the both sides of the bed and roll it as close to the client as possible.
- Move the client to the edge of the bed and position it parallel to the bed.
- Transfer the client to the stretcher by asking the client to flex his neck and to place arms over his chest during the transfer. In unison, press the body against the stretcher, pull drawsheet against the client, flex hips, and pull client towards the CNA and the stretcher.
- Ensure client comfort and safety. Raise side rails and fasten safety straps.
Nursing Assistant Training for Free?
You had considered taking up Certified Nursing Assistant Course for many possible reasons. It could be because you want to test the water first on the healthcare industry if this is your true calling, or you want to expose yourself first to the demands of working in this field. But majority of people wants to take this as a chance to earn and to have income. So it can be understood why people would want to find a program that offers this course at a lower price or much better, for free.
However, is free nursing assistant training still available?
People who want to attend this training could have a hard time looking for a school or even online programs that offer free training. It is not possible for a school to offer free training to just about everyone. Though, there might be some who offers free training, one should still have to pay for their books, training manuals as well as your daily expenses. Still, there are schools who tried to help their students by providing payment plans or financial aids. However, one could try looking for someone or a company/organization that would be willing to cover all the expenses. One could do this by checking out your local hospital since there are who would be willing to hire you first on a much lower position then provide you with your needed free training while you work for them for. You could also check your local government unit because they might provide you with free financial aides for your training. There are options that they may provide you with and see where you are qualified. There are options like if you are earning less than $25,000, then they can cover your education completely. Also in the case of people who already have children or have been lay-off from their work and who wants to take CNA training. Looking for someone who can provide you with grants could also help you with your education. Asking help from your family by having them chip in for your tuition could also help you.
Today, where everything has a price and that cheap commodity before has become too expensive now, finding something that does not require any money could be a tedious and sometimes too difficult task. One needs a lot of means to accomplish this. Finding where these right resources are could just help you with this dilemma. Hard work and patience could also do the trick.
People chose to become a Certified Nursing Assistant in order for them to see first what it is like to work in the health care industry. This is their way to see if they fit in this field and if they can keep up with the demands that this job entails. Also being a Certified Nursing Assistant is considered to be the first entry level in the Nursing profession. Through this, you can gain enough experience that can prepare you to becoming a Registered Nurse. From being a Nursing Aide, there are a lot of opportunities that you can go into. You could elevate yourself on this profession unto the next level which is becoming a Licensed Practical Nurse. This also means, you could go into higher income jobs.
However, if you have just gain your Certificate as a CNA and you did not know how to start looking for a job, you could start by looking for Certified Nursing Assistant Agencies which can help you look for a job. You could try looking for it through the web as it is considered as the best source for everything. You could also try looking at your local schools since they could refer you to some agencies. There are also schools or programs for CNA that also provide their own graduates jobs right after they have their own certifications.
There are a lot of possible place that your agency could provide you with work. Some of these are:
This is where Nursing Aides work closely with patients and help them with their activity of daily living. They also work closely with nurses as well as the other members of the health team.
Today, the elder population is on the rise and more people needs someone to help them with their daily needs and Nursing Aides could be the best person to do just that.
This is where the Nursing Aides work closely with Doctors and assist them as they cater different needs of patients seeking consultation.
There are also people who need someone to assist them right in the comforts of their own homes. This is very beneficial for Nursing Aides because they get to choose their own convenient time.
With Issues of Nursing shortage, the demands for more Certified Nursing Assistants increases. They are called to assist and help nurses with their work as well as to meet the increasing number of people who needs assistance. Thus, there is also an increase on the number of agencies for Certified Nursing Assistant.