Bei uns gibt es also 3 levels in Nursing Service. CNA, LPN und RN. Die Aufgabenbereiche sind durch das jeweilige State Board of Nursing geregelt und daher auch unterschiedlich. Im Groben... hier ist die Erklaerung bezueglich Ausbildung etc. :
1. CNA= certified nurse aide/assistant. It depends on the program you go to, but I believe you must have a high school diploma. The course usually last a few weeks. You are qualified (after a competency exam given either by your program or the state agency) to give bed baths, make beds, give physical care (assist out of bed to chair, chair to toilet, assist to ambulate iow walk, do passive range of motion exercise), take vital signs, weigh and measure patients and other such things as is outlined in your scope of practice from your employer and the state from pediatrics to geriatrics. Many CNA's are employed in hospitals, nursing homes/rehab centers, and as home care attendants.
2. LPN= licensed practical nurse. Has at least 1 year of education devoted to patient care, pathophysiology, basic nutrition, and care of the psychiatric/geriatric/medical/surgical/obstetric /pediatric patient, basic pharmacology and medication dosage and calculation and medication administration, and basic education on the scope of practice of the licensed practical nurse including the legal implications of actions. 3. RN=registered nurse. There are different pathways to becoming an RN. a. diploma school. There are very few, if any of these schools remaining in the U.S. They are usually affiliated with a hospital and almost from day 1 you are on the hospital floors caring for patients. Classroom work is interspersed with your clinical training. You work shifts and complete training in 3 years. b. associate degree. Usually at a 2 year community or junior college. Students are required to take anatomy and physiology, microbiology, math, various courses in psychology, in addition to liberal arts (English, foreign language, sociology) and take nursing courses right along with those. c. BSN= bachelor of science in nursing. This is a 4 year degree program where your liberal arts courses and program prerequisites are taken in the first 2 years of the program and the last 2 years are devoted to the nursing curriculum.
Die Aufgabenbereiche:
1. CNA's report to/work under the supervision of both the LPN and the RN. They do not administer medications in a hospital or nursing home setting. They do not insert IV's or hang IV medications. They do not document patient progress on progress notes. Note that I chose those 2 facilities because I have seen them document on patients in psychiatric facilities, but I am not sure if they are CNA's, the ID badges usually say "psychiatric attendant" or tech.
2. LPN's report to/work under the supervision of RN's. They can administer medications, document patient's progress in the chart. They can perform complex dressing changes, suction patients, insert nasogastric tubes, foley catheters, and have limited supervision of personnel on a unit (there must be an RN in the building for the LPN to report to). They are not usually supervisors of entire units. They do not usually work in critical care areas as CVICU, SICU etc. (note I said not usually, I have seen some in the ED and in ICU). They need an additional certification to give IV medication, start IVs etc. 3. RN's can do all of the above plus supervise units and the whole nursing staff of a hospital (small community hospitals sometimes have 1 or 2 RN's supervising the hospital on the night shifts). RNs insert/start IVs, independently assess patients and take telephone/verbal orders from physicians; We usually have the responsibility and are liable for anything that happens to our assigned patient load on the unit. If anyone else has anything I left out please be generous and share.
Ich kann das auch noch uebersetzen, bin aber nach meiner Schicht momentan einfach etwas zu muede. Sorry... Ich hoffe das hilft und beantwortet Deine Frage?
Gruss,
ColoradoRN
1. CNA= certified nurse aide/assistant. It depends on the program you go to, but I believe you must have a high school diploma. The course usually last a few weeks. You are qualified (after a competency exam given either by your program or the state agency) to give bed baths, make beds, give physical care (assist out of bed to chair, chair to toilet, assist to ambulate iow walk, do passive range of motion exercise), take vital signs, weigh and measure patients and other such things as is outlined in your scope of practice from your employer and the state from pediatrics to geriatrics. Many CNA's are employed in hospitals, nursing homes/rehab centers, and as home care attendants.
2. LPN= licensed practical nurse. Has at least 1 year of education devoted to patient care, pathophysiology, basic nutrition, and care of the psychiatric/geriatric/medical/surgical/obstetric /pediatric patient, basic pharmacology and medication dosage and calculation and medication administration, and basic education on the scope of practice of the licensed practical nurse including the legal implications of actions. 3. RN=registered nurse. There are different pathways to becoming an RN. a. diploma school. There are very few, if any of these schools remaining in the U.S. They are usually affiliated with a hospital and almost from day 1 you are on the hospital floors caring for patients. Classroom work is interspersed with your clinical training. You work shifts and complete training in 3 years. b. associate degree. Usually at a 2 year community or junior college. Students are required to take anatomy and physiology, microbiology, math, various courses in psychology, in addition to liberal arts (English, foreign language, sociology) and take nursing courses right along with those. c. BSN= bachelor of science in nursing. This is a 4 year degree program where your liberal arts courses and program prerequisites are taken in the first 2 years of the program and the last 2 years are devoted to the nursing curriculum.
Die Aufgabenbereiche:
1. CNA's report to/work under the supervision of both the LPN and the RN. They do not administer medications in a hospital or nursing home setting. They do not insert IV's or hang IV medications. They do not document patient progress on progress notes. Note that I chose those 2 facilities because I have seen them document on patients in psychiatric facilities, but I am not sure if they are CNA's, the ID badges usually say "psychiatric attendant" or tech.
2. LPN's report to/work under the supervision of RN's. They can administer medications, document patient's progress in the chart. They can perform complex dressing changes, suction patients, insert nasogastric tubes, foley catheters, and have limited supervision of personnel on a unit (there must be an RN in the building for the LPN to report to). They are not usually supervisors of entire units. They do not usually work in critical care areas as CVICU, SICU etc. (note I said not usually, I have seen some in the ED and in ICU). They need an additional certification to give IV medication, start IVs etc. 3. RN's can do all of the above plus supervise units and the whole nursing staff of a hospital (small community hospitals sometimes have 1 or 2 RN's supervising the hospital on the night shifts). RNs insert/start IVs, independently assess patients and take telephone/verbal orders from physicians; We usually have the responsibility and are liable for anything that happens to our assigned patient load on the unit. If anyone else has anything I left out please be generous and share.
Ich kann das auch noch uebersetzen, bin aber nach meiner Schicht momentan einfach etwas zu muede. Sorry... Ich hoffe das hilft und beantwortet Deine Frage?
Gruss,
ColoradoRN
Wie, die dürfen das nicht?? Haben sie aber mit der Begründung, das waren Unterlagen die ja nur handgeschrieben waren und jetzt läuft alles über Computer, sämtliche Argumente meinerseits waren umsonst! Ich bin machtlos.
