Prepare for the Certified Nursing Assistant Exam

Pursing a certificate as a Nursing Assistant is a very exciting adventure. The curriculum generally lasts from four to twelve weeks depending on the requirements in your state. Federal regulations require a minimum of seventy five hours of training. You Nursing Assistant course will be composed of classroom training, practicing what you learned on mannequins and each other, and clinicals that involve working with actual clients in a medical facility under the supervision of a Registered Nurse.

Upon completing your certification, you will be required to take the Certified Nursing Assistant Exam. Most states require you to sign up for the test within ninety days of completing all course work. Your program is set up to specifically teach you the fundamentals you will need on the job as well as to pass the exam. It is your responsibility to ask for clarification of any areas you are unsure of prior to taking the Nursing Assistant exam.

While the Certified Nursing Assistant Exam requirements will vary from state to state, most are very similar in structure and content. The test is made up of two parts – written and clinical. The written portion of the test will contain questions about basic concepts and procedures. Your course textbooks and class notes are excellent studying resources.

The clinical portion of the exam requires you to demonstrate anywhere from three to five Nursing Assistant skills you should have mastered during your program. You will need to perform these skills for a state examiner who will be watching your every move. These skills involve hand washing, privacy, dignity, providing a bed pan, re-positioning a patient in their bed, grooming, taking a patient’s temperature, and completing a linen change with the occupant still in the bed.

While hand washing, privacy, and dignity may all seem like common sense areas to many of us, they are very important. Since most communicable diseases can be eliminated by proper hand washing, this skill is absolutely necessary. Providing all patients with privacy and dignity are the cornerstone of any area of the medical profession. They are relevant to the many duties of Nursing Assistants.

Most people are very nervous about this portion of the test, but practicing correct processed during your program and on your own will help you be prepared. Forming study groups with classmates is an excellent way to practice for both the written and clinical portions of the test. There are also study guides available and online practice tests.

The state examiner understands that exams are stressful and make people nervous. They will be watching to see how you react under stress and pressure because these skills are also important for Nursing Assistants to acquire.

Passing your Nursing Assistant exam is very important. Some employers will hire you once you have completed the program, but you must provide verification that you also passed your state exam within a specified timeframe to maintain that employment. Most states will allow you to find out right after the exam if you have passed or not. You will have the opportunity to retest if you don’t pass the first time. There are rules regarding how many times you can take the test, the length of time between each testing, and the cost to retest. These things all vary by state guidelines.

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.

Medical Careers

People who choose to go for a medical career want to help people fight their illnesses. But since not everyone is qualified to be a doctor, there are other positions you can fill.

1. Some people have difficulty with their sense of hearing so they go and meet an audiologist. When a patient comes in, they try to find the source of the problem followed by treatment that may include cleaning the air canal, fitting and dispensing hearing aids, fitting and tuning cochlear implants and audiologic rehabilitation.

Those who want to become an audiologist will have to get a master’s degree in Audiology but this will soon change as the requirement will now be clinical doctoral degree. They must also pass the national examination given the Educational Testing Service or ETS; perform 300 to 375 hours of supervised clinical experience and 9 months of post graduate professional clinical experience.

2. Remember those people working in the drug store giving you medicine once you present a prescription? Those people behind the counter are called pharmacists. These individuals must first graduate from an accredited college and pass the state examination.

Having done so, they can already dispense drug and even provide information about their proper usage. In some cases, they advise doctors and other health professionals on the dosages, interactions, selection and side effects of medications.

The job of a pharmacist involves a lot of sacrifice as you have to work on holidays and weekends as drug stores are open 7 days a week and in some places, 24 hours a day. They may also find work in a mental institution, nursing home or neighborhood clinic.

3. Another job that will enable you to work hand in hand with a doctor is by being a dietitian. Their job is to tell a patient what to eat in order to lose weight or simply to promote better eating habits.

Nutritionists also fall under this category. Both individuals must have a bachelor’s degree in dietetics, food and nutrition or food service management systems. The dietitian may start their own practice and network with doctors; find employment in nursing homes, small hospitals or in a correctional facility to manage the food service department.

4. When you go for a medical checkup in a clinic or hospital, the person that will doing the testing is a laboratory technician. These individuals personally examine your body fluids, tissues and cells to see if there are any bacteria, parasites or other microorganisms that pose a danger to the patient.

They use state of the art machines like electronic microscopes, cell counters and other gadgets making their work less hands on and more analytical. If you want to pursue a medical career in this field, you must have a bachelor’s degree in medical technology. You will report to a clinical technologist or a laboratory manager.

There are other medical careers you can pursue aside from the four mentioned. You should do some research first if this is really something you want to do, go to school and then fulfill that dream. If at some point you want to shift somewhere else, go ahead and do so because there are other things you can do.

You can take on another job still in the medical field like assisting doctors in medical research.

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.

Medical Careers List

There was a time that there were no fields of specialization being a doctor. This has changed so those of you who don’t qualify as a surgeon may still pursue something once you narrow your choices from a medical careers list. Here are some of them to help you on your way.

1. First up is by working as a medical assistant. You can easily get this job after you complete a 1 or a 2 year program from a vocational technical high school, vocational school or community college.

Most of the time, their job is to perform routine administrative and clinical tasks to keep the offices of the doctor running smoothly. They will not examine, diagnose or treat a patient unless they are told to assist by the attending physician.

They will also fill out medical records and forms, handle correspondence, arrange hospital admission, laboratory services, bookkeeping, maintenance and purchase of new supplies and equipment.

2. Let’s say you know someone who has a back problem and going to the doctor has not produced any positive results. If you become a chiropractor, you may be the answer to their prayers as this specialist may make the problem go away for good.

A chiropractor performs their session holistically without the use of any drugs or surgical treatments. To make their treatment more effective, they will advise the patient to make some changes in their lifestyle such as a change in diet, exercise and sleeping habits.

There are times that the chiropractor will have to make a manual adjustment in the spinal column using water, light massage, electric, heat or ultrasound therapy. To make sure it lasts, they may apply braces, tapes and straps.

3. Another medical career that does not involve surgery is occupational therapy. Their job is basically to improve the conditions of a patient who is suffering from something emotionally, mentally or physically so they may once again live happily.

Treatment will vary depending on the patient. In some cases, physical exercises will be used to increase strength, those who suffer from short term memory will be given flash cards to aid in recall while those who have coordination problems will be given an exercise to improve hand and eye coordination.

The occupational therapist may also design special equipment and then teach the patient how to use it.

4. Something closely related to occupational therapy is physical therapy. The job of the practitioner is basically to help the patient become mobile by encouraging the person to use their own muscles to increase their flexibility and motion before engaging in other exercises that will improve balance, coordination, endurance and strength.

Sometimes, the physical therapist may use electrical stimulation hot packs, cold compresses and ultrasound to relieve the pain and reduce the swelling. If the patient is unable to become mobile anymore after losing a leg, they will be taught how to use assistive and adaptive devices such as crutches, prostheses and wheelchairs.

The 4 careers mentioned are just some of the things you can pursue. Of course, you will have to go to school first and get a degree then practice this for some time before you are able to open your own clinic.

If being a medical assistant, chiropractor, physical and occupational therapist is not for you, do some research and find something you are interested in the medical career list.

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.