Pratibha Tolani
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definition A CNA (certified nursing assistant) is a healthcare worker that can provide personal care to patients in a variety of settings. CNAs can be employed in nursing homes, hospitals, hospice centers, private homes, and more. CNAs help patients with a variety of tasks, including personal care, feeding, bathing, and administering medications. (CNA job description)
Working as a team member, the CNA provides assistance with essential daily tasks such as dressing, eating, toileting, and personal hygiene. They take vital signs, record intake and output, and help with procedures.
A certified nurse assistant works under the supervision of a Registered Nurse (RN) or Licensed Practical or Vocational Nurse (LPN/LVN) to give personal, hands-on care to patients, residents, or clients. Thanks to CNAs, each patient receives individualized care that maintains the best possible quality of life.
A Certified Nursing Assistant (CNA) is the backbone of health care. The CNA is responsible for the direct care of patients, clients, or residents of the facility or agency that the CNA works for. Working as a team member, the certified nurse assistant takes vital signs and helps patients bathe, dress, eat, and go to activities. Patients depend on CNAs to help them go to the bathroom and transfer from their beds to chairs. CNAs also have a role in keeping their patients safe and comfortable. In short, just about everything that a patient needs, a CNA does.
Note: While we use the term “Certified Nursing Assistant (CNA)” here, because it is the most common, and indicates a recognized level of competency, some states or employers may use a different title. Hospitals and clinics may use “Nurse Aide” or “Patient Care Assistant.” States may designate other titles, as well. For example, Ohio uses “State Tested Nurse Aide (STNA)
Just about everything that a patient needs, a CNA does.
Typical duties of a CNA include:
Like all team members, a CNA focuses on patient safety. Every CNA must be certified in CPR and First Aid. The CNA must also be familiar with fire safety, emergency procedures, and the safety policies of the facility where they are employed.
There are plenty of good reasons to consider becoming a CNA. It’s the fastest way to become a professional member of the healthcare team; no college is required. You can complete a CNA training program in 4-12 weeks, and start your new profession immediately.
Training is affordable. The average cost for a state-approved school is about $1,300, plus about $200 for the certification process. It can also be free! Because the demand for CNAs is great, some nursing homes and skilled care facilities offer tuition reimbursement, paid employment during training, or free CNA classes in exchange for a commitment to work after completing the courses.
Another benefit of becoming a CNA is the chance to start a long career in healthcare. An experienced CNA has a wide choice of work settings and can specialize in an area of medicine, such as hospice or home health. Or the CNA may decide to train as an LPN or RN.
One of the best reasons to become a CNA is the satisfaction of making a difference in the lives of patients and residents. They rely on compassionate care from well-trained professionals. As a direct-care giver, the CNA spends the most time with patients and residents; no other team member has the opportunity to become familiar with clients and to form trusting relationships. Not every day is easy—anyone in healthcare will tell you that--but it can still be rewarding.
One of the best reasons to become a CNA is the satisfaction of making a difference in the lives of patients and residents.
Good news! According to the Bureau of Labor Statistics (BLS) job growth for CNAs is expected to be 9% through 2028. Compare that to the normal growth rate of 5% for other occupations. Over 135,000 new CNAs will be needed to fill the job postings!
As the Baby Boomer generation gets older, the need for more medical services, including assistance with daily activities and round-the-clock care, is going to climb steadily. Opportunities in different settings, such as with home health and private duty agencies, will expand.
Across the country, the mean (mid-point) annual salary is about $28,530. As of November, 2019, CNA salaries could be as high as $35,115. Factors that influence salary include where you live, how long you’ve been a CNA, and additional certifications.
For full-time employees, benefits such as paid vacation and holidays, medical insurance, and other expenses paid by the employer increase the total value by 25%. This means a CNA earning $28,000 a year receives an additional $7,000 of benefits. Total salary package: $35,000.
To see specific employment outlook and salary information for your state and location, click here. Place the cursor over the map area you’re interested in to find out how many CNAs are employed in that area and what the average annual salary is.
All successful healthcare professionals have similar traits, including dependability, strong communication skills, attention to details, and physical stamina.
But what else? A great CNA brings other qualities that make the workplace and patient care better. Along with the desire to help others, CNAs know that every day is different. Perhaps a resident isn’t well and needs more attention. Or a co-worker is ill, so assignments must be redistributed. Maybe a favorite patient passes away. Flexibility and a “can-do” attitude are essential. Some days can be challenging and you may wish you worked at Starbucks. But then who would care for these residents as well as you? No one. So you continue to do your best.
Some days can be challenging and you may wish you worked at Starbucks. But then who would care for these residents as well as you? No one. So you continue to do your best.
A good CNA has many of the following strengths or skills:
The most important thing to do is to locate a state-approved program. Every state has a list of accredited CNA training programs that meet its standards. These programs meet the state’s requirements for the number of hours in a classroom and in a setting to teach patient care skills. Find an approved CNA training program or learn how many hours of education are required by your state.
Since 1987, as part of the Omnibus Budget Reconciliation Act, all CNA training programs in the United States must include similar course content, to ensure that patients and residents receive consistent, high-quality care. No matter where you live, or if you move to another state, your training will be the same as every other CNA.
No matter where you live, or if you move to another state, your training will be the same as every other CNA.
CNA training programs are offered by hospitals, nursing homes, community colleges, and vocational schools. The American Red Cross provides training in ten states. Online programs can be handy, but often lack necessary clinical time to learn and practice the skills that will be tested during the certification process. Be sure to check that an online program also has a way to provide you with the required hands-on clinical experience.
Before enrolling in a program, make sure that it is approved by your state. If it’s not, you will have wasted both your time and money. You will not be eligible to be listed on the state’s CNA Registry or be able to find work at most facilities.
Before enrolling in a program, make sure that it is approved by your state. If it’s not, you will have wasted both your time and money.
Every program offers extensive training in the essential skills necessary to provide patients with daily care: bathing, dressing, feeding, and toileting. CNAs learn to transfer and position patients, and help residents walk or exercise. Instruction on observing and reporting symptoms is also important.
Besides personal care, training covers a wide variety of topics:
Training programs also teach the legal aspects of healthcare, including data collection, documentation, reporting suspected abuse, and protecting patient confidentiality.
After completing an approved CNA program, you are qualified to take your state’s certification examination. All written exams are multiple choice. Each state determines how many questions are included and how long the test lasts. See your state’s requirements and application process.
The exam is divided into several categories:
To help you study for the written exam, CNA Plus has practice tests that cover all the categories on the exam. Some questions are the same as those on the actual exam. You can take each test as many times as you like. Each time, the questions and four choices are shuffled into a different order. A hint and an explanation are provided for each question.
The most important way to prepare for the written exam is to start right away and to do a little each day. Read this article to get tips on how to pass the multiple choice CNA exam.
Most CNA candidates are nervous about the skills portion of the certification exam. Out of about thirty possible skills that can be demonstrated, only handwashing is certain to be on the list. Handwashing is so important that if you forget to do it, or do it improperly, you will fail.
The evaluator will select the other procedures. Most states will include one of each of these skills:
How can you best prepare for the skills exam? Practice! CNA Plus has an article with tips to help you be confident and thirty videos demonstrating each skill. You can also print out a checklist that describes each step of every skill. Use several resources to study for the skills exam, to reinforce learning and help you remember.
After you complete training, pass your CNA certification exam, and register with your state, you’re ready to find work as a healthcare professional! What’s the best place to get experience? For most CNAs, there are three good options:
Before applying for a job, take time to read this CNA Plus article on how to write a resume. It sets you apart from other CNAs by showing you are a dedicated professional. Even if you don’t have medical experience yet, employers are impressed when you include your resume with an application and bring a copy to an interview. Find examples of resumes for a new CNA at Resume-Now.com and LiveCareer.com.
Congratulations! You got a call to come for an interview! To make a good impression, it’s important to prepare. Read this CNA Plus article to get ready for the big day.
Begin by gathering your professional references; usually you need three people that are not family members and are familiar with your work ethic or talents. Ask them if the employer can contact them. Get each person’s name, phone number and email address and bring the list with you to the interview. The employer will want to communicate with them to find out about your job performance, reliability, skills, and ability to get along with others.
Of course you will dress in a professional manner and arrive a little early for the appointment. Bring extra copies of your resume, and some paper and a pen to take notes. Greet each person with a smile and a firm handshake. Ask for each person’s business card so that you can send a thank you note after the interview.
The hardest part of any interview is answering questions, especially when you’re asked to describe yourself. Fortunately, there are lists of common interview questions and helpful tips that you can study ahead of time. There are three types of questions:
Follow these links to see common CNA interview questions and how to answer them:
CNA Interview Questions and AnswersCNA Interview Questions and How to Answer ThemTop 18 CNA Interview Questions and Answers
What exactly are your job responsibilities? Either at the interview or when you complete your hiring paperwork, you’ll be given a copy of your job description. Read it carefully to learn your duties; what your work performance will be based on; the physical demands of the job; education and experience requirements; and the pay grade.
Make sure you understand everything about your position; don’t be afraid to ask questions. Even on the busiest day, never attempt a task that is not in your job description or that you have not been trained to do.
Being a CNA is important work. Healthcare couldn’t function without CNAs. Because you spend the most time with patients and residents, you know them better than other team members. You may be the first to notice a change in condition, so nurses depend on you to report anything new or unusual.
One of the most important duties for all healthcare team members is timely and accurate documentation. Read this CNA Plus article to learn the “rules of charting.” A patient’s record is both a legal document and a communication tool.
As you learn to handle the workload and become comfortable in your job, you’ll discover ways to be more efficient. Read this CNA Plus article with 25 tips from experienced CNAs that can save time and make your day smoother.
You will be caring for all types of clients, patients, and residents. Some will have chronic conditions that last for years; others will become ill and die quickly. Learning to be comfortable around people who are dying is a good skill to develop. Patients will look to you to help them through the final stage of life. One of the most satisfying parts of being a CNA is to know you were able to comfort someone. This CNA Plus article will tell you how you can respond in these situations.
Healthcare is demanding and stressful work. Some days can be difficult, with one crisis or challenge after another. Over time, the stress of caring for others can cause physical, mental, and emotional symptoms known as “burnout.” Every healthcare professional is at risk for burnout; constantly supporting patients or residents can feel overwhelming. Read this CNA Plus article to learn how to recognize burnout and its cousin, compassion fatigue.
Just like flight attendants say during the safety demonstration before takeoff, you must take care of yourself first before helping others. Some ways to stay healthy:
Even with a good home-work balance, sometimes your job can seem too demanding. Take a look at your workplace. Does it support employees? Are co-workers friendly and cooperative? Is the atmosphere generally positive? No job is perfect, but if you find yourself in a constant negative or toxic environment, it may be time to look for a new position, rather than risk your health.
As you gain experience as a CNA, you may discover that you really enjoy being a direct caregiver. Few other professionals have the chance to become close to their patients or residents on a daily basis. Even small tasks that make someone smile or be more comfortable are satisfying. These CNAs maintain their certification by taking the state’s required continuing education classes.
Some CNAs use their job as a stepping stone to get to another level of nursing. Perhaps they have a career plan that allows them to work while returning to school; many employers have tuition reimbursement benefits and promise to promote staff members who earn a higher degree.
For other CNAs, deciding to pursue a nursing degree happens gradually. They watch the LPN or RN, and decide they, too, would like to have more responsibility. Higher degrees also pay more, another good reason to get more education. In November 2018, the median average pay was:
This CNA Plus article will give you more information about the nursing career ladder. You have already demonstrated that you know how to study and provide excellent care. When it comes to your future, the sky’s the limit!
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Is It Important For Your Beloved Shih Tzu To Have Long Flowing Hair Like A Show Dog? Are You Worried Or Disappointed With Your Dog’s Hair Care?
The climate where you live, the grooming routines you establish, and the overall health of your pup will play an important role in the quality of your Shih Tzu’s coat. Along with diet and nutrition, you must also ensure that your pup is free from infection and illness which can hinder hair growth.
Many Shih Tzu owners and breeders go to great lengths to perfect and enhance the condition of their pups’ hair. You can do several things to encourage the growth and health of your Shih Tzu’s beautiful locks.
The climate where you live, the grooming routines you establish, and the overall health of your pup will play an important role in the quality of your Shih Tzu’s coat.
If your Shih Tzu puppy is not growing facial hair, it could be experiencing a hormone deficiency or loss. If your dog suffers from a genetic condition or auto-immune disease, there may not be a clear answer as to why he or she is suffering from minimal hair growth.
It may seem like your puppy’s fur is not growing, but remember that Shih Tzu puppies are born with only their soft undercoat of hair. Their thicker adult hair will begin to grow once they mature, around 4 months of age.
It is also important to realize that your pup is predisposed to the genetic traits passed down from its mother and father. The quality and type of hair largely depend upon inherited characteristics.
Keep in mind if your dog is a cross-breed, its hair may not grow as long as that of a purebred Shih Tzu.
An adult Shih Tzu’s fur typically grows about a half-inch every month. Caring for your dog’s hair will help it to encourage continued growth and keep it healthy and strong.
Many factors can influence or hinder the growth and quality of your pet’s fur. Your mature pup may lose fur due to health problems or poor nutrition. Health conditions including skin allergies or parasites, such as fleas, could cause your dog to scratch and irritate his or her skin.
Irritation from environmental factors, such as chemicals or detergents can also cause the hair to shed and become damaged.
Shih Tzus belong to a breed of dogs that are known for their continually growing hair, unlike other canines whose fur never grows beyond a shorter length.
Aside from natural shedding or a medical condition, you can expect your Shih Tzu’s hair to continually grow.
Most dog breeds experience phases when it comes to the growth and texture of their fur. Shih Tzu puppies tend to grow their adult coat around ten to twelve weeks of age.
The process of shedding and regrowing their adult coat takes around three weeks. Be patient while your Shih Tzu is experiencing this phase.
In some pups, the growth period can last between one month to one year.
One of the most attractive qualities of the Shih Tzu is their long, silky mane. However, for some owners, it is easier to have their dog’s hair cut regularly. This is a low-maintenance option for busy pet owners who do not have time for their pup’s ongoing hair care routine.
Shih Tzus have hair instead of fur like other dog breeds. When properly cared for, their hair can grow continually to the floor. Because Shih Tzus have two layers of hair, oftentimes their shed hair will remain embedded in the rest of their hair and must be removed through brushing.
Shih Tzu’s require more maintenance than shorter-haired canines, however, their owners may not mind the extra work because they typically experience less noticeable shedding.
You can do many things to help promote a healthy coat of fur for your canine companion.
In addition to maintaining a nutritious diet, there are natural supplements that can support the growth of your pup’s hair. These supplements are high in omega-3 fatty acids and work to improve the quality of your dog’s skin and fur.
Hair loss on the neck is fairly common. If your dog has developed a form of alopecia, a variety of hair loss conditions, regrowth of hair will depend on the underlying cause and treatment.
Your veterinarian can prescribe medications and other remedies to help your pet’s hair loss.
Regularly brushing and combing your Shih Tzu’s hair can promote hair growth.
Detangling your dog’s hair, especially on its legs and neck, will help to prevent matting and damaged hair. Routine brushing should occur at least several times per week.
After being shaved, Shih Tzu’s hair will grow back, but it is likely the coat will not be the same as it was before.
Shih Tzu’s hair type is unlike that of humans. They have a soft undercoat of hair, which is a short layer of hair that grows underneath their fur.
If you shaved your Shih Tzu’s hair, your pup’s new hair may grow differently than before. It can be patchy and the texture may change.
After shaving your Shih Tzu, expect regrowth to take at least 3 months, but possibly more. A bad haircut does not necessarily mean the fur will not grow back completely. Shaving, especially the underlayer of hair, is usually the cause of poor regrowth when it comes to bad haircuts.
Shedding is a natural part of the hair growth cycle, however, if you notice your dog has been losing more hair than usual, or sections of hair seem to be thinning or falling out in chunks, your dog could be experiencing a medical problem or nutritional deficiency.
Hair loss is often reversible. If no underlying health conditions are present, your Shih Tzu’s hair should continue to grow after proper treatment by a veterinarian.
Similar to human hair growth, Shih Tzu’s fur will shed naturally and regrow over time in a repetitive cycle. If your dog seems to be losing excessive amounts of fur, your veterinarian may need to take a closer look.
Overbathing, using harsh soaps, and minimal or improper brushing can cause your Shih Tzu’s skin and coat to become dry.
Medical conditions including digestive disorders, fungal and bacterial infections, or hormonal disorders could be the culprit.
Your Shih Tzu’s hair can grow back once the problem has been eliminated.
Ordinary dog food brands may be lacking in essential fatty acids that help to promote healthy hair. You can ask your veterinarian about incorporating fish or other supplements, such as flaxseed into your Shih Tzu’s diet.
Coconut oil can be used on Shih Tzus to safely add luster and shine to their hair.
There are several ways to care for your Shih Tzu coat. Brushing and detangling the fur regularly, at least a few times a week, will help to keep your dog’s hair healthy. Using an oatmeal bath is another home remedy that is gentle and soothing to your dog’s skin.
If you are not pleased with the quality of your Shih Tzu’s hair, try the following tips:
If your Shih Tzu is lacking soft, fluffy locks you can try to blow dry your dog’s hair after bathing. Be sure to bathe regularly with a mild puppy-friendly shampoo, but do not bathe more than every few weeks.
Some pet owners recommend using oatmeal-based shampoo to encourage healthy Shih Tzu hair.
Shih Tzu’s are known for their long flowing hair, but maintaining beautiful locks come at a price. It takes consistent brushing and detangling to promote healthy hair growth. Along with diet and nutrition, you must also ensure that your pup is free from infection and illness which can hinder hair growth. Your Shih Tzu will look like a show dog in no time by following these recommendations.
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