CNA (Certified Nurse Assistant) Training Classes And CNA Certification Guide

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Certified Nursing Assistant History – Contributions of Care and its Future

WORLD WAR 1When we hear the word “certified nursing assistant, cna, or nurse aide,” the first thing that will hit us is the idea of a person assisting our old folks or patients in the hospital, hospice and nursing homes. The idea is true, the certified nurse assistants or cna’s primary role is to help the patients with anything that is in need of assistance. CNA act under the supervision of a registered nurse.

Have you ever asked when did this concept come to life? The idea of a nursing aide begins World War 1  when the Volunteer Nurses’ Aide Service was created by the American Red Cross to help the nurses with their overloaded work. The dreary work of nurses before are now passed to the people we now called the “nurse aide.”

In an effort to assist overburdened nurses during World War I, the American Red Cross developed the Volunteer Nurses’ Aide Service. After training, these volunteers assumed some of the more tedious and daily recurring duties of nurses. In 1987, Congress passed the Omnibus Reconciliation Act, commonly referred to as OBRA, because of lack of quality care and safety concerns in our nation’s nursing homes. This act requires that Medicare- and Medicaid-certified nursing homes be staffed by well-trained personnel. Initial training, testing, and in-service requirements (ongoing training of certified persons) continue to improve the care given in these facilities.


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Before, nurse aides take on the non-medical duties of the nurses. Now, nurse aides provide the basic health care service needed by the patient under the supervision of the registered nurse.

Today’s nursing assistants provide basic patient care under direction of nursing staff, performing duties such as feeding, bathing, dressing, grooming or moving patients, or changing linens. They may also transfer or transport patients. According to the U.S. Bureau of Labor Statistics, 55 percent of nursing assistants work in nursing- and residential-care facilities, while 28 percent are employed in hospitals.

The BLS notes that nursing assistants work under a variety of job titles, including nursing aide and nursing-care assistant. The NNCNA lists a variety of additional job titles, such as direct-care worker, care assistant, home care assistant, hospice assistant, geriatric aide or assistant, resident assistant, personal-care assistant, restorative aide and patient-care assistant.

These assistants, who may also be known as nursing aides, orderlies or attendants, among other job titles, perform routine tasks under the supervision of a nursing or medical staff, the BLS notes. Much of the care they provide is non-medical but addresses the more basic needs of patients. They are often responsible for answering patients’ call signals, delivering messages, serving meals, making beds, tidying up rooms and emptying bedpans.

Additional duties may include turning and repositioning bedridden patients to prevent bedsores, feeding patients who are unable to feed themselves, and helping patients with walking, exercising and moving in and out of bed.

Other responsibilities of nursing assistants may be more directly related to patients’ medical care, such as checking temperatures, pulses and blood pressure, along with measuring and recording food and liquid intake and output, and reporting changes in patients’ conditions to professional staff. Nursing assistants may apply dressings, or bathe, groom, shave, dress or drape patients to prepare them for surgery, treatment, or examination. They may transport patients to treatment units using a wheelchairs or stretchers, or help other medical staff by setting up equipment, storing and moving supplies and even assisting with some procedures.

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The demand for a certified nursing assistant is expected to have a huge growth by 2020 because of the growing older population. There are lots of training schools out there that provides training to be a certified nurse assistant. But, we suggest you take on the program provided by the American Red Cross because they provide excellent nursing assistant skills training. They also offer scholarship for qualified applicants.
The BLS projects that demand for nursing assistant will continue to rise, predominantly in response to the long-term care needs of an increasing elderly population. In addition, modern medical technology will drive demand for nursing aides as the technology extends the lives of those most in need of the long-term care provided by aides.The California Employment Development Department has ranked the occupation 45th for projected job openings in Orange County from 2010 through 2020. An estimated 8,880 workers were employed in the occupation in 2010, and employment is expected to increase by 20.2 percent through 2020.At the national level, the BLS has projected a growth rate of 20.1 percent for the occupation from 2010 through 2020. Nursing and residential care facilities, which employed an estimated 55 percent of nursing assistants in 2010, are expected to account for 54 percent of the job growth, increasing their employment of nursing assistants by 22 percent through 2020. Public and private hospitals, which employed 28 percent of nursing assistants in 2010, are expected offer a job-growth rate of 13 percent for the occupation over the 10-year period, accounting for 18 percent of new jobs for nursing assistants.Other industries expected to offer job fast growth for nursing assistants include home healthcare services and offices of physicians and other healthcare providers.

Knowing the history of anything we know right now makes us appreciate things deeply and possibly foretell its future. We expect the government to improve and create more laws for the protection and the benefit of the health care front line staffs as well as our clients.
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