A Guide to Applying for Reciprocity

The demand for nursing assistants has significantly increased in recent years which is why many individuals from different states are looking into becoming CNAs. However, getting a job as a nursing assistant does not just require the completion of any nursing assistant education program, you would need to pass a State-prescribed course and test as well. If you are already Certified, Licensed, Registered or State-Approved in your current state but are planning to get another nursing assistant job in another state, you would need to request for reciprocity so that the other state would recognize the approval or CNA training certification that you received in your home state. Here are the steps for requesting reciprocity, along with some tips that can make the process easier.

1. First off, you would need to call the Nurse Aide Registry that is in your home state then request for an “Application for Enrollment by Reciprocity”. Check with them whether the completed form should be sent to them or to the other state where you would be getting a CNA job.

2. You would then need to contact the Nurse Aide Registry which is in the other state and then ask them about the same concern. There have been some nursing assistants who have been able to directly fax the request to the state where they would be moving. However, to avoid having problems later on, take the time to ask. Also make sure that you list down the name of the people that you have spoken with along with their phone numbers.

3. If the agency in the state you are moving to states that it would be fine to fax or send your information via mail, then be sure to do this right away. Before faxing or mailing, make sure that you have the correct fax number and mailing address. The most commonly requested requirements would include: a copy of your Social Security card, a copy of the approval you received from your home state; a copy of a valid photo ID such as your driver’s license, a copy of a recent pay stub or a document that would prove that you have worked for a nursing home within the last two years.

4. You should also make sure that when you send your information, you would be including a short note to thank the person you have spoken with and ask them to contact you if they need some more information from you.

5. You could get an automated line when you call. Most of these automated lines are toll-free 800 numbers and could readily provide you with the information you need. However, if there is an option, try to talk with an actual person to get more detailed answers to the questions and concerns you have.

6. Lastly, remember that nursing homes are usually able to provide training and testing for all of their nursing assistants. By calling the ones you are interested in working with, you should be able to get information on local training and testing sites which are near your area. Aside from being conducted by nursing homes, training and testing can also be done by community colleges and independent agencies. You can also get more information about training and testing programs available in your area by talking to a DON or trainer that is also in your area. If you are still unable to get information, you can try contacting the NATP agency or the Area Agency on Aging in your state.


How CNAs Fit Into The Nursing Process

Over the years of providing medical services to patients, the individuals who work in the field of medical and health care have developed a nursing process that outlines how patients are given with the care and assistance that they need. If you want to learn more about the nursing process and how the CNAs or Certified Nursing Assistants fit into it, read on.

First off, the medical is generally divided into a number of members: the patient, the doctor, the physician assistant, the nurse and the nursing assistants. The patient would be the one who has the illness or a medical condition which requires care. The doctor would be the one who makes the diagnosis. A physician assistant can also make a diagnosis, but would still be overlooked by the doctor. The same goes for nurses. A nurse can take note of the symptoms and make a preliminary diagnosis but ultimately, it would still be the doctor who would be making a final diagnosis.

Once a patient is admitted to nursing unit such as a hospital, a nursing or a rehabilitation center, the nurses are called to perform several duties to assist the patients in getting better. They usually work based on a nursing process which is divided into five steps: assessment; nursing Diagnoses; planning; intervention; and evaluation. Here are the details for each step of the process.

1. Assessment

This would involve the constant collection of data in order to identify the actual and potential health condition and problems of a patient. Data collection should be done as objectively as possible. In order to perform the assessment, a nurse should: get the nursing history from the patient; perform a thorough physical examination; and review the laboratory and medical information.

2. Nursing Diagnoses

All nurses are given the license to correctly identify and treat specific health problems of patients. Because the only way for a doctor to come up with an effective care and treatment plan is through making a proper diagnosis, it is important that the nurse is able to come up with a nursing diagnosis based on the data gathered in step one. This nursing diagnosis is double-checked by the doctor. CNAs fit into this step, as they are sometimes required to check the condition of the patient and take down notes which are given to nurses.

3. Planning

As all nursing assistants and nurses know, the care plan is the core of the nursing care that they should provide for all patients. It is a legal document which promises care to be delivered as written and nurses could get into a lot of trouble by not following the care plan. It is designed to provide assistance or guide for the members of the medical team to deliver quality and consistent care to patients, as needed. A good care plan should be specific, concise, clear and realistic to make sure that it can be understood not only be doctors, nurses and nursing assistants but also by the relatives of the patient.

When writing the care plan, nurses sometimes ask for the opinion of CNAs so CNAs should be able to offer insights to the patients’ desires and abilities. Because of this, many health and medical facilities today encourage the participation of Certified Nursing Assistants in care plan conferences.

4. Intervention

This step in the nursing process would be where the CNA fits into the most, as the intervention would usually cover the duties of CNAs such as the toileting, repositioning, turning, food administration, bathing to the application of prescribed creams and lotions.

5. Evaluation

As the final step of the nursing process, the evaluation would include the checking done by the nurses to know whether the care plan worked in solving the health issues and problems of the patient.


The Essentials of Being a CNA

Today, more and more individuals are exploring a career in the health or medical field because of how fulfilling and rewarding it can be. Aside from being a doctor or a nurse, a lot of people are looking into being a CNA or a Certified Nursing Assistant. If you are planning to become one, read on to learn more on everything you need to know about becoming a CNA.

A Certified Nursing Assistant is one of the members of a health care team in a medical facility or health institution. CNAs usually work under the supervision of a nurse and are responsible for providing basic nursing and health care to the patients, clients and customers of the facility or institution. Some of the duties of a CNA include assisting patients in dressing up, taking a bath and eating. They can also be asked to help patients with their oral care and toilet activities. CNAs are also usually the ones who get the patients’ vital signs and height and weight measurements.

There are many reasons why you may want to become a CNA. If you have been thinking of becoming a registered nurse, being a nursing assistant could greatly help you decide whether it is something that you would like to do. This is because you would be exposed to the type of work that nurses do. You would also be able to learn and understand more about the services that nurses, doctors, medical technicians and physical and occupational therapists provide to their patients. Also, you would be able to interact with different kinds of people and help them in what they need.

However, keep in mind that being a CNA is not for everybody. If you are looking for a high-paying profession or career, becoming a Certified Nursing Assistant might not be your best option. Aside from this, the CNA training that aspiring nurses go through is intensive, since they would be caring for other people’s health and lives. In order to go through it, you would need to have a good amount of patience and dedication. You should also be prepared to get sick more often that you used to, so it is important that you are able to take good care of your health.

Although the salary of a CNA is not really one of its appeals, you would be able to gain a lot of experiences which you would not otherwise be able to have with any other profession. You would be able to feel a sense of self-fulfillment since you would be able to meet and interact with all kinds of people, while learning how to care for them.

Once you have decided that you want to become a Certified Nursing Assistant, there are several things that you would need to do. First, off you would need to have a GED or a high school diploma. You would then have to complete the CNA training education program, which usually runs from six to twelve months. You can look for institutions which are offering this program over the internet or through asking friends or relatives who are CNAs. Make sure that the program you would be taking is accredited in the area or state where you would be working. After finishing the program, you can then look for work opportunities as a CNA in home health agencies, hospitals and nursing homes.

Being a CNA is truly one of the most rewarding jobs that you can have. However, before deciding to go along this career path, it is important to have all the knowledge and education you need so that you would be able to provide optimum health care and assistance to your patients. Although it is not the easiest job in the world, by being patient, compassionate and having a sincere desire to help your patients, you can easily become a good CNA, which can, in turn, lead to more work opportunities in the long run.


Personal Philosophy of Nursing

Every nurse has to come up with their own nursing philosophy, and this will develop over time. If you are new to nursing you might be looking for some guidance in terms of what your philosophy should be. For a little help, you should consider how nursing will impact society, your environment, the recipient of the nursing care, as well as the interaction between society, people, and the environment.

Wondering what society really is? Society is a group of people with common interests.  A nursing society evolves with each circumstance. For instance, in a pediatrician’s office the society is made up of nurses that work together to provide the best possible care to the children in the office. A nurse has the ability to impact everyone in a positive or negative light in this little society. The goal should be to send everyone away with as positive an experience as possible. Bringing something positive to the nursing society should be part of the philosophy of every nurse because it makes for a better working environment.

An ideal nursing philosophy should also take health into consideration.  Health and wellness is all about who a person is. If you make this a part of your philosophy you will find that you take pride in ensuring that your patients are as healthy as possible, so they can be who they want to be in the moment. This is a gift that a nurse can give to patients, affecting the greater society in a positive light. 

Nursing should be viewed as an opportunity to give back to society.  When you view nursing as a gift that you can give to others, it will become a delight to complete each task. While things can become mundane, when you view it as something that not everyone can do and something that can actually give back to society and impact the way others are able to interact within their social circles, the job will be something you look forward to doing.  Keeping your nursing philosophy positive like this will allow you to really enjoy your job and touch the lives of all of the people that you care for over the years.


Perceptions Surrounding Men in Nursing

As far as our society has come in terms of gender discrimination, it is still alive and well.  This can be seen in many instances when you look at the perceptions surrounding men in nursing.  The fact of the matter is that there are still gender barriers that exist in the wider scope of nursing professions.  Much of the problem now is that there are simply not that many men involved in nursing, in fact in 2004 less than 6% of nurses were male.

In the United States nursing needs to be advertised as a career option for men.  The fact of the matter is that in 2004 there was a vacancy rate in the nursing industry of 8.1% and by 2020 it is estimated that there will be a nursing shortage of over one million nurses.  The nursing shortage is going to become more and more of a problem as the baby boomer generation ages.

Why is there a shortage?  Much of the shortage is due to the fact that there is a declining interest in nursing by women.  Over the last 30 years women have been branching out more and more in terms of their career choices.  This means that they are not looking at the traditional options as much, such as nursing.  Since women are looking away from nursing and men are not being attracted to nursing at all, the shortage is explained.

In a study conducted by Kimball and O’Neil in 2002 it was identified that the nursing population needs to more closely reflect the diversity of the population in the United states.  In 2004 more than 88% of the registered nurses were while, so only about 11% of nurses can identify with minority groups and genders.  If the nursing population matched the population of the United States there would be a lot more male nurses since only about 5.7% of the nursing population is male but 49% of the population is male.

The problem is, according to Johnson and Johnson, is that only one in ten men would even stop to consider nursing a career choice.  Those who are interested or who will seriously consider nursing are usually older and looking for a second career.  There is a lack of knowledge in relation to why men are entering nursing at lower rates despite recruitment efforts.  Studies have been used to understand the perceptions surrounding men in nursing today.

The result of the studies has been enlightening, as the study revealed that men are seen in a slightly more negative in the nursing role than women.  The problem is that many men don’t understand that they can get several different levels of nursing education, to advance their career while women seem to understand this much more.  More men believe that if they work as a nurse they can only work in a hospital, and fewer men than women see nursing as a financially rewarding career.  This shows that men are simply not educated enough about what nursing can offer them.  Because men are not knowledgeable about what is offered, they are not as common in the nursing position, so they are not as well received.  Making efforts to educate men and women about the benefits of nursing may help to recruit more men to help decrease the estimated nursing shortage in the near future.


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