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Sarah: Nurse Assistant

Nurses are angels in comfortable shoes.

Certified Nursing Assistant Essentials Investigation

Posted on March 30 2016 by Sandra in Essentials

Certified Nursing Assistant Essentials Investigation

In the most basic of terms, certified nursing assistants are the eyes and ears of a healthcare system. The ability to property investigate a patient helps determine a host of essential aspects of patient care and treatment effectiveness. When carried out in an effective manner, the observational skills of a certified nursing assistant can actually save the life of patients. However, things can often become confusing when a CNA is in charge of dictating their observations.

The most important element to remember as a certified nursing assistant is to ensure your findings from observations are based in reality and truth. Although these findings may not be scientifically measurable, such as a patient saying they simply don't feel right, calling upon your investigative powers can help ensure a patient receives the necessary treatment and care for a swift recovery.

Verifiable Observations

While there are some observations that cant be measured via scientific means, there are many others that are physically verifiable. These include: blood in the patients urine, an unexplained rash, the development of bruises and a severe alteration is the output/volume of urine via a catheter. The most important element when dictating a verifiable observation is that they're not opinionated and are supported via physical evidence.

Unverifiable Observations

An unverifiable observation can be just as important as a verifiable finding; however, the main difference is these observations are unable to be scientifically measured. For example, a patient states they simply feel weird, have a newly developed pain or begin to undergo psychological changes. If a certified nursing assistant investigates an unverifiable observation, its essential to immediately involve a superior nurse. Never attempt to pass judgment on these observations. Simply make note of what your investigation reveals and allow a more seasoned medical professional take the necessary steps to uncover the underlining causes of these ailments.

Remember, your job as a certified nursing assistant isn't to uncover why a patient is experiencing a specific symptom, but rather to report the claims as accurately and without your own judgment.

Essential Takeaways

When working as a certified nursing assistant, follow these tips as outlined by the National Council of State Boards of Nursing to ensure your investigative nature is effective and accurate:

  • Findings should not be based upon your own opinions.
  • Observations should be reported and documented in a timely manner to your superior nurse or physician.
  • Findings should be free from prejudice.
  • When possible, make sure your findings are backed up by physical evidence, such as newly formed skin lesions, blood in the urine or a spike in temperature.

If findings are unverifiable, do your best to record your findings in a factual, non-opinion-based manner.

Source | NCSBN