Nurse Reporter Winter 2007 - Wyoming State Board of Nursing
Nurse Reporter Winter 2007 - Wyoming State Board of Nursing
Nurse Reporter Winter 2007 - Wyoming State Board of Nursing
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Leveling the Roles <strong>of</strong> a CNA<br />
through Expanded Training<br />
The <strong>Wyoming</strong> <strong>Board</strong> <strong>of</strong> <strong>Nursing</strong> along with the <strong>Wyoming</strong> <strong>Nurse</strong>s Association<br />
and other interested nursing groups have been working this past year formulating a<br />
plan to expand the role <strong>of</strong> the Certified <strong>Nursing</strong> Assistant (CNA) to meet the<br />
needs <strong>of</strong> nurses and healthcare in the state. The <strong>Board</strong> would like to have the proposed<br />
“Expanded Role <strong>of</strong> the CNA” incorporated into their <strong>Board</strong> Administrative<br />
Rules and Regulations which will be promulgated in April <strong>2007</strong>. To meet our goal,<br />
we are asking your assistance.<br />
CNAs are invaluable team members, without a doubt. Expanding their duties<br />
and responsibilities through further training and safe delegation <strong>of</strong> nursing tasks by<br />
registered nurses may assist in the provision <strong>of</strong> quality nursing care in this era <strong>of</strong> low<br />
nursing supply. The <strong>Board</strong> is proposing two levels <strong>of</strong> CNA’s. A Level 1 CNA<br />
would perform basic nursing skills and personal care activities currently in the<br />
<strong>Wyoming</strong> Rules and Regulations and as required by the Code <strong>of</strong> Federal<br />
Regulations. A Level II CNA would perform additional nursing tasks/skills such as<br />
elimination, oxygenation, and nutrition and administration <strong>of</strong> specified medications<br />
consistent with rules and regulations to be developed. All training for Level<br />
II CNA would be given in an institution <strong>of</strong> higher education and the certification<br />
and registry would be maintained by the WSBN.<br />
What are your reactions to this plan? The WSBN is interested in your ideas. You<br />
can have input into the next phase <strong>of</strong> this project by answering the following questions.<br />
Survey to Registered <strong>Nurse</strong>s Concerning your interest in Delegation<br />
to a Certified <strong>Nurse</strong>’s Assistant in an Expanded Role<br />
Please answer all questions as thoroughly as possible in order that the WSBN may act to<br />
implement ideas that might improve your work satisfaction and improve patient care.<br />
1. In what kind <strong>of</strong> health care facility do you work?<br />
2. How many years have you worked as a registered nurse?<br />
3. How many patients/residents are you assigned in a typical shift?<br />
Is this reasonable? If not, how many are reasonable?<br />
4. Would you be comfortable delegating designated duties/tasks to a CNA<br />
prepared for that duty/task?<br />
5. What tasks/duties would you like to be able to delegate to a prepared CNA?<br />
6. Do you view delegation and those responsibilities inherent in delegation<br />
as a benefit?<br />
7. Do you view delegation to a CNA in an expanded role as an increasing liability?<br />
8. What non-nursing tasks do you perform that detract from nursing functions?<br />
9. Keeping in mind cost containment, what kind <strong>of</strong> changes in staffing would<br />
you recommend that would lead to improved patient care?<br />
We Currently<br />
Have Openings<br />
for Neuro,<br />
Critical Care,<br />
Med/Surg and<br />
OR <strong>Nurse</strong>s<br />
WYOMING<br />
MEDICAL<br />
CENTER<br />
<strong>Wyoming</strong>’s Regional Medical Center<br />
<strong>of</strong>fers greater career opportunities for<br />
<strong>Nurse</strong>s who are seeking an environment<br />
where they are encouraged to<br />
grow within their pr<strong>of</strong>ession. Currently<br />
on the path to Magnet Status and<br />
incorporating the Theory <strong>of</strong> Human<br />
Caring WYOMING MEDICAL CENTER<br />
believes and adheres to a Shared<br />
Governance Model empowering <strong>Nurse</strong>s<br />
in autonomous decision making.<br />
<strong>Wyoming</strong> Medical Center provides<br />
the perfect opportunity to challenge<br />
your career and spread your wings.<br />
Through our laddering programs and<br />
continuing education assistance you<br />
will find support and incentives to<br />
become the best you can be.<br />
Become a member <strong>of</strong> our <strong>Nursing</strong><br />
team today. We currently have openings<br />
for NEURO, CRITICAL CARE,<br />
MED/SURG AND OR <strong>Nurse</strong>s as well<br />
as opportunities in other departments<br />
and positions. WYOMING MEDICAL<br />
CENTER <strong>of</strong>fers competitive pay and<br />
exceptional benefits including relocation<br />
and educational assistance. Visit<br />
our website for a complete listing <strong>of</strong><br />
career opportunities and apply online<br />
at www.wyomingmedicalcenter.com<br />
WYOMING MEDICAL CENTER IS<br />
AN EQUAL OPPORTUNITY EMPLOYER<br />
Please send responses to marcia@uwyo.edu or to the WSBN at 1800 W.<br />
Pioneer Street, Cheyenne, WY 82001 by April 15.<br />
12 W Y O M I N G N U R S E R E P O R T E R