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If You're Not a Nurse - Don't Call Yourself One!!!

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I always start off by saying "Hey, I'm Libby, your Nurse's Aide...."

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CNA's are NOT Nurses! Even my instructors told our class--Never introduce yoursel to your clients as a Nurse. Introduce yourself as a CNA, or NA. I agree with most of the posts here. CNA's are totally different then your LPN and RN's.

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I'm an LPN and have been for 21 years. I work as hard as any RN that I know. I am capable of, though not legally allowed, to do most things an RN does. I am able to hang blood but not allowed. I am able to give IV push meds but not allowed (although when I worked at Georgia Baptist Hospital LPNs gave IV push meds, including Narcotics). There are not a lot of things that I'm not allowed to do based on my state's laws. I too am nearly through with my courses for my ADN. I am only doing this because I want to work in L&D and it's much easier to get hired in L&D as an RN, and because I want to make twice as much as an LPN, which an RN does. Does anyone find it amazing, based on the amount of work that an LPN does, that an RN makes so much more than an LPN? I'm not saying an RN should make less, only that an LPN should make much more. Not the same as an RN, but much more than the current rates an LPN earns.

Most RNs that I know LOVE working with LPNs. We always work really well together. It's truly team nursing. They would hate if they didn't have LPNs to rely on. Do I consider myself a nurse? Absolutely. Do they? The smart ones do.

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DaMomb said:

ButterflyWings00 said:

I think belittling an LPN’’s status as a nurse is much the same as belittling an NP, for the simple fact that an NP isn’t quite a doctor… Each person, each position is what it is. All are worthwhile. All are worthy of respect, and each person should be proud of the status they have achieved.

I couldn't agree more! I started in the medical field as a CNA at the age of 15. I got very little respect. But I never called myself a nurse, or alluded to having that title, and I was proud to be able to help people the way that I know I did. As a LPN at the age of 19, I got very little respect from the CNA's due to the fact that I was 1/2 their age at the time. But I was proud to have that title; I earned it, and I earned the respect of the staff by not forgetting my roots in the profession. I was someone they learned that they could depend on, and I would stop my charting to help out on the floor a lot. Now, I have one year for my RN, and can't seem to find the time to get back to school.

Another point that was made, that I agree with is: there isn't a whole lot that a RN does, that a LPN can't. Technically speaking this may be true, however, LPN's cannot work under their own license like RN's can. We still need to be supervised.

referring to the last statement-here, LPNs work in nursing homes and assisted living facilities under their own license. In assisted living where I worked, there were no RNs at all -only LPNs and the administrator who was not a nurse. In the nursing home where I worked, we worked all the time without a RN on the floor and on the weekends, the supervisor was a LPN. I suppose you could say that we all worked under the nursing supervisor, but she was never around. I think there is very little that RNs do that LPNs cannot. One thing we are not allowed to do here is insert a N/G tube. I've hung blood before. I've inserted g-tubes when they fell out. When I went to nursing school, LPNs did not start IVs. I think the biggest difference between LPNs and RNs, besides the pay is that RN schooling is more in depth. LPN school is the tip of the iceberg. Someone said in another post that nurses take care of the patient's needs and their families needs. I think this is a good description of LPNs. We are more focused on the patients. We are practical nurses. RNs are looking at the bigger picture. We are the bridge between CNAs and RNs.. Unfortunately, these days, alot of the paperwork falls to the RN. Like everyone has been saying, we are all part of the medical profession and should work as a team and respect each other for what each of us has to give.

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Calling yourself something that you are not may seem innocent enough, but it is a sign of disrespect for those who worked very hard to obtain their license and accreditations. The military has adopted the "stolen valor act." Just for that reason, civilians and former military people wearing medals, ribbons, awards, or declaring themselves from a specially recognized unit or declare a rank which they have not been awarded, just brings dishonor to those who earned it through their own blood, sweat, and tears, kind of like paying your dues. I say, be proud of who and what you are, if you are not, then you are in the wrong profession and it's time to move on.

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Just out of interest, in Australia CNA's are called AIN's, (Assistants in Nursing)... they don't get employed in major hospitals mostly nursing homes, but are considered part of the nursing fraternity. The way to introduce themselves is to say 'I'm an assistant to the nurse"... also the Techs are called 'wardspersons' and wear such a different uniform that the confusion is rare. It's funny in our hospital the uniforms are what confuse patients as the catering staff and office admin staff wear similar shirts to the nurses and even they get called 'nurse' if they are in the vicinity of a patient... especially among the eldlerly.. it can be quite funny to see a kitchen hand being asked to get a bed pan by a patient toilet... they quickly correct them! hee hee

Also have EEN's, Endorsed (medication) Enrolled Nurses who do everything RN's do except give S8 drugs , cannulate and insert catheters, can still give IV drugs tho .. its strange... yet get several dollars less and hour, it's almost silly not to do the further year of study.
they really are called Nurses too :)

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I'm not understanding the difference between a RN and EENs. Would that be comparable to our LPNs here?

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cuttie said:

Well, in the first place, the person did say she or he was not the nurse. Maybe you should of as them what was their title. You can't imposed this on everyone that comes in a person room with scrubs on. This was a different situation, from someone calling out NURSE.!!!

Well my point was, that this woman came in my room and I asked her for pain meds. She responded, " I'm not the nurse". Pause...... I asked her if she could tell the nurse and she said yes and left. I never saw this woman again. I know she was not the RN or PCT. I don't think she was environmental services because she never cleaned the room. That weekend there was a problem with the security system at the hospital. Anybody could have walked in or out of the hospital.
At that time, I was not that knowledgable of how the healthcare system worked. Not everyone knows their rights and assumes because the doctor or nurse says so, it must be ok. No, she did not pass herself off as a nurse.
But if she was a member of the healthcare team, she should have called the nurse.
Its a good thing I wasn't short of breath. Besides I wasn't trying to get off subject, I just thought of a personal experience where I had confusion as to who was who.

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Most of the time i think it's the patients who call CNA nurses unknowingly. To them as long as you have on scrubs your a nurse. What good does it to to correct them and confuse them by saying i'm a CNA, LPN or RN. They don't care as long as your takeing care of what they need. I think it's us who get hung up on titles. If a nurse is secure in her job and position hearing a patient call a CNA a nurse should not send them into a fit because at the end of the day they are the ones calling the shots and takeing home the bigger paycheck so why feel the need to correct the patient. However that being said i do not think it's ok for a CNA to willingly identify herself to the patinet as a nurse. And a side poimt i wish people understood how snobish it makes them look when they walk into the room and identify themselves as so and so RN. Guess what the patient is to sick to care. They just want to know there is a good team to help them. And that's what we are a team. I think that's the biggest thing that's being forgotten none of us good do our job without the other!

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Well folks lets get real!!! Registered Nurses work damn hard for their license, and they should be the only ones deserving of the title. One can really open up a bag of worms, when there are patient complaints like " The Nurse didn't come when I called""or The Nurse just kept walking when I called her". I think it is imperitive that all staff should introduce themselves when first meeting any patient or visitor. It would save time in the longrun, alleviate inappropriate complaints, and also get the job done in a more effective manner. If a CNA wants to refer to themselves as the nurse...LET THEM GO TO SCHOOL!

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It's been a while since I was a CNA in Montana, but if I remember correctly, I was grossly underpaid, and overworked. To be a CNA takes much less training, knowledge, and pay and seemed like harder work. That being said, it is never right to introduce yourself as something you are not, no matter what your position. It gives people the wrong impression and allows them to believe this person has knowledge and training they may not have. It doesn't disrespect those in the position they are pretending to be, it creates confusion for those who are getting the wrong impression. I think anger isn't the right response, perhaps a lighthearted discussion with the individual may help the person understand why it is wrong. Being in the military we constantly have to enforce respect based on rank and time in service despite how deserving the person is. I have found forcing recognition based on rank, time, and for officers schooling does nothing but provoke discontent and a feeling from the lower chain of command that they could do better. Although claiming to be a nurse when you are not is wrong, reacting in a way that doesn't create a solution isn't much better. Just a lighthearted OPINION from someone who is waiting to get into nursing school and has not been a CNA for about 10 years.

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RNdude said:

No, Katherine. Being a CNA does not qualify you to introduce yourself as a nurse. This is simply because they are not one. And, yes, they should introduce themselves as a CNA. There is no shame in being a CNA or equivalent, but misrepresentation by alluding that they are a licensed Nurse is completely inappropriate. When I was a tech in our ER going through nursing school, I introduced myself as a "tech". It is an honor to call oneself a Nurse and I did not deserve that honor until I earned it.

Persons who have inappropriately misrepresented themselves as nurses without the credentials seems ignorant and a liability nightmare for the poor souls they attempt to misrepresent themselves to. I am of the opinion that it is not any different than misrepresenting yourself as a police officer or any other position requiring training that comes with lots of blood, sweat, and lots of tears and it should be taken seriously and prosecuted without tolerance or reserve.

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I agree with RNDUDE that a CNA should not call herself or himself nurse only when you become an LPN,RN or NP can you use the titles of a nurse. I think it is in most states nurse pratice act about the desigation of the titles . I started as a CNA and was proud to do so . But we called the Nurses by their titles back then.

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I agree. We need to "call" ourselves what we really are, not what we hope to be or wish we were. LOL


I'm in school to be a RN. I don't call myself one yet because I'm not. I always say I'm a RN nursing student. 


 

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Name badges with BIG WRITING helps.   Elderly people dont see as well as younger people.  Accurate identification of your job title is also a legal issue.  

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Ok I have read all these posts and believe me some of them were quite interesting.  I wholeheartedly agree that a CNA should not introduce themselves as a nurse.  I have worked as a CNA and then RN.  Sorry never was an LPN.  I know that most LPN are used and abused but they still by legality don't have the responsibilies as an RN.  Most LPN's I have worked with really should have gotten off their butts and gone back to school because they were damn good at their job but just didn't get the education to back up their skills.  It all comes down to the fact that no matter what the RN is the responsible party.  The one perplexing question is that as a profession don't you think that we bring about this concern ourselves.  No other professional group has so many disciplines to hold one main objective.  I have never belittled anyone that works with me and I don't go around saying well she/he is just an associate nurse and I am a bachelor's prepared nurse.  An LPN is just restricted by state laws on what they are able to do.  In essence it comes down to education.  If you want to be called the nurse educate yourself and then you will understand the difference between each dicipline.

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luvsmusic63 says ...


I am going to put a spin on this subject. I am a Diploma RN...It is interesting that many establishments refer to ADN and BSN as RNs, and refer to "us" as Diploma nurses. Well, I wrote the boards just like everyone else and I am an RN.

I work with a wonderful RN who is a 'diploma rn'.  I had never heard this term.  She went to a fabulous school in Georgia for her degree, Georgia Baptist.  She knows I am an ADN, I recently started back to school for my bsn............but before I started that she always said a 'Diploma RN is higher than an ADN", is that right?  She IS a brilliant nurse but 'diploma nurse' is a title I'm not familiar with.


We only have one heart, take care of it!

Angie

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nrubi77 says ...



PittNurse said:



Ok, so I don't this sounds like a meanie post, but I am tired of CNAs calling themselves nurse to patients and family members. I'm an RN, and I would never call myself an NP, so CNAs should not call themselves RNs. I was visiting my dad in the hospital (nothing major - gallstones) and this CNA called herself a nurse, the nerve. I'm interested to hear what others have to say. Have you ever been in this sort of situation?


Honestly, i would have to disagree . Who the flip cares for one and two if you think about it the definition CNA is: certified NURSING assistant right? I think you should back off and leave her alone she is proud what she does. Im sorry how old are you and what are you in high school--- grow up and get a life. Maybe you should stop worrying about what others are doing and take a look at yourself. You sound like one of those nurses who do nothing but gossip and a drama queen if you ask me. It's really not that serious! NEXT....! Maybe you should consider posting something worth reading.....! I am very thankful of CNA's b/c they have it worse then most of us in the hospital's. Would you like to wipe asses all day....? I think not b/c you really sound too stuck up...!

In every post when it comes to the workplace, I have always been thankful for the LPN's who save our butt.  I am also grateful  for  cna who helps me move a patient from the bed to the bedside commode and help me do their bath..............that was my job in nursing school, and I teched in the ER.  I am extrememly grateful for the MA that works for my doc and gives me my flu shot every year. 


However, its MY license on the line when it comes to that patients care in the hosp.  If somebody has an adverse reaction to blood infusion, its not the cna's fault, its the RN.  Personally, if an RN were to gloat her role over a cna, Id call her on the carpet <in private of course..  A good cna in the hospital is much harder to keep  than an LPN or RN.  So.........as an RN who worked her ass of in nursing school as an ER tech, selling shoes, waiting tables, and working for my flippin parents travel agency so I could feed my kids and heat our home while in nursing school, I CARE.   An LPN works too hard for her license to throw it away as well so we have earned our title.


.  This is NO disrespect to all LPN's, MA's, CMA's and CNA's.  Its got to be teamwork but I do NOT take my license for granted, I think big fat nametags could solve alot of those problems.


We only have one heart, take care of it!

Angie

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Rate This | Posted over 4 years ago

 

Wow....you guys are pretty hot about this subject.  I do agree that no one should give themself a title they don't have, but getting so mad about it is a little silly I think. 


A good man loves other. A better man loves God. A great man loves God and lives well among others! I miss you daddy!

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Nope, I'm happy; my organization gives us the big eyesore nametags even Mr. Magoo could read! 


We only have one heart, take care of it!

Angie

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Having been an LPN and then an RN with a BSN, I can say I've seen both sides of the coin so to speak. When I was an LPN, I used to think that I was not that different from RN's other than a year or more of school. I used to chaffe when I was referred to as just an LPN. I worked just as hard as the other nurses who were RN's,and sometimes could run circles around some of them.


I was always told I was a good nurse and should go back to school. I decided to get my BSN, so I would not have another degree level above my head. When I went back to school, my attitude was at first that if you could be an LPN, you could certainly be an RN. Then I actually experienced RN school.


Wow, what a difference! RN school was much more detailed in all aspects of nursing. Critical thinking was crammed down my throat.I was sick of that term by the time I graduated. I earned that degree with sweat,stress, and tears. Now I see the difference. It is a big difference to say the least. I will now say that there is a difference in titles.


As was posted by some, the weight of responsibilty I felt after becoming an RN was palpable. No longer could I run to the RN when I was unsure of something. I was now the RN to be the one others would come to. That hit me like a ton of bricks. As the LPN I always knew that if I was unsure or having a trouble with a skill, I could ask the RN charge nurse or another RN on the floor.


I now see the enourmous difference in education. I know alot more and understand rationales b/c of the knowledge I recieved in RN school.


I still have utmost respect for CNA's and LPN's. They are vital to nursing. But, I also will say, RN's do earn their degrees and should be respected for that also.


Claire Kruszka

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ckruszka says ...



Having been an LPN and then an RN with a BSN, I can say I've seen both sides of the coin so to speak. When I was an LPN, I used to think that I was not that different from RN's other than a year or more of school. I used to chaffe when I was referred to as just an LPN. I worked just as hard as the other nurses who were RN's,and sometimes could run circles around some of them.


I was always told I was a good nurse and should go back to school. I decided to get my BSN, so I would not have another degree level above my head. When I went back to school, my attitude was at first that if you could be an LPN, you could certainly be an RN. Then I actually experienced RN school.


Wow, what a difference! RN school was much more detailed in all aspects of nursing. Critical thinking was crammed down my throat.I was sick of that term by the time I graduated. I earned that degree with sweat,stress, and tears. Now I see the difference. It is a big difference to say the least. I will now say that there is a difference in titles.


As was posted by some, the weight of responsibilty I felt after becoming an RN was palpable. No longer could I run to the RN when I was unsure of something. I was now the RN to be the one others would come to. That hit me like a ton of bricks. As the LPN I always knew that if I was unsure or having a trouble with a skill, I could ask the RN charge nurse or another RN on the floor.


I now see the enourmous difference in education. I know alot more and understand rationales b/c of the knowledge I recieved in RN school.


I still have utmost respect for CNA's and LPN's. They are vital to nursing. But, I also will say, RN's do earn their degrees and should be respected for that also.



Well said.  I just graduated and look back on all that I have gone through to get this degree and for someone who is not an nurse to say that they are is just wrong IMO.  Yeah you may have nurse in your title ex: NA or CNA but you are still not a nurse.  And don't beat me up for saying that because I have been a PCT and a secretary and being a NA or CNA is nothing like being a nurse and having to be responsible for everyone and everything.   Like you said you are the go to person you can't say oh let me get your nurse.  You are the nurse. 

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Rate This | Posted over 4 years ago

 

I read somewhere (I believe the CA Code for LVNs) that only a "licensed nurse" is to call him/herself a "nurse." Same with medical assistants. I think if you work hard for your title you deserve to call yourself so. I am not demeaning CNAs/MA's, it's just, you don't have that title. And sometimes family members get mad when you are just a student, or just a nursing assistant, and they expect someone to give them the right information. You never know, you could be sued for anything now a days. And if that's the case, the job descriptions and scope of practice is different from a CNA to LVN to an RN.

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Rate This | Posted over 4 years ago

 

Well said nurse Corie.


Look, if titles didn't matter then there would not be any. There is a reason for a title. Yes there are experienced and well educated CNA's and LPN's who do a great job. I would never take that away from anyone. But, when push comes to shove, b/c RN means degree, RN's are considered responsible for LPN's and CNA's actions.RN's can only delegate tasks that are in the scope of that preson's practice.If they don't and something goes wrong, guess what? the RN is held accountable.


That is because the RN is the person with the "critical thinking" skills and supposed to have more knowledge. Notice I said supposed, cause not all RN's know what they are doing. I've worked with some where I had to wonder how they got licensed. Again, they had the title.


That's why I went back to school. I was tired of feeling inadequate b/c I did not have a degree, and yet I was a pretty smart cookie.My title, I felt, was dragging me down and limiting my skills.


Claire Kruszka

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Rate This | Posted over 4 years ago

 

This has always kind of burned my butt.  Recently in my local newspaper there was a front page headline that read  "LOCAL NURSE ARRESTED; ABUSED PATIENT".  I was so upset.  Then I read the article and found out that the woman was misrepresented and was really a home health aide.  Our profession has many black eyes to deal with already and I was absolutely insensed.


Only LPNs and RNs have earned the right to be called a "Nurse".  Would you refer to a Physician Assistant as Doctor?


There are a lot of well meaning and caring people who refer to themselves as "nurse".  I think that some believe they can earn instant respect by giving themselves this title, but it's not been earned.  I was just as proud when I had to say that I was a CNA or a Nursing Student.   Once you've been at it a while, sometimes you don't want to admit to being a nurse outside of your practice setting, because of all the weight it carries.


Today's mighty oak is just yesterday's nut that stood it's ground.
-Chinese fortune cookie.

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Rate This | Posted over 4 years ago

 

I disagree.


 


Example:  A mother = A nurse. Simple as that.


 


On duty, however, you can not call yourself as a nurse if you do not have atleast LPN.

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Rate This | Posted over 4 years ago

 

Has anyone experienced a male nurse being called the Doctor, or a PA being called the doctor. It happens all the time and this bugs the crap out of me. They never correct the patient, at least from what I have seen.


CNA's are not nurses, and yes I have worked with SOME who think they are. The problem is that they have no idea about the education we have, and think we only pass medications etc... and that it is just a task. Some do not understand the critical thinking that is behind it all. I know nurses who do the same thing with MD's, they think they know it all.


I agree with those of you who say if you want to be a nurse, go get the education. If you want to be a MD go get the education, period.


I WENT TO SINCLAIR COMMUNITY COLLEGE AND CAPITAL UNIVERSITY IN THE LATE 1980'S AND EARLY 1990'S. LOVE TO HEAR FROM YOU FELLOW NURSING STUDENTS.

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Rate This | Posted over 4 years ago

 

Sure, happens all the time in the hospital, a male being referred to as a 'doctor,'


I always corrected them, but I always told them I'm not a "physician." The MD's monopolize the term 'doctor,' but I, along with lots of other RN's, I DO have a doctorate. We generally only use the title in a formal setting (instructor in a school, lecturer, etc), but MD's insist on the 'doctor' title at all times!


I used to park in the "Doctors Only" parking lots. They finally got wise and most facilities have made it the "Physicians Only" lot. LOL

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Rate This | Posted over 4 years ago

 

LOL...lawyer..good one...


I agree that if you dont have the degree dont try and claim it.....


I am a CMA...The docs where I worked they introduced us as nurses..and so did the practice manager...hmmmmmm


I would never be disresectful but I think alot of managers and docs need to be educated about the different titles that are out there and use them correctly too.


I stay within my scope and have gone and gotten the LPN or RN when a sitaution arose where the doc ordered me to do something and it was not in my scope....


I dont want to be responsible for doing something wrong....I will allow them to be the critical thinkers...less stress for me :)


speak your mind..for those that matter dont mind and those that mind ..dont matter..

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Rate This | Posted over 4 years ago

 

     In my adult working life I have worked the ladder from CNA to LPN to RN to RN, OCN.  I have been proud of every stage doing my dream of "NURSING" at all these levels.  To Butterfly"s post, and to ALL I'd like to stress - be proud of who you are and what you do.  Never EVER introduce your self as "I am JUST the (whatever)."  This applies to all areas of our life.  Don't ever see yourself as JUST the Mom, JUST the babysitter, ANYTHING!  Know and believe in your worth at everything you do.  Every member of the team is vital, and cannot exist without the other.


     As far as the original post, yes it drives me nuts.  I have listened to many misrepresent themself.  It is extremely disrespectful to all who have sweated through the dreaded nursing school clinical, finals, BOARDS.  I loved the analogy of a legal secretary introducing themself as an attorney!

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