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Small Victories Reward CNAs for Hard Work

The hours are long. The work is hard. The shifts are sometimes not prime. The pay is low compared to some factory wages. But, the rewards, small personal victories provided to clients, and the wisdom passed from the old to the young are the benefits that keep Certified Nursing Assistants (CNAs) on the job.

Diane Green, Health Care Service Manager for Silvercrest Assisted Living of Ames said. She said the CNAs she employees range in age from 19-68 and are mostly female. She said those demographics would be fairly typical in the industry. CNAs are indefensible to patient care, she said, and provide director, personal services for their clients. "CNAs here help our clients with bathing, showers, whirlpool sessions, the delivery of medications, serving of meals, and other activities. They will assist with almost everything, including also conducting fire and tornado drills."

Silvercrest may be a little bit different than some other working situations for CNAs, Green said, because it is for assisted living residents who are largely capable of caring for themselves, but need support in general areas. The facility employees 15 CNAs right now who serve 45 residents. The facility is the largestest assisted living facility in Ames, with apartments for up to 75 residents.

"The major requirement for CNAs is to maintain privacy and confidentiality between them and their clients," Green said. "I stress that to all of my employees."
Green said she also encourages her CNAs to get additional training and that Silvercrest does over tuition reimbursement. "I like my CNAs to also become Certified Medication Aids (CNAs). The employees are usually very glad they take the training. It increases their pay and increases their responsibilities and provides greater self-satisfaction."

CNAs at Silvercrest also gain from feedback from their patients. "Residents here are able to provide feedback that isn't always possible for some CNAs. It is rewarding when you are able to help someone to become more independent and to be thanked for that." CNAs have a high school diploma, go through a background check, have references verified and have excellent work ethics, Green said. Other positive traits include patience and respectfulness. "We depend on our CNAs. They are on the front lines – they will notices small things first and are able to report potential problems before they become larger."

Many CNAs will go on to other fields in medicine, such as becoming Licensed Practical Nurses or Registered Nurses. "They already have an interest in doing something medical," Green said. "This can be a stepping stone to a nursing career. CNAs typically earn from $7.50 - $9 per hour with benefits such as health insurance, vacation, retirement and 401K plans. And, the demand for these jobs is wide open. The job market for CNAs is good and demand will continue to increase. Hospitals, nursing homes, assisted living facilities, private home care firms all will need more and more CNAs in the future. Iowa is graying and people are living longer and healthier. There will be three times the number of people seeking care as Baby Boomers enter retirement."

This coming need also creates challenges for the industry, she said. "The numbers are down for CNAs, LPNs and nurses. People can earn more working in a factory than they can caring for patients. We will need to look at what we need to do to meet the coming demand." The basic requirement is a desire to learn from others, she said. "A lot of people appreciate the opportunity to gain from the wisdom and rich life experiences their clients have. CNAs are the heart of care-giving – no facility can function without caring and professional CNAs."


Copyright © 2003 C. Kelly Lohr