Should a nurse aide start off working in a hospital, or nursing home?

Question: Ok, it took me a long time to actually sign up for a cna class becuase I've always been intimidated by state. I feel like no matter how good of a worker I am, these people can get my job taken away from me. Anyway, Intimidation has always been a factor for me, and sometimes dictates my response to certain situations. I am trying to step outside my comfort zone and really live. I love helping people, and it's my passion. So, I want to work in the hospital, but I was kind of afraid of the different personalities. I figured in a nursing home, you would know what to expect from the clients ( in most cases), but at the hospital, you might have people looking at you stupid if you do like a catheter or something, or even just taking vitals. Some people have nasty attitudes. And..........what about family members or friends. I just feel more comfortable being by myself with the patient/resident.. I feel like I'm going to screw up if people are watching. WHAT SHOULD I DO???

Answers:
Nursing home residents can be really great and they would steal your heart, but men and women with cognitive impairment aren't predictable, no matter how kind they really are. You're also more likely to have a very serious complaint lodged against you in a nursing home, because more of their residents must be advocated by outside people who have to use assumptions to protect them. Their skin tears more easily and they're more prone to decubitous ulcers that become necrotic. On the other hand, I laughed that I was leaving to take small business when I saw the perineal care video, but guess where I interned? (Hint: nobody there was young and I loved it!)

In a hospital you'll probably have more petty reprimands, but you'll also have fewer bruised shins. All you have to do is smile, remember clinicals and wash your hands at all of the appropriate intervals, and you'll be just fine.

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Hospital...it gives you better experience and you work around more people that you can ask questions to so that you can gain more knowledge

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