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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To tell you about my first week as a HCA in a hospital?

215 replies

atronger · 22/11/2022 15:59

I am gobsmacked.

I didn't get any training. I did an online video training series, that lasted about an hour. Then done.

Some competencies like blood pressure checks etc signed off by a RN during my shift. And that's it

Second day in and I was asked to administer paracemtol twice by two different doctors! I said to them both I'm not a nurse. I cannot administer drugs but I can ask someone to do it. They both told me off, and the last one told me I was 'just being useless'

I was on a morning shift today and a senior nurse was extremely rude to me because I couldn't fix a cast (fracture clinic). I am not trained to! More snidey remarks

Yesterday I was on a night shift and asked by a senior nurse to help clean a wound. Didn't really feel it waa my place to do so, spoke out about it but she showed me once and I got it, so did the other leg for this very lovely patient. All fine. But felt pressured to do it when I wasn't really sure I was allowed. Was completely brushed off like I was being ridiculous and of course I could. Then got a telling off by ward sister for doing so Sad

I came into this because I'm very interested in becoming a Nurse when the time is right in my personal life. But I'm shocked at how some medical staff speak to their colleagues EnvySad

OP posts:
Keyansier · 23/11/2022 09:40

WhatInFreshHell · 22/11/2022 18:45

Why are your posts always batshit?! I've noticed it a lot over the last few weeks. All the HmmConfused you keep posting. She isn't legally allowed to administer the paracetamol and not qualified to clean a wound! The OP is being sensible and covering her own arse!

Why are your posts always batshit?!

What, just because I don't agree with you 🙄Hmm

Neanov · 23/11/2022 16:00

TiredRetired · 22/11/2022 20:39

HCA doesn’t really require a qualification although most have or are studying for NVQs and various modules of training depending on the area of work.
Ive had HCAs who can catheterise, take blood, do wound care from a plan, some injections under supervision and some who couldn’t take a BP.
The key thing to understand from this post I guess is that HCAs work to delegation under protocols and can’t make autonomous decisions outside of that

Im shocked OP at this treatment you’ve had. Is there someone who can speak to? Are you confident enough to bring it up in the team meeting?

What band of HCA are allowed to insert a catheter? In my trust that would not be allowed from any band 2 or 3.

Orangepolentacake · 23/11/2022 16:16

Keyansier · 23/11/2022 09:40

Why are your posts always batshit?!

What, just because I don't agree with you 🙄Hmm

It’s not about agreeing - you’re just outright wrong. This is not a matter of opinion. It’s you not knowing what you’re talking about.

Orangepolentacake · 23/11/2022 16:29

Rachie1973 · 22/11/2022 18:27

I give meds, including controlled meds as an HCA. The training is worth it’s weight in gold for future jobs.

Hmm no you don’t. Specially not CDs.

ComtesseDeSpair · 23/11/2022 16:39

Orangepolentacake · 23/11/2022 16:29

Hmm no you don’t. Specially not CDs.

I believe HCAs in care homes can, if appropriately trained and certified competent, administer insulin and some other controlled drugs.

Peedoffo · 23/11/2022 16:43

Why would they ask you to clean wounds ? I'm a nurse and most HCAs haven't had the training to do aseptic technique. Band 3 HCAs do obs, ECG also giving out paracetamol a HCA won't access to the meds card so won't know when it was last given. Omg it sounds really unsafe practice the nurses/doctors obviously don't give a shit about protecting their registration.

Neanov · 23/11/2022 16:44

I think care homes are getting mixed up with a NHS hospital. They work differently I've never known a care assistant to be called a HCA/CSW in a care home I would assume hospital but it's been quite a lot of years since I've worked in a care home now.

Peedoffo · 23/11/2022 16:44

ComtesseDeSpair · 23/11/2022 16:39

I believe HCAs in care homes can, if appropriately trained and certified competent, administer insulin and some other controlled drugs.

They can in residential care homes /supported living places with no nurses on site.

Orangepolentacake · 23/11/2022 17:06

Neanov · 23/11/2022 16:44

I think care homes are getting mixed up with a NHS hospital. They work differently I've never known a care assistant to be called a HCA/CSW in a care home I would assume hospital but it's been quite a lot of years since I've worked in a care home now.

I agree, so think that pp was indeed not referring to their work as a HCA in a care home, due to the above……. iyswim @ComtesseDeSpair

ComtesseDeSpair · 23/11/2022 17:22

Orangepolentacake · 23/11/2022 17:06

I agree, so think that pp was indeed not referring to their work as a HCA in a care home, due to the above……. iyswim @ComtesseDeSpair

The poster quoted has posted elsewhere about being an HCA is residential care; and a quick Google brings up lots of recruitment adverts for care home HCAs, so I’d presume it must be a recognised job title in many homes. Though all this is off topic and splitting hairs a bit.

TiredRetired · 23/11/2022 18:27

Neanov · 23/11/2022 16:00

What band of HCA are allowed to insert a catheter? In my trust that would not be allowed from any band 2 or 3.

It's been a while since I worked in a hospital but definitely a couple of HCAs did this. ( With training and supervision of course)

Guitarbar · 23/11/2022 19:57

Where I work HCAs can do catheter care once trained but wouldn't insert or remove them.

Solonge · 23/11/2022 22:33

Orangepolentacake · 23/11/2022 16:29

Hmm no you don’t. Specially not CDs.

Health care assistants are not able to give CDs.....what you can do is check the drugs as a secondary signatory to a fully trained qualified nurse....and you can give the CD whilst the Registered Nurse watches you. Nurses now undertake a degree course to be able to undertake these tasks....they are not available to do for CAs.

Solonge · 23/11/2022 22:35

ComtesseDeSpair · 23/11/2022 16:39

I believe HCAs in care homes can, if appropriately trained and certified competent, administer insulin and some other controlled drugs.

I used to run nursing homes. Yes HCAs can do many tasks they wouldnt be able to undertake in a nursing home....but only after they have undertaken months of training....not on the first week!!!!

Orangepolentacake · 24/11/2022 00:03

ComtesseDeSpair · 23/11/2022 17:22

The poster quoted has posted elsewhere about being an HCA is residential care; and a quick Google brings up lots of recruitment adverts for care home HCAs, so I’d presume it must be a recognised job title in many homes. Though all this is off topic and splitting hairs a bit.

Ok, stand corrected.
Also Agree, it is a bit off topic as the OP relates to a HCA working in a hospital

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