"Health Care Assistants work harder than Nurses" Discuss.Watch
arguably in many settings the RNs works far harder than the HCA as the RN will still be expected to do 40 + % of the 'any person ' work as well as all the RN only work
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In some ways the HCAs have the "hardest" job in the NHS. They have to do most of the hands on donkey work, and are more likely to be assigned to the more boring or unpleasant tasks such as observations, toileting and such. They get paid the least , have little recognition and have almost all of their time being occupied in various duties. They have less autonomy in their role and a fairly limited range of routine tasks they have to perform, which gives them little scope to be creative.
However, nurses (as well as medics, psychologists, and other higher roles) have far more responsibility and accountability for providing care. Checking meds and scheduling a rota, while not as physical, requires intense concentration and a good organisational skills if it is done properly.. They often will have to draw from a wider range of skills and work at a level that is more demanding in terms of knowledge or ability. At the higher level, your work isn't done once you finish your shift, and I will find myself doing work long into the night and well after my contracted hours are up. You can't develop a service, or manage a team by strictly sticking to shifts.
There is also the issue about working harder when things are going normally, against having to make tough clinical decisions and manage a crisis. Decisions about having to admit a seriously ill patient to a ward when the ward is full or how to respond to a serious untoward incident is tough, but tough in a different way to lifting a 16 stone woman on a hoist so she can use the toilet.
Forgetting for the moment about the responsibility of being registered and being accountable for everything you do, where i now work as a Staff Nurse in a High Dependency Unit both groups are run off their feet for the whole shift, our HCAs help us massively and i cannot thank them enough most days, help us transfer patients to medical/surgical wards, run to pharmacy for us and stock up, help us clean and set up the bed spaces for the next patient coming out of a long operation or as a step down from ITU. It's unfortunate they can't use more of the skills they have on our unit as it has to be a registered member of staff to do the observations in my trust and its the Drs that do the bloods if there are not lines to take bloods from.
i want to work as part of a team I know my position and I'm quite happy with that and the fact that it's supporting the nurses and dealing with relatives and hygiene and obs is what I'm signing up for..
As for working hard we all have our own definitions of hard work,I currently work in a office dealing with accounts complaints customer care and I sit at a desk on a computer all day and trust me when I get home I'm so mentally exhausted it's untrue.
The important thing is for everyone to do their jobs properly, communicate effectively and work together as a team. It makes everyone's lives easier then If people aren't mucking in, raise it with a senior member of staff. Poor discipline and work ethic shouldn't go unchecked.
Generally though, the HCAs seemed to do more hands on work- making beds, making supper etc etc while the nurses were swamped with paperwork. This was in a psychiatric ward btw.
HCAs and nurses, and MCAs and Midwives all do different jobs, and people need to focus on what they do to help each other rather than create a blame culture that is so prominent in the healthcare industry.
(BTW this wasn't a rant at your question, creating discussions is important!)