CNA issue~can anyone advise? - page 3

Let me be clear, first of all, 90% of the CNA's I work with are worth their weight in gold, and I am in no way slamming them. I am a LPN who works night shift in LTC. I have a very difficult CNA... Read More

  1. by   GPatty
    Quote from kevcam
    Well let's look at it another way....
    How long has she worked there?
    Are you telling her how to do things she has already been doing for years and years?
    Are you treating her with respect?
    Do you trust her and treat her like you do?
    Are you much younger than she is?
    Do you talk about her behind her back?

    I worked my way through nursing school as a CNA and I can tell you firsthand, that about 1 in 5 nurses treat CNA's like dogs. Remember she is doing a tough job for very little money, and perhaps she feels justified in her behavior toward you.
    I don't know how long she has worked there, but I know it's been a long time.
    I don't tell her "how to do" anything. She does her job. She's just rude and disrepectful. Such as the time a resident saw her down the hall and asked me what her name was, I told them, she heard me say her name and turned and said "What? What'd you want?" and when I told her I was telling a res who she was, she said, "Well, you don't have to be so damn rude about it!" (Was I?)
    Another time, I was on the tele with pharmacy and couldn't run and unhook a g-tube so she could take a res to the restroom easier, so I told her she was going to have to take her, tube and all....she stands in the hallway and yells down to me, "It's not MY job!" I said, "Tonight it is!"
    Age? I am 41, and she is in her late 30's. 38, I think.
    And I talk about her to my boss. Once.

    I also worked my way thru nursing school as a CNA, and was one for about 20 years before that. I have run into a couple of rude and hateful nurses, but for the most part, I got along fine. I know firsthand about a thankless job for little money.
    And since I have become a nurse, I have had no trouble except for a few who don't want to do this or that, but this gal takes the cake with rudeness and hostility.
    And if her behavior is justified, then I feel sorry....
  2. by   we_rn
    Quote from kevcam
    Well let's look at it another way....
    How long has she worked there?
    Are you telling her how to do things she has already been doing for years and years?
    Are you treating her with respect?
    Do you trust her and treat her like you do?
    Are you much younger than she is?
    Do you talk about her behind her back?

    I worked my way through nursing school as a CNA and I can tell you firsthand, that about 1 in 5 nurses treat CNA's like dogs. Remember she is doing a tough job for very little money, and perhaps she feels justified in her behavior toward you.
    All due respects most CNAs do not act this way. I was a aide and I certainly did not act the way this person is acting. I know first hand how difficult the job of an aide is. The person in question is just a bad employee. There is no need to undergo self analysis to figure out this aide's problem. The aide is responsible for her own job and how she conducts herself on the job. I hold aides to a high standard since they have to most impact on the quality of life for the residents they care for.

    Aides also have to accept the fact that they have the least training and skills and are thus low man on the totum poll and has to follow a chain of command which includes the licenced nurses she workes directly with. To bad if she has a problem with this. When I have a problem with an aide like this I tell them to earn their credentials just like I did. Only when we are carrying the same level of responsibility can we address each others as equals.

    What this aide is doing is trying to control the unit to her advantage. She is showing a lack of respect to the licences nurse who is responisble for the conduct of the unit during her shift. This cannot continue and should be addressed sooner rather than later.
  3. by   obeyacts2
    It sounds like this person crosses the line from rudeness to insubordination when she refused to take a res to the bathroom as requested, even though the gtube is a pain to deal with. Dont stand for it!! She will push and push to see what she can get away with. Know for sure how much backing you will get from your superiors as far as writing up/disciplining CNAs. Secondly, is this aide a "pet" of administration? If she has been there 20 yrs this may be the case. If so, better tread lightly. Doocument, document, and document some more. Once you have your facts in order, go to your higher ups. Dont let her drag you into namecalling or backbiting, or you will lose. Whenever she pulls some nonsense, write it up/address it, but make sure YOU are consistent in your response to her behavior. If your facility administration will not back you on this RUN!!! You dont need this aggravation.

    Laura
  4. by   Chevelle
    Don't let her do this to you. For starters do the residents see and hear this disrespect? If the top dogs won't listen, I would remind them that without the residents, they would not have a job and the residents do not deserve to be exposed to such hostility.
  5. by   GPatty
    Well, here's the news.
    I called my boss, who was very understanding and said I handled it very well with what I did, and she agreed I can send her home if it starts again.

    She is going to call the aide and tell her how to act tonight at work. No dicipline, no nothing. I am a bit disappointed in that.

    Said she talked to the other night shift aides who told her I do homework (which I did take my Spanish book in one night to read at lunch~ and I told her so.) ANd their big gripe is that I never answer call lights they say. I named off a few of them I did answer the other niht specifically, and she sais, "I know. I know". But in my defense, I guess one of the other aides told her I am always doing something, whether it be at the computer doing charting or something...

    I do like my boss, but am a bit disgruntled at the way this has been handled, I must say.
  6. by   pcelest2003
    It's a damned shamed that you had to go through the drama. As a CNA/PCT in the ICU we don't have time for all that crap and niether should your Cna's. This type of stuff goes on in LTC in a lot of states. It' seems as thought only the bottom of the barrel cna's get hired in LTC's. However, there are some ignorant ones on med surg as well. But the more acute the pt's are there tends to be more professional assistive staff. This is only my opinion. I am very sorry that you went through all that. I apologize on behalf of all the pct's out here that work hard burst their behinds for their nurses.

    But I must say in most acute care hospt. LPN's don't get respect like the nurses. The only things that seperates here is an advanced med certificate. Other than that, LPN get put into rotation with the aids. I noticed in LTC , LPN's run the show. I've even seen some as charge nurses. Make that broad respect you as a person an the title that your worked for. I guess being a male. There are just some things that I cannot and will not tolerate. Do not let her see you sweat , Ever!! Once she's seen that Sis you've lost the battle.!!!
  7. by   Nurse Ratched
    Quote from Julielpn
    ANd their big gripe is that I never answer call lights they say.
    That's the complaint that honks me off. I *KNOW* the kind of paperwork you are saddled with in LTC - she's lucky if you EVER have time to answer a call bell. (Plus, if she wasn't so busy yelling at you and being passive aggressive, she'd have time to do it!)

    :angryfire breathebreathebreathe, Ratched.

    And, as you started your original post, the vast majority of the aides I've worked with are great, but those few problematic ones will really get your undies in a knot.

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