CNAs related question, as an RN, what would you do if you were me?

[FutureRN_NP]

I am new and most of CNAs there have worked there way longer than me. Some are very nice and helpful, do what I ask but there are handful who are not so much. I recognize several of them tend to be really crossing the line. For instance, this CNA thinks I should able to be in 10 places at the same time. She would come tell me this patients need this now, this patient needs that now or this pt needs her feeding up now. That same CNA also would make comment oh there is little med left around this pt's mouth. I meant it was a small piece of what left with pudding (crush meds). I was going to tell her she should be a nurse. But I refrain myself. How would you handle that? Also I caught this CNA uses her phone in pts' room texting. Our policy is no phone usage anywhere but enclose area such as breakroom or restroom away from public. In a pt's room is NO! NO!

[newtress, LPN]

I think we've all had an experience or two like this. You are a nurse yes? Me and my nurse buddies have talked about our shifts in the past and there seems to be a resident CNA that like to boss a nurse(s) around. I found that in doing all this reporting and telling me what and where I need to be and what I should be doing next, she is burning up care time. They want to tell you what the other CNA's should be doing or haven't done also. They should be minding their own business and tending to their own business. Yes we want CNA's to inform us of a resident's condition if they need a nursing intervention, or if a CNA is blatantly ignoring the needs of their assigned residents. So, one way to get that annoying little habit reduced is to let the CNA know that they have their responsibilities and you have yours, just inform me if there's any nursing needs or change in res status. Basically a nice way of setting boundries for the CNA job and the nursing job. I've had some CNA's tell me "you need to go in there and do such and such" which rubs me way wrong. To which I respond "you need to be answering the call light on your hall, and quit playing scheduler." Sorry it has to sound so snarky sometimes, but if something isn't said it will keep going on.

[karamarie91]

I'm a CNA and I alert my nurse of whatever my patients/residents say they need want that I cannot do myself. I mean if 10 people have 10 needs all at the same time, I will tell the RN/LPN but I always make sure that I say something like, "when you have time". I don't want to come off as ordering.

As for the meds being the mouth, maybe she was concerned that the patient should have any left over medicine in his/her mouth. Or maybe that was petty. It depends on how you look at it. As for texting, I've seen nurses texting in rooms plenty of times. But I don't call them out on it. I do my job and they do theirs.

[FutureRN_NP]

Newtress, thanks for understanding what us nurses have to go through. As for Karamarie, I sympathy how much CNAs do as well, but these bunch play bosses. They want to tell me the nurse of shift what to do. I so wanted to say to them "honey, I am the nurse you are not, so if you think you know what I am suppose to do, apply for the job." No I wouldn't do that because I am way too nice and I don't want to make thing difficult. I am a very understanding person and takes lots to shake me. Telling me this patient needs what is different than telling me you need to go in there NOW...

[KelRN215, BSN, RN]

There are some like that everywhere. I love when I get the "you need to get this patient medicine right now" when A. said patient has already had all of his scheduled meds and is not due for any PRNs and B. they tell me this but don't bother to inform me that the patient's blood pressure is 70/40.