Difficulty with a CNA - page 7

I am an RN and I view myself and my CNA as team. Most of the time it works out... I treat the CNAs with respect. At the beginning of the shift I go over our patients with the CNA and at that time... Read More

  1. by   chenoaspirit
    I have the exact same problem with one PCA in particular. When I started out, I busted my butt to help them do their work plus mine because I wanted them to know I wanted to be a "TEAM" and I didnt expect them to do something I didnt want to do myself. Ya know? Well, that was meant with all good intentions, but in the end it backfired on me. Now, we have 2 that will flat refuse to do anything unless told to. They know that vitals are every 4 hours. They know that I/O's are their job to keep up with (along with me). They know when fingersticks are due. And if a patient needs turned every 2 hours, they dont get it done and the patient ends up with a decub (so I end up doing ALL this by myself). I have discussed it with them, it did no good. So I went to the nurse manager, who said she would address the problem. It made no difference. I give up. I refuse to do my job and theirs too unless I get their paycheck since Im doing their work. So, Im now actively looking for another job. I just am so scared because this is the only job Ive had as a nurse.
  2. by   caliotter3
    Even though a new job may very well be in order, be warned that similar conditions are usually found everywhere. The chances of finding the perfect work environment are very slim. You should be prepared to pick up and move often until you find some place that you can at least stomach, if not be happy at. At some point, you will need to improve your ability to cope b/c there is a physical limit to how many employers you can go around to. And yes, occasionally you can be asked on a job interview, concerning "job hopping" and your suitability for positions.
  3. by   nama262
    Quote from evans_c1
    I notice you are 24? Well, I am 23 an a new RN..I have the same problem but only with a few of the aides. I think they feel threatened and jealous that the "new and young nurses" are telling them what to do...well most of the time it is just ridiculous to try to ask some of them to do something.
    I took the issue to my nurse manager and she has done nothing about it...so what I do is if I need a BP, foley emptied, someone repositioned, whatever..I just do it myself. It might take you an hour to find them and then talk them into doing what it is you want..just do it yourself..atleast that is what I do. It usually is a task that will only take 2-3 minutes anyways.
    mostly...there is no teamwork haha. I get a lot more done with the RN/LPN helping me than what meI could ever get from an aide. I guess in the end we are the liscenced personnel anyways.
    As a CNA I take offense not only to this comment but to several others that I read. First of all it is not fair to lump together all CNAs the way you have, it's comparable to classism. I work with several nurses who are much younger than myself and do not feel "threatened" by them. However, most of these nurses have never worked a single day as a CNA and do not understand that we are not only capable, responsible adults who take great pride in our jobs, but that many of us know a great deal more than any new grad. Some of us have more years in patient care than our nurses. It may come as a surprise to you but most CNAs are intelligent people who could probably teach you something if you bothered to listen. We are also more experienced in managing our time and in prioritizing than any new nurse could be and know whether it is more important to get a temp for the third time or to clean up the patient covered in feces. There are classes available at most local colleges in management skills and communication. Maybe you should look into this as it seems that you are the one with the communication problem.
  4. by   Cattitude
    Quote from jelli_belli
    my clinical group has been having problems with the pct's at our clinical site. this is the first semester we have been on this floor (surgical max) and i don't think they really understand what the term nursing student means. they seem to have this mentality that if we are assigned to one of their pt's that they shouldn't have to see that pt. all day. i have absolutly no problem pitching in and doing aide work or answering call lights if i have downtime, but i am there to learn rn duties, and when it comes right down to it i need a lot more practice passing meds or inserting a ng tube than i need dumping bed pans for lazy pct's.
    the other day i was pulling up am meds with my instructor and getting insulin coverage for my pt whose bs was in the 500's when the aide for my pt. came up to me and said, "your pt's call light is going off and she is dirty. you need to take care of that.", then she walked off. i looked at my instructer kind of shocked that she was so rude about it and my instructor said, "here's lesson #42 for you: delegation. show me what your made of." so i walked over to the aide and (very nicely) asked her if she could take care of that for me because i was getting ready to pass meds and only had a small time frame to get it done in. the aide launched in to this tirade about how incompetant nursing students were and how i shouldn't be a nurse if i couldn't even keep up with the needs of 1 pt. when she was already taking care of 5 others. at this point i was losing my cool with her, so i just smiled real big and said, "here's how i see the situation, mrs. so-and-so needs someone to clean her up and she needs someone to give her her insulin coverage. which one are you qualified to take care of?"
    long story short she shut up and took care of her job but i certainly didn't make a new friend that day. now she is trying to start this war between the students and the other pct's. the whole thing is rather childish in my opinon. oh well, what are you going to do. you can't make everyone love you!
    good move by your instructor. the aide tried to put you in a tight spot but you beat her at her own game. there are many aides lke this (not all). the ones that are great will stand out in your mind and you will never forget the awful ones either.

    stand your ground as a student and it will serve you well as a new nurse! the method you used does seem to work best. the cna's seem to think that unless we are cleaning up poopy butts, we are not actually doing any work. well, i don't know what passing meds, starting iv's, charting, lab runs,calling central, paging docs, picking up orders, and a zillion other nursing duties are considered but... i guess only their work is real work.
    and please i am definitely not talking about all cna's. i know there are plenty of hard working , smart ones that i'd love to have by my side. the others know who they are...

    again jelli belli, good for you...:hatparty:
  5. by   nama262
    After reading your comment I was asked by my infuriated charge nurse to send the following comment...
    I've been a nurse for 25 years, in those years I have learned that you can get anything accomplished when everyone on the TEAM works together as one. It is all in the way you approach someone with a request, not a demand, to have something done that gets the best results. Usually when you give the reasoning behind your request you shouldn't have any problems. If you simply state "because I said so" you raise the other persons' defenses. You also have to realize that without the CNAs there are alot of things that can be missed by nurses. You have to also know how to communicate with each of your co-workers regardless of who they are, Physicians, RNs, LPNs or CNAs. I have worked with RNs/LPNs who think that because their degree is "higher" than a CNAs that they are above them. I feel sorry for those people because they can never have a good working environment with their peers. Even after 25 years of nursing, I still learn something new everyday. Unfortunately for you, it is often from a CNA. I count on their eyes and their familiarity with my patients to pick up the slightest changes in my patient that I might be too busy to see as I am doing meds. Unless you change your mentality, you will have this problem no matter where you go.
  6. by   Daytonite
    Quote from nama262
    as a cna i take offense not only to this comment but to several others that i read. . .most cnas. . . are intelligent people who could probably teach you something if you bothered to listen. we are also more experienced in managing our time and in prioritizing than any new nurse could be and know whether it is more important to get a temp for the third time or to clean up the patient covered in feces.
    yes, many cnas are very skilled at providing hands on care and in managing their time and prioritizing their cna tasks. however, the on the job experience of a cna is not an equitable substitute for the techniques of time management and prioritization that an rn learned in school. to make that leap of logic is wrong. the newly licensed nurse will eventually surpass the cna in the performance of those skills with time, practice and experience.
  7. by   nama262
    Please don't put yourself or any other CNA down. I haven't met a nurse yet who's into rocket science on the side. Our job is just as (if not more) important as the RNs and they couldn't function without us!!!!
    Last edit by nama262 on Jan 21, '07
  8. by   SCRN1
    Quote from nama262
    Please don't put yourself or any other CNA down. I haven't met a nurse yet who's into rocket science on the side. Our job is just as (if not more) important as the RNs and they could function without us!!!!
    Who do you think you're fooling? As it's often mentioned, an RN can do the job of a CNA but there are MANY things an RN does that a CNA cannot do. Also, I have worked many times without a CNA and have done a mighty fine job. I do appreciate working with a good CNA, but if they have the kind of attitude you do, I'd much rather them clock out and go home.
  9. by   nama262
    I'm surprised that with that attitude you've lasted long in nursing. In the facility where I work there are only three things that an RN can do that I cannot. 1-pass meds, 2-pull orders, and 3-hang an IV.
    Our nurses rely on us as their eyes and ears and can't keep up with us when they are assigned patient care. Our nurses are appreciative of our work and let us know it.
  10. by   Cattitude
    Quote from nama262
    please don't put yourself or any other cna down. i haven't met a nurse yet who's into rocket science on the side. our job is just as (if not more) important as the rns and they could function without us!!!!
    this is a forum we use to vent, get info, discuss things, kvetch, etc.. you get the idea. this thread is titled "difficulty with a cna". so yes, nurses have responded with their stories and their experiences on difficulties with cna's. it's not personal. it's been stated a multitude of times that there are many good cna's too.
    feel free to start a thread about great cna's and the wonderful job they do!

    but please, no job comparisons. there are many intelligent cna's that post here that i'm quite sure would be more than willing to state their limitations as far as venturing into a nurse's job duties. rn's and lpn's however, can do all duties performed by cna's...
    i can't count how many shifts i've done without a cna. probably more without than with. i appreciate the help when i have it but quickly learned not to depend on it. just never enough help to go around.
    that said, lazy coworkers are found in all job titles, again, not personal...:spin:
  11. by   Lovely_RN
    I am definitely not attacking you so please don't take it that way. When I was a CNA I felt the same way that you do about what a nurses job is. Trust me there is a whole LOT more to it then just those three things. pass meds, pull orders and hang IV are only the very tip of the ice berg.

    School has opened my eyes wide, it may not look like there is much to the job from your perspective but nursing is much much more than those few routine tasks.

    Quote from nama262
    I'm surprised that with that attitude you've lasted long in nursing. In the facility where I work there are only three things that an RN can do that I cannot. 1-pass meds, 2-pull orders, and 3-hang an IV.
    Our nurses rely on us as their eyes and ears and can't keep up with us when they are assigned patient care. Our nurses are appreciative of our work and let us know it.
  12. by   Cattitude
    changed my mind...not worth it to continue this fruitless debate
  13. by   nama262
    I do agree that nursing is much more than those three things. However I work in a federal facility where our nurses don't have the time to do much more. We are also resposible for things that in state run or private facilities CNAs are not allowed to do by law. Our nurses are very capable, wonderful people (most nurses are!) I am just getting a feeling that most of the nurses who are responding to my original comment feel as though in general CNAs are not needed or capable people in thier own right and I am very frustrated over this.
    Many of us have often said that nurses should have to walk in our shoes one shift a month as we would like to experience thier frustrations as well. Unfortunately there are many nurses who have not been in our place and use thier license as a letter of superiority. I only hope that when I graduate next May that I don't fall into that same behavior.

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