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 delegate appropriate tasks. I usually don't have a problem, like I said.
K back to me... I'm an easy-going nurse that has a very good sense of humor, I'm also not as good with confrontation as I should...but I start losing my sense of humor when I have to ask a certain CNA to get a BP like 5 times or if there is a scheduled task like rechecking a temperatiure or discontinuing a foley... and I ask if she has those scheduled task results... no I didn't do it. Or how about at the beginning of the shift, I tell her so and so needs to be repositioned every 2 hours and that I will help her if there isn't another CNA available. What is it that she doesn't get? I am not delegating things that are difficult or that she hasn't done a million times.
I feel like I'm constantly going over her work and either doing it since she didn't, or redoing things... She CONSTANTLY is saying "Why, I normally do it so-so way or only once a shift for vitals" to everything. I've tried to be nice about it, but I'm to the point where I want to say, "Well this is what I need done, and if it isn't, there will be problems." Of course I'm too chicken with confrontation...
I guess the point to this is, how do you deal with a nursing assistant (or even other coworkers) that deliberately does not do what I ask them to do??
Thanks in advance (o and I'm working on this communication problem of mine by reading a book)
Dec 23, '06
Quote from nursesaideBen
Bottom line is you're the nurse, she's the aide, it's your responsiblity to stand up and flat out tell her that she needs to start listening to what you tell her to do. If you ask her for a b/p on a patient you're not just asking for the heck of it, you need it for a reason. Probably the reason she's been able to slide by with doing the bare minimum is because no one wants to confront her but it has to be done, because ultimately it's the patient's who suffer. I can understand your fear of confrontation but as long as you do it tactfully and to the point you'll be fine
best of luck to you with this and Happy Holidays :Santa5:
Actually, I'm beginning to think they lied to us in nursing school about delegating tasks. The tech you're speaking of is not the only one who is like that. I have seen too many in the hospitals I've worked in who fit that same description. But I have also worked with some who are there to actually do the work they were hired to do and I am very thankful for them.
Last night, a tech said she was hurting. I asked her where and she said all over. I told her she's to young for that and asked what she did to hurt herself all over. She glared at me and said, "from all the work I have to do for you nurses who don't do anything but walk in a room to see a patient and then get to sit on your butts playing on the computer". I too have no patience for that kind of attitude so I said, "EXCUSE ME! But I feel the need now to let you know that is NOT how it is. I do my fair share of lifting patients, turning patients, stooping to empty foleys, help patients to the bathroom, put them on bed pans, and all the other things you do, PLUS many things that you do NOT do nor CAN do. I rarely call you for help or ask you to do anything for me. Most of the time, I go to the lab to pick up blood myself and take specimens to the lab. So, don't try to complain to me that I'm not doing anything physically. Also, that sitting on your butt, playing on the computer? It's called charting, 24 hour chart checks, looking up labs and all the other things that my job REQUIRES me to do and is in no way something I would choose to do if I were sitting down to play." I guess she didn't expect she would get that kind of earfull, LOL. But for the rest of the night, she was very pleasant and coming to me to ask if she could do anything to help. I guess she thought about it and realized I never really do ask her for anything and thought maybe she'd better straighten up.
Last edit by SCRN1 on Dec 23, '06
: Reason: typo