Long term care is an underpaid, profit making facility by corporations much of the time. Is your facility of this type or one that truly cares for the welfare of its residents? Which one it is will make a difference on how (if at all) they handle this situation.
First, you MUST go by policy. If policy tells you write up this CNA, do it. And keep a copy for your own records to CYB. I do not trust ANY facility to not pass the blame my way and I will be prepared.
If after so many written up charges of various kinds you do not see consequences you have two choices. Report this lack of carrying to the licensing authorities of your states (which can bring a lot of grief down on YOU if they mention who brought this inform to them) or look for a different job elsewhere and get out of there for your own peace of mind.
Having said that let me share with the group something that I discovered doing hospital duty as a new nurse years ago. I began working at a hospital that had modular nursing. Each nurse had a module in the midst of her patients and had one CNA assigned to her. :typing
After a few months I was talking to a nurse who had graduated from a different school and when mentioning this particular CNA she said called her horrible, never could find her, argumentative and so forth. I let her know that I had no trouble whatsoever with this woman. Here is why. :wink2:
I treated her as a partner with me in the care of patients. I let her know how important her job was in its own way and I was always available for her to help turn or move heavy patients. I gladly answered her questions about health or why the body reacted in such a way, the rationale about treatment and so forth when she was curious. Of course, it was understood that if time did not allow this I would do so as soon as I could. :redpinkhe
The other nurse? She made it clear to her that such and such was the job of the nurse and anything the CNA was assigned to do was HER responsibility. The A&P was something the nurse worried about and no point telling the CNA anything that did not concern her anyway. Etc.
I gave her respect, as opposed to the I am better than you treatment. Because of that my CNA was not hesitant to come to me immediately to tell me that she was trouble a problem counting a new patients pulse who was just admitted for abdominal pain. When I tried and found it racing I immediately looked at her chart for medications taken at home and saw she was on cardiac medication. We moved her to ICU within 5 minutes of a code blue. If she had been on the other nurses floor, the know it all nurse
may have walked in of a dead patient.
All nurses should remember one thing. No matter which job we have been hired to preform we are a part of a team with a common goal. To get or keep a patient at
optimal health. That includes building each up and treating each one with the respect
we believe we are to be treated with. That will make the job so much easier for all concerned. :wink2: