I agree with Cargal...and others...these attitudes are unproffesional. However some of the responses are very negative and will not lead to any positive out come.
How long are the classes that they are required to take??
I realize that they dont have training as extensive as any type of nurse, but dont these classes have ethics components? Personally I got my certification to as part of my plan to go onto nursing school
... so i may be a little more grounded in some parts of nursing practice than others.....but still! Anyone Ive ever worked with would not even think of telling someone to go in their diaper, how humiliating, not to mention ..have any of these people seen a sacral decub??????
Why do these people think it is ok to have an attitude at work at all?? Let alone to someone who is there superior in skill as well as position.
Do any of you have unit staff meetings? In some cases there can be legitimate reasons for their stress...(However not for the way they are expressing it) For instance the unit im on has no staff nurses for 3-11 no unit charge and few regular aides... I have 10 pts (on a good night, which is rare) so usually fifteen (ortho rehab/wound care) aides provide all care except for dressing changes and meds it is very rare for a nurse to help...(most just wont....a good and precious few simply dont have the time because there fixing all the nursing probs left over) ...pt's are not placed according to accuity and we are not assigned rooms according to accuity...in other words....out of fifteen pts. in my assigment ten are full care..turn every two hours etc..monitor trach pts .... monitor fall risks...this is very taxing becuase i try my best to provide good care to each and also monitor them for changes and pain so i can report this to the nurse. I get very little time to practice the standard of care that i was taught, and this weighs on me .
I have to be very organized to get through my night and also help the new staff that will be posted with me....So when a nurse comes and tells me Mrs B needs to have this or that done with them...I already have Mrs X on the toilet..am trying to turn & reposition Y+Z ..and Orientee S is waiting for me to help her with her dementia pt....Sandy Nurse and Suzy Suit have just reamed me because of problem xyz...etc.. The problem is not that i dont want to care for them, no, it bothers me that i cant help Mrs B to the bathroom right when she feels the need ....or better yet that i couldnt make up a toilettin g plan with her... now i realized this is not the norm in every facility
but point being that we all have many many demands on us and need to work together rather than needling on another and acting in an unprofessional manner and responding personally instead of professionally...
(sorry about the length of the explanation, once i started writing all of this stuff it came out, i have been holding my frustrations from work in for a long time, because i will not complain at work and i have no other nursing friends to talk with)
The other night a CNA had eight patients, I asked him to set up some traction on our sister unit next door. He said "you aren't doing anything, you need to chart my vital signs while I set up the traction". I immediately snapped "you don't know what I'm doing, and you ARE setting up the traction and you ARE charting your own vital signs. No negotation
I dont understand attitude of people who wont help wether it be an aide or a nurse...When i walk into my facility my attitude is that ive commited myself to helping pts ...it doesnt matter if their "mine" or not....and i make it a point to have worked with all thirty pts on my unit at least once so i will know how to give them care...
You are right not to tolerate that type of attitude, the patients must come first and if you tell her to bring a patient to the BR then she needs to do it right then, I would counsel her and let her know that next time she disobeys a order she will be fired. Do not apologize or make any excuses, you are in charge and what you say goes, you do not have to explain your rationale to her. If she doesn't like your decision then let her quit, you will be better off without her, after that I would have a staff meeting and inform all aides that they are to do their jobs that are asked of them by the charge nurse or floor nurse, they are there to assist and if they do not want to do that job then suggest they look elsewhere. Once all employees know the rules they will either follow or leave, if you are fair and consistent then hopefully all will work out and those slackers that don't will be gone
You know I would be soooooooo happy to be a JUST an assistant,,thats what i got into this job for...to assist until i had my own license...
Also many of the nurses that i work with appreciate the fact that I have know what is a priority and what is not....(sadly with the staffing situation the way it is today we cant be with all the patients that need us in a timely manner)... so many of the nurses respect the fact that if i say i cannot right now ..i will ASAP that not only will i do it ....but i have a good reason for not doing it immediatly...(for instance pt who is vommiting is priority due to airway...)
I agree with 3rdShiftGuy and BadBird. It's obvious that the "younger" employees are there to get paid for doing as little as possible. The bad thing is, they get by with it!! We all worked hard to get through school so we can provide the best quality of care possible, and for the most part we do a GREAT job. We are in this field because we care.
As on of those "younger" employees, I am working my behind off to put myself through nursing school. I get unproffesional attitudes from management , nurses, and other aides..I get yelled at by families,, cussed out by support staff. But you know life isnt fair...I too do a GREAT job...i wouldnt and couldnt be in this feild if i didnt care!