I'm writing up the CNA at my LTC facility

shellwbn · Jan 24, 2005

I told this CNA last Nov. that vital signs are due by 12 midnight. She has been doing them for me by 12 midnight ever since. I recently learned that she is not doing it for the other nurse and I am furious!!! The other nurse seems to be afraid of this CNA so I am going to write her up for the other nurse. It's a power trip the CNA wants to show that other nurse that she will do the vital signs whenever she damn well pleases. Enough is enough. I am worried that this CNA is going to drive away this other nurse who happens to be one of the nicest and most wonderful nurses I have ever worked with. No wonder this facility is always looking for night nurses. :angryfire

See if she is aware of the aide doing this. Maybe its her that doesnt have the midnight rule. Sounds like if the aide is taking advantage of her, she needs to deal with this one and give her time she will buck up. I believe its her own battle.

shellwbn · Jan 24, 2005

I told this CNA last Nov. that vital signs are due by 12 midnight. She has been doing them for me by 12 midnight ever since. I recently learned that she is not doing it for the other nurse and I am furious!!! The other nurse seems to be afraid of this CNA so I am going to write her up for the other nurse. It's a power trip the CNA wants to show that other nurse that she will do the vital signs whenever she damn well pleases. Enough is enough. I am worried that this CNA is going to drive away this other nurse who happens to be one of the nicest and most wonderful nurses I have ever worked with. No wonder this facility is always looking for night nurses. :angryfire

See if she is aware of the aide doing this. Maybe its her that doesnt have the midnight rule. Sounds like if the aide is taking advantage of her, she needs to deal with this one and give her time she will buck up. I believe its her own battle.

Jo Dirt · Jan 24, 2005

Why does she need to get the vital signs by 12 midnight?

Jo Dirt · Jan 24, 2005

Why does she need to get the vital signs by 12 midnight?

**SKM-NURSIEPOOH, BSN, RN** · Jan 24, 2005

first of all...are you the charge nsg on this particular unit for this particular shift?
have you spoken to said nsg who's have said problem with said cna & is she comfortable with you taking matters into your own hands?
have you relayed this info to either your shift supv or nm?
is this place an unionized facility?

as a charge nsg responsible for an unit, i could understand wanting to nip this behavior in the bud with the offending cna.....especially if you made the rules clear regarding nightly or monthly vital signs. by your co-worker informing you of the situation, that made it your business & as such, you're obligated to discipline...or at the very least...report the problem so that either your shift supv or nm does the discipline.

however, if you're not the charge nsg on this unit, then what you need to do is report this action (or the lack of it) to said charge nsg & let them report it to your nm.

you both (you & the other nsg) could go to your shift supv or nm together & relay your concerns with the cna & let her write the individual up. if you both followed your chain of command & nothing is resolved at the level of your nm, then definitely go up the chain to your assistant don, don, administer, & if necessary, your company's ceo! trust me, management like it when staff follow their chain of command...especially when it involves nsgs having to have to disciplining other staff. in some facilities, the more discord among staff, the better.

on the other hand, if this place is an unionized facility, you would get better results goin' to that cna's shop stewart & let them know what's going on as a curiosity. it has been my past experience that reporting this type of action to the union often have positive results. the person is spoken too by their shop stewart or vise-president/president. they in turn would see you as a fair minded person, allowing this individual to get their act together without involving management. the staff will respect you more & see you as fair. now should this not be the case or should this option not work, then by all means take it to management via your chain of command.

i hear, feel, & understand your frustrastion...i've been there...done that! hope you get this issue resolve in the most expedient manner.

cheers!

moe

**SKM-NURSIEPOOH, BSN, RN** · Jan 24, 2005

first of all...are you the charge nsg on this particular unit for this particular shift?
have you spoken to said nsg who's have said problem with said cna & is she comfortable with you taking matters into your own hands?
have you relayed this info to either your shift supv or nm?
is this place an unionized facility?

as a charge nsg responsible for an unit, i could understand wanting to nip this behavior in the bud with the offending cna.....especially if you made the rules clear regarding nightly or monthly vital signs. by your co-worker informing you of the situation, that made it your business & as such, you're obligated to discipline...or at the very least...report the problem so that either your shift supv or nm does the discipline.

however, if you're not the charge nsg on this unit, then what you need to do is report this action (or the lack of it) to said charge nsg & let them report it to your nm.

you both (you & the other nsg) could go to your shift supv or nm together & relay your concerns with the cna & let her write the individual up. if you both followed your chain of command & nothing is resolved at the level of your nm, then definitely go up the chain to your assistant don, don, administer, & if necessary, your company's ceo! trust me, management like it when staff follow their chain of command...especially when it involves nsgs having to have to disciplining other staff. in some facilities, the more discord among staff, the better.

on the other hand, if this place is an unionized facility, you would get better results goin' to that cna's shop stewart & let them know what's going on as a curiosity. it has been my past experience that reporting this type of action to the union often have positive results. the person is spoken too by their shop stewart or vise-president/president. they in turn would see you as a fair minded person, allowing this individual to get their act together without involving management. the staff will respect you more & see you as fair. now should this not be the case or should this option not work, then by all means take it to management via your chain of command.

i hear, feel, & understand your frustrastion...i've been there...done that! hope you get this issue resolve in the most expedient manner.

cheers!

moe

Lovely_RN, MSN · Jan 24, 2005

You have told the CNA when you expect the vital signs to be in...is she suppose to assume that goes for the other nurse as well? Maybe I'm not understanding. Have you considered pulling the CNA aside with the other nurse and confronting her as a team? You know a let this be a warning that WE are onto you type of thing? Then if it happens again going through the chain of command and following through on having her written up?

Lovely_RN, MSN · Jan 24, 2005

You have told the CNA when you expect the vital signs to be in...is she suppose to assume that goes for the other nurse as well? Maybe I'm not understanding. Have you considered pulling the CNA aside with the other nurse and confronting her as a team? You know a let this be a warning that WE are onto you type of thing? Then if it happens again going through the chain of command and following through on having her written up?

dphrn · Jan 25, 2005

The day I'm afraid of a CNA (or anybody, nurse, doctor, manager) is the day I turn in my RN badge. But we all have different strengths, so I can't judge. Nip it in the bud, but I agree, it might be a good idea to do it together, so the other nurse's confidence is strengthened.

Exactly! This seems to be the lesson the nurse needs to learn. If the other nurse is not the one to write the CNA up or the one to talk with the CNA, she will not be learning from the situation. You can use your experience to help her, but she needs to do it. Also, if you are the one to write her up, I think she would lose even more credibility and respect from this CNA and her coworkers. It would appear she is not strong enough to fight her own battles.

I am sure it makes you angry and frustrated, but this is her responsibility. Be there for her and help her, but allow her to do the footwork. She will be better for it in the end.

Once again, JMO

dphrn · Jan 25, 2005