Major venting about some CNA's

Nurses General Nursing

Published

First, let me say that I am not venting against all CNA's or even most...I've been one myself. I know how hard they work. I applaude the good ones.

My problem is the majority of the ones at where I work. They talk back, they leave people in messes...it's really making me mad. Just this morning, I told a CNA that was going to get my blood sugars at 5:30, to wait until at least 6:00 because I didn't feel comfortable giving insulin at 7:00 on a 5:30 accucheck. I had originally told her 6:30, but, after she explained to me that she couldn't at that time, I told her I would compromise and make it 6:00. (Sometimes our patients don't get their breakfast trays until almost 8:00 and 11-7 is responsible for the insulin at 7:00) She flat out refused. She told me that the boss said it was ok. I told her, she's not here right now, is she? You're working on MY license, not her's.

She told me no and went and got them at quarter of 6 in defiance.

I told the 'boss' when she came in, but, this is the same boss that let another CNA get away with telling me to 'shut the hell up', as well as, telling a patient to shut up. (Which is why the CNA told me to shut up...I was getting on to her for doing that)

I am so SICK of not being backed up when I tell a CNA to do something. I know I am just a little 'ole LPN at this time, but, I still expect the CNA's to do what I tell them.

I try to be fair. Like I said, I was a CNA, I know how hard the work can be....but, I didn't talk to my nurses any old way I feel, much less, tell them no when they told me to do something.

If the big bosses won't do anything, what am I to do? Go over their heads?

This is my last night tonight. I've done decided that the next place I work, I am not going to be so nice. I've got an interview tomorrow and I am going to explain to the administrator that I DEMAND back up. If I tell someone to do it, and, they snap off, I EXPECT there to be repercussions.

I hate to be so down and dirty, but, I had an spiritual experience a couple of weeks ago that made me see that every patient I come in contact with, is someone's loved one. I don't expect to see them laying in pee or dried food for hours. That is soooo undignified. :o If I don't take up for them, who will?

Any advice? Should I go to the ombudsman if the bosses won't do anything about these CNA's with an attitude?

I hope any CNA's that read this don't take offense. If you do your job honorable, I am not talking about you.

I'm the night charge nurse in a LTC facility but have never heard of CNA's doing glucometers. I've been at a facility for about 11/2 yrs. now and I've had the worst time with CNA's here. One actually stood in the hall and called me a PIA. She no longer works on my unit. Since I started at this facilty I've had problems with the CNA's sleeping (during off-break time). I was appalled when I came here to find them sleeping most of the time. They made 2 rounds per shift and the rest is downtime. Iv'e gone to the DON whose answer is write them up. I have, twice, and one of them a year ago. No one has addressed that one yet. Wrote one up for not completing a shower, (she refused actually, because it was scheduled for Sunday AM). Next night before report she performed some kind of religious ritual, running around in front of nse station shaking and chanting "In the name of the father,...etc" and making the sign of the cross, and then stands before me and says "proceed". Didn't say anything then, but called my supervisor and told her I wasn't going to put up with this. She backed me on that one. After writing up that CNA, for the shower refusal and insubordination, several went to administration saying I'm predudiced. Not true. But I expect people to do their job. No sleeping, (I am the only night nurse who does not tolerate this) make at least 3 rounds per shift, and check those residents hourly in between. Sorry if this was lengthy but it's such a problem and thought it might fit in here. I've had terrific CNA's and they are worth their weight in gold, have one here also, and it's great to have someone to rely on, there are a couple who do just what they have to, but even that is ok as I know this is a job, in most cases, not a career. Since coming to this site a few wks ago, I have decided to fix this problem. I will write them up for sleeping, no more waking them night after night. If suspension or termination follows, that is not my fault, it's theirs'. And if administration doesn't back me, then I will leave. I don't talk down to CNA's, we're all just people, but since I am a charge nurse, it's my job to see that their job gets done and that's just the way it goes. I am no longer going to tolerate a CNA refusing to do her job, sleeping on the job, or insubordination. Any comments are welcomed.

I can relate Maggie. I took a temp job at a LTC once to find similar circumstances...CNA's ignoring patients, sleeping, watching videos, and eating. When I asked them essentially to do their job per policy I was mocked. I did not stay there either...the DON cried and begged me to stay and 'help her', but she did not assist me with viable solutions so what else can we do....? I will not round, turn, and brief the entire facility AND do all the meds and paperwork while the aides play around and refuse to work.:(

When a whole group gets together against another group or an individual it's workplace mobbing. These facilities will not be able to keep good help unless management gets involved to correct the problem.

While I agree that good manners help in dealing with others.... one cannot blame another's lack of manners as an excuse NOT to do the job they were hired for. Doctors 'tell' me what to do sometimes...and I can't get all bent out of shape...what's the point?? Sometimes I'll respond to a doc's bluntness with humor..." a salute and "YESSIR" or a "Say pretty please....."...and he may grin and say "OK, sorry I was barking orders again.." But I DON'T refuse to do my job.

Good luck to those struggling in bad workplaces..let us know how administration responds to your concerns.

For the record...I've also seen nurses, docs and RT's behave in similar ways at facilities...the group's bad behavior makes it hard on everyone else. It's not just CNA's who mob.... so CNA's needn't feel singled out.

Specializes in ICU-Stepdown.

I made a mistake in my post. (UGH!!). I thought CNAs at my facility were doing accuchecks, but its the CNA-NTs (I am one of those as well) that are doing them. Evidently there are more of us than I knew about :) and this was made clear to me when my partner ( I was working a different floor) was astonished that my nurse would tell me which of her patients needed accuchecks (she told me 'we can't do those!').

sorry for the mistake.

Originally posted by mattsmom81

I can relate Maggie. I took a temp job at a LTC once to find similar circumstances...CNA's ignoring patients, sleeping, watching videos, and eating.

MattsMom, What do you have against a CNA that eats? I agree that ignoring PT's and sleeping and watching TV is wrong, but please don't deny a CNA a basic need to eat. I don't think that is critisism coming from an RN. Everyone knows that, in order to do work, you must eat. Would you expect me to come to my job and have enough glucose on board for >8 hours of running up and down the halls, lifting PT's and thinking? I eat when I get hungry and it don't matter...I'm gonna eat. Don't expect me to eat some quick white bread sandwich or some silly power/candy bar during breaks. Lol, I'm just going off, but seriously, don't fault a working person for eating. How else can you get glucose onboard?:kiss

Originally posted by mario_ragucci

MattsMom, What do you have against a CNA that eats? I agree that ignoring PT's and sleeping and watching TV is wrong, but please don't deny a CNA a basic need to eat. I don't think that is critisism coming from an RN. Everyone knows that, in order to do work, you must eat. Would you expect me to come to my job and have enough glucose on board for >8 hours of running up and down the halls, lifting PT's and thinking? I eat when I get hungry and it don't matter...I'm gonna eat. Don't expect me to eat some quick white bread sandwich or some silly power/candy bar during breaks. Lol, I'm just going off, but seriously, don't fault a working person for eating. How else can you get glucose onboard?:kiss

Mario,

You are so funny. You crack me up!

Don't tell me you are one of those CNA's that eat, really!

Specializes in Geri, psych, TCU, neuro--AKA LTC.

Hey on our Noc shift, we have to go and make toast for the night-owl sundowners. Don't deny us the joy of sitting down with them and eating our toast and cocoa...

BTW, I was just questioned by my DON re: an LPN sleeping on nocs. Well, she must have known not to do it while I was there, cuz I had nothing to tell the DON. Our CNAs on nocs don't have time nor balls to sleep on the clock. We know how well we have it!

Good grief. Some posters are so dense. Did some truly totally miss my POINT??? Or just being antagonistic???

THE PATIENTS WERE BEING IGNORED. The CNA's priorities were movies, sleeping, visiting and eating and they took BREAKS from this routine to make their q 3-4 hr patient rounds.

CNA's here that think the above is OK need to get a clue or get out of healthcare. Do the rest of us a favor please.

Sorry Mattsmom,

Just trying to bring some levity to the dense.

Specializes in LTACH, CCU, ICU, M/S, ECF.

Michelle,

Thats crazy!! I am currently an stna at a nh agency and a SN getting ready to grad. First of all let me say that if the hosp. told me to check BG at 5:30 and you said at 6:30, first thing i would do is ask why to cover myself. In this case D/T timing of breakfast and insulin it would be understandable for safety. I cannot believe that first of all she told a pt. to shut up and then you!? Why does she still have a job?

Now as a STNA i have dealt with nurses that are demanding, one in general, will ask us to take a resident to their room to give insulin, this nurse is very capable of pushing a wheelchair, BUT that is not the worst, when she is done and back on her way to the lobby she will duck into a room and tell us "I"M done so when you can get MRS. whoever out of her room and bring her back to the lobby???!!!! Now that is rediculous! But in your case that isn't terrible request. I would definately go over the big guys' heads a long time ago!!!

This is a very interesting thread!!

I'm interested how defensive some post get.

Years back when staffing was better....I didn't see the defensiveness.

Maybe we're diverting harsh feeling on the wrong people. Maybe we should look at staffing and less on defensiveness on to one another.

My mantra: The only[b/] person's actions, attitude, or words that I can control are my own.

Specializes in LTC,Hospice/palliative care,acute care.
Originally posted by chicory

Mario..that's tissue fluid coming out. Try sticking another place on the finger, or a different finger. If you still get tissue fluid, let the nurse know and you can get a venous glucose to send down..the reading would not be accurate from just tissue fluid.

another good reason for only allowing nurses to do such tasks....
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