Major venting about some CNA's - page 6

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... Read More

  1. by   ktwlpn
    Originally posted by Flo1216
    "Oh,please...grow up...and knock that chip off of your shoulder-before you run off half cocked and harm someone in your care..."

    Why would my saying " Oh, brother " harm someone in my care? What kind of thing is that to say? You don't even know me. How presumptuous you are. You work with some dopey CNAS so you make a blanket generalization about all of them ? CNAS also do venipuncture and EKGS but I guess you want to do that yourself too, supernurse. And how do you do several fingersticks at once? Doesn't your CNA write down the results between pts? I know an LPN who gave insulin to the wrong pt once. Should LPNS no longer be allowed to administer insulin?
    Since you have specifically responded to me I will respond in kind.....Re-read my posts-nothing obtuse there-if you don't understand what I said then I must presume that you are not as smart as you may think that you are...If my every post seems to make smoke emit from your pc then perhaps you should filter me.I would hate to see you damage your equipment.As a matter of fact when I am doing several fingersticks at once I don't...I do them one at a time and administer each patients insulin coverage as needed and then move on to the next....Each discipline has it's unique scope of practice-at our local hospitals the cna's are just that-aides...Not lab techs-and they aren't doing ekg's either-the hospital attempted to utilize them in that way for a short time-seems it just did not work out....I am an LPN and have no problem functioning within my scope of practice...You will find out when you become an RN that there are many things that you will want to do your self-and had better-for the good of the patient.....Does not make me "supernurse" -just responsible.....I also have no problem with my supervising RN "telling" me to do something-it's our job...and if the trash needs emptying or a spill needs mopped and the appropriate department is not available to do so-well,golly darn-I just do it...That's the difference between you and I...and that attitude comes with maturity....I worked as a cna for a very many yrs-and was tuned in enough to see the bigger picture-when a nurse told me to do something- unless I felt it was dangerous- I did it...and asked questions later-when we had time to talk....And the "big picture" is the patient-not you or I....If you have anything further to add then PM me-I don't think it is appropriate to hijack the thread with your sarcastic responses and foul language directed at me...You alluded to other threads I have participated in-perhaps you can direct me to the posts which have begun you on your personal vendetta against me? Via pm,of course.....I will proceed to utilize the filter myself-this kind of thing rapidly becomes boring to everyone....
  2. by   Ortho_RN
    Essarge.. I agree with you... When I was doing my PCA training everything was cool with the other PCAs until they found out I was in nursing school, and then all of the sudden their attitudes change... One was like "Oh, so you are going to be one of them" pointing at some of the RN's... I was like umm yeah.. Then from that point on I got comments like "Well you should know how to do this beings as your are in nursing school".. I actually thought it was kinda funny... Didn't realize grown women (in my case) could be so jealous just because I chose not to remain an aide for the rest of my life...

    And I don't think it takes a genius to take a CBG... I do them one at a time, and after I get the result I go and give it to the nurse, then I chart it (yep, PCA's chart vitals and CBG's).. For the people who don't think PCA/CNAs can do CBGs well how do you feel about them doing Vitals and I&O's?? Just curious..
  3. by   Flo1216
    Did you have a big glass of paranoia for breakfast? What vendetta are you talking about? Your response to my every post is dripping with disdain. And I don't dare PM you as my computer might in fact explode. And as CNAS don't give insulin, it would be in their best interest to write down their sugars after they do a chem strip. It's great that you are responsible....it just seems as though you feel YOU are the only one. You took 2 little words " Oh, brother" and blew them entirely out of proportion as you often seem to do. And what foul language have I used? CHILL OUT. Also, yes the CNA should do what is expected of her and she shouldn't have to be begged to do it, however, they should be treated with no less respect than anyone else. There is a difference between being " boss" and being " bossy" By the way, I said repeatedly that the CNA in question was out of line.
    Last edit by Flo1216 on Dec 12, '02
  4. by   ktwlpn
    Boring....and isn't perception a funny thing? Dripping with disdain? Me? I think maybe your posts are a bit wet,too...You continue to attempt to make all of my posts all about YOU-you are not that important....buh bye.....
  5. by   Flo1216
    Then why do you keep responding to them?
  6. by   ktwlpn
    Originally posted by nurs2b
    Essarge.. I agree with you... When I was doing my PCA training everything was cool with the other PCAs until they found out I was in nursing school, and then all of the sudden their attitudes change... One was like "Oh, so you are going to be one of them" pointing at some of the RN's... I was like umm yeah.. Then from that point on I got comments like "Well you should know how to do this beings as your are in nursing school".. I actually thought it was kinda funny... Didn't realize grown women (in my case) could be so jealous just because I chose not to remain an aide for the rest of my life...

    And I don't think it takes a genius to take a CBG... I do them one at a time, and after I get the result I go and give it to the nurse, then I chart it (yep, PCA's chart vitals and CBG's).. For the people who don't think PCA/CNAs can do CBGs well how do you feel about them doing Vitals and I&O's?? Just curious..
    at our local hospitals the docs have requested that the nurses take all b.p.'s...we also always total up the i and o's.(I am now in LTC and the nurses do the fingersticks and vitals,meds and tx's)....Many nurses are not comfortable being held legally responsible for someone's else's actions and prefer to do as much for themselves as possible-as an LPN I have worked in the team nursing modality...Most RN's prefer to do certain tasks rather then delegate-I am not offeneded by that....I am not surprised at all by the attitudes you are facing essarge-I have seen it all-jand ust when I think I have seen the worst someone surprises me....There are lots of nuts out there.....
  7. by   Ortho_RN
    Originally posted by ktwlpn
    at our local hospitals the docs have requested that the nurses take all b.p.'s...we also always total up the i and o's.(I am now in LTC and the nurses do the fingersticks and vitals,meds and tx's)....Many nurses are not comfortable being held legally responsible for someone's else's actions and prefer to do as much for themselves as possible-as an LPN I have worked in the team nursing modality...Most RN's prefer to do certain tasks rather then delegate-I am not offeneded by that....I am not surprised at all by the attitudes you are facing essarge-I have seen it all-jand ust when I think I have seen the worst someone surprises me....There are lots of nuts out there.....
    Well then does it make a difference to you whether the CNA/PCA is also a nursing student rather than just working as a CNA? I am just curious, not trying to start an arguement or anything...
  8. by   rebelwaclause
    Originally posted by Sleepyeyes
    I couldn't have said it better myself. Underlying all the disrespect is the assumption that not only has the CNA more knowledge, more information, and better judgment than the nurse, and that the CNA has the right to know the rationale behind every request.

    Well, it ain't happenin' -- it just ain't happenin'....

    I'm happy to share info and teaching with CNA's or students, but not in a situation like this, where the reason that I'm asking is because I don't have time to do it myself. Goes to follow that if I had time to explain, I'd prolly have time to do it without help.

    The CNA's who tell me that they don't have time to do something I've asked, but then get their 1/2 hour break, both 15-minute breaks, and then leave on time, while I'm still stuck running around for another hour or hour and a half, and then whine that I don't help them???!! that bugs me, that truly bugs me.
    Ahhhhh My God...I feel a huge burden of penned-up Rebel blow-up relieved with your post Sleepy. I can go to work and not trip any CNA's now.....(Just kidding...No horizontal violence in the workplace....
    )
  9. by   essarge
    Nurs2be,

    In our hospital if you are a student nurse and a CNA you operate within each perpective scope of practice. Sometimes you will have a nurse who will let you do things "behind closed doors", but they trust you enough to know that their liscense is not going to be compromised.

    I gotta say that sometimes it is very difficult being a student nurse and seeing something happening that is not correct...for instance...a procedure that we are taught that is supposed to be sterile and you see it done with only standard precautions. It is very hard to keep your mouth shut at times!! LOL!!
  10. by   MICU RN
    Let me preface my opinion with the statement that I have the utmost respect for any worker if they are doing their job correctly and working hard. This includes all workers not just healthcare workers. Now, for my thoughts on the subject, based on my 4 1/2 yrs. as a RN and 1yr. as a nurse tech. The rule rather than the exception seems to be that most nurse techs or cna's who are also aspiring to become LPN's or RN's work hard and are good team members. However, when it comes to many CNA's or even clerks for that matter, you will find that many have attitudes and are lazy. One of the main problems is that they work under no lic.,so therefore besides firing them there is not much you can use to motivate them. Another problem is that those jobs are very low paying and therefore attract people with very little working skills or education, and the ones who are hard working tend create opportunities to obtain better paying jobs. This problem is universal in this country, i have had many other jobs and have observed it. Mainly that many people who start with entry level jobs have an attitude that since I only get paid a liitle I therefore should not be expected to work hard and show up on time and treat others with respect. The problem with this mentality is that they end up stuck in a series of entry level positions and never create opportunities to do better for themselves. They then feel resentful towards others who they perceive were handed there good paying jobs. I work for a state hospital and am considered a civil servant; the incompetence and laziness is rampant throughout the hospital, not so much with the professional lic. people because they can be held to standards. But rather with the unskilled labor faction. Many of whom would be fired in the private sector. While I have compassion for the working poor who are out there giving it their all, I have little for the ones who are lazy and have attitudes and feel that life owes them something. Well it does not and if you want to be lazy and a smart ass then don't complain that only make 7.00 an hour. I for one am tired of workers in this country who think the job market owes them something, the opportunities in this country are awesome for people who are willing to pay the price for success. I think people who are hired and have no solid work experienc or education should be put through extensive job training, which should include how to follow orders without getting your feelings hurt and how to be respectful to other co-workers and patients.
  11. by   rebelwaclause
    KTWLPN, use the ignore feature. I only have one person in it, guess who?

    It is interesting to see in different states what scope of practice CNA's, LV/PN's and RN's have. CNA's here in California don't do accucheck's nor EKG's - Unless they are Certified Medical Assistants. There's a huge difference in training between a CNA and a CMA here, in my area of California.

    Interesting.

    Then there's the CNA's that bed-bath's, peri-care, emptying foley's, vital signs, meal tray's and other basic CNA functions are forgotten as their scope of practice and basic job duty. Those are the good for absolutely nothing one's that collect a paycheck for what reason I can't tell you. Granted, there are slacker's in every discipline - THEY ALL SUCK. But when I hear comments from CNA's like "Nurses just sit on their a$$ all day and write..." I want to tell them "Then you administer meds and assess and monitor patients while I turn, bathe and offer peri-care to patients. You document everything appropriately with your scope of training, so I can take my a$$ home 15-minutes before off duty time....Like you do".

    Grrrrrrrrr......

    OK...I can understand how this might offend TRULY GOOD CNA'S, and I am definitely not addressing you. Hat's off to you...LOVE you. So I ask a question to all disciplines.....

    "How do we work together as a team"

    I've heard a solution from CNA's that suggest to help them as much as possible. But what that turned into me doing a majority of CNA duties while keeping up with my duty. It simply ain't gonna work. So now what?

    I've heard the argument "Don't bark commands at me"...I don't, and still I cannot give you direction. So now what?

    I've heard CNA's say "My workload is too heavy".

    At my facility in med-surg, the new ratio's of 1:4 for RN's has been initiated, However to make it work, RN's can be assigned two or three patients and cover two or three LVN patients. CNA's began to compare this ratio and scream unfairness, because they felt it was "unfair workloads" for the CNA to be responsible for up to 20 patients. I agree, it was a bit much for 1 CNA to handle. So instead of adding an additional CNA, management decided the 1 CNA can be assigned up to 9 patients. Whatever patient isn't assigned to the CNA the assigned nurses have to take care of (total TOTAL care). Footnote: Basic work STILL does not get done by CNA's. And they pass a piece of paper with all the vital signs written on them, and suggest for us to write them down for them. *%+#$@...!!!!!!!!

    SO NOW WHAT!!!!!

  12. by   Flo1216
    Maybe Ktwlpn and rebel should get together and go bowling.
  13. by   Flo1216
    Well, I don't know anyone who has respect for lazy good for nothing workers, regardless of their job title. I'm just glad that when I graduate in June and become an RN, I will have been a CNA and can see both sides of the spectrum.

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