Major venting about some CNA's

Nurses General Nursing

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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.

ktwlpn....are we going to start THIS again? Maybe you work with some badly trained CNAS. And it seems as though YOU are the one with the chip on your shoulder, considering that you go off on a rampage in response to my every post. I think smoke comes out of my computer every time I read one of your " retorts" . I too, am entitled to my opinion. And not for nothing, for someone who is so sensitive about " lpn bashing" you are certainly quick to bash everyone else. Especially when they disagree with you.

While working as a tech in the ER, I often had CNA's assigned to work with me. They were to do vitals etc on any holds we had and help me out when I needed it. It was a teamwork thing.

I have since transferred to the floor and it is a whole different animal. While I have had little problem with any of the nurses (they all know that I am a student nurse) I have had more problem with the CNAs who have been there for a while and think that they are nurses.

These are the people who get an attitude with student's. Sit around and read the chart and "evaluate" the patient. This is one of my pet peeves!:( If they want to be a nurse then they should go back to school and get the education REQUIRED to be one!!!! That's what I did at 47yo so when they state "I'm too old for that", I find it unacceptable.

Now, that being said, if they give me an attitude or tell me to do something that I know is wrong or beyond what my scope of practice is as a CNA, I tell them that. And if they decide to write me up or give me more of an attitude, I let the "higher ups" handle it and haven't gotten in any trouble yet.

By the way, I really miss the ER but nights were killing me with school, but I hope to get back there after I graduate in May '04.

"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?

That particular CNA was wrong. Just plain wrong. IS anyone arguing that? I just don't understand why they get away with it.

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.

Amen!! Especially that last paragraph!! We have several CNA's who are worth their weight in gold, but a few of them have decided that at 1400 their job is done! (The shift ends at 1515). I am trying to get my paperwork done and stuff and call lights are lighting up the hall like a Christmas tree. Usually the patients are wanting 7-up, an extra blanket, ambulated. I don't mind doing these tasks, but when there are several CNA's sitting at the main desk looking at the latest Avon catalog while the patients are wanting this stuff, I get testy....:( I like to be able to go home on time too.....But for the most part, we are pretty fortunate and our CNA's are great....

Specializes in LTC,Hospice/palliative care,acute care.
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....

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..

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.

Specializes in LTC,Hospice/palliative care,acute care.

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.....

Then why do you keep responding to them?

Specializes in LTC,Hospice/palliative care,acute care.
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.....
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...

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