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.
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.
Dec 6, '02
I think alot of you are assuming alot here; assuming she had an attitude?! Ok, nothing excuses an attitude, but if the nurse asked for a blood sugar at a certain time, even WITH the attitude, then act upon the attitude, DON'T risk the patient's safety by blatantly doing something against what you were told to do. I think you all lost the big picture here. The big picture is that FOR THE SAFETY OF THE PATIENT, her blood sugar should have been checked at 0600, not 0545 or any other time determined by an unlicensed personnel. Take up the issue of attitude (IF there was any) with the individual or the manager; certainly DON'T take out your anger on the patients by refusing to do cares when deemed appropriate by a licensed nurse.
So...if a physician told you in a bossy manner to give the patient a pain med NOW, would you refuse to give it NOW because he didn't ask you nice, and leave the patient in pain and give the pain med when YOU felt like it? Come on. Grow up. Give the pain med and address the physician attitude separately.
Take the blood sugar at the requested time, and LATER discussed how it was asked of you. For pete's sake. It all ain't about you, people. It's about the patient, remember?
That CNA was wrong.
Last edit by Susy K on Dec 6, '02