... that CNAs should do what the nurse tells them?
I remember when I was a CNA, if a nurse asked/told (to me there really isn't a difference) me to do something. I went and did it.
Tonoc I had the lovebirds working, and a new girl they were supposed to be training. The lovebirds already ran off the one good CNA I had on evenings, now who is gonna do all the work? lol They like to take about 5 30 min smoke breaks in an 8 hour shift. They did no bed check before they left, didn't take out the trash, didn't pass snacks, and thats just what I noticed!
Now what really hacked me off... we have a res with a belt in his WC that beeps when it is unhooked. When he starts unhooking it, it usually means that he is wet. The lovebirds know this, as they are the ones that told me about this correlation. So I tell the lovebirds he needs changed, while they are at the computer charting (which is a one person job, but they are joined at the hip so they both have to sit there). I go pass some meds and come back, they are still sitting there.
I get the wet res's meds ready and tell them they can go change him after I give him his meds, I then push him out of the DR and up the station where they are sitting. They say they will do it after they are done with the person they are charting on. "Ok, that works." I think. I go pass some meds, do some BS, come back... still sitting there, res in same place as before. Now his brief is saturated and I can tell he's wet by the smell and the big wet area on his gray sweat pants.
I then look at the computer to see what res they are on, maybe they are just realy slow... go pass some meds, give some insulins, come back... they are on a different res on the computer and have not moved. I think my head started to spin around at this point, but I tried to hold back the anger... I asked them what the problem was, what part of what I asked them to do they didn't understand, I know what res you were charting on last time I left the desk, "If you have a problem I can call the DON and she can come up here and let you know what your real problem is." I asked them if they were wanting to be written up for insubordination, neglect, or both.
They went and changed him after that. The hall smelled of terribad urine after this. I think I might have made them mad cuz they didn't talk to me the rest of the nite.
We are short staffed as 2 CNAs have just quit, one dt her being tired of doing their job, and this place pays CNAs horrible wages. I let them get away with murder already, but this obvious neglect of residents just doesn't fly under my radar.
What to do