Sick of it!!! - page 5

:angryfire I am desperately trying to get a job in a hospital right now. I just can't stand the NH anymore! Every shift I work, I'm disgusted at the lack of care our residents get. If you get on to... Read More

  1. by   achot chavi
    I cried when I read your post regarding the abuse and neglect that you described. We Jews have a saying "When you show mercy to the Cruel people among us, you will end up showing cruelty to the People among us who deserve Mercy" You have two choices (and I've been in your shoes) Either leave and find a better place (i.e.vote with your feet) or crack the whip on those "CNA"s, document their neglect and find a supervisor to back YOU up . LOL
  2. by   SouthernLPN2RN
    Quote from marylyric
    Thanks for standing up for the CNA's. There is bad in everything including the RN's and Physicians but for the most part, most try to do their best.
    It's sad that the few who don't try their best usually overshadow the ones who do. I had several CNA's that I could count on, and they knew who they were. I always made sure to let everyone know how much I appreciated their work every shift I worked, even if things weren't as good as they could've been. No one here is slamming CNA's, LPN's, RN's, MD's, etc. Yes, I worked with several who weren't good, but I also worked with several who were, and I ALWAYS stood up for "my" CNA's if needed.
  3. by   night owl
    Quote from worldtraveler
    My last position was in a VA Medical Center Nrsg Home and what you experienced was commonplace on my floor(substandard care-the assts. had a practice I never saw before-they would, at the start of their tour, put double diapers on a patient so they would not have to change thier pt. until the end of their shift, sometimes these diapers would weigh TEN POUNDS-Soaked with Urine, ever see this one ??). I complained many times to administration about these NAs(don't have to be a cna in the va system) and usually I ended up the one in trouble. 2 other Nurse friends at this VA Center also wrote up the Nursing assts. for disciplnary action and ended up in HOT water as well !! In the VA, many times these Nursing Assts. were very well payed($35,000-$38000 yearly) as they were long time federal employees at the top of their GS Scale.Now they are up to $40,000 probably. Better money then some new Graduate Nurses make! I finally became tired of fighting these people and work in Home Health Care doing Visits(home), make more money, am happier and deal with only one patient at a time.I could never go back to Staff Nursing! They would carry me out in a straight jacket!
    Typical VA work ethics. And with all the OT these NA's pull in, they're probably making more than the supervisors! The double diapering is just now finally getting attention from management after the NA's were doing it for years. Why it wasn't addressed when it was first brought up years ago is beyond me. Now they're saying any pt found with double diapers is to be written up. They still play hide 'n sleep at night. One NA sleeps so hard he snores louder than any pt and you always know where he is. When the supervisor comes around and asks where's so 'n so?, we ask her, "Can't you hear him?" She goes to him, wakes him up and says nothing about the sleeping, but asks him if he's available for OT for the day shift. What the ???? :stone He's the same NA that is a no call no show every payday night. :stone :stone :stone

    Another night, another supervisor came to the unit and asked where everyone was. The nurse I was working with said to her, "They're all comatose! Would you like to see them? Come on, I'll show you." The supervisor walked out backwards waving her hand and shaking her head "no" and left. This was the same nurse who before she became a supervisor and worked the night shift always said, "If I have to be awake and alert, so must they!" Now that she's in the position to do something about it, she turns her head the other way. I don't get it. Then there are the NA's that really care and for them I am so grateful and thankful and tell them how much they are appreciated not only by the residents, but by the staff they work with. They are far and few, but nonetheless, very much appreciated.
    Last edit by night owl on Oct 30, '05
  4. by   lovingtheunloved
    Quote from southernlpn
    Ya know, pay rates and working conditions aside, I think that a major problem facing our workforce in general is the lack of pride. I know that a couple of generations ago, people seemed to take more pride in the work they did, and maybe they felt that their work performance defined them as a person more so than what you see now. I have made next to no money, and I've made pretty good, but the one thing I always placed a high value on was the quality of my work. If I wiped butts, they were squeaky clean, appropriate barrier cream applied. If I waited tables, I did the best I could to make sure the customer was happy. When I passed pills, I tried to make sure that things were done like they were supposed to be and that my residents didn't suffer due to my workload. No matter what I have done, I have always felt anything worth doing is worth my best efforts.
    I agree. My generation (I'm 22) has had everything handed to us. We've never had to work hard for anything in our lives, and i think it's a tragedy. Then we grow up and get jobs and have no work ethic, no sense of commitment,(i.e., I'm scheduled, therefore I show up), no consideration for other people's time, (punctuality), I could go on forever. Very sad.
  5. by   Jo Dirt
    Since I have not experienced this I can't imagine how difficult it would be to deal with it. I am lucky to work for a small, very plain but extremely clean facility where decubitus rates are nearly zero (AND they use diapers!) We are stretched to the limit with CNA's but the ones we have to an excellent job overall. In fact, once in awhile a CNA will be hired who isn't worth a flip but the CNA's (yes, they do tend to run the floors) will have the one's unwilling to pull their weight run off before long. They simply will not put up with it.
    But it sounds like the majority of CNA's where you work are duds. I feel for you.
  6. by   Jo Dirt
    Quote from bethin
    I saw "pulse" and just had to share this. Working in a hospital you think everyone would know how to take vitals with a bp machine and the old fashioned way. An aid walked into a room that had a month old infant with bronchitis. I figured she knew what she was doing since she was a nurse extern. Boy, was I wrong! The aide walked out and asked me what 60 times 4 was because that's the baby's pulse. I jumped out of my chair and on my way to the baby's room I yelled at her to get the charge nurse and peds crash cart. She stopped me and says "Ooops. I mean what's 60x2?" Better, but you still got to count for a whole minute. I cry everytime I see her. She can get into nsg. school and I can't . Hope she doesn't take care of me or someone I love someday!!! Scary.
    That was a very simple mistake, a slip of the tongue. You overreacted big time. I worked with a nurse who would leap out of her skin at ANYTHING. So I would try to speak to her very calmly about what was happening or if I needed assistance, because it drove me up the wall to see her jump up and start running around like chicken with its head cut off for no reason. It didn't help. I finally told her about herself. It still didn't help.
    I don't know why she can't take a chill pill. I would hate to see her in a code.
  7. by   achot chavi
    Quote from marylyric
    you know what. that was an honest mistake she made you over-reacted.
    people make mistakes. As far as the cna issue go. Most cna are overworked and underpaid. This is not their fault, this is the company fault.
    OK, regarding salaries for CNA"s, this is not an excuse to neglect and hurt their patients. I can't beleive the nitpicking I am reading in this forum. The issue is whether a nurse should sit back and watch her patients receive sub standard care that just hurts her. I have worked in SNF's for many years and learned that one staff nurse can't change a whole facility. Unless you are a supervisor with excellant motivating talents and a strong backbone, it will be hard to improve the care given to the patients. As nurses we are first and foremost Patient Advocates!! We must do everything in our power to provide quality care.
    Does your facility have an Inservice Director? Can you refer the problem to her/him? I recently showed some professional movies to our CNA' s that really brought the message home and we saw a tremendous improvement on the units.
    If a CNA refuses to provide quality care citing her low salary we must take the stand that we may not confuse the two issues and a raise in salary might come about if the administrator sees better care on the unit!!
  8. by   lovingtheunloved
    Quote from achot chavi
    OK, regarding salaries for CNA"s, this is not an excuse to neglect and hurt their patients. I can't beleive the nitpicking I am reading in this forum. The issue is whether a nurse should sit back and watch her patients receive sub standard care that just hurts her. I have worked in SNF's for many years and learned that one staff nurse can't change a whole facility. Unless you are a supervisor with excellant motivating talents and a strong backbone, it will be hard to improve the care given to the patients. As nurses we are first and foremost Patient Advocates!! We must do everything in our power to provide quality care.
    Does your facility have an Inservice Director? Can you refer the problem to her/him? I recently showed some professional movies to our CNA' s that really brought the message home and we saw a tremendous improvement on the units.
    If a CNA refuses to provide quality care citing her low salary we must take the stand that we may not confuse the two issues and a raise in salary might come about if the administrator sees better care on the unit!!
    I don't recall anyone condoning substandard care for any reason. That was not even implied in the post you quoted.
  9. by   achot chavi
    Re "I dont recall anybody condoning substandard care..." I was referring to :


    "Typical VA work ethics. And with all the OT these NA's pull in, they're probably making more than the supervisors! The double diapering is just now finally getting attention from management after the NA's were doing it for years. Why it wasn't addressed when it was first brought up years ago is beyond me. Now they're saying any pt found with double diapers is to be written up. They still play hide 'n sleep at night. One NA sleeps so hard he snores louder than any pt and you always know where he is. When the supervisor comes around and asks where's so 'n so?, we ask her, "Can't you hear him?" She goes to him, wakes him up and says nothing about the sleeping, but asks him if he's available for OT for the day shift. What the ???? He's the same NA that is a no call no show every payday night.

    Another night, another supervisor came to the unit and asked where everyone was. The nurse I was working with said to her, "They're all comatose! Would you like to see them? Come on, I'll show you." The supervisor walked out backwards waving her hand and shaking her head "no" and left. This was the same nurse who before she became a supervisor and worked the night shift always said, "If I have to be awake and alert, so must they!" Now that she's in the position to do something about it, she turns her head the other way. I don't get it. Then there are the NA's that really care and for them I am so grateful and thankful and tell them how much they are appreciated not only by the residents, but by the staff they work with. They are far and few, but nonetheless, very much appreciated."

    By remaining employed in such a facility you are condoning this and allowing it to continue. Professional Nurses must come out very strong against this or we might one day end up on the receiving end. I am sorry but it touches a raw nerve. Nursing Homes like this couldn't stay in operation if they didn't have professional staff on board. It gives us all a bad name and even if you happen to proudly work in a "good" place, people assume that you are just too lazy or stupid to have a "real " job in a hospital. Go explain that we are not all negligent and cruel!
    I currently work in a top-of -the line facility with so many extras for the patients: Excersize Room, Snoozeline Room, Movie Making programs, Animal Therapy, Inter Generation Program, Computer Classes, Weaving Classes etc.,etc. Yet people still confuse us with places like the one described above.
    Sorry if I sound bitter about this. When it comes to nursing homes I want us all to be "All that we could be"!!!
  10. by   lovingtheunloved
    "By remaining employed in such a facility you are condoning this and allowing it to continue."

    I disagree. I know that for some, remaining employed in such a facility is out of a sense of "They deserve better, so I will provide better to the best of my abilities." I personally doubt I could take up a cause like that all by myself, but hey, it's out of concern.

    And by the way, I don't work in a faciltiy like this.
  11. by   katmai
    I am new to this site but I already found answers to some of my questions. I have been at a couple nice long term care facilities, but they were private pay and most residents only stayed until their finances were depleted. The other two facilities I have worked at as a LVN were borderline abuse. Unfortunately, the State passes these facilities. I was told at my previous job in a medicaid facility that State was out in less than two days. Of course, the mistakes went covered up. I am currently in a facility attempting to provide skilled nursing. I return every weekend with several complaints, potential law suits/threats from families, and very poor hygiene. Out of 18 residents-over half are dissatisfied stating the CNA's there are too rough. I respect CNA's if they do there job. I previously did CNA work for almost nine years until my back gave in. The responsibility lies mainly with the DON. Unfortunately, the CNA's are protected in my facility. Every staff meeting from the day I started is geared to attack the nursing staff. I give 200% to my job and would just like to see something positive come from it. Get out of the nursing homes if you can or find a better ( private pay) facility. The hospitals have to meet their RN to LVN ratio and most times are unable to accomodate a LVN especially if they are noted to be mostly in the field of geriatrics. I hope other places are different and I hope to find one before I decide to give up on a profession I thought I'd make a difference in. Sorry, so long-winded but it really frustrates me that elderly people receive such poor care and that the healthcare system has come down to this.:angryfire I hope someday things will change.
  12. by   DutchgirlRN
    Hi SouthernLPN, Have you considered private duty? When I was an LPN I did alot of private duty and loved it. I could take very good care of my patient and still had time to do the Excelsior program. I am doing private duty next month as an RN for one week. The week between Christmas and New Years. The baby is 11 mo old and is on a vent. The regular nurse will be away on vacation. Good luck. Hope you find the job of your dreams!
    I left a NH once because of the poor care that the patients got. I could talk till I was blue in the face and things never changed so I had to change myself and leave. I understand how you feel. It is very sad. I'd rather be dead than put in a NH. I'd rather be in heaven. A must better alternative!
  13. by   night owl
    Quote from achot chavi
    Re "I dont recall anybody condoning substandard care..." I was referring to :


    "Typical VA work ethics. And with all the OT these NA's pull in, they're probably making more than the supervisors! The double diapering is just now finally getting attention from management after the NA's were doing it for years. Why it wasn't addressed when it was first brought up years ago is beyond me. Now they're saying any pt found with double diapers is to be written up. They still play hide 'n sleep at night. One NA sleeps so hard he snores louder than any pt and you always know where he is. When the supervisor comes around and asks where's so 'n so?, we ask her, "Can't you hear him?" She goes to him, wakes him up and says nothing about the sleeping, but asks him if he's available for OT for the day shift. What the ???? He's the same NA that is a no call no show every payday night.

    Another night, another supervisor came to the unit and asked where everyone was. The nurse I was working with said to her, "They're all comatose! Would you like to see them? Come on, I'll show you." The supervisor walked out backwards waving her hand and shaking her head "no" and left. This was the same nurse who before she became a supervisor and worked the night shift always said, "If I have to be awake and alert, so must they!" Now that she's in the position to do something about it, she turns her head the other way. I don't get it. Then there are the NA's that really care and for them I am so grateful and thankful and tell them how much they are appreciated not only by the residents, but by the staff they work with. They are far and few, but nonetheless, very much appreciated."

    By remaining employed in such a facility you are condoning this and allowing it to continue. Professional Nurses must come out very strong against this or we might one day end up on the receiving end. I am sorry but it touches a raw nerve. Nursing Homes like this couldn't stay in operation if they didn't have professional staff on board. It gives us all a bad name and even if you happen to proudly work in a "good" place, people assume that you are just too lazy or stupid to have a "real " job in a hospital. Go explain that we are not all negligent and cruel!
    I currently work in a top-of -the line facility with so many extras for the patients: Excersize Room, Snoozeline Room, Movie Making programs, Animal Therapy, Inter Generation Program, Computer Classes, Weaving Classes etc.,etc. Yet people still confuse us with places like the one described above.
    Sorry if I sound bitter about this. When it comes to nursing homes I want us all to be "All that we could be"!!!
    I stay because I make a difference. Our veterans need more people like myself to take care of them in their time of need. To leave would make me feel as though I abandonded them, turned my back on those who fought so hard for yours and my freedom. I just can't bring myself to do that all because of a few bad apples. Believe me, the bad apples will have their day.

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