Tell the CNA to clock out and go home - page 4

by Blackcat99

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Things are changing now at my "Anything goes" LTC. We are now being told that we are not to put up with any CNA insubordination anymore. We were told that if a CNA refuses to do what we tell them to do, that we are to tell them... Read More


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    Well as for management bashing, there is a lot of bad management out there, esp in LTC. I have sent my share of CNA's home. It especially galls me when I the "I'm not doing this, I'm not doing that" (Complete attitude and gum snapping included). I would say, " well if you're not going to do your job, then I don't need you here. Punch out and go home." It generally works very well. The other method that worked very well for me was cutting down the staff of CNA's on the shift - less time to screw around. It's harsh and they will work their butts off, but it works. Management usually goes for this because it saves them money. CNA's cannot be allowed to run a facility!! Blackcat, I feel for you. I took a nurse manager position in a nursing home (2-STar) that needed to be cleaned up massively. They had all new grads for nurses and the CNA's ran right over them. The DON allowed this. When I started my clean-up methods, she was a little unsure at first, but eventually got on board. It took a year to "clean house", but we did it. the facilitly is now a 4 star facility. Keep a written log of every little interaction, because if it gets ugly, you'll need the documentation.
    Tina, RN, multi10, and Blackcat99 like this.
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    Quote from SuzieVN
    Ever worked in LTC? It's common for the management to throw staff off the train, under the bus, etc.- rather than expend the real energy it takes to solve a problem.

    so true ex. post it notes left on residents
    Last edit by fairyluv on Apr 8, '13
    salvadordolly and Blackcat99 like this.
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    Quote from salvadordolly
    Well as for management bashing, there is a lot of bad management out there, esp in LTC. I have sent my share of CNA's home. It especially galls me when I the "I'm not doing this, I'm not doing that" (Complete attitude and gum snapping included). I would say, " well if you're not going to do your job, then I don't need you here. Punch out and go home." It generally works very well. The other method that worked very well for me was cutting down the staff of CNA's on the shift - less time to screw around. It's harsh and they will work their butts off, but it works. Management usually goes for this because it saves them money. CNA's cannot be allowed to run a facility!! Blackcat, I feel for you. I took a nurse manager position in a nursing home (2-STar) that needed to be cleaned up massively. They had all new grads for nurses and the CNA's ran right over them. The DON allowed this. When I started my clean-up methods, she was a little unsure at first, but eventually got on board. It took a year to "clean house", but we did it. the facilitly is now a 4 star facility. Keep a written log of every little interaction, because if it gets ugly, you'll need the documentation.
    Nasty. I am so far only the second (known) advocate for CNAs, that are treated like hell. If others might consider a pause in their 'holier than thouness'? I ask you: what is the real reason that aides rebel? Same as the slaves. Sad. There's a reason most SNFs are so crappy- and if I may be so bold, it's from nurses that are on power trips (nurse that sukc on any level) so they LIVE to trample upon those less fortunate then themselves. Sick.
    sallyrnrrt, LTCNS, BrandonLPN, and 1 other like this.
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    Yeah, cutting down the number of CNAs per shift so they "have less time to screw around" sound like one of the most horrible ideas I've ever heard of. I agree with suzilvn, I just sounds sick to me. So the good CNAs should have to work even harder for wages that I'm sure are a few bucks above minimum at your crappy facility?

    Thank God I work in a union facility.
    LTCNS, multi10, and wooh like this.
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    Quote from BrandonLPN
    Yeah, cutting down the number of CNAs per shift so they "have less time to screw around" sound like one of the most horrible ideas I've ever heard of. I agree with suzilvn, I just sounds sick to me. So the good CNAs should have to work even harder for wages that I'm sure are a few bucks above minimum at your crappy facility?
    I don't think short staffing is going to make anyone who has a crappy work ethic to begin with work harder.
    It's more stuff that they just aren't going to do.
    I still think the offender should be sent home.
    The blame for working short should be put squarely on the shoulders of the person screwing around.
    Their bad behavior caused the other aides to have to work short.
    Trust me, a CNA's life will be miserable if s/he wanks off her/his peers.

    Now if all the aides are a crummy lot, the problem is very deep.
    Why can't the facility find a higher caliber of aides?
    Why are good workers loathe to work there?
    Why don't these places look at what they can do to draw decent people and get them to stay instead of just dragging in anyone?
    If these nursing homes could just give a crap about their CNA's and provide a healthy work environment and showed them that they are valued, then people will want to work there and these places can pick and choose.
    There's more to it than that, of course, but no one wants to read an essay, here.

    I have always found the if-we-have-more-staff-they'll-screw-around idea insulting.
    I mean, who gives a flip if the nurses and aides actually got to slow down and provide more thorough care for their residents or pts, right?
    Last edit by Hygiene Queen on Apr 8, '13 : Reason: spelling
    LTCNS, Blackcat99, and wooh like this.
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    Quote from SuzieVN
    Nasty. I am so far only the second (known) advocate for CNAs, that are treated like hell. If others might consider a pause in their 'holier than thouness'? I ask you: what is the real reason that aides rebel? Same as the slaves. Sad. There's a reason most SNFs are so crappy- and if I may be so bold, it's from nurses that are on power trips (nurse that sukc on any level) so they LIVE to trample upon those less fortunate then themselves. Sick.
    Your language is inflammatory: You compared CNAs to "slaves." You believe that CNAs rebel. (Most don't.)

    You believe that the nursing staff is "holier than thou." According to you, there are nurses "on power trips."

    You are "so far only the second (known) advocate for CNAs", but have you recognized other posts and threads on AN where CNAs also lament their lazy, uncooperative colleagues? These wonderful CNAs pick up the slack because they genuinely care about the residents and, because of the lazy ones, they have to work harder.
    Last edit by multi10 on Apr 12, '13
    Blackcat99 likes this.
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    Hey, this just happened to me a couple of weeks ago! I had an amazingly insubordinate CNA , and by 2 am I knew I was writing her up, by 6 am I found her sleeping on the job and that was it. I told her to clock out and leave, by that time we had extra staff on the floor thank goodness. Her reaction was right on target for what I had experienced thru the night, she refused to leave initially and then did clock out and refused to leave the floor for another half hour. If I had security I would have called, but as it was all I could do was repeatedly ask her to leave the floor. On a hall with 30+ residents I have 2 CNA and many are 2 person assists, so if I had to ask a CNA to leave during the night, it would leave dayshift with a lot of catching up to do. Better than finding an aide sleeping on someones bed while another resident is getting sick 2 doors down, someone else is screaming bloody murder and pharmacy is staring at me from down the hall, all at the same time, LOL.
    Blackcat99 likes this.
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    Some of the CNA's at my LTC treat the patients like hell. If a patient asks for help they get a rude nasty hateful CNA who is "mad" because the patient bothered the CNA by putting on their call bell. After all, the CNA was busy playing on the computer or her cell phone at that time. How dare that patient disturb the CNA by putting on her call bell? Of all the nerve!!!
    sallyrnrrt likes this.
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    Quote from Blackcat99
    Some of the CNA's at my LTC treat the patients like hell. If a patient asks for help they get a rude nasty hateful CNA who is "mad" because the patient bothered the CNA by putting on their call bell. After all, the CNA was busy playing on the computer or her cell phone at that time. How dare that patient disturb the CNA by putting on her call bell? Of all the nerve!!!
    This! Or like today one of my CNAs had the nerve to get mad because I asked her to go ahead & give a resident that normally doesn't get showers on Mondays a bed bath the residents family member was ****** about her walkin in and finding her mom laying in a wet diaper like she was livid and I know LTC is about customer service so I just wanted to defuse the situation & the only thing that was gonna calm this chick down was for her mom to get a bath...don't get me wrong between the "calling state" threats and all the bs she was saying I was a but annoyed but I didn't let it show the CNA was down right rude...she was purposely NOT goin to the particular resident just to prove a point the point was that "I can't drop everything and go to her" idk why CNAs feel that way yes that's true to a extent as a nurse I had to stop what I was doin ( literally in the middle of punching pills concentrating on the MAR so I don't screw up someone's meds) and go and deal with this VERY upset family member which resulted in me getting behind not getting a lunch and blah blah blah but I never complained about it not once because its my job (well I'm venting about it now) but she ****** me off


    They get BOTH of their 15min breaks & their 30 I'm soooo jealous I'm lucky if I get to pee lol ugh then they have the nerve to huff and puff about how tired they are & don't get me wrong I love my CNAs like I'd be screwed without them I truly do appreciate them....I try to help them if I can in anyway
    Blackcat99 likes this.
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    All the care staff working when I'm on the floor are working under my license; I'm accountable for the quality of care they provide. Why would anyone jeopardize their license by not holding the support staff accountable?
    I've only had to send one person home since I began at my current position; but I also make it a point to randomly go behind my care staff and double check their care.
    Sending someone home increases the work for the rest, but if the alternative is people being overlooked, or corners being cut, most of my staff would rather have the extra work.
    Blackcat99 likes this.


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