Tell the CNA to clock out and go home - page 2

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... Read More

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    One of my favorite thing to say in situations where someone refuses to do their job, is "These are People we are helping, not tasks to be finished. If you cannot see them as People with needs, I don't feel comfortable having you on the floor." Of course, this is after several problems and attempts to understand what is going on, and why they feel the way they do. CNA's work so hard, and I always try first to find out what the real issue is. The real issue is rarely laziness.
    sharpeimom, RN/MSN2410, bubbles1605, and 4 others like this.

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  2. 1
    How are the other nurses and CNAs going to react when their workload is suddenly increased because of a conflict between one CNA and one nurse? It seems like everyone would have to stand together for this to work well.
    Blackcat99 likes this.
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    CNA goes home. Who does the work that they would have actually done if not sent home?
    SuzieVN and Blackcat99 like this.
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    I'd rather call somebody in early, or work short, than put up with a CNA who's refusing to do her/his job. Over the course of my years as a supervisor, I've sent a couple of them home for that reason, but it rarely needs to happen a second time. Most of my team members are 20-somethings who get paid very little for their work, and I am sympathetic to a point. In fact, I'd rather educate and coach them than have to discipline them. However, if it gets beyond that and I have to resort to written warnings, it behooves them to get on the stick and improve their work ethic.

    I am fully cognizant of the fact that they are young, and they are stressed, and most of them are single moms who have a lot on their plates. But bad attitudes have to stop at the door. These folks we're caring for are PEOPLE who are loved by someone, and they don't deserve to play second banana to a worker's eviction or boyfriend drama. Just saying....
    sharpeimom, IowaKaren, NRSKarenRN, and 7 others like this.
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    Quote from wooh
    CNA goes home. Who does the work that they would have actually done if not sent home?
    It gets split amongst the remaining aides, who aren't going to like that and will likely exert a degree of peer pressure to ensure that doesn't happen again.
    They aren't going to be happy with the person who was sent there's a loss of peer respect... and that really blows in a setting that requires teamwork.
    The action is two-fold: the aide looses a paycheck for the day and has the discomfort of disapproving peers.

    I worked in a facility that didn't fool around and we aides even willingly worked short (yes, I mean we actually said we would rather work short) that deal with a bozo who was unable to provide excellent care.
    We always made it through and we even had, in the end, an overall better shift because you knew what had to be done and did it right the first time (as opposed to getting stuck cleaning up someone else's poor work)... and you didn't have to deal with the poor attitude.
  6. 1
    I was recently told to do the same thing on nights (11-7) if a CNA was caught sleeping. I have very good communication with my CNAs and I feel as though they respect me very much, so when I announced this, it wasn't really a big deal. I haven't had to send anyone home thus far... I agree with above posters, the idea is to make an example out of the first person + scare them out of unwanted behaviors via threatening their livelihood by hurting their pay... sad, but probably effective...
    Blackcat99 likes this.
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    Thanks to all for your comments. When I started working at the "Anything Goes" LTC it was quite different. I was told that the CNA's were in a union and could do as they damn well pleased. I watched the RN supervisor receive constant verbal abuse from the CNA's and nothing was ever done. She wrote no one up and just took the abuse. Now that RN supervisor is gone, and now the new RN supervisor said she is going to get rid of the CNA's with the "bad attitudes." No one had ever told me that I could send a CNA home until now. This is something new at this LTC facility.
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    Unfortunately CNAs are often underpaid or working two jobs because they are uneducated, or both. I agree with management's strategy up to a point. However, is it possible for all of you to come to the table and agree to work as a team? You need each other. I work in mental health and the Mental Health Techs are not that much different, except they carry no license. I could not survive my shift without their good work, and there are always those who are excellent and those who are lazy. Just weed out the ones who do not want to work, and nurture those who do. You will all be a lot happier. Plus, if you come together as a team perhaps you could approach management for appropriate (more) staffing.
    Blackcat99 likes this.
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    I absolutely agree with the point that management needs to be supportive of nurses disciplining CNAs.

    Unfortunately, I have worked with CNAs who wouldn't have any problem being sent home, even knowing that they won't get a paycheck. Add in a dramatic confrontation with a nurse in front of everyone and the day is a total win.

    If they are allowed to come back, even if they have to jump through a lot of disciplinary hoops to do that, the only thing they understand is that the nurse did the most extreme thing possible to enforce discipline and they still got to come back to work and now what is the nurse going to do?

    I have seen this kind of thing happen too many times. And seen good nurses go because of it.

    The problem is a CNA with a history of insubordination that has gotten so bad that the only way to get the message across is to have them sent them home. If all disciplinary measures have been exhausted that it's come to this, then it's time to find someone else.

    There are plenty of perfectly good CNAs out there looking for work. I agree with sunny, the most important thing management needs to do to support their nurses in disciplining CNAs is to go that extra mile and weed out the bad ones and nurture the good good.
    fairyluv, LTCNS, Blackcat99, and 1 other like this.
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    Update: I was set up by management. I sent a CNA home and she was back the next day and spent the whole shift " laughing and smirking at me." Management lied. Nothing was done about the "problem CNA". Now the other problem CNA's are giving me a hard time in retaliation.

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