Bossy CNA's in LTC(long) - page 5

Hey all, I need some advice. I am an LPN working a skilled rehab unit in LTC. i recently joined the company so I am new to them, but have been a nurse for nearly 6 years. Yesterday, I had a floating... Read More

  1. by   jaimemds
    This CNA is in her 30's, has a kid and is married. I don't believe age has anything to do with it. All the CNA's on my unit are older and have more experience
  2. by   lovingtheunloved
    I had an attitude today. In my car on the way home. Not in front of my residents and coworkers. It pisses me off when I can't get my showers done because I'm running around toileting and putting to bed residents that I'm not assigned because they're yelling that they have to pee and their CNAs are nowhere to be found.
  3. by   LPNnurse
    I don't think age has anything to do with it. I think it is that they are underpaid for the work they do. There is not always enough staff HELPING eachother. I am an LPN and if I see a CNA that is stressed I ask if they need any help or if there is anything I can do. That is why the CNA's that I work with are always respectful and have no problem.





    Quote from katlpn6
    Although I am not making excuses for her behavior, lets face it, CNA's get paid very little money to do very hard work. I can understand how an "attitude" can develope in an underpaid overworked CNA. Add into that the age factor. You didn't mention the age of this CNA but in the rehab center where I do perdiem all the CNA's that I have working with me are very young. It seems that the younger people these days don't have the maturity needed to do any work with the public much less as a personal care giver to a fragile elderly person. It seems like your CNA has gotten full of herself and needs a wake up call. Certainly it is not your place to give it to her but you are certainly well within your rights as her direct supervisor to let her know that her behaviour is not acceptable. I'm sure you can find it in you to tell her in an nonthreatening diplomatic way that it is important for everyone to work together for the common good of the residents you all are caring for. Rimind her why she is there in the first place, to care for people who cannot care for themselvs.
  4. by   LPNnurse
    Did you ask for help? Did you tell your charge nurse about it? You should not have to deal with that by yourself, talk to your charge nurse and see what she has to say about it. You guys do a GREAT job and everyone should pitch in and help when stuff like that occurs.






    Quote from lovingtheunloved
    I had an attitude today. In my car on the way home. Not in front of my residents and coworkers. It pisses me off when I can't get my showers done because I'm running around toileting and putting to bed residents that I'm not assigned because they're yelling that they have to pee and their CNAs are nowhere to be found.
  5. by   MrsLePew
    Quote from lovingtheunloved
    I had an attitude today. In my car on the way home. Not in front of my residents and coworkers. It pisses me off when I can't get my showers done because I'm running around toileting and putting to bed residents that I'm not assigned because they're yelling that they have to pee and their CNAs are nowhere to be found.

    I will take a moment now and say thank u, for all u do.. Been there and done that myself and understand the attitude..

    Now someone please tell me why direct care workers restrict fluids in the thinking they will have less to clean up???? Do they truly not understand what they are doing to the body??? It happens all too frequently everywhere. I guess that is MY biggest pet peeve...
  6. by   PBAJS
    Quote from lovingtheunloved
    i had an attitude today. in my car on the way home. not in front of my residents and coworkers. it pisses me off when i can't get my showers done because i'm running around toileting and putting to bed residents that i'm not assigned because they're yelling that they have to pee and their cnas are nowhere to be found.
    Quote from lpnnurse
    did you ask for help? did you tell your charge nurse about it? you should not have to deal with that by yourself, talk to your charge nurse and see what she has to say about it. you guys do a great job and everyone should pitch in and help when stuff like that occurs.


    that sounds similar to when i temporarily worked the day shift (several months ago due to a shortage of staffing).

    asked another cna ... was told that each cna takes care of only those on her own assignment and i was to find that cna and let her know which resident needed her.

    the day charge nurse noticed that i was behind and said "you have to focus on your own assignment. every call light is not your responsibility."

    [color=white]...
  7. by   LPNnurse
    wow, that does not sound good. i thought everyone was there to take care of all the residents. i would have asked her if someone was sitting in a pile of vomit should you get the one that has him on the group or should you clean it. where i work we all have a hall. every cna has a partner and they have one hall to do, when they are done they go help everyone else until all the work is done. the rule is whenever you leave a room you always look down the hall to make sure the hall is not lit up like it is christmas, if it is you ask the if they need your help. everyone is very good about this and us nurses while doing our med cart will answer lights as we go along. sure it is a pain to lock up your cart but we are there for the residents. most of the time they don't want anything huge. if they do, that is okay cause we are all there to help them.






    Quote from pbajs

    that sounds similar to when i temporarily worked the day shift (several months ago due to a shortage of staffing).

    asked another cna ... was told that each cna takes care of only those on her own assignment and i was to find that cna and let her know which resident needed her.

    the day charge nurse noticed that i was behind and said "you have to focus on your own assignment. every call light is not your responsibility."

    [color=white]...
  8. by   lovingtheunloved
    yep, asked for help, and yep, talked to the nurse about it. There's a staff meeting tomorrow.


    MrsLePew-I've never even HEARD of restricting fluids to have less to clean up. That is INSANE. That is ABUSE.
  9. by   bon149
    I have to say that after reading these posts I feel so lucky to be working with the CNA's that I do. Even the CNA's who get on my nerves or need reminders are not this bad. Yes sometimes I do have to follow up and remind some of them to do thier work but usually it has to do with cleaning up rooms, making beds etc. Rarely do I have to get on someone about patient care. I work in a small facility (80 beds) and and I am in charge of 40 patients. I usually have 4 or 5 CNA's and a resident aide on the floor with me. These girls are wonderful. We all take pride in how our residents look and in the fact that thier needs are met. We are all there for the residents and when we have a cna that isn't she doesn't last long. I will say that all of my CNA's are bossy, some more than others but usually they are bossy when it is in the patients best intrest. I respect them tremendously and ask thier opinions often in dealing with my patients because they spend more up close and personal time with the patients. My CNA's return that respect. I have worked with a lot of LPN's in my 15 yrs as a nurse and one of my biggest complaints about us is that too often we hide behind the desk. Supervising is out job but we also need to know the job we are supervising.
    Very lucky nurse,
    Bon
  10. by   Plagueis
    After reading these posts about CNAs, I am worried about pursuing that particular job. I am currently looking into becoming a CNA, and looking forward to starting nursing school in a couple of years. I can't believe the behavior of some of the CNAs that I'm reading about. I am not really familiar with exactly what CNAs are supposed to do, so I am worried about overstepping my bounds when I start my CNA job. The CNA program here doesn't train for vital signs, or offer CPR, and I know that CNAs aren't supposed to give medicatations. I also read that they apparently don't get paid very much, though I don't know what they usually earn. All I want to do is help people feel better, which is why I want to become a CNA, and eventually a nurse. I can't imagine yelling at a nurse, or trying to act like a nurse, if I'm not trained as one. However, it does seems like a tough job. I am sure that there are nice CNAs who really care about patients. Are these CNA experiences that I'm reading about really typical?
  11. by   lovingtheunloved
    Quote from Tommybabe
    Are these CNA experiences that I'm reading about really typical?
    I hate to say it, but yes.
  12. by   Plagueis
    All I can say is that I hope that I don't try to perform any skills that I wasn't trained for when I become a CNA. It seems like there's confusion because different states have different policies about what it is that CNAs are actually responsible for. I've reads numerous posts on this site that says some CNAs pass meds, but other don't. Some CNAs say that they chart and assist with procedures, but others don't. There doesn't appear to be a uniform standard for what skills and duties CNAs are supposed to perform.
  13. by   LPN1974
    Quote from tracimom
    To the CNA above who just said "lay off of them" because of CNA's like I just mentioned in my post above, I prefer to work without CNA's. I'll be done with school in a year and I'm going to an ICU position to avoid having a CNA. I much rather be responsible for the total care than spend half of my shift following an adult to make sure they've done thier job. Now I'm not slamming on the good CNA's there are some. But they seem to be few and far between. For every one great CNA there are 10 bad ones. It's a horrible feeling to have a great time during the down time of the shift with your cna and an hour later realize she made up most of your I&O's. I just rather do it all myself. Then if something is wrong, or not done there is only one person to blame.
    I think you have a good plan.
    That's why I like where I work. We have an equivalent to a CNA, ours are LSTs. And, thank Almighty God, I do not have to supervise them. They have their own department and their own supervisors.
    The nurses give advice concerning our residents, as far as medical advice, and they are expected to take it, and if they don't, they can be written up, but I don't have to do any supervising. If they aren't doing their work it isn't me who has to get on to them about it.
    Sometimes I see the lazy ones sitting around watching tv, but I don't have to do a thing about it. It's not my responsibility.
    That's why I dislike the nursing homes so much.

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