Bossy CNA's in LTC(long)
- 0Dec 23, '04 by jaimemdsHey 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 CNA on my wing, she was not used to the pace and routine of our unit and was struggling to keep up, so I asked one of the regular CNA's to give her a hand(the regula CNA only had three pts.!!!) i explaines to her that the other CNA was falling behind and was getting frustrated. She TOLD me in a rude tone of voice that" I gave her report this morning and I TOLD her, if she needs help to ask". I then said to her that I was asking for her. She proceeded with "WHAT DID I JUST TELL YOU !!!!" I was appalled! :angryfire Our unit treatment nurse was within ear shot and so was another CNA. I walked away at that time because I knew if I said anything at that point I would blow up! Also this CNA has been counseled for her tone of voice to pts. In my opinion, if she speaks to ME this way, how is she really speaking to the residents? I need advice on how to approach someone with this attitude, make my point and ensure that I am taking the correct action. PLEASE HELP!!
- 0Dec 23, '04 by Blackcat99Sorry to hear that the unit manager and her are good friends. Well, everyone has a boss and if your unit manager won't help perhaps you can try the unit manager's boss? Start writing the CNA up or keep some kind of record of her behavior so you will have something in writing. Good luck. I had a CNA years ago who drove me crazy. I talked to management and they put him on a different shift. That didn't work out so they said they were sending him back to my shift. I told them if he was coming back to my shift that I was leaving the facility period. Believe it or not, I didn't get him back on my shift. However, there are CNA's at my present job who have been their for years and who always work a lot of overtime for them. They are the "untouchables" it seems who can do anything they want. :angryfire
- 0Dec 23, '04 by Fiona59It's all so true. I had one NA who was just plain nasty!! but she got an employee of the year award from our Care Manager.
She made sure when families were around she was the angel of care. Treated LPN's like cr*p. Would stand there and question why we were administring meds or doing the tube feeds a certain way. "My daughter, the student RN" were her favourite words. "Ru sure its done that way". No matter what you said to the care manager, it was always ur problem, "X has been here forever and the patients love her" Well, yeah, they don't have to work with her.
It was her chair in report, she would stare anyone who sat there out of it. I managed to sit there by mistake one day and boy did I pay for it. No help with two person transfers, no bells answered by her that day.
Someone told me she was like that outside as well, they nearly got rammed by her at the stop sign and were rwarded with the one finger salute by her!
Why is managment never around when these things happen??
- 2Dec 23, '04 by VivaLasViejas, ASN, RN GuideI remember the type.......but you know what, hospitals have them too! Just yesterday I had a run-in with one CNA who is actually a terrific patient advocate, but has a way of going beyond her scope of practice and making the nurse look bad. A patient's family had some questions regarding a proposed procedure that could easily have been answered by me, but this girl went around me and had the unit secretary page the MD, who called me back demanding to know why he'd been paged when I knew perfectly well he'd just been in to see the patient and had answered all their questions! There I was, standing there trying to sound intelligent, when I had NO IDEA what he was talking about......naturally, he was not happy with me, and I had no choice but to take the a$$bite because I couldn't very well tell him my CNA had been the one to have him paged. I already looked incompetent enough......I didn't think he needed to hear I couldn't even manage my assistant. :angryfire
First thing, I told the US never to page an MD on a CNA's say-so, then I took the aide aside and told her she was out of line---going over the nurse's head to page an MD was beyond her scope of practice, and I didn't appreciate being embarrassed that way. I probably should have written her up, or at the very least reported the incident to the department manager, but I'm used to handling these things myself, and since this aide really is an excellent worker, I didn't want her to get into trouble. But darned if she didn't cop an attitude.........I've worked with this aide at three different facilities, and she's saved my butt more than once, but that doesn't give her the right to pull such a stunt and in fact I'm STILL ****** about it.
- 1Dec 23, '04 by PBAJSjaimemds
i have also seen that happen ... between an lpn who has more years at the ltc than the cna.
after hearing the belittlement and disrespectful comments by the cna repeatedly, i asked the lpn why she doesn't do anything about it. she said it has been happening for a long time. the lpn said that she decided years ago she was not going to "lower herself to the level" of the cna and talks to the cna only when absolutely necessary.
- 0Dec 23, '04 by stbernardclubYou should have just came right out and asked...what seems to be your problem? Then of course this smart *** probably would have said she didn't have one..You could then say, well if you change your mind about discussing it, we can sit down with the boss and talk about it !!
- 1Dec 23, '04 by tiroka03It has taken me a long time to learn this lesson: When a person speaks to you disrespectfully, or uses nasty words or tries to bully you, that means they don't have to compacity to understand tact and respect back. They need to be responded to in kind because it is all they understand. I know normally most people don't want to respond in this manner, but again, its the only thing those kind of people understand. When I say those kind of people, I mean rude, selfish, pig headed ect.