CNAs that take extended breaks - page 2

by NurseLoveJoy88

5,001 Views | 23 Comments

maybe it's just ltc or where i currently work but several of the cnas at my job take breaks up to 60min, twice during the their shift. i asked a cna where she was after she was gone for an hour. she caught an attitude and said... Read More


  1. 9
    Neglect is abuse and if your aide is not "available" to provide clinical care as needed that ultimately falls back on the nurse. I am the DON - I'm not there 24/7. The nurses are accountable for what goes on (or what doesn't get done) on their unit.

    By clinical care I am referring to the aides scope of practice, ie: toileting/pericare to prevent pressure ulcers, assisting with feeding/fluids, etc. BrandonLPN - I bet if you look at your job description you would find that you ARE responsible for supervision of the aides and they are working under your license.
    amoLucia, sls73, orthonurse55, and 6 others like this.
  2. 0
    Brandon if your aids are gone for an hour and its time to turn your q2 patients, who is doing this? If its not done, that is considered neglect. Also, what would happen when you have an emergency....CNAs are an extension and reflection of you, and quality of care should be on everyone's minds including the CNA.

    This discussion about write ups came up in a class concerning leadership and management. If you have discussed this with the aid and the reasons why it’s not appropriate, and the bad habit continues, then I would do a write up. Discussing it first before you do a write up gives the individual an opportunity to improve, and will help build trust.
  3. 1
    I have been trying to figure out exactly how I'm supposed to be the LPN "team leader" since I took this position a year ago. I think that you need to pick your battles. If you react negatively to everything your team is doing eventually they ignore even the important tasks you ask them to do. Some things need to be ignored as long as patient safety and care aren't being neglected. Is the team having a rough day??? maybe not picking that day to address a concern would be wise. I have also learned a valuble lesson to never address concerns while you're upset. Give yourself a breather and come at it later. Another important thing I have learned is to not make things personal...that is a huge disaster. You can be friends with your co workers but there has to be a professional attitude when it comes to leading. Lastly ALWAYS lead by example.
    VivaLasViejas likes this.
  4. 1
    Maybe I should clarify. I didn't mean I wouldn't say or do anything if I noticed people weren't being turned q2hrs or being changed regularly. I would talk to them about it and give them a chance to improve. The thing is, the work *does* get done despite the 18 different smoke breaks or whatever each shift. If I ever notice actual signs of neglect, I'll report it. But I'm *not* going to be the one to write somebody up or discipline them. That's not the floor nurse's job, IMO. That is the job of management, ie unit manager, house supervisor, DON, whoever.
    AnxiousRNtobe likes this.
  5. 0
    I should add, I work at a large (528 bed) facility and there is alway at least a RN house supervisor on site, even on 11-7. I pass meds and do treatments on a 49 bed wing on 3-11. I simply do not have time to "babysit" the aides. That is what all the RN supervisors are paid to do. They don't have meds to pass,
    treatments to do, or drs orders to note. And I know, they have their own work to do. Supervising the aides is part of that work.
  6. 0
    Quote from BrandonLPN
    I should add, I work at a large (528 bed) facility and there is alway at least a RN house supervisor on site, even on 11-7. I pass meds and do treatments on a 49 bed wing on 3-11. I simply do not have time to "babysit" the aides. That is what all the RN supervisors are paid to do. They don't have meds to pass,
    treatments to do, or drs orders to note. And I know, they have their own work to do. Supervising the aides is part of that work.
    528 bed wow - can't imagine anything that big. You do have valid points if you always have an RN supervisor in place - this is just different then what I am used to.
  7. 1
    For years, it has been the floor nurses responsibility to be in charge of the aides on their unit. No idea when that ever stopped. Not in any facility I am familiar with. If as a floor nurse you don't give your staff report at the beginning of the shift and near the end of your shift receive report from them.... you, the nurse will be written up for not completing your job duties. If you, the charge nurse, do not keep on top of the aides getting their wts, VS, doing their restorative, etc. during your shift will be written up.
    tiredbeatupRN likes this.
  8. 1
    Yeah I guess my facility is more the exception than the rule. To further muddy things where I work, the CNAs and the LPNs are in a union. The RNs are not. So we (practical nurses) truly cannot attempt to discipline the aides w/o opening a can of worms with the union. I apologize for hijacking this thread and for if I came off as rude.
    Nascar nurse likes this.
  9. 0
    Quote from SNB1014
    um for real??

    there is always the off chance perhaps we go on break and accidentally come back ten mins later because we werent so watchful of the clock, or the drive thru took too darn slow, or because mother nature called (and violently so...)

    but if you see your cna go on break and you then realize you are without a 2nd set of hands for an hr , tattle, tattle , tattle!!!
    Yes, for real. And the post wasn't addressing the occasional 5 or 10 over, or the "drive thru(sic)" took to long. And as for your call of nature, that doesn't take an hour, violent or not.
    Take your break at the appointed time, for the amount of time allotted or realize that actions have consequences.
    For real.
  10. 0
    Ok your the nurse, there the aide, nurse always trumps aide start writing, Let me tell you I used to be in ltc, but now I am an er and Icu house sup and nm, and if my aides are doing something wrong and my nurses arent reprimanding them I will write both nurse and pct up because its just as bad by you sitting by and not doing anything.Rod Rn, Bsn


Top