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This is a discussion on Abusive Cna! in Nurse Colleague / Patient Relations, part of General Nursing ... Hi guys. Well, as some of you know, I will be starting nursing school in fall, but for now I am...by Louisepug Mar 9, '04Hi guys.
Well, as some of you know, I will be starting nursing school in fall, but for now I am taking pre-req's and am in CNA school every weekend. I love it, and will graduate as a CNA in May. Anyway, I have a question/concern. My class has been doing clinicals in the ECU of a certain hospital every Sunday thus far. Now, I personally really enjoy working with the elderly, but am aware it's not for everyone. Apparently though, it is certainly not for the staffed CNA that already works on the floor. Granted, I know I am a "visitor" in her hospital when I do my clinicals, but what my fellow students and I have witnessed is abuse in my opinion. This past sunday, not only did this CNA snap at my classmates and me a few dozen times for no reason, but more importantly she was so mean to the patients. There was this very ill elderly woman on an NG tube, catheter, about 80 lbs. and had muscles that were pretty much atrophied in the fetal position. Everytime someone would try and bathe her she would scream. I know that this must be difficult to hear each day, but the CNA on the floor came into the patients room to "help" my classmate with her care and the lady started to scream. The CNA said very angrily, "If she's gonna do that, just let her lie there!" She also threw the patients around very roughly like a sack of potatos and cussed profanely in front of them about their "stool" being everywhere! It was horrifying to see, and I know from stories on here that this stuff occurs all over. What I don't understand is, if someone like this woman obviously hates what she is doing, why not quit and work as a waitress or something? It surely pays better. Whay would she continue to stay and abuse patients? It's just really heart-wrenching to see and makes me really sad. I believe my instructer reported her, but I know for a fact that this CNA has been reported before, and she's STILL there! :angryfire What can be done about people like this? How can we save the vaulnerable from abusive people like this?? Sorry if I seem so dramatic, it's just that this is the first,(and I'm sure not last) time that I've witnessed this kind of behavior personally. Thanks for letting me vent. Louisepug
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- You call the state ombudsman. NOW.
- Mar 9, '04 by Spidey's momQuote from LPN2Be2004Yes, and get physically between this CNA and the patient.You call the state ombudsman. NOW.
- Mar 9, '04 by Dixen81How horrible! Good advice, LPN2Be2004. This cannot be allowed to continue.
- Mar 9, '04 by jkaeeLike LPN2Be2004 stated, call the ombudsman or Dept. of Health right away. My advice would be not to tell anyone that you are doing it, at least not right away. You don't want to get too many people involved in this. Call them, report what you saw, and leave it at that.
I might also consider going to your instructor and informing her what you witnessed. She/He might be in a position to speak with adminstration at the NH you are at, not that that will do anything..we all know how efficient administration can be..... :imbar
I'm so sorry that your first experience with nursing and it's staff was negative. Remember that there are nurses out there that truly care for the elderly, and treat them with dignity and the respect that they deserve.
Good luck in all that you do!
- I have the "luxury" of being an Rn and being able to say.."you are handling my patient roughly, you need to step out of the room NOW". Then write up an incident report to the manager, after speaking in private to the CNA, alerting her to my continued actions.
being a "learning guest", you were in such a difficult situation. I'm thinking here.... :imbar , it's tough!!! the best I could come up with is "I know so and so needs you more, and I'd like to care for her myself".
This is to remove (her) from the situation, protect the patient, save face. Then finish, and report to the charge nurse, as well as instructor.
There are so many people in nursing, that not only misunderstand, but simply don't care. You've already hit the morale dilema facing us with what to do with those that shouldn't be there.
The answer is simple... keep up the paperwork, relentlessly, until they are removed. It sucks, it's tough, it's the only way to sleep at night.
- Yeah, but until the paperwork comes through....
- you are so right, in that simple statement!!!! Which is why you need to find some way to get that person the hell out the room. Maybe you could suggest a better way.
But If you don't arm management with the documentation, and yes wait it out I don't know how it can be handled differently "on the floor". Sure, two people can "have it out", but only the manager is in the position to encourage change.... either behavioral... or positional
the waiting with blind faith is the roughest part :angryfire
- Policy everywhere i went was suspension pending further investigation.
If that wasn't possible, then the one in quesiton was was paired up with a nurse (the on-call one) to be watched like a hawk until the paperwork was completed.
- It seems, as a future Lpn, that you've unfortunately been exposed to more of these situations than I have. The "2be", makes this even worse since it's usually only 18 months for an lpn program! I can't even imagine what you've faced so far.
Now, I've not been in the trenches like you in nursing home type facilities, and yep, here's the But..
How many members here can say that they have turned in their GREAT FRIEND of four years to management due to unsafe practice and possibe drug use?
This took over two months of documentation on my part, to remove her from bedside... two LONG months of watching over hers plus mine until management finally had enough documentation to remove her.
This hurt us both tremendously, not to mention questionable patient care... a whole new thread in itself.. point is.. it took that long, that much for management to have an iron clad case to ensure she could not only sue us, but have no options for returning to bedside care... If the person is that bad, you need to get it right the first time.
It's tough for bedside nurses to wait out the process, not realizing that those that got through, were not exonerated, but management lacked the paperwork.
I differ in your opinion, feeling that it needs to come from the bedside to mangagement before we go all the way up.
Again, I think that you have different experiences that may show that management is a worthless venue..... which unfortunately IS in many cases. I'm lucky that mine worked, with a LOT of time and documentation... which you're right... put patients at risk meanwhile..
Not an easy answer.