I'm a nursing student, one year into my ASN program. I have worked as a CNA in a local hospital for 2 yrs, and 3 months.
Just browsing around these forums (and talking my sister who is an RN of 15 months), nurses get a lot of crap, from patients (pun intended), CNA's, other nurses, and doctors.
Do you ever stick up for yourself? Obviously you can be assertive, but if you've been assertive before to no avail, have you been aggressive (yelled, aka ripped someone a new one)?
Specifically i'm talking about coworkers more than patients. Assertive is probably the best you can do to a patient without being unprofessional.
There are times when I (as a CNA) have been ripped a new one, and there are times when I have decided that in the future, similar situations will warrant ripping someone a new one.
Example: I was doing clinical in a nursing home, my patient was your typical sad, contracted old man, only spoke spanish. He had multiple pressure ulcers and when you would turn him he would grimace in MUCH pain. The CNA working was didn't respect us as students (no big deal). There was a typical clinical conundrum, during our assessment we notice his extreme pain upon movement. At this time, the CNA comes in and tells us it's his shower day, I say okay and i'm going to try to get him pain meds. I go tell my instructor, we have to find the order, there is none. Last order was from over a month ago and is only tylenol. While this is going on, CNA goes back into pt room and starts getting him ready for shower, I enter room and tell CNA we're still working on getting pain meds, she goes on tangent about ''aint nobody got time fo dat, you students take too long'' etc. I directly said to her, "You're going to get this man out of bed without letting us give him pain med and despite his pain? She said yes. I asked again, she said yes. The CNA showers pt, she wheels him back into the room. She is extremely rough with him during transfer ( I won't go into detail due to length of my post already), patient is low in bed, CNA pulls him up in bed, ripping some of his necrotic Heel ulcers off, they start draining (scant), CNA dressed patient, rolling him from side to side (he's grimicing and making some noise- Grabbing the side rails), I actually cried at the bedside. CNA would lift the patient by his neck (while he's laying flat) to pull his shirt down, and then dropped his head from about 6 inches above matress.
I told my instructor that I think this pt was abused.
Long story short, if this was my patient and this woman was part of my nursing team, I would have ripped her a new one. Two reasons, A) for not caring about his pain, and B) being so rough with him.
Do any of you do the same (when warranted)?