Lazy and disrespectful Nursing Assistants - page 3
This is a vent post! I just can't hold it in any longer and had to vent somewhere so I figured maybe some of you can understand or offer suggestions. I work night shift on a medical transition unit and am often in the... Read More
- 1Mar 23, '13 by SeaGypsy1Sounds to me like you need some reorganization. You have pretty good staffing for 38 patients, but no one is in charge. The best approach is to go to your unit manager, and then if your aren't satisfied follow your facility's line of communication to the next manager. Change doesn't happen unless unless someone is willing to take a risk and to quote Einstein "We can't solve problems by using the same kind of thinking we used when we created them." Good luck, and guess what? "Back when I was a nurse" (I've been a RN for 41 years) we had team work and respect (and we had CNAs)
- 0Mar 23, '13 by PoochiewoochieYou know what's funny? There are a lot of CNA's who can't get jobs because they have no experience. Most places want a year's experience. Maybe these places should change their employment requirements and start hiring the ones fresh out of school-I'm sure they would be more than willing to work for a paycheck.
When I had my neck surgery I was told not to lift anything. But people on the spine/ortho floor I was on somehow had no clue that I wasn't supposed to. I am a short person and had a very hard time using the high toilet in the bathroom. I had a cervical collar on and had all these new restrictions on how I was supposed to move. I had to back up to the toilet and sit down. The therapy people that came in said to use a step stool yet since I was not supposed to lift anything that was not a possibility. So I used the portable commode in the room. When the tech saw me doing it she got ****** and said emptying it was just one more thing for her to do and ordered me to use the toilet in the bathroom-I was supposed to lift the seat of it up. Mind you, the nurse had already told me it would be okay to use the commode so I went out and had a chat with her. She said she would talk to the tech. I did not like that tech one bit. Her first words to me when we met was she was surprised I was in for another day considering how well I was doing. She's just a tech not a nurse or doctor.
It's the same way at the NH my Mom was at. Some of those CNA's are so bossy. One thought she ran the unit and not many patients or family members liked her. She was fired for getting abusive with a resident.
- 0Mar 23, '13 by LadyFlamezCheck your policy manual for do's and don'ts while clocked in, first...I'm sure it covers no cell phones or internet use unless work related if not it should. Second always have a witness when counseling or reminding subordinates of policies. Gentle reminders may help for a week then old habits will resurface. As a charge nurse you can make it official by doing a quick in service that is required for ppl to sign for not only attendance purposes but legally it reflects "they have been told". In my going on 30 years of nursing ONE major importance make sure you know who is the leader of this issue and they do not not have PULL with the big bosses,lol It is sad to know but true often the bosses family can do as they please. You want to retain your position so be careful.A good CNA is like a good nurse hard to come by. Not all honor the profession like the days of old.
hope this helps...I'm almost positive the company CEO wouldn't like paying their staff to play games on the internet or cell phone all night long...in my day night shift meant rounds every thirty minutes and incontinent check and re-positioning every 2 hrs..call lights with in 3 minutes...has this changed? If they are doing the job they wouldn't have alot of extra time :}Last edit by LadyFlamez on Mar 23, '13 : Reason: spelling
- 1Mar 23, '13 by SeaGypsy1I have already posted a comment about dealing with the problem, but I feel that I really need get on my soap box about how we created the problem. The whole thing comes down to respect, and we have created it for ourselves! I started working as a nursing assistant in a hospital in 1968. When I think back to that time, roles were very well defined and there was a chain of command that ended with the Head Nurse who always worked days but was also responsible for all shifts on her unit. Nurses were required to wear white, and they were also required to wear their caps, which they did with pride. Your cap represented hard work and achievement. I graduated from nursing school in 1973 and I donned my cap with pride. Somewhere along the line nurses decided they didn't want to look like a nurse and the tradition was lost. That is when everything started to change. There is no longer the passing of the torch from the Head Nurse to the Assistant Head Nurse. That generally happened because the assistant was learning, and when she assumed duties and responsibilities as Head Nurse she was prepared to do so. Now everyone is a "charge nurse". It doesn't matter if they have had training, and when you walk onto any unit in any facility I challenge you to immediately identify the charge nurse, as a matter of fact, I challenge you to identify the nursing staff!!
At my facility, the RNs and LVNs all wore white and caps for Nurses Week last year. Amazingly most of us were able to find our school caps. The transformation was incredible! I saw a total change in behavior. I saw nurses carrying themselves with pride and other members of the team interacting with them in a respectful manner. I saw patients amazed and happy that they knew they were dealing with a nurse. I saw visitors smile and stop to comment on "how wonderful it is to see a nurse who looks like a nurse". We now have what we call "Wednesday White". The licensed nurses all wear white and caps, and we continue to have nothing but positive feed back from patients and visitors, and YES I believe that it has started to take us back to a time of respect - not just for the nurses but for each other. Try it, you might be surprised.
P.S. I wear white every day, and sometimes I even wear my cap when it's not Wednesday.
- 0Mar 23, '13 by HippyDippyLPNWow when I was a CNA 2007-2008 before graduating LPN, I had the opposite experience. The STNA's were treated very poorly. I thought we had a pretty good team going. We had too many patients of course but worked together...but we were just constantly crapped on by management. So much so that I didn't even try to get a nurse position once I received my license. The floor nurses were fine from what I can remember just never saw them because they had two halls.
There are bad apples of course just like nurses... I worked with a lot of power tripping aides who felt like they had to take possession of "their" halls because I think it made them feel a bit important after basically being told your are not time after time. But now I have been a nurse for a bit, the STNA's do need to realize the huge amount of tasks we are expected to get done and that is why us floor nurses have no time to answer call lights. I tell my aides that the med cart (unfortunately) is my first job and that I could get in serious trouble if not being within certain med times and that my very next job after that is helping them with patient care if they are overwhelmed. It seems to create a positive work environment for both of us..,they know I will help when I can but they also know they can't get ***** with me when I have 3 admits and a ratio of 1:20 on a skilled/rehab unit...I can't even pee at that point let alone put a resident on the toilet.
- 0Mar 23, '13 by SopranoKrisJust to comment: it sounds like management is taking a "squeaky wheel gets the grease" position here. I know you have said they run to management "all the time". Has anyone from the nursing staff taken the time to report the unauthorized computer use, cell phone use, laziness & disrespect? If all management is hearing are the CNAs complaining and the nursing staff only says "well they're doing X, Y, Z" in response to the complaint, they're not going to take your side as seriously. Unfortunately, they just want the complaining to stop and aren't interested in being fair or hearing sides.
I would suggest that the CNAs are reported for not doing their JOB, which includes being respectful and courteous to others. I'm sure it's in the employee handbook The hospital where I work won't even let you get on the internet. Everything is blocked, except for certain approved sites and the hospital's intranet. If you are seen with a cell phone out, you'd better be on break or you're in violation. I'm surprised your facility doesn't have such rules. It makes the staff look unprofessional if they're sitting down, (even if it's a slow night). I'm a nursing student (currently working as a phlebotomist on the floor).
Sorry you have to deal with such frustrating co-workers. Whatever happened to the team concept?
- 0Mar 24, '13 by slschakelI am a CNA, and at the place I work, cell phones and internet are strictly forbidden while on duty. You get written up for that behavior. Therefore, those sorts of problems aren't really an issue. People still sneak an occasional text, but not nearly as bad as what you describe. It seems to me like every place should have this policy because too many people can't handle their responsibilities.