Nurses who let NAs Boss them around - page 7

When will nurses ever learn to delegate? When will nurses ever collectively stand up and get some backbone--Fight for higher wages, and better benefits like a company matching 401K plan? I get sick... Read More

  1. by   muffylpn
    I have the worst na in the world. The boss is aware but knows
    that ifshe asks her to do something she will do it a heartbeat.
    The boss is also she is happy she does not have to see her
    because sshe works 11-7 with me. The first part of the night
    11-1am she does her paperwork. Paperwork I have done in
    45 min. She gets no bells, should for some reason she comes
    upon someone she just comes back to the station and says
    she does not understand what they want or she says " they
    want to see the nurse". Only to find out when you get there
    they are wet or need to go to the bathroom. When you
    return and she has the gall to ask what they wanted she
    then says " I don't know why they did not ask me, I would
    have done it" ( this has been going on for 5 years). Between
    1-5am it is now time for our series of smoking breaks. Each
    break can last up to 45 mins. At 5am she then does some
    real work at this time she then attempts to change all 20 Pts.
    while getting as many up as she can. You ask why? Do we
    have to do this? No, she likes the day cnas to think she is
    wonder and who wouldn't - there is 3 cnas on days, 1 on 11-7
    she does all/ atleast 1/2 of their work; which ofcourse the
    7-3 nurses thinks she is great as well. You ask how does this
    happen? She is best friends with the supervisor. So atleast
    at my hospital on 11-7 the nurses pull double duty. Because
    our supervisor is the meanest supervisor in the world.
  2. by   funnygirl_rn
    Originally posted by sjoe
    "The root cause of these problems is management."

    Let's call a spade a spade. In most cases, "management" is OTHER NURSES who got promoted simply by sticking around long enough.
    I strongly agree with sjoe. Management could do more than just sweeping problems under the rug.
  3. by   pcelest9
    Wow, lots of negative things regarding NA's. I wonder how much response I would get from my fellow students/NA', if I started a thread entitled "Why do some (Some), not all} know how to communicate with there SUPPORT STAFF! Some clinical personnel need to take a couple hospitality courses. Just be repectful, good grief guys?
  4. by   Hellllllo Nurse
    Originally posted by tingle
    I don't feel that you are taking into account the difficulty of the CNA position and the number of nurses that this person has to answer to. Does your institution have a Cna/nurse ratio??? How many nurses/patients do your CNAs have to answer to and/attend on an average basis. Is'nt our combined goal excellent patient care? Have you thought about helping your aides and not forget that poop/pee and humans need for water are also nurses concerns? I guess I feel that we should treat them witrh respect and (if you have never been there) try to understand that they have a very hard job and are not there to answer every nurses beckon call. What do your CNAs get PAID???What do your MacDonalds window people get paid? Is there a big difference in your area????
    In the last LTC where I worked, CNAs with no experience who took a course for which they were paid at the unit got $10/hr to start.

    I had several times more pts to care for than the CNAs. The CNAs got full breaks and took extra, sat around smoking and BSing while I ran my butt off. The truth is MANY CNAs are lazy, stupid and immoral.
    This is a fact.

    So, if you are a good CNA, why do you get defensive? No one is talking about you or directing their comments at you.

    To all good CNAS- Don't waste your time defending BAD CNAs. They give a bad name to you. I am an excellent nurse, and I know that there are crappy nurses out there. I don't defend them!
    I want them out of nursing because they hurt pts, and make thing so much harder for their co-workers.

    BAD CNAS hurt you. Why defend them? Why make excuses for them?
  5. by   woodymic
    Personally, I've been lucky. I supervise 6 CNAs on night shift, every one an experienced veteran aide. There is plenty of laughter and fun, but only after everyone has cooperated to get the patients taken care of. I think sometimes age may play a role. All of these NOC aides are grown women. If a new CNA comes onto the shift, they take her/him in hand and teach them, often by example and always being available to help. On the day shift, the nurses have constant problems with the CNAs, who are all in their late teens. Zero cooperation among them and contagious bad attitude. Maybe they haven't 'developed' their work ethic? Or still have the high school mentality? I do know the day nurses are sick of treating them with kid gloves. The shortage of CNAs and cost of agency personel makes management overlook sometimes outrageous behavior.
  6. by   ktwlpn
    Originally posted by pcelest9
    Wow, lots of negative things regarding NA's. I wonder how much response I would get from my fellow students/NA', if I started a thread entitled "Why do some (Some), not all} know how to communicate with there SUPPORT STAFF! Some clinical personnel need to take a couple hospitality courses. Just be repectful, good grief guys?
    I hear lots of negativity every day-starting in moring report and continuing through the dayfrom several cna'.They complain about everything they have to do and God fobid I have t ask them to do something outside of their regular routine.Sorry-I don't always have time to "stroke" an ego when I am asking someone to do something.My supervisor expects me to act a certain way and I do so-can't I expect the same? When I am told to do something I just do it....
  7. by   PhePhe
    This is obviously a sensitive subject, one that many nurses and aides can relate to. The NA/RN relationship is an important one--when there is no cooperation from the NA it makes the job more difficult for the nurse. Nurses are told to delegate. Its sad to see NAs on break or ignoring lights when the RN is running around trying to do everything. This is especially true when the RN is much younger than the NA--they get intimidated. As many have said there are plenty of good aides around. It is the bad ones that can ultimately help to drive a nurse out of the healthcare facility. This is a big problem--nurses cannot do everything. The acuity level is much higher now and there are so many technical things to accomplish in a shift that often there is very little time for RN patient care. That is the reality--its not that nurses don't want to do it--its just that there are many things they have to do that the NA does not have to worry about!
  8. by   Disablednurse
    What is so sad is that the bad CNAs pull the good ones down with them. You try to ask them to do something that is within their job description, their reply is "You can't tell me what to do." Excuse me but that is my job. They don't want to be treated like children, but they don't act like adults. I give them the same respect that I receive from them. I will not ask them to do something that is not within their scope of practice. The nurse cannot do their job for them or always help them do their job, because if the nurse gets behind, they cannot help her. Nurses cannot stop in the middle of med pass to help someone to the bathroom, because the meds have to be given within a certain time frame. CNAs do not understand this as a rule. Nurses have to do their charting and keep up with the med pass, dr. orders and other things so that if something like an emergency arises they will not fall so far behind. I also think that if a nurse is sitting at the desk doing nothing and a cal light comes on, she should answer it. There are some nurses that do not show respect to the CNAs and this is wrong. You have to show respect to get respect. We could all learn a lesson about this.
  9. by   Yankee in Texas
    My, My, My. I am currently a GN (thank you very much May 2003). During school I worked as a NA or here we are called PCTs (pt care techs). What I understand and see is that some nurses ASSUME some or all NAs/PCTs are lazy, therefore even the good ones get no respect for what they do. Not all of us are lazy !!

    There have been times that I have missed lunch or left my lunch to return later, to assist the nurse. I spend just as much or more time on my feet than they do. At least at my hospital, they can sit down during a slow phase and it is frowned upon when we do. Some nurses forget we serve under more than one nurse beside themselves. If OUR patient needs assistance in turning or is in need of a diaper or linen change...why must I go get another tech/NA to assist me when it is NOT HER PATIENT!!

    One day, my assigned nurse come into the breakroom my dinner break that I use as study time. We chatted for a while, then she left. As she was leaving I heard her say, "I have this med to give, pt ____ needs me and room ____ needs to got to the pot. THE TECH (me) needs to get her head out of those books and help me."

    All she had to do was ask me if I was at dinner and if I would assist her. In the past, other nurses have pulled me away during my meal break, as they see fit/or need. Why didn't she.

    Anyway, I as a GN to RN, respect the CNAs/PCTs. They do the grunt work that we are not able or unwilling to do. They are a valuable asset to the nursing team. Let them know this, because without them that fundamental patient care would STILL have to be provided!

    Some of us remember where we came from. Our goal is patient care! Now, let management know this!! :kiss
  10. by   Gator,SN
    So, if you are a good CNA, why do you get defensive? No one is talking about you or directing their comments at you.
    Thank you Hellllo Nurse! I think this is a very important point!!
    I don't think that anyone is saying that all CNAs are bad, so there is no reason for anyone to get upset about it. period.

    Gator
  11. by   Jayney
    Just a point; how would you feel if you overheard a bunch of doctors complaining about how lazy nurses were?

    Defensive perhaps?

    Or would you just feel the whole conversation didn't pertain to you because you were a diligent nurse?

    Anyway, as someone who has seen both sides of the fence recently, there are bad CNA's, just as there are bad MD's, lawyers, dentists, nurses, administrators.........you get the picture.
  12. by   Hellllllo Nurse
    Originally posted by Jayney
    Just a point; how would you feel if you overheard a bunch of doctors complaining about how lazy nurses were?

    Defensive perhaps?

    Or would you just feel the whole conversation didn't pertain to you because you were a diligent nurse?

    Anyway, as someone who has seen both sides of the fence recently, there are bad CNA's, just as there are bad MD's, lawyers, dentists, nurses, administrators.........you get the picture.
    If they said "nurses are lazy" I would be upset, because that would be lumping all nurses together. That was not done here.
    The posters in this thread made sure to note that they were not talking about all CNAs.

    And yes, there are bad MDs, dentists, etc. I'm sure they discuss their work issues on their boards. This is a nursing board. CNA problems are an issue for many nurses. Therefore, we are discussing it.
    Okay?

    Signed RN, former LPN, former CNA, former candy striper.
  13. by   redwinggirlie
    I saw a nurse once who had a special folder for NA's (and RN's) that are described here. When one of these situations arose, she'd get the folder out and hand the perpetrator a couple of sheets of paper....
    What was it, pray tell? Their job descriptions.

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