What would you have said to this CNA - page 8

I was almost done posting this but it went away? Sorry if it comes up twice??? Anyway, I am an RN on a busy day shift med-surg/onc floor. The other day it was crazy. It was about 1400 and I had... Read More

  1. by   *guest*
    Thank goodness you reported her. I would have told her to hold on, gone to the CN, and brought her over to have that girl repeat what she said.
    This is exactly what I am NOT looking forward to as a Nurse.

    For those who made this into a thread about time management: Are you kidding me? NO- the OP wasn't in the wrong, the CNA was. End of story.

    WOW- I need a cup of coffee to take that in!
    Last edit by *guest* on Jun 16, '09
  2. by   *guest*
    Quote from DixieJeanne
    Oh please....

    I am not going to spend my time being all smoochy sweet to my coworkers......"Sally sue, could you pretty please get Mr President in room 208 some water? It'd be such a great favor to me. Thank you so much!"

    Um, no.

    I don't have time for that. Working in the ER I have to get stuff done and get it done fast. I'm gonna say "Sally Sue - the guy in 208 needs water." Period. Actually, I'll be saying it as I run by her on my way to give morphine to my trauma patient with an open fracture. Too bad if she doesn't like it. I'm taking care of people who need me more than I need to be nice to Sally Sue.

    Guess that's why I like working the ER. Nobody gets their feelings hurt nor do they go all crybaby on each other. We're mature enough to know it is not personal and emotionally stable enough to not get in a big high school fight about it. I might yell directions to Sally Sue 4 or 5 times during a shift and we'll still walk out the door together talking about the kids or going out and grabbing a beer.

    I agree with you 100%. I have volunteered in the ER and the nurses were as you described yourself.

    What's the big deal? Nurses are busy. I never took it personally and I understood. So long as their tone and/or stature wasn't obviously demeaning, no biggie. I love running around and helping out. This CNA is getting PAID to do this. I would love to take her job & her benefits. I would do it in a heartbeat with a smile on my face.

    Do you need me to change a diaper? Would you like me to clean a few rooms? Are we running short on supplies? Who else can I help check-in for you? I'll do it while I sing a happy song.
    Last edit by *guest* on Jun 16, '09
  3. by   Sade
    Quote from CocoBella
    For those who made this into a thread about time management: Are you kidding me? NO- the OP wasn't in the wrong, the CNA was. End of story.
    It's difficult for me to understand why I'm being attacked for making and supporting my comments about the OP needing to take better care of her health. It's APPARENT you DIDN'T read my comments because if you had you would have found I made it CLEAR that the 2 problems of the CNA insubordination and the OP not taking care of her health were unrelated.

    But even so, you and others IGNORE this fact and continue to attack, most likely because you just like to argue.

    For you to not recognize that it's unhealthy or unimportant to go long periods without at least making minor interventions to ward of getting sick from not eating is irresponsible on your part and quite shocking coming from nurses or in your case a soon to be nurse. There is NO, not even ONE excuse for not taking a moment to eat a bite, such as a cracker. It awe's me also that I've been attacked for suggesting to eat a cracker... In reality...if you can't find 2 seconds to stuff a couple crackers in your mouth while your checking out your meds, washing your hands, getting a patient water, charting, etc... then you DO have time management ISSUES. And for all those who think my job is a cake walk... please... save your breath... Instead of attacking maybe you ought to start listening on ways to improve so you DO have time to take care of your patients...and...your health. And for those who have attacked me by ignorantly insinuating that I don't put my patients first...I'd be more than happy to compare my patient satisfaction ratings and also my performance ratings from my last 6 years by my superiors against anyone's performance rating on this website. Excuses, Excuses, Excuses.......
  4. by   pricklypear
    Saude - Please don't be so hostile and defensive.

    The thread has nothing to do with time management. That could be a new thread that you could start since you feel so passionately about the subject. If you feel you're being "attacked" you can report as a TOS violation - cause we don't usually attack people around here.

    And I'm not sure where your "performance ratings" came into play anywhere in this thread.
  5. by   Sade
    Quote from pricklypear
    Saude - Please don't be so hostile and defensive.

    The thread has nothing to do with time management. That could be a new thread that you could start since you feel so passionately about the subject. If you feel you're being "attacked" you can report as a TOS violation - cause we don't usually attack people around here.

    And I'm not sure where your "performance ratings" came into play anywhere in this thread.
    I won't be reporting anyone for a TOS violation because I haven't been cursed at or threatened. I'd prefer to handle any attacks myself. Which I did as you can see in my defense above. And yes, "attacked" is the appropriate word. And... I didn't make this thread into a time management thread. The attackers made it into a time management thread when they overtly or inadvertently combined my point about the need for the OP to take care of her health and interrelated it with the CNA's response to the OP for leaving a note. If you go back and read through the threads I'm sure you'll see I'm correct.
  6. by   jlst
    You made a major supervisory mistake in apologizing to this CNA. You should've chewed her out instantly... not following RN orders is a serious professional mistake, and not showing respect for authority is just as bad.
    By apologizing, you have encouraged similar behavior on her part, and her fellow CNAs... plus have weakened your supervisory authority over this errant CNA.
    And using a racial epithet in the caregiver profession is really bad. I would've fired this person, if at all possible... she's not suited to the job, obviously.
  7. by   ssing45
    Several issues here. First, the task note seemed a bit much and you probably should have told her in person. Secondly, I think you should talk to her in private. Explain to her that her patient abandonment could have been a cause for harm and that you are not there to worry about her feelings but that you are both there to work together in the best interest of the patients. Explain to her that you want to work as a team and that part of team building is trust. Tell her you will try to talk to her personally or hand over task lists personally (since that seems to be her issue) but that you do expect her to do her part just as you should. I would give her a break and tell her so..."I have every right to write you up for abandonment but I am not going to because I think that this was just a misunderstanding." Let her know that she can make it hard or easy but that you like easy. Why even say all of this? Why not just write her up as the others suggested? It is very important that you get out of adversarial mode but you must also make it clear that you will not put up with dangerous behavior. I would go with team building and writing her up at the first problem is not conducive to team building. It is passive aggressive behavior that flourishes in the female nursing community. We need to learn how to respect each other, work out issues together, and quit back stabbing.
    Last edit by ssing45 on Jun 17, '09
  8. by   Torchwood
    I think I would have laughed. Then told her she could go home now.
    I understand being caught offguard and being run ragged all day though.

    The language and attitude, and refusal to follow directions should be
    enought to have her fired before she actually hurts someone.
  9. by   Luvlee465
    I don't know if it is the same for you at your facility, but at mine the nurses and CNA's are coworkers, so the RN does not have the right to send home or write up. They do have the right to go to Mgr. with complaint and the Mgr. has the right to do the above. I wouldn't wait until next time. I would go to the Mgr. and tell them about the incident and nip this in the bud now. Right now I work as a CNA with one more year to go for RN. I have seen both senerios. RN's that will not do a thing for a pt. and hunt down the CNA to do it and I have seen CNA's try to show the RN that they aren't going to be told what to do. It seems like it gets to be a Us aganist Them when it really should be Us as a Team.

    Good Luck, but really nip this now.
  10. by   ssing45
    Quote from Sade
    I think it's interesting what a sharp contrast in work place attitudes there are between some older and most younger RN's. IMO - I'd much rather work with a younger RN who is humble, teachable, non-abrasive, and non-agressive in there approach. Sometimes it awe's me how nonchalant some RN's are about the metastatic effects their bad attitudes can have on rest of the work environment. Take care.

    You are really making lots of assumptions and generalizations here. Please read my answer to the original post...it is rather benign and I am an "older" nurse. Negative assumptions and generalizations are invariably malignant to one's attitude and that sort of thing seeps out in daily interaction. Please check yourself.

  11. by   FixThebody
    Personally I would have written up this CNA threes times. First, The CNA did not follow her instructions. Second, She refused actually refused to follow instructions. Third, Later in the day she was underminding your authority within the department.

    Where I work I would have been allowed to fire her on the spot without cause or no reason offered. A record in her file would have followed her future job apps.

    This behavior could cause unsafe patient care which is TOTALY unacceptable and could very well be a liability in the future !
  12. by   Connie Elder
    I have been a nurse for 32 years and I have to say that this is the first time I have seen where a nurse writes a note to a CNA about a few task that needs to be completed. I have been there many times on not being able to take a break due to multiple reasons. Heave pt. care, multiple task, post op pt, a pt crashing or coding, multiple Dr.'s orders, family members coming out of the walls, all wanting a piece of your time. Call me old fashion but I think that the problem started when the nurse wrote the note and asking the HUC to give it to the CNA. You should of taken the extra few seconds to find that CNA and ask her to do these task. Now a mess was born. DO NOT get involved in the rumors and what they are saying, that the aides job might be in jeopardy. Don't go there, that will bring you down to there level and game playing. To me the mistake was made at the very beginning when the note was written. Move on. The aide has already proven that she is not a team player and she is creating her own mess and problems. What the aide was out of line for was saying what she said and mentioning the N word. Thats the problem, not wether you are both white or not. Don't start a war on the unit you work on. An innocent mistake was made and the aide is not willing to bend on it. Move on, don't repeat this another time. Sorry that this happened to you but you are the professional here, you went to college for your education. Think back to what your nursing intrstructor would of told you on how to handle this situation. Nursing 101. Good luck.
    Last edit by Connie Elder on Jun 17, '09 : Reason: Spelling errors.
  13. by   r.oxymoron
    I agree with just about every reply here, the CNA's behavior was completely out of line. I would've contacted the CNA directly to make sure he/she got the information, but the CNA's behavior is definitely call for write-up. The CNA's working under your license and the patients were abandoned, which puts your license in jeopardy and could cost the CNA his/her license. Thanks for you devotion to nursing and keep us informed, K?