Why are some aides so disrespectful? - page 7
This morning I was treated very disrespectfully by an aide. I've been reading the threads on here about disrespectful aides to try to learn how to deal with this particular aide. However, from what... Read More
Sep 4, '12 by ktwlpnBottom line- we are a team and we are caring for someone's mother,father,spouse or child and someday it could be one of our own in that bed.Check your ego at the door and remember that a Higher power is working though your hands.You might believe that many people think we are just wiping butts and pushing pills but we know the truth.Look for validation within yourself.
Sep 4, '12 by jadelpn, LPN, EMT-B GuideSometimes it is a matter of in report to say "worship service begins at 11:30 on floor 12. Please make sure that all of your morning breaks are completed by 11:15. At which point, you will be needed to transport patients."If you are the LPN in charge for a shift, schedule breaks and lunches at the start of the shift. Buddy CNA's up so that one reports off to another. If you are going to bring anything to administration, it should be cell phone usage anywhere but the break room on one's break. It think in this instance, to say to the CNA, "I think there was miscommunication the other day. I would like it not to happen again. In response to this situation and prevention of it happening again, I will be scheduling breaks from now on. I do prefer it if you treat the patients with respect, I think your comments were uncalled for, and should it happen again, I will be reporting the behavior. I understand that emergencies come up that necessitate someone excusing themselves to take a priority call, however, you need to communicate that to me so that the patients we are both responsible for have their needs met".
And to the poster(s) who suggest you should be able to "do it yourself"--the charge nurse should perhaps not be leaving the floor to transport a patient to an entirely different floor.
Quote from LCinTrainingLegally and technically- a licensed nurse is not 'obligated' to give any explain to the UAP why they are requesting something be done, The licensed nurse does not answer to the aid. Read the Nursing Practice Act- there is no excuse not to read it in this day and age with computers and "google"!!! As long as it is in that UAP's "job description" that licensed nurse can ask the UAP to do it with out the explaination. The explaination is a "fluff" courtesy.I'm still confused, if you had time to stop and ask the aide to take the patient to the service, why not take the extra few steps to just deliver her yourself? I do not see you taking any responsibility for this mishap, when the reality is, there is more than one issue to address. How many breaks does your facility give? Ours has a 15 at the beginning and a 15 at the end paid break. We also get a 30 minute unpaid lunch break. Are you suggesting there is not more than one break to your work day? Even an 8 hour shift normally gets a lunch break and a 15 minute (what used to be called smoke) break. Is it not plausible this aide was legitimately on her second break, since you saw her in the break room earlier?
You failed to ask the appropriate question. Then got angry at her for continuing with what she indicated was her break. She failed to tell you she was on break. I see this as nothing more than a communication problem, both of you need to resolve. And before I report someone for insubordination, I'm going to make sure there is actual insubordination occuring.
I understand you said you were busy. However, I feel you wasted time talking with this aide when you could have taken a couple minutes and done the job yourself. Then you would have been applauded by the patient. Now the patient feels like none of the nursing staff cares if her spiritual needs have been met, because both of you have failed her.
I have been disrespected by nurses before. I have seen aides disrespect nurses. It goes both ways. But this is not a disrespect issue. It may be a lazy aide issue, which needs to be documented further. But not one of blatant disrespect. You need to make your needs clearly known. My nurses do it often, "hey, I'd toilet patient X but I'm horribly behind with meds, could you go help?" or "you know Patient Z takes an hour to situate each positional change and I have to get this tube feed started, can you take care of it for me?" SURE! I'm your assistant. It's what I do. Do NOT, however,expect me to stop my break, which may be the only time I sit down for 12.5 hours to do work off the clock. It's illegal, last I checked.
Let's not pretend nurses get a free for all while aides do the grunt work. Treat me with respect, I will be your best friend and you will want to only work with me every shift. Treat me like the dirt on the bottom of your shoe, and I may magically never be able to find help for 2 assist patient lifts except for you.
whether or not the licensed nurse "had the time" to do it his/her self is not the point.
The aid could have just said that they were on break to be deliberately insubordinate and refusing to do an asked task that was in their job description ASSuming the licensed nurse wiouldn't know any better. Does any one want to give a good guess hwo many times this stunt has been pulled?
I can remember on one particular occasion I had a similar problem with an aid- it was on a stepdown unit. I had drawn up IV lopressor and was on my way into a patient's room with it, when another patient wanted off the bed pan in another room. I asked the aid to get the light. The aid told me to do it- I handed the aid the IV lopressor and told her to give the lopressor while I got the other patient off the bed pan- at which she promptly scream "I can't give that" I responded "exactly- now go get that patient off the bed pan"!! She toddled her arrogant butt into the bed pan patient.
If the UAP doen't like thier job functions- then go back to school. Insidently, that I have heard physicians say to some nurses.
While your reading the Nursing Practice Act- pay close attention to , don't skip over, the interpretive statement on "Delegation"Last edit by kcmylorn on Sep 4, '12
Another tactic is to do exactly as the OP suggested- listen the aid's refused, check out their story. Stop what your doing. Carry out the task that was delegated to the aid- get patient to church service. call the supervisor. Tell the supervisor the refusal, that you had to stop what your doing and take care of the patient. And write it up with name, date and time and give it to nursing management. Say nothing to that aid.
Another tactic is to do exactly as the OP suggested- listen the aid's refused, check out their story. Stop what your doing. Carry out the task that was delegated to the aid- get patient to church service. call the supervisor. Tell the supervisor the refusal, that you had to stop what your doing and take care of the patient. And write it up with name, date and time and give it to nursing management. Say nothing to that aid. Maybe that's the defination of getting along and team work!!
You can also refuse to work with that aid- because that aid doesn't take direction or delegation and you can't do both - the aid's work and your own.
Sep 4, '12 by MsKeycena/phlebtechSo what ur saying is a nurse is more important than aide. That they have a lively hood,husbands/wives, kid(s), house(s), car(s), bills....etc and an aide dont. Basically an aide is worthless becuz they have a certification and not a license. When all boils down if in trouble the consequence is similar. But I guess like you practically said who needs to hear an aide side of the story when u have Jesus the nurse standing b4 u. With all due respect that's a bunch of mess.
Sep 4, '12 by Nascar nurse, ASN, RNQuote from MsKeycena/phlebtechHere is the simplified version. Everyone has a boss. The nurse is the aides direct supervisor. The aide is to do what the nurse reasonably asks them to do.So what ur saying is a nurse is more important than aide. That they have a lively hood,husbands/wives, kid(s), house(s), car(s), bills....etc and an aide dont. Basically an aide is worthless becuz they have a certification and not a license. When all boils down if in trouble the consequence is similar. But I guess like you practically said who needs to hear an aide side of the story when u have Jesus the nurse standing b4 u. With all due respect that's a bunch of mess.
(Walking away, shaking head and wondering where some people work that they don't have a supervisor that they report to). Stick a fork in me, I'm done too.
Sep 4, '12 by onthemarkAs the OP of this post, I move that we end it now. Thank you very much to all of you who have given me helpful insights.
Sep 4, '12 by MsKeycena/phlebtechYea everyone needs to be done cuz this s*** is petty and well overdue. Good-bye.
Sep 4, '12 by traumaRUs, MSN, APRN, CNS AdminI think after 7 pages we have come to the conclusion that we are not going to resolve this issue. We will close for tonight.