Wrote up a CNA, but I was the one who got the boot! - page 2

About two weeks ago, I had an unfamiliar CNA on my night shift. She was 'helping out' with a shortage apparently. I am new on the job as well. I had previously been instructed to ''hold accountable'... Read More

  1. Visit  Psychcns profile page
    1
    I have worked dysfunctional places. I try to focus on pt care and join with others that are trying to get the job done. And to pay a lot of attention to dynamics.... Hope you find a more functional environment.
    Not_A_Hat_Person likes this.
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  3. Visit  CloudySue profile page
    3
    Quote from realnursealso/LPN
    Just a quick question, what were you doing when the call light was going off? When I worked 3-11, or 11-7, I answered call lights. Maybe you were passing meds, or doing something else. I was just curious.
    Good point, realnursealso. Even when I was busting my butt and really didn't have time to help the CNAs, I always tried to squeeze in some high-profile work, just to prevent the image of "never helping the CNAs". Even though it would set me behind on my med pass somewhat, I'd go into the dining room if they were short a person and help with breakfast or lunch. Maybe it was phony of me but I saw it as an investment for good relations, ultimately making my job easier. (CNAs ain't happy, ain't NOBODY happy.) Many CNAs see a nurse's job as "not so hard" and "sit around a lot and write while I do the dirty work." and even though it's not true in most cases, their perception is their reality. I ended up with a lot of CNAs that did not mind when I asked them to do things, because they knew I pitched in for them without even being asked.

    It's frustrating, though, because a nurse can do a CNA's job, but not the other way around. I didn't get a lot of "thank you's" when they punched out on time and said "goodbye" while I scrambled to finish my work.
    AnonRNC, VivaLasViejas, and tnmarie like this.
  4. Visit  MotherRN profile page
    6
    I was on another hallway finishing with a resident. I came out of that room to answer the light, quite a distance from where I was. When I came around the corner, there she was, fruit cup in one hand standing at the wall chart, with her hip popped out, taking a leisurely bite, then went back to charting. She was facing the light the whole time and wearing a beeper. And only a few steps from the room. When she saw me coming, she just ignored me and kept eating/charting. She had been ignoring the light all night. So, I asked if she was going to get that and was asked the same question in return. I asked as her manager and was given an insubordinate response in return which then exploded in her hour long "You don't tell me nothin" rant in the hall outside resident rooms.

    Name another job where an employee would see their manager coming and just flat out ignore them, then be insubordinate and expect this to be okay. Only in a LTC facility where upper management doesn't hold the CNA's accountable.

    Please understand that if the light goes unanswered, then I get in trouble for poorly managing my shift and get written up. I don't have time to answer all the lights. I have more than enough nursing to do on my shift, which I also get written up for if it does not get done because I was answering too many lights. Please understand that this CNA had only been there for two hours of a four hour shift. She was filling in for a peak shortage, but really just riding the clock and not doing much work. I didn't know she was a protected employee from the day shift who had been with the facility for years. But what I learned from her rant that night was that I was being sabotaged and blamed for things that were being openly discussed on the day shift. Why was anything being discussed with CNA's about me? So, when she came on my shift, she didn't feel she had to respect me in anyway shape or form. She told me I was not her manager and had no right to instruct her in anything. Of course, in a perfect world, things would have been by the book. But, not on my job. So I actually learned more from the ordeal about my status on the job and found that useful. Whether I had quit two weeks ago or got fired yesterday, doesn't really matter. I was only there for about 24 shifts-two months PRN. I wouldn't be able to use the place as a reference anyway. At least I will get another two paychecks out of them.

    What I had to resort to in the end was going in the room to see that the resident was okay and turning off the light (as instructed by the DON) and telling the resident someone would be right with them if it was a non urgent request. Then go back to the 10 things that had been interrupted by answering the light. Things like wound care and med passes. Some of these residents call you because they want their tray removed. Or the refuse to wait to be put to bed and are in danger of falling on the floor if you don't get them dressed and put them in the bed. Just don't have the time. With all the money this place makes, they should bring in two extra CNA's for four hours at meal/bedtime to put these people to bed in a timely manner. But, CNA's who intend to work. They are about a third the cost of the nurses so it would save in nursing overtime when we run late because we were doing CNA work due to the patient ration being too high for the CNA's and nurses.

    I'm all about teamwork. But, I'm not about doing your work while you ride the clock and play.
  5. Visit  MotherRN profile page
    0
    [QUOTE=CloudySue;7002114]Good point, realnursealso. Even when I was busting my butt and really didn't have time to help the CNAs, I always tried to squeeze in some high-profile work, just to prevent the image of "never helping the CNAs". Even though it would set me behind on my med pass somewhat, I'd go into the dining room if they were short a person and help with breakfast or lunch. Maybe it was phony of me but I saw it as an investment for good relations, ultimately making my job easier. (CNAs ain't happy, ain't NOBODY happy.) Many CNAs see a nurse's job as "not so hard" and "sit around a lot and write while I do the dirty work." and even though it's not true in most cases, their perception is their reality. I ended up with a lot of CNAs that did not mind when I asked them to do things, because they knew I pitched in for them without even being asked.

    I did the same. I had certain residents I knew I could handle on my own because they were able to stand up and support their weight so I could toilet them and help put them to bed. On my one of my last shifts I did total care for one paranoid resident with dementia who thought the CNA was a demon or something else scary and didn't want her to touch him. I did all his care without being asked. And I helped the other CNA on a different night who had a similar problem with this same resident. I was part of the team. The other nurse and I even bought them pizza about a week ago as team building on our shift for our regulars. In general, it was the extra CNA that night. Unfortunately, we have a problem child or two still who slack in their work as well. But, the majority were working together. It was a military order them about environment. That's not my personality.
  6. Visit  MotherRN profile page
    0
    I left out the NOT in military environment. I am definitely not an authoritarian. Let's put it this way, if I were a professor, I'd be the cool professor sitting on the desk engaging the students in free exchange of ideals or out on a field trip.

    I really ought to be in education but it doesn't pay. Who knows, I may end up there yet!
  7. Visit  SNB1014 profile page
    3
    Quote from MotherRN
    ...yeah, I had a mysterious 'egging' of my car after the whole incident happened...so I guess they might know where I live.
    ......are they the freshman in highschool??? who even does that. losers!
    CloudySue, tnmarie, and MotherRN like this.
  8. Visit  anotherone profile page
    3
    I am not suprised. I saw this at my own job. There are a few that will actively get together and decide to gang up on some one else. Nurses and aides get involved. If you are the chosen one, there is very little you can do. Good luck. Hopefully you will find another job soon without so many psychos.
    Not_A_Hat_Person, tnmarie, and MotherRN like this.
  9. Visit  MedChica profile page
    3
    OP didn't do anything wrong. It's everyone's job to answer the call-lights, but the aide was sitting there ignoring hers. How can OP be at fault? Had the aide been doing her job, to begin with, the nurses wouldn't have even had to go back there.

    Don't feel bad OP. I'm a baby nurse, like you and I don't help the aides when I'm busy with my work.
    It's one thing when I'm not doing anything. But...if I am and unless something's wrong with our residents or the aides are severely understaffed (like 2-3 aides on the floor)? You'd better believe that the Med Pass takes precedence... my paperwork takes precedence... my feedings take precedence... my woundcare treatments take precedence.
    That's how it is. That's how I work. I shouldn't even have to explain 'why'.

    When I was an aide, I never bothered the nurses and med-aides to help me out with 'this, that and the other'. Never expected it either.

    I see that it's different with some aides. Now that I'm on the 'other side, I mean. On the evening shift, no matter how it roates, there's always one who just waltzes up and bugs the hell out of me. It's always 'me', too. I'd imagine that it's because I'm 'newly minted'?
    They'll just waltz up and start demanding things. I was in the midst of drawing morphine for one of my little hospice pt's.
    "Can you help me move --- ?"
    Dude, I'm pulling meds! There's a freakin' aide, like, 2 doors down! Like I'm going to just put the narcs up, my hospice pt on hold and service her?

    Did I help?
    Nope. LOL I tried and I've found that it throws me off. It throws me behind. I'll be wasting narc's, throwing 'the count' off and everything else...and you know that we can't be doing that.

    Now, I do help and it's usually on my time. I help when I'm not nagged and pushed to do so. When I finish, I'll go to the aides on my hall? "You need help?" If I see an aide struggling and it's close to their time to leave. "You need some help?"
    If I mess up and get some formula on their sheets? I'll put on some gloves and help them fix it. It's difficult, yeah... b/c you're crunched for time. The aides have no concept of how crunched for time you truly are. I usually don't have time to be changing sheets and crap. Yet, I volunteer to help because I don't like to 'create' work for people. I can't go in there, messing up... then, "Oh, I'm sorry. Can you fix that for me?"
    That's just making their job harder. I feel like I could at least offer to help out. The aides are great. They're thankful. My aides are wonderful.
    MY AIDES.

    Last weekend, on my break - my break - I changed and put to bed two pts for another hall. Did I get any 'thanks' from the relieving aide coming on shift? Nope...but he's the sort who'd be the first to whine about lazy nurses.

    That's the thing, though. I changed the residents for their personal comfort. I put them to bed because they were tired. They are MY pts and I'm responsible for their care + comfort. 'Helping the aide' doesn't register where he's concerned. Had it been for his sake?
    He wouldn't been stuck doing it by himself. That's just me being honest. I cannot stand working with whiny, lazy people who operate on this 'pass the buck' mentality.

    ...and to bring a little clarity into the situation? This is the same guy who, later on in that same shift, refused to put the pt (that I'd changed) on the toilet. He told the Charge that they 'were understaffed' and 'these people are heavy' and blah, blah, blah.
    For one, there were 6 aides on the floor. Secondly, he was working the easiest hall: The male hall. Thirdly, the residents aren't heavy. As a matter of fact, he only has to move 4 ppl. Half the people on his hall are walkie-talkie. Fourthly, I used to be an aide. In light of the facts aforementioned? Don't come crying to me about 'what you don't want to do' and 'how hard' your job is.

    Basically, he didn't want to do it. Basically, our little resident has to remain incontinent because his lazy aide 'doesn't want to' toilet him properly.
    The charge just took it. I'm serious. Of course, I didn't say anything. I was paying attention as always when senior nurses 'do their thing'. I look for these 'teaching moment'.
    It was a teaching #fail...but I still learned. LOL She's very knowledgeable, but when it comes to management?
    She's Ms 'Get-Along'. LOL
    However, I just listened and learned. Despite my exp in other areas? I'm the baby nurse. I stay in my lane. LOL

    ...but...I would've written his a..s up so fast....!
    I'm prior-service military and quite the little 'authoritarian'. Laying down the law is no thing for me to do. LOL
    Management is prior service and I know that I would've been backed up. It's not about anyone being on 'my side'.
    It's not about 'the aide disobeying an order'.
    It's about 'the aide not doing their job'. I'd happily pick up the slack if we could get a better aide in his slot.

    OP, I hope that you find another position. If they're running you down in front of everyone (and they are if the aide knew enough to throw it in your face), you're better off elsewhere. I'd try to go elsewhere. There's just too much unprofessionalism for me to handle. It probably won't get any better, either. Whatever you decide. Good luck.
    tnmarie, MotherRN, and anotherone like this.
  10. Visit  anotherone profile page
    1
    Quote from MotherRN
    I was on another hallway finishing with a resident. I came out of that room to answer the light, quite a distance from where I was. When I came around the corner, there she was, fruit cup in one hand standing at the wall chart, with her hip popped out, taking a leisurely bite, then went back to charting. She was facing the light the whole time and wearing a beeper. And only a few steps from the room. When she saw me coming, she just ignored me and kept eating/charting. She had been ignoring the light all night. So, I asked if she was going to get that and was asked the same question in return. I asked as her manager and was given an insubordinate response in return which then exploded in her hour long "You don't tell me nothin" rant in the hall outside resident rooms.

    Name another job where an employee would see their manager coming and just flat out ignore them, then be insubordinate and expect this to be okay. Only in a LTC facility where upper management doesn't hold the CNA's accountable.

    Please understand that if the light goes unanswered, then I get in trouble for poorly managing my shift and get written up. I don't have time to answer all the lights. I have more than enough nursing to do on my shift, which I also get written up for if it does not get done because I was answering too many lights. Please understand that this CNA had only been there for two hours of a four hour shift. She was filling in for a peak shortage, but really just riding the clock and not doing much work. I didn't know she was a protected employee from the day shift who had been with the facility for years. But what I learned from her rant that night was that I was being sabotaged and blamed for things that were being openly discussed on the day shift. Why was anything being discussed with CNA's about me? So, when she came on my shift, she didn't feel she had to respect me in anyway shape or form. She told me I was not her manager and had no right to instruct her in anything. Of course, in a perfect world, things would have been by the book. But, not on my job. So I actually learned more from the ordeal about my status on the job and found that useful. Whether I had quit two weeks ago or got fired yesterday, doesn't really matter. I was only there for about 24 shifts-two months PRN. I wouldn't be able to use the place as a reference anyway. At least I will get another two paychecks out of them.

    What I had to resort to in the end was going in the room to see that the resident was okay and turning off the light (as instructed by the DON) and telling the resident someone would be right with them if it was a non urgent request. Then go back to the 10 things that had been interrupted by answering the light. Things like wound care and med passes. Some of these residents call you because they want their tray removed. Or the refuse to wait to be put to bed and are in danger of falling on the floor if you don't get them dressed and put them in the bed. Just don't have the time. With all the money this place makes, they should bring in two extra CNA's for four hours at meal/bedtime to put these people to bed in a timely manner. But, CNA's who intend to work. They are about a third the cost of the nurses so it would save in nursing overtime when we run late because we were doing CNA work due to the patient ration being too high for the CNA's and nurses.

    I'm all about teamwork. But, I'm not about doing your work while you ride the clock and play.
    I understand you completely. It is complete garbage and bs. This was a big issue on my unit.. It was a huge problem. resolved only when the manger really started cracking down on it, and some quit and were fired. If the manager is bff with them or doesn't care then it won't get better. I never asked an aide for help because I wanted to sit down on to go on facebook. I have my own job to do and am accountable for that and they have thier job to do ( aides where i work have specific tasks they are to do). thank god the problem employees mostly left or where fired.
    MotherRN likes this.
  11. Visit  Patti_RN profile page
    4
    There must be some other details that you're not aware of. Many times we don't know how we're perceived by others, or what our colleagues really think of us. It sounds like you have some enemies--not that this is your fault because workplace politics can be uglier than the social dynamics of a middle-school cafeteria. But, whether you did something to provoke the 'mean girls' or not, they seemed to have it out for you--and have the ear of the supervisors.

    There is probably not much you can do, or even want to do in this situation; getting your job back is probably the last thing on your wish list. But, you can to is turn this into a learning opportunity. If you have any good, trustworthy friends from your employment ask them to go to lunch or have coffee with you (one at a time), then ask them to be candid and tell you what they believe happened. Ask tough questions and be prepared to hear some things you might not like or agree with... Ask what other employees thought about you or said about you (and specifically say you don't want to hear names, just their opinions). Just listen, don't interrupt or argue. Try not to react if what they say is negative--you can say, "this is really hard to hear, but I'd like to learn more." Listen carefully and sit on the information. In the next days and weeks try to consider aspects of what they told you, and try to be open-minded enough to see if there is a shred of truth in their words. If they said you were considered to be 'aloof' or 'lazy' or 'condescending'... or whatever, try to imagine if you may have inadvertently come across that way. If you can see yourself as others may have seen you, this may be a way to make some changes and avoid the same thing happening at your next job. It can be a very, very painful process, but it can lead to less pain in the future. If you can sincerely consider their critiques but not agree, then you were probably the victim of the 'mean girls'.

    Best of luck. We've all been there at some point, to some extent. It's never easy being the ostracized member of a group. Sometimes it's your fault, often it's not, and sometimes its a combination of the two. I hope you never have to deal with this problem again.
  12. Visit  BlueDevil,DNP profile page
    1
    Quote from MotherRN
    Hey BlueDevil! I remember you from our difference of opinions on the DNP thread. Geez, you make me sound paranoid! Not the case, I assure you. But, I am taking your advice and moving on to brighter pastures just the same.

    A good thing about moving on is that as a new nurse I need more opportunity to practice procedures and not just dress the same wounds or give the same meds over and over. Hopefully, I will find someone willing to train a new grad. The local hospitals just aren't biting around here! For now, it's back to volunteering. I had to stop until my schedule evened out. Now it looks like I'm wide open in that department!!
    I don't remember you or the thread you are referring to, from Adam, so it wasn't personal. Just my observations. Good luck.
    MotherRN likes this.
  13. Visit  MotherRN profile page
    1
    Pattie, I knew the whole time I had a problem with one nurse on the day shift. I knew she was telling tales because she would openly accuse me of poor performance etc (had her call me at home TWICE to complain she couldn't find something that was plainly in front of her eyes and she did find while I had her on the phone and the second time she was irrate because orders had not been sent from a doctors office on my shift the evening before hers that Saturday. So, that office drops the ball on a late Friday afternoon and it's somehow my fault when I'm out giving meds and the secretary, unit manager and DON don't follow up on it either.) Keep in mind, I'm a NEW nurse these 24 shifts were my first every. And on my first weekend, all h&$# broke loose-the DON was out of the country, the unit manager took a 3 day weekend and they blindsided me with PICC care and blood draws from a PICC line that turned out to be blocked that was dumped on the brand new RN at shift change who had never been allowed to touch a PICC line in school and they all ran out the door! When I couldn't get it done, this nurse was irrate that she had to do it on her shift the next day. She was really nasty about it. Even accused me of not giving the Vanc (had to do it in the other line). Point is I turned that other cheek with her as far as I could for as long as I could. But, until the CNA issue, I didn't know that this nurses problem with me had been turned into a public one discussed on the day shift.

    I wasn't there long enough to get close enough to anyone to have lunch to listen to feedback. I got feedback from the evening LPN's who had been nurses for 20 years while still on the job. We discussed many issues, including the kid who was my sabatour. My need of training was obvious. So was my lack of proper orientation and support with the tools to do my job. I accept I need to find more training somewhere and continue to review my notes from school and improve my nursing practice. I don't fault myself for being new and having no one willing to hire and train me. Dumping me in there and saying do it because it's within your scope, then me having to pull up a youtube video to figure out how to do a procedure is not proper job training! Neither is it safe for the residents!

    What I will do differently however is I need to learn to keep my opinions to myself and not be too trusting with personal opinions with fellow nurses. You don't know who you really are dealing with for quite sometime. Having said that, the place was rumor mill central and EVERYONE made comments about whomever they were upset with for however petty an issue. I didn't do that. But, I did discuss my frustration with the nurse who kept ordering me around. I knew she had the ear of management and I knew it was going to be a problem when I had finally had enough and stopped letting her dump stuff on me and dictate orders to me. HER personal orders of what I needed to accomplish on my shift-things that I would find out later SHE had been instructed to do in the am but put off and passed off to me as though they were my ASSIGNMENT, instead of saying, "Hey I couldn't get to this. I really appreciate you helping me by getting it done on your shift." I would play on that team-not the 'mean girl' team that decides MY assignment is to give 3 enemas on my night shift when I know the real reason is to punish me because I didn't pick up her slack and call in her labs that she failed to handle on her shift and dumped on me. The doctor never called, I got busy, then it was too late. She had time in the am to call them in before giving any med that needed to be adjusted. And maybe she just needs to make sure she gets it handled on her shift. This wasn't the first time. Every lab she sends I get called in the evening to fix because they want to reject it because of improper paperwork -FIVE TIMES I had to fix her labs in the evening. That's 20-30 minutes I don't have! Was that shear incompetence on her part or calculated to waste my time?

    Anyhow, I did get competent on my job and I was getting better at it all the time. I was actively trying to learn the paperwork and paper charting (something we didn't do in school it was all computer check boxes at the hospital). I have already been evaluating my short comings and made plans for fixing my problems. For example, I want to improve my wound care skills-product knowledge and skill- I want to review the meds-I want to review charting. Those were my big growth areas. I started this post because I'm not so sure how one goes about fixing the external problems of sabatoug and insubordination. It almost seems like the best approach is to keep your head down and your mouth shut and don't create extra work and heart ache for yourself by trying to fix a broke system. Problem with that is that has not been how I roll! I do speak up and I do pay the price for it. Guess I will have to accept that or stop doing it.

    Thanks to eveyone for listening to my LONG posts. I chose to openly post my defense and frustration here because I am NOT pursuing it at the place of employment. I don't care if they read this either, it's all true.
    Not_A_Hat_Person likes this.
  14. Visit  MotherRN profile page
    0
    Anotherone, even the residents and their families would comment on how much we nurses ran around at night. I didn't get my dinner break that I was docked for anyway. If and when I ate, it was five-ten minutes of shoveling food in with my left hand while charting with the right. There was no sitting around the nurses station or hanging out socializing. It was the" skip dinner and forget to pee for eight hours" kinda shift. Thank you for your understanding of my situation. It's nice to hear that some managers know what it takes to build a team that works and how to cut the waste loose.


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