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

Nurses Relations

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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' the CNA's on my shift by 'writing them up' for every infraction (something I had chosen NOT to do) Not until the night I had this individual on my shift who would not provide vitals or answer call bell lights. When I witnessed her eating on the shift while charting and ignoring a light going off right next to her (her patient also) I asked if she was going to get that. I was asked in return if I was going to get that. From there, she just went off and proceeded to tell me to write her up because she was going to be just fine, that I was the one on thin ice and that they were always talking about me on the first shift. This behavior went on for the better part of an hour, despite my telling her I would have to write her up if she did not stop (I was professional about it), I tried to call the unit manager (she didn't answer), I finally called the DON (the one the CNA said would protect her). The DON didn't tell me to send her home, she didn't ask to talk to her, she said, "I'll take care of it in the morning." Well, when I go in with my documentation in the morning, the DON didn't give me the time of day. Everyone was looking at me sideways as well. I was told the CNA was out of town for a furneral and wouldn't be back all week. I was told my a fellow worker to take it to human resources, which I did. Long story short-girl was never out of town, she was at work the whole three days I tried to resolve this. She did not get in any trouble. They had her apologize. They said it was a clean slate. They said they wanted me there on the job (I offered to quit because as I told them how would I have any credibility on the job if a CNA was allowed to yell at me for an hour on the floor and still keep her job). I was ASSURED I was a desireable employee- blah, blah, blah.

Fast forward to today, when I wake up to a human resource/DON speaker call telling me I am being 'let go' for poor performance and, get this, being 'disrespectful to a nurse' and the claim of a witness on that.

Wow! REALLY??? I have this fellow RN, also new on the job, but been there a few months longer than me. When I take the shift from her, she gives me 'orders' as to what I am to do on my shift, without EVER being charge nurse. Meanwhile, she actively sabotages me to the DON and unit manager by tattle telling any imagined flaw from my shift (she's 7-3, I'm 3-11 lets also throw in there that an 11-7 shift exists) Basically, I got tired of her dumping her left over work on me so I chose not to do it. So, when I came in in the next day, she told me my assignment for the shift was to give 3 enemas!!!! Yeah, right. We didn't have 'words' but I did question her when she made the statement "I put Ms So n So on Sudafed". I asked her, "You put her on Sudafed? Or, you called the doctor and she put her on Sudafed?" This aggrevated her you see because my confused former classmate seems to not understand the scope of our nursing practice does not include up doing things like deciding on our own to say, do an Oxygen test and take away someone's O2 on our own initative while monitoring sats for 48 hours, and instructing all the other shifts to do the same, THEN taking the info back to the doctor to see if THEY would like to DC the order (instead of asking the Doctor simply if we can do it in the first place and following said order). She REPORTED me to DON for being disrespectful. The interesting thing is the claim of a witness when we were alone in the med room???

I'm venting her because I'm really frustrated about how to deal with the social aspect of being a nurse. How do you survive the sabatour who has the ear of the managers when you work solo on the evening shift so they don't know you. How do you manage CNA's when the managers don't back you up, but punish you for trying to do your job? (I forgot to mention that after I wrote her up, I discovered I was NOT parttime as my unit manager had told me, but was still PRN. For a month, I had labored under the idea I was a parttime employee and stopped job hunting). Once I turned in that write up, my hours were cut from 15 shifts (three a week) to every other weekend only! Turns out the CNA was a long term day time employee. And did she ever LIE through her teeth. Claimed I said, "I'm an RN. I DON'T answer call bell lights!!" I'll also throw in there that I am the minority in the building and the DON the protector is of another race as is her posse of CNAs.

SO it's back to the job junt. I'm just wondering if this will be the continual theme to nursing- back stabbing fellow nurses and lazy CNAs.

Please advise!!!

Yeah, I know, it's a one way street. But a long time ago I decided I didn't want the bad behavior of others to stop me from doing what I think is right. So, I am nice anyway-even if you hate me for it or laugh behind my back after I'm gone. I don't want to live my life that way. I want to try to do the positive thing.

You want to hear a sad, sad story? I was in a Chile's restaurant one afternoon having lunch by myself (studying) and was seated across from a mom and her son eating with the grandparents. This mother was berating her son because he had gotten involved in a case of bullying at school, and stood up for the one who was getting bullied. And, in our state, they punish both sides, not just the bully. (hem...sounds strangely familiar...but I digress) So, basically her son got in trouble as well. This mom was saying to her son, "Johnny, in this life you don't help no one with nothing. You got that, you just take care of yourself." I about fell out of the booth! I couldn't help but stare at her. Really? All hope for America is gone if we run around raising our kids with that kind of message. When I got home, I gathered my kids and told them the story. And, pointed out how wrong this was. I told them the way to live you life is this instead: "If you find someone in need and it is within your power to help them, then it is your duty to help them, provided it isn't immoral or illegal obviously."

That's how I feel about the people at work. It doesn't really matter what they said or will say, when I was there I tried to be decent and build a team. And the evening after I was fired, and I was sure management was gone, I drove over with a pizza for the night crew and had my partner nurse come outside to get it so I could say goodbye and thanks for all his help on my first job. That's how I want to live my life.

Who would get fired, the one who did the dumping or the one who didn't pick up the slack? I tried to do the extra stuff, but started getting in trouble for not finishing my own stuff. In the end, I just got in trouble for both anyway...'Rock and a hard place."

The one that didn't pick up the slack, especially if it was detrimental to a patient. There are going to be shifts where things don't get done. Emergencies happen. Complications arise. Clients sometimes refuse to allow one nurse to complete a task but will let another. So on and so on. Passing them to the next shift is commonplace (at least where I work). At the end of the day, we are all there for the patient.

That said, if it got to the point where one shift was continually "dumping" work onto the next shift, there would be a staff meeting to see where the problem is. Sometimes schedules need adjusted, treatments reorganized, etc.

This was LTC. We aren't talking about emergencies that made this nurse unable to complete her work. Instead it's the endless paper charting that was constantly dumped, plus the unpopular tasks of blood draws and stool samples etc. I did the procedures and lab draws and even the enemas that were dumped on me. We're not talking about refusal to complete necessary patient care that was detrimental to someones health. We're talking about refusal to spend my shift time when I NEEDED to be doing direct patient care doing paperwork left behind by first shift. If I did the paperwork, I would have to use overtime to finish my direct patient care and would be in trouble for it. If I prioritized my patient care and put paperwork that was dumped on me after documention that was current to my shift and get off the clock on time, then there was no time for the extra paperwork, which I would then be in trouble for not completing. Problem is, by the standard that I should then be able to pass it on to the 3rd shift, well 3rd shift refused to do it and management was okay with that. So inessence, the only shift held accountable for performance is the second one. We were supposed to be able to complete our shift and part of theirs and still get off the clock no matter what insued on our shift. Like I said, Rock and a hard place.

I wanted to thank everyone for their support as I filtered through my nervous energy and worked to tame my bruised ego over these past few days. It has been a great support to be able to vent here.

I'm going to stop dwelling on this now and move on. I have a house to decorate for Halloween and a research to write for class.

Thanks again!

I am too a nurse and this is too familiar and too common. Where is it that nurses get the boot for lazy or insubordinate aides? I am confused as to where the law states harassment is only about sex, because it is not, its also about having us nurses backed up when there is obviously a problem with our caregivers or aides or cna's. Nurses on the other hand have gone to school to become a nurse and advance their careers, cna's have done the same, but the difference is that nursing has responsibility and a license to uphold. I think it wayyyy time all nurses stick together in this and hire an attorney that will fight the crazy harassment going on in our nursing careers.

I post this from Nashville, TN in hopes someone will be reading this.....

Specializes in Pediatric Private Duty; Camp Nursing.

Yes, a lot of the behavior is downright bullying. It's not allowed in the schools, why is it in the workplace?

I have to work with CNA's like that even in the hospital sitting. It is strange how they get by with ignoring lights, sitting on the phone talking thru out the shift, eating at the desk, and having the balls to deny requests to help when asked. Yes, they have been on the floor for several years. It just makes me cherish the ones who pitches in and are team players. Yes, when you do say something to management about them or fellow long time nurses, it is you that ends up with the write up. Yep, I finally quit before the termination happened, though not going to complain does no good.

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