I have only been a nurse a couple of months and work in a LTC home. I've had basicly no training there, but hey, I can pass meds like crazy.
I absolutely dont know what I am to expect from the CNA's. And the one time I did ask a CNA to do something, she backtalked me and refused to take the pt back to his room.
So, what do I expect from them? And how do I "delegate" without being a *****? Being the new nurse, the CNA's who've been around longer are taking long smoke breaks, not getting vitals...one CNA I don't lay eyes on from 4 to 6:30
Please help, because in the LTC, with all the needs my residents have, I need help on the floor, I can't do it all alone!!!!
One of the absolute worst, most unsafe and laziest CNA's has been there almost ten years, so I feel the facility really doesn't even care.
Sep 15, '08
by Meriwhen, ASN, BSN, RN Senior Moderator
From my non-nursing workplace experience: never delegate something that you're not willing to do yourself. I always followed that rule with my subordinates and while I may not always have been liked, I was always respected because when it came down it it, I wouldn't pull rank but instead do whatever was necessary to help get the job done. And that got them doing their jobs.
It showed respect for my subordinates...and that's the same attitude I plan to have when I become an RN. If you want to assign the ADLs and such to the CNAs, that's fine--but like other posters have said, don't dump the grunt work on them so you can get off easy...nor should you take the attitude that such tasks are "beneath you" because you're an RN and refuse to pitch in when it's needed.
And like others have said, foster communication but let them know what is expected from them.
Last edit by Meriwhen on Sep 15, '08