I have been a Rehab nurse for approx 4 yrs, and take care of mostly stroke pt's. As a primary nurse I have multiple responsibilites for the care of our pt's. I have found it to be verry difficult to get CNA/s to do their job. This in turn makes my job even more demanding. In our rehab facility, nurses provide direct pt care in addition to our other job requirments, including being charge nurse, primary nurse, and ensuring each pt has a FIM score for all 18 items, and all the other nusring care tasks. My delima is not new. I am frustrated and exhausted in the efforts I have made in the past to help resolve this. The expectations are so great and our goals are being met-but, the support staff needs to step up to the plate and do the job or leave! Please offer any suggestions..