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Aid/CNA w/no respect towards LPN

Okay, here I am....a fairly new nurse working in a facility where I am responsible for the cna's and or aids on my shift. I am also responsible for a variety of other jobs too, which is very important, such as giving out meds. My problem is that with me being new the aids have no respect for me as their supervisor and are snitty, roll eyes and don't like when I ask them to do something that is within their job. I am there to ensure the people in this facility that live there get the care they deserve, plus ensure the safety of them. I don't get that I am the bad guy here, but I feel that I am the only nurse that has ever asked these particular people to do anything. I know and respect that they are very busy, I was a CNA at one point as well and know its a very hard job. I only want my shift and our team to be great and when I ask them to do something, its not to pick on them, its because when I get off the floor and come back, I see them sitting, on cells phones or the dining room is not cleaned and we have visitors etc.

My question is this....how to do my job with less attitude back towards me from them? How? I have gone to my supervisor, which has told me I am doing a great job, but if I am the only one pushing these people, I think I am in a corner.....

nursing gal

Okami_CCRN, ADN, RN

Specializes in Critical Care.

I work as a PCT in a very busy ICU and ER, I will do anything a nurse asks of me as long as it is within my scope. However, the tonality and phrasing makes a huge difference; asking someone rather than telling goes a long way. ex. "CNA Martha, I need vitals in room 7." isn't very nice, a better way would be. Hey Martha, could you please get vitals on room 7, I'd really appreciate it. Sometimes we overlook the manner in which we ask things.

I gather you work in a LTC setting, sometimes CNA's in this setting are set in their ways and management refuses to act to not lose a worker. It sucks but it happens.

HappyLoser,

I am trying my best to do what is best in this facility, take care of people, and I do ask instead of tell these girls what I need to have done, but alot of times, I walk off the elevator and just see them texting, sitting on the phone or doing nothing but looking at avon or other type magazines. The dirty dishes, the trash, the tables yet to be cleaned so I cannot see them sitting and doing nothing. The other floors are busy and just like this floor, its these people working on this particular floor that have an issue with me, I am not lax in being lazy and believe everyone gets a break, but come on....lets get our work done too! Hopefully things will get better in time, but I have heard they got away with not doing things from a previous nurse that was their friend, this is the problem, I come in and here I am, mgmt. wants me to change things but hey, I am the one getting heck because I am trying to do the right thing.......sometimes it plain sucks.

DixieRedHead, ASN, RN

Specializes in ED/ICU/TELEMETRY/LTC.

OK, here is the deal. As the ADON, and clinical supervisor on my unit, I hold you responsible for the behavior of those that you supervise.

Do not for one minute tolerate any insubordination.

Read my lips. No Avon books or magazines except on break, that goes for me too. No cell phones in view, ever never, I will write you up the first time and every time, the third time you are gone.

They are called vital signs because they are vital, just get them, OK? I will appreciate it later.

Give them a time to have the dining room clean and if it's not done at that time, ask why?

And then, make sure you are setting the example. It's ok to clean a behind, toilet a resident if you have time. Get vitals too if you have time. If not, it's your job to see that it gets done. Stop running to your supervisor, tell them what you want done and when.

Be fair, be firm, treat everyone the same.

My unit runs great like this, morale is high, and the best compliment I get is that "things get done when you are here, and even when you are not."

OK, here is the deal. As the ADON, and clinical supervisor on my unit, I hold you responsible for the behavior of those that you supervise.

Do not for one minute tolerate any insubordination.

Read my lips. No Avon books or magazines except on break, that goes for me too. No cell phones in view, ever never, I will write you up the first time and every time, the third time you are gone.

They are called vital signs because they are vital, just get them, OK? I will appreciate it later.

Give them a time to have the dining room clean and if it's not done at that time, ask why?

And then, make sure you are setting the example. It's ok to clean a behind, toilet a resident if you have time. Get vitals too if you have time. If not, it's your job to see that it gets done. Stop running to your supervisor, tell them what you want done and when.

Be fair, be firm, treat everyone the same.

My unit runs great like this, morale is high, and the best compliment I get is that "things get done when you are here, and even when you are not."

Said like a true professional. :yeah:

Recently these girls actually set down with me while I was doing paperwork and told me they have not been forthcoming and at all welcoming to me. I told them yes, that is true, but what happened was not my fault, their friend was there working with them and she leaves, I step in and it is a hard transition for me and them. I am not being so uptight with them any longer, they know their job, and I will say things to them when I see it not being done.

Since I am the only one stepping in and askaing them to do more it does not work due to others just let people sit and do nothing not caring; I cannot change the world in a day; nor can I change a facility unless the entire facility has these policies. I don't want to keep being the bad guy, because its known the others (LPN) just let the aids do whatever and don't ask them to do more, so its always going to be on my shift which will not be good.

I however, will not tolerate insubordination!!!! I am like a fine running machine the military has! I believe in order and things being done, no wasting time! Thank you, I just hope I can get things changed in time. Besides, Rome was not built in a day!

:)

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