CNA's Are Tired Of Laziness

Nurses LPN/LVN

Updated:   Published

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I am a Certified Med Tech as well as a CNA. I perform all of the duties of a LPN with the exception of inserting/removing catheters. Nursing home LPN's for the most part have disappointed me as a nursing student. As a CNA I have worked 3 consecutive 16-hour shifts on a lockdown unit with 19 incontinent male, behavioral residents. The LPN did not change anyone, did not feed any of the 3 feeders, did not shower any of the 6 residents per day, did not perform vitals on the 9 patients... I did it all alone. She did nothing other than chart and pass medications once per shift, and sit at the nursing station cackling on her phone.

Well, according to the state of ARIZONA, these are ALL not only within a nurses scope of practice but their responsibility. A CNA is an ASSISTANT. He/She is to ASSIST the nurse with personal care, most nurses for some reason seem to think that these tasks are beneath them or not in their scope and responsibility.

With the current shortages, and even more post COVID, imagine no CNA or PCT... Think about that the next time you sit at the nurses station while your CNA works their butt off. Think about if the industry went back to pre CNA era and you had to do it ALL. Answer a light. Pass water. Change a brief. I'm done. I will not go back to facility for a bunch of ungrateful nurses who spent way too much money on fig scrubs and are afraid of a little poop. I will laugh hysterically as they go to social media crying about being understaffed. For the way most of them have abused CNA's and neglected patients, they deserve to work alone. My heart aches for the residents that are stuck with these entitled, lazy people.

Specializes in Acute Mental Health.

To the OP, if I'm reading this correctly, you work on a behavioral health unit with 19pts and the LPN didn't lift a finger to help out?!?  I give you kudos for not going off.  That is just poor nursing on her part. I always help out but understand this, no matter where you go there will always be a few lazy ones. 

 

On 12/27/2021 at 10:35 AM, mlmckenzie said:

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I am a Certified Med Tech as well as a CNA. I perform all of the duties of a LPN with the exception of inserting/removing catheters. Nursing home LPN's for the most part have disappointed me as a nursing student. As a CNA I have worked 3 consecutive 16-hour shifts on a lockdown unit with 19 incontinent male, behavioral residents. The LPN did not change anyone, did not feed any of the 3 feeders, did not shower any of the 6 residents per day, did not perform vitals on the 9 patients... I did it all alone. She did nothing other than chart and pass medications once per shift, and sit at the nursing station cackling on her phone.

Well, according to the state of ARIZONA, these are ALL not only within a nurses scope of practice but their responsibility. A CNA is an ASSISTANT. He/She is to ASSIST the nurse with personal care, most nurses for some reason seem to think that these tasks are beneath them or not in their scope and responsibility.

With the current shortages, and even more post COVID, imagine no CNA or PCT... Think about that the next time you sit at the nurses station while your CNA works their butt off. Think about if the industry went back to pre CNA era and you had to do it ALL. Answer a light. Pass water. Change a brief. I'm done. I will not go back to facility for a bunch of ungrateful nurses who spent way too much money on fig scrubs and are afraid of a little poop. I will laugh hysterically as they go to social media crying about being understaffed. For the way most of them have abused CNA's and neglected patients, they deserve to work alone. My heart aches for the residents that are stuck with these entitled, lazy people.

You probably need to talk to your  administrator or director of nursing. They are in charge of facility protocols, job duties. 

On that note... I cannot believe the wide scope of practice medical assistants have in my state. They can pretty much do anything but administer IV push medications. I feel bad for the ones who are required to cover RN vacations. It's scary for them. Eventually, there may not be any RNs left in health care. CNAs, MAs, PCTs are cheaper to hire.

On 12/29/2021 at 10:20 AM, mlmckenzie said:

 Admin does not have a clue about what it takes to take care of people. They have grand and unrealistic expectations. In a facility, THERE MUST BE 2 staff members for Hoyers. So I would have my CNA's put the Hoyers to bed, together, I could care less what admin has to say about one leaving for a few moments to ensure safety measures are followed. If a resident falls from Hoyer or is injured while a CNA is operating alone, that same admin will not take any accountability and fire that CNA and interrogate you like the CIA. (they don't want the lawsuit and will throw anyone under the bus). OR you can let them know that you will put on the resident light when you come in to pass the medications to that resident, they run in and operate Hoyer. 2 must be present. You do not give your CNA's any direct order to perform an unsafe task, it can land you in a meeting with the state fighting for your own license that you worked so hard for. If possible, snacks should be placed on the cart and can be passed during med pass. Pudding, yogurt, ice cream, applesauce, keep it simple. It can be used as a bargaining tool for residents that try to refuse meds. Old people love soft sweets. Showers with one CNA are not an option and I would personally argue this with the admin. Admin stated that a CNA must be on the floor at all times, I would argue that means that said CNA can not shower residents because it takes her/him off the floor. I would have the CNA's perform bed baths, nail care, shave, linen changes. When residents and their families start to complain, the facility will get help. Concerning the unfairness of putting the residents down and getting them up. STOP. I would have the CNA's to put the residents to bed but they would not get anyone up in the morning, period. The facility allows this preferential treatment for the day shift because the day shift has to feed people, well, it is really because they want to keep up appearances that the residents are active. Meanwhile, there are cleaning crews, dining crews, maintenance, admin, more staff during the day. ANYONE can assist in getting a resident out of bed. ANY STAFF can standby as a Hoyer is operated. Nights do not have this support. I would leave every single one of them that I had to put to bed after dinner in bed. Ensure that they are all dry and comfortable but in bed. If the resident was dressed for bed but not in bed, I would have them dressed for the day but lying in bed. If they were not dressed for bed and not in bed, then they would not be dressed for the day and still in bed.  It is not your teams fault that the day shift is managing time poorly. They do this because they know that they don't have to put them to bed or get them up. They are essentially just serving people, not actually servicing the people. Talk with the day nurses and let them know that you find it unbalanced and it has a negative impact on resident care and quality of life. Be professional, be assertive, be fair to yourself and your aids. Advocate for your patients and your team even in the face of adversity. I would suggest that ALL the CNA's do Hoyer transfers in and out of bed at shift change. Because Days and Nights are both there, they should do this during rounds as to ensure that it doesn't fall on one shift and 2 are present for resident safety. If that means coming in a few minutes early or staying a few minutes late, well, it is what it is. To support this, the day shift should pass trays to the Hoyers first, or they will finish dinner in bed. Day shift should also shower all the Hoyer lifts as they are up anyway. If they have a problem with restructuring to ensure patient comfort and safety, take it to admin, where it will probably fall on deaf ears, but you document every single encounter. It is okay to vent, these are valid issues. We absorb so much negative energy we need to release it to make room for the crap that is to come.

Dear God, may I please NEVER have to be a patient in one of these hell-0n-earth prisons.

On 12/31/2021 at 12:20 AM, chevyv said:

To the OP, if I'm reading this correctly, you work on a behavioral health unit with 19pts and the LPN didn't lift a finger to help out?!?  I give you kudos for not going off.  That is just poor nursing on her part. I always help out but understand this, no matter where you go there will always be a few lazy ones. 

This CNA apparently did not ask the nurse for help.  I would like to know why not.

36 minutes ago, Kooky Korky said:

This CNA apparently did not ask the nurse for help.  I would like to know why not.

CNA's don't know the job of the nurse and think the nurse is just 'sitting' when the nurse is 'always' on duty even if not appearing busy. The CNA is not always on duty. They can take  a break without being responsible for the patient outcome. They don't understand downtime.

Specializes in Acute Mental Health.
8 hours ago, Kooky Korky said:

This CNA apparently did not ask the nurse for help.  I would like to know why not.

And I would also like to know if the nurse needs to chart on all 19 pts or is charting by exception done at the facility. Surely the nurse knows the tasks involved for the CNA to complete. I worked many yrs as a CNA so I'm on it with the team work. I like to stay busy but I've worked with a lot that are lazy and really would rather sit then be out in the milieu. 

I did want to clarify a point the OP was making regarding the role of the CNA to assist the nurse with basic tasks such as bathing etc.  It is well within the nurses role to delegate tasks. Now if she's delegating so she can sit on her phone or do very little, then that is just poor nursing. If she needs to chart on 19 pts, then she is closer to sainthood and needs to delegate. 

Great point about asking for help! I never even thought along those lines. I just went right to the lazy nurse route

Specializes in Corrections.

Whether its CNA's, LPN's, or RNs, lazy staff makes everyone else's job harder. From a nurses stand point, I understand charting and med pass takes time. Sometimes it may appear that I'm on the computer doing nothing but I'm reviewing orders, looking at results for diagnostic tests, seeing if the vital signs are stable, charting, looking up my oncoming admission that's hell on wheels, etc. Getting a patient some water or cleaning them when they are soiled is not something that takes too long for the nurse to do. It's when everyone is soiled and asking for something that can be handled by someone else that makes us fall behind. I would just tell the nurse your patient needs ______, I'm busy doing _______. Thank you for helping. Do not ask but politely tell them what needs to be done for the patient. As much as I hate cleaning up bowel movements ( sensitive nose), I do not feel I am above wiping butts and I know CNA's are busy. 

21 hours ago, chevyv said:

And I would also like to know if the nurse needs to chart on all 19 pts or is charting by exception done at the facility. Surely the nurse knows the tasks involved for the CNA to complete. I worked many yrs as a CNA so I'm on it with the team work. I like to stay busy but I've worked with a lot that are lazy and really would rather sit then be out in the milieu. 

I did want to clarify a point the OP was making regarding the role of the CNA to assist the nurse with basic tasks such as bathing etc.  It is well within the nurses role to delegate tasks. Now if she's delegating so she can sit on her phone or do very little, then that is just poor nursing. If she needs to chart on 19 pts, then she is closer to sainthood and needs to delegate. 

Great point about asking for help! I never even thought along those lines. I just went right to the lazy nurse route

Excuse me. I did ask her for help. She didn't out right refuse, instead she wave me away and continued talking on her phone. Furthermore, the facility tells is when we have 1 aid on the unit then no showers are to be done as it takes the aid away from call lights and fall risks....but she made out the shower sheets and delegated me to do them while she continued on the phone. I don't know how many she carts for but it takes her all of 20 minutes on the computer.Medications are passed to 6 residents at 830 and 430pm. I am a fair person.I have had some hard working nurses but for the most part....no. This nurse has never been a CNA. A lot of aids refuse to work with her which is why I was alone.Because she has been working at the facility for 15 yrs...complaints to admin fall on deaf ears. In 16 hrs...she has about 2 hrs of work. Example: DON told her to swap all the residents....she made me do it instead...on TOP of all else I was already doing.I quit last weekend.

Facility called me and offered me 20.00 hr and a 4000.00 bonus.I declined.It was pretty bad guys.I am not just venting.It was horrible.

Just did a registry shift where two CNAs didn’t show up and they couldn’t find replacements, and several of the nurses were already pulling doubles. An additional LVN stayed on a double just to help with CNA duties since there was a nurse for each cart. I had 19 patients and luckily it was night shift and the 6AM med pass for these patients was lighter than usual and only had one agitated patient and a couple wander/fall risks.

This other nurse who also was on a cart and already on her second shift of the day came over to help me with patient care. I didn’t even ask for help, I knew they were all bombarded so I had already started on a couple patients and she saw me and just jumped right in. Out of my 19 patients, 12 were total care and at least 4 were 2 person. And again I am the charge nurse also, with several patients having PICC lines, foleys, gtubes. I thought it was going to be the nightmare shift of the decade but the other nurses were such absolute team players. 
 

Just wanted to share this in light of the convo and give a shout out to those who always give 110%

Specializes in Corrections.
8 hours ago, mlmckenzie said:

Facility called me and offered me 20.00 hr and a 4000.00 bonus.I declined.It was pretty bad guys.I am not just venting.It was horrible.

I'm sorry to hear that it was such a bad experience. 4k seems nice and I'm not sure how much you were making before but $20/hr does seem good for CNA pay. It's terrible that you had to quit for them to know your worth. If you do an exit interview let them know everything that's wrong with the facility and why you left. Might not change anything but at least you can say they were made aware. 

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