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If the other nurses don't complain and let her get away with it then I think you are fighting a losing battle. I would try to garner her cooperation in the nicest, most professional way. If she doesn't respond to that then go up the chain of command.
We have one aide who I swear I think drinks on the job. But she is one of the NM pets so unless I see her with a bottle in her hand and have a polaroid picture, witnessed by two people, time stamped and dated- then she will continue on.
Good luck. Bend like a willow- until your sapped. :)
Don't expect this situation to change soon. Even if NM recognizes the problem she may not do much to correct the behavior. I have worked with some great CNA's, but the last bunch I worked with were the absolute pits. Behavior you described and worse. Document everything, be fair and professional, and at next staff meeting with other nurses bring up subject of CNA's and their duties, do not single her out, maybe then the NM will send out a memo to CNA's that job performance must improve. Good Luck but it may be a long battle.
Our evening CNAS seem to feel they have the run of the ER for some reason. We have one who is constantly scratching herself and wiping her nose with her hand and who is loud, rude and innappropriate and always on the phone. Asking her to do anything is like pulling teeth. Our other CNAS are trained to draw blood and do EKGS but also can assist in transport and feedings, and cleaning beds and toileting. And last night, I couldn't even get them to do an EKG. There is an EKG tech on weekends for the hospital but they were sitting there doing nothing and are trained to do EKGS and I needed a stat EKG and they told me to page the EKG tech. The charge nurse also asked them. They refused. The charge nurse wound up doing it herself. I have talked to my nurse manager about the problem before but she doesn't do anything. She is also not there during my shift and she doesnt see what goes on. And then she sticks up for them , saying " Well how did you ask them" Not that it matters but I ALWAYS say please and thank you and regardless, I shouldnt have to BEG. I am in the position to delgate tasks...if they can't handle being delegated to, then they should find a different job. I was once a CNA and I never behaved the way the CNAS I work with do. Its getting out of hand. :(
I am training in a new dept where there are NO CNAs or techs. Let me tell you, it is so much easier to have all nurse staff.
The techs in the dept where I work now are a constant source of stress and conflict. Some are lazy, insubordinate and they think they know as much as a doc.
There are two excellent ones, but the bad apples make things really hard.
Dave, respect is also earned. I don't respect someone who sits on their ass with their feet up while I am running around doing their job. I was a CNA myself and let me tell you, our CNAS in the ER have it a lot better than I did. They chose to work in this position and that means accepting delegation. Everyone deserves to be treated with respect regardless of job title but it also has to be earned.
Frankly, I've found that those who respect and thank their CNA's the most,who give them support, encouragement, and feedback, and certainly praise when due, never fail to get the best out of the CNAs /techs.
I always make it a point to thank our tech/techs for their help before I leave for the day. So much of what they do is taken for granted... we are so involved with our own responsibilities and duties, we have little time to actually "see" what all gets done by these asssistants.
MOST...(yes, there will always be some who are just plain losers, and these can be found amongst nurses as well) will bend over backwards for you if treated with respect and recognition... and thanks.
For two little words, Thank You sure goes a long way. :)
Originally posted by TerraRNDave, respect is also earned. I don't respect someone who sits on their ass with their feet up while I am running around doing their job. I was a CNA myself and let me tell you, our CNAS in the ER have it a lot better than I did. They chose to work in this position and that means accepting delegation. Everyone deserves to be treated with respect regardless of job title but it also has to be earned.
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ITA. I was a CNA for 3 years. I knew my job and did it. I respected my nurses.
The majority of the CNAs/ techs I work with are agressive, arrogant, ignorant, mean-spirited and totally inapporoprate w/ pts. They pretty much run the unit. Yes, I have spoken to my NM several times and had two conferances w/ her and one particularly troublesome tech. Things improve for a week or so, then she goes back to her old ways. She was fired in the past, and rehired for some reason.
I don't buy the "they are disrespected" argument. In my experience, great CNAs are absolutely treasured and treated like gold. I was by many nurses I worked w/ when I was a CNA. Why? Because I earned their respect and appreciation.
StephMSeattle
57 Posts
I'm an LPN at a LTC facility and I have a CNA who is a habitual complainer and whiner. She's such a ***** all of the time. She does some parts of her job rather well. Sometimes she is on the phone 4-5 times during my shift. Today I called her on her phone habits and asked her if she was on break. She gave me attitude.
Then she begins complaining...
Where's....? Where's....? She likes keeping tabs on one of the other CNA's on the floor whom she does not like. Yet, I see her talking on the phone and sitting down all of the time.
The problem...
The other nurses don't do crap about it. They call her to the phone when her personal calls come in, etc... This problem is a long time in the making and won't be fixed overnight. I'm going to have to find things to keep her busy so that she won't be running her mouth all day long. She's my little instigator and troublemaker!
I feel as if I'm raising a child. She knows her job better than I do! She's been doing it for a very long time. As if us nurses don't have enough to deal with already...
I guess that I'm going to have to outline EVERYTHING I want her to do all day every day and find busy work for her...or bring some duct tape! Muahahahahahaha!
Any advice or suggestions?
Thanks guys!
Steph M