Dealing with arrogant staff

[lumbarpain]

I am new to this Rehab. Center ...but a seasoned RN of over 17 years.....I have worked in many facilities and have never encountered such discipline problems as this facility.

I am seeking some advice on how to deal with aides that fight amongst each other, they feel there is no teamwork, they do as they please and the nurses get walked all over by them...cause they know that if they get fired....they go somewhere else and work and then OUR facility will be left without an aide working on the floor and shorthanded which Tsunamis into more problems for the staff remaining. Any hints on how to effectively deal with out of control Aides would be helpful.....it seems you have to get peed off at them for them to do something first....and this should not be....asking repeatedly to do one thing is just so frustrating......the nurse takes on more Aide work herself and cannot get her own work done....AND THEY TAKE ADVANTAGE OF IT if they know you will help them out a lot....they depend on you to DO THEIR WORK....its terrible. I have never been a nurse to just DO MY OWN WORK and the heck with everyone else...I always chipped in..but when they start depending on you to answer their call bells..then it gets bad. ps...I have already addressed this to the DON and she says...You got to take charge, you got to hold the reins, you got to , got to. BUT she fails to say how......I find this very upsetting cause I had told her I believe that this facility has had this problem for some time and she affirmed the aices just do what they want on this floor. Its just incredible. I have always gotten along with my aides....their jobs are not easy at all......but this place is Out of this world!!!!!!! I noticed this facility doesn't moniter Bowel movements on their patients....so I asked if I can make up a sheet for that and got the GO from the Nurse Manager......it was simple and I explained to my aides to fill it in so we can get an idea of whats going on with elimination patterns.....the nurse I was working with (a per diem who has worked there for over a year) states to me..."they took your bowel sheet out of the 3-11 book) I said...Why? They need something like this...I never worked in a facility where they didn't have a bowel and bladder sheet? She said....I don't know. they just took it out.......so.......no one told me this wasn't accepted......I had told the DON about the sheet also....but this place is a mess.....I don't know what to do...I worry about my license here.

[ProgressiveActivist, BSN, RN]

Amen to that. I would rather have no CNA than a lazy surly one who can not be trusted or counted on to do the job.

UOTE=Sassy5d;7903026]What would happen if you did just take the reins and did not tolerate the behavior?

Don't do their work.

Give em a report at the start of your shift, and tell them your expectations.

It will be a power trip for them, write down their actions.

Aides are a dime a dozen. Not to down play stna's by any means but they are. Just like nurses are.

I'd rather work short staffed than tolerate out of control behavior.

I've made aides punch out and go home.