dilemma

[niceswtnurse2006]

We were having debate/discussion about this situtation any thoughts

you and your CNA have been busy all morning you are just about to sit down and do some charting at the nurse's station when you notice room 10 light is on. as you get up to answer it Room 21's wife arrrives to pick up her husband. You did not complete his wife's discharge instruction yet becuase she wasn't planning to go home until later. You decide to ask your CNA to answer the call light while you go to Room 21 to discharge the husband. You call your assistant on her phone and ask her to go see room 10. she does not aknowledge your request and you ask if she can hear you. you get a grunt in response and at least know that she heard you. You then start to walk down the hall to room 21 when the CNA comes at you and starts yelling at you about telling her to do things and that she saw you sitting down... what is your response to this???

[TazziRN, RN]

Tazzi - Sometimes I feel like I should be compensating you for all the words of wisdom over the years...er...I'm a little short, have some balloons:balloons: (it was between that and the trout...I was going to do coffee or tea, but I wasn't sure if you do the caffeine thing :0)

Anyway, thanks for sharing your wisdom!

To the OP: I see that you are new so, welcome to the site! You will come to find that Tazzi's advice is worth it's weight in trout (balloons not heavy enough for the analogy)

I love Starbuck's!!

[annmariern]

Oh a theme of late; Recent post of mine; I followed through, wrote it up; now I have the passive agressive approach, the disappeaing aide, etc. Will see how this weekend goes, but will continue to document problems and yet again bring them to the NM attention. I refuse to work with people who don't perform their jobs and make mine much harder in silence any more. It just rewards their unprofessional behaviour. The nurses are afraid to ask you to do your job without a hassle, most do it themselves and avoid the stress. So it thrives. They win, we all suffer.

[jill48, ASN, RN]

I'd try to use a little humor and some casualness. "Sue, don't yell at me", in a sing-songy Little Bo-Beep voice. "Mrs. Whoever just arrived and I have to finish that discharge. So I promise I'm not goofing off while you do extra work. And while I was sitting, it was to chart, not just relax. Give me at break, Sue, trust me a little, please." All light and friendly. And later, when it was calmer, I'd say, "And please don't yell at me, esp. in the hallway. I try very hard never to yell at you or anyone else and If I'm upset with someone, I try to talk to them privately, and I need for you to do the same. OK?"

Then pray for peace, pray for retirement, pray for a winning lottery ticket.:monkeydance: :angryfire :smiletea: :argue: :cheers: :deadhorse :bowingpur :icon_hug: Yes, this crap that we deal with all the time really does raises all these emotions in me.

I'm afraid I wouldn't be able to do this in a sing-songy voice because it would come out like a Metallica song. And that would not go over well.

[Mommy TeleRN, RN]

This post makes me nervous since I will be a nurse soon..and if all goes through as planned on the same floor I've interned on for the past year..so I already know all the CNAs. I try and help them a lot..so hopefully by that I've earned their respect.

But I had one CNA (she just left to do another position) recently who stopped me and chided me for taking extra blankets into a GI bleed's room who was getting shocky (she was DNR or she'd been in the unit) That is was a "waste of blankets" because the pt was about to die (well she didn't .. she was there at least a week later when I worked again) It really ticked me off because I'm sure she probably doesn't know a lot about shock and the pt taking on the temp of the environment. Pt also got blood that night and she made a comment the next morning when she came in that she couldn't believe they would give that pt blood. One of the nurses reminded her DNR does NOT mean Do Not Treat.

We have another CNA who is a very hardworker but has been a CNA for a LONG time (almost as long as I've been alive lol) and she is VERY set in her ways. She has a routine she does NOT waver from. Needed help pulling a pt up in bed and she would not stop her charting to help me. Pt was like hanging off the bed not just slumped down. I am a very nonconfrontational type anyway and really have never had an authoritative type job so this will be a challenge for me.

[jill48, ASN, RN]

This post makes me nervous since I will be a nurse soon..and if all goes through as planned on the same floor I've interned on for the past year..so I already know all the CNAs. I try and help them a lot..so hopefully by that I've earned their respect.

But I had one CNA (she just left to do another position) recently who stopped me and chided me for taking extra blankets into a GI bleed's room who was getting shocky (she was DNR or she'd been in the unit) That is was a "waste of blankets" because the pt was about to die (well she didn't .. she was there at least a week later when I worked again) It really ticked me off because I'm sure she probably doesn't know a lot about shock and the pt taking on the temp of the environment. Pt also got blood that night and she made a comment the next morning when she came in that she couldn't believe they would give that pt blood. One of the nurses reminded her DNR does NOT mean Do Not Treat.

We have another CNA who is a very hardworker but has been a CNA for a LONG time (almost as long as I've been alive lol) and she is VERY set in her ways. She has a routine she does NOT waver from. Needed help pulling a pt up in bed and she would not stop her charting to help me. Pt was like hanging off the bed not just slumped down. I am a very nonconfrontational type anyway and really have never had an authoritative type job so this will be a challenge for me.

Girl! You are going to have to be more assertive for the wellfare of your patients. You know that CNA that told you that taking extra blankets to the dying patient is a "waste of blankets":nono: ? I would have told her, "And you're a waste of skin :angryfire now back off". I'm not saying you should say that - I'm VERY assertive and will have NOBODY treating my patients (or any patients for that matter) like crap. Now, if you can find a middle ground between no assertiveness and my assertive/aggressiveness you will be fine. One good thing though; I have known nurses who are not assertive when it comes to people taking advantage of them, but when it comes to their patients, they suddenly develop a voice :w00t: and do what they have to do/ or say what they have to say, to make sure things are done right by the patient. When the other CNA said that was a waste of blankets, how did that make you feel? Did it make you angry and sad? Then take those feelings and express them verbally, directing them to the person who made you feel that way:argue: . You WILL develop your voice. Now, controlling it is another matter entirely (me) .

[jill48, ASN, RN]

I love Starbuck's!!

I've never had Starbuck's. By the way Tazzi, love the new picture! Yes, I know everybody, I'm :offtopic: . So sorry. :uhoh21: