I had some trouble with a CNA...should I talk to the manager?

Nurses General Nursing

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At the hospital I work at, everyone on the nursing staff is on probation for the first 90 days of employment. Then, there are peer evaluations done by the RNs. If the employee shows that they work hard and do well, then they'll be considered permanent employees after 90 days. If they perform poorly, they'll be given another 45 days of probation to "shape up or ship out". Then it's either permanent employment or dismissal.

I work with a CNA, hired for a different ward, but who floats over to ours occasionally, who recieved a lackluster evaluation after her first 90 days of employment. She's currently going through her 45 days. I became aware of all this when a nurse from this CNA's home ward asked me how she was doing over my ward, I gave her a briefing on her performance. She thanked me, saying that the nurses have to finish up the peer evaluations on her and any input is helpful.

Not too long ago, when the CNA worked with us, I brought some photos of a party that the people on our unit had a month or so ago. The CNA came up behind me to look at the pictures and said, "I'd like to look, because I didn't go to the party." At that point, I said, sarcastically, "Oh, well, that's because you weren't invited." Then I started chuckling a little bit, turned away from her, back to look at the pictures and said, "Oh, I'm just kidding, everyone in the hospital was welcome to-OW! Did you just punch me?!" After I turned back to look at the pictures again, she had decided to hit me on my back with her fist, right over my scapula. I said, "Why did you do that? Please don't hit me. That really, really hurt. It's always been a little sore since hurting it playing sports in high school" At that point she said, "Oh, I didn't know you had a bad shoulder" and apologized.

Now, yes, I admit, I probably shouldn't have been sarcastic. But, I know that right before she hit me, I was telling her that I was joking around and that she was welcome to go. I believe that she knew I was kidding around with her, and she just thought it would be funny to hit me for some reason. But isn't making jokes to someone, like I did, a little less offensive than hitting someone, like she did to me? It may just be the way I think, but I was raised to understand that there is no reason and no good excuse to hit anyone, and that there's certainly no reason to just sit there and take it. Having this mindset about people hitting others makes me feel like it's necessary for me to go to my manager, and tell her about the incident.

But, I don't know if I should. I understand she's had her probabtion extended for not performing well, so going to the manager with this could play a big part in her being fired. Part of me thinks that I'm partly at fault, because of my sarcasm right before her hitting me. The other part stands by the thought that she really had no right to hit me, and that the way she reacted was completely out of line. I do know that if I was the manager, I'd want to hear about someone who's working on my unit who reacts in such a way. I guess what I'm requesting from all of you who read through this long post is if I should just go to the manager and tell her what happened or, just leave it be since the CNA is aware that I won't tolerate being hit anymore, and not say anything at all.

Now, I'm just flabbergasted because I never thought, being a nurse working in a hospital with other health-care professionals, that I'd feel the need to write a post to request opinions and advice about a co-worker smacking me. The entire situation makes me feel like I'm in middle school all over again.

Specializes in Obstetrics, M/S, Psych.

I think you should speak with this coworker rather than report her. She was wrong, so were you. Lesson to be learned by both here, I think. She needs to control her temper, you need to treat people more kindly. You were pretty cruel with that remark. I'll bet if you apologize, she will, too. I can't see making this become the reason for her supervisor having to make the decision for terminating her; that should be patient care related.

I'm agreeing with these previous statements. I think you hurt her feelings, and I'm doubting she realized how hard she punched you, be it playful of not. It was not acceptable behavior, but neither is being hurtful.

I also have a sore shoulder. I'm all the time getting poked or punched, all in good fun. I doubt anyone even realizes they do it, but I do more so because it's so tender...Could it be that this jab was made out to be more than it actually was because you're more sensitive there?

Sounds like she may have a problem with impulse control, definitely not a trait conducive to working well with patients.

Your comment was sassy and tacky but she had absolutely no right to touch you.

Rat her out now.

And...*why* did you say that to her? That wasn't cute or even funny, it was downright cruel and mean spirited. While I believe you should report her I also think you should take some lessons in common courtesy. What you said was totally out of line.

Your comment to her was very immature and was not a good example to be setting...this however does not give ANYONE the right to hit someone else. I would report it. I think if I were you I would refrain from such sarcasm in the future.

Specializes in Ante-Intra-Postpartum, Post Gyne.

If I was the CNA and you said that, I would probably be hurt and think not very nice thoughts about your character (saying your joking does not take the sting away or make the snide comment OK. I would probably watch you to see if you were just the joker type or the type that says mean things and then says 'just kidding!' to get away with it. I have had obese people call me a skinny b-word and then say just kidding...doen't make it ok...). But try to get over it quick because you gotta have thick skin right? However, I would not hit you, thats a little scary...what if you really said something mean? Would she have punched your lights out?

What you said was really mean and hurtful even if you believe you were joking....people are sarcastic all of the time and use being sarcastic as an excuse for mean or bullying behavior.

Passive-agressive stuff.

Stories like this make me fear the cattiness of working with nurses.

JMHO. Hitting you was wrong....hmmm....maybe she was just being sarcastic....it was a sarcastic hit....yeah, that's right...

Sorry, this really makes me angry...can't stand bully stuff - no tolerance for it.

Perhaps she should report you.

I think you should look at your actions and I think you should approach her kindly and settle it between yourselves.

Had I been the CNA, depending on what type of night I was having and my mood at the time, a comment such as the one you made, even if I knew it was sarcastic whit, would have really hurt my feelings and made me feel very unwanted. I am goofy like that but I have always been that way. I don't know that I would have hit you but I would have been PO'd for a couple of days. I am a perfect example that some people can't take a joke. It may seem silly and harmless to you but as a new person on the unit she probably would love to feel accepted, welcomed, and liked. Its hard to make friends in a new place. Being lonely sucks! I would talk to her as a grown mature adult and explain to her that I was only joking and ask her to please not hit me again, and tell her that of course she was invited to any future "parties". She sounded sorry for hitting your sore shoulder and as long as she does a good job, I would not report it to anyone.

I agree with the above.

Specializes in ER.

Punches in the back hurts, and so do sarcasm.

Maybe call it even??

Punches in the back hurts, and so do sarcasm.

Maybe call it even??

Hardly.

On a professional note, what's to say she'd have appropriate self control when a patient mouths off to her.

She should have been trying especially hard to get along, since she already knew she had 45 days to shape up.

The only way this makes sense is she is trying to get fired so she gets unemployment. Someone who wants to keep her job and do a good job doesn't go around hitting people because she didn't go to a party on a unit she wasn't even assigned to.

Even? You're kidding, right?

My two cents: Apologize to one another, and leave your manager out of it. I think the whole thing is kind of petty, and that the both of you acted inappropriately. I'm a manager (not in a medical field, but a manager nonetheless), and I'd probably have to write you BOTH up. That's another thing you should consider. You could get written up, as well, for your part in the exchange.

I do also think that it's important for the two of you to have a pow-wow about it and get everything ironed out. Who wants to work in a place where there is adversity amongst the staff???

And, YES, I think they're even.

Specializes in ER.

Even? You're kidding, right?

If I did not watch my mouth and this happened to me I´d call it even. Hitting someone is not acceptable but I would not report it. I would however have a talk with the person. Communication is a much better way to solve the problem.

I have worked at sea and can´t imagine myself telling the officer somebody punched my back when I was rude!!!:p Unless the punch sent me flying over a table or something.

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