lazy mean assistants - page 4

This morning while I was trying to calculate I/O's, admin meds, cover fingersticks, etc...the end of shift duties, I asked my assistant if she had emptied the NG and colostomy and f/c in room 6. She... Read More

  1. by   squeakykitty
    This morning I woke up, got out of bed, went to the bathroom, and wiped when I was through---independently.

    I showered, dressed, and fed my cats---independently.

    I made coffee, breakfast, and ate and drank them---independently.

    When it was time to catch the bus, I walked out to the bus stop with no problem. I didn't need a walker or a cane, because I had no trouble walking.

    I got off the bus at the no-kill kitty shelter I volunteer at and took care of the kitties (feed, water, clean cages). I could see the kitties perfectly and I could hear them meow and purr with no trouble.

    The whole time I knew who I was, where I was, what day and time it was, and what I was doing.

    When I was finished at the shelter I went to the nearest public computer lab, and got on Allnurses and explored the website.

    Then I found this thread............

    I always thought that if I quit and reported, or if I was fired for reporting abuse or neglect, I could always find another job. However.............

    The residents in LTC mostly have nowhere else to go, and can't choose different caregivers if they're in a facility where the caregivers don't do their job, where they're neglected and abused, and nothing is done about it.

    Whether it's temporary or permanently, they can't live independently because they either are physically or mentally incapable of caring for themselves, or they need assistance to care for themselves.

    The people who work in LTC and are lazy, neglectful, abusive, or chronically insubordinate need to be written up and their behavior thoroughly documented. If nothing is done, it needs to go up the chain of command as far as it will go---even to the ombudsman or the state if necessary, to protect the vulnerable people who need us the most.

    There are no guarantees in life. At any time me or any one of us, our family members, or our friends could end up in LTC, no matter how old or young we or they are. It can happen whether through physical injury, disease or disability, or having dementia and needing to be in LTC to be safe and cared for.

    I truly hope that, if and when that happens, that there will be safe facilities to go to; not ones that are run by anyone (whether CNA or CEO) who won't care about the physical, mental, and psychological well being of the residents.
  2. by   sharona97
    Squeeky Kitty,

    How right you are. Without blaming anyone profession, I take your message personally.

    I only hope that the possibilities of dementia to disease to disabilities never happens we all know your statement is true.

    With reminders and hopeful posts such as yours, it makes me want to become an even bettr nurse and caregiver.

    Thank you for sharing.
  3. by   time4meRN
    Just remember, your're the RN, you are supervising her on that shif. Be sure to document it, talk to your sup about it, stand your ground. Respond in a prof manner, show the new assistant what professionalism is, showing the new assistant how, not to behave will be the best thing in a long run.. Sounds like this assistant has had too much room to act out. Time for that to STOP ! You are in charge of pt care, if a staff member is disrupting the department to that point it's time for some serious documentation, the new assistant shoud also document the insident and should be trained by someone else. Stand up for your self. It's like children, even though your busy at work, take the time to deal with the situation or things will only get worse .
  4. by   squeakykitty
    Quote from sharona97
    Squeeky Kitty,

    How right you are. Without blaming anyone profession, I take your message personally.

    I only hope that the possibilities of dementia to disease to disabilities never happens we all know your statement is true.

    With reminders and hopeful posts such as yours, it makes me want to become an even bettr nurse and caregiver.

    Thank you for sharing.
    You're welcome. And thank you for your post.

    I posted this because it does bother me that people could be quitting without doing anything about the situation they leave behind. As far as the CNA shortage goes, maybe some of those places have that problem because the good ones are quitting because nothing happens to the "rotten apples"? Perhaps more DONs would back up there nurses if the state made them? All I know is hopefully more people will do something to change LTC before they end up there and it's too late.
  5. by   DeLana_RN
    I haven't read all the posts yet (too many), but in the situation you describe I can really see only one thing to do: Run, don't walk out of there. If management won't stand up to the assistants (their title, of course, means they should assist you)... well, that's a gross lack of leadership. This kind of insubordination should never be tolerated, and it shows you that management cares little for the nurses. Why would you want to work under such conditions?

    Unfortunately, this seems of be a fairly wide-spread problem, from what I hear and read (and some personal experience as well). Sometimes it's just better - for you, and your mental and physical health - to quit.

    Best of luck to you,

  6. by   annmariern
    from bad recent experience, put all complaints in writing, be specific and objective. And persistant. Trust me, it just gets worse.
  7. by   MAR688
    As A Cna Its Very Hard Job To Take Care Of People And Deal With A Charge Nurse That Feels Like You Dont Do Any Thing When Some Aids Are Working Some Times With 6-15 Patients But Never Told Your Doing A Good Job Just That Cnas Are Lazy And Dont Do Anything And Any Body Doing Skilled Are Can Tell You Its Hard With No Good Pay.
  8. by   Scrubby
    Well if they are short staffed then surely your skills as an RN are far more needed than hers, i'd have no probs with standing up to such an idiot if they are that desperate they aren't going to fire you. I'd be asking her why she is sitting on her butt watching TV why patients need care. I'd be challenging her in front of the entire ward about not cleaning up patients, taking vitals etc. I'd even ask her if she would like me to show her how it's done properly.

    If they are going to treat you with disrespect then don't ask them to do anything. TELL them. In fact why not plan their daily tasks for them? I'd be writing down whose obs need to be taken and when, and when to do showers etc. Put it up on the wall where they can see it and inform them that these are what need to be done and to tick them off when they are completed. If management or anyone asks then inform them that you are concerned with their time management skills and as the supervising RN you are letting them know what needs to be done and when.

    As an RN you are not responsible for their behavior, but you are responsible for advocating for your patients. By not addressing the problem by informing the nurses board and writing incident reports your patients are at risk and IMHO you are not fulfilling your obligation towards your patients.
  9. by   lil' girl
    In our facility we the "charge nurse" can walk an assistant for insubordination. We don't have to write them up first. If they refuse to do something that we requested them to do then we make the decision as what to do. I'm not saying this is what you should do (if you can do this at your facility) but you have to let them know that you mean what you say. I will help any of them wipe poo, or anything else if they need help but I will not let them bully me.
  10. by   AprilRNhere
    Quote from squeakykitty
    Perhaps more DONs would back up there nurses if the state made them? All I know is hopefully more people will do something to change LTC before they end up there and it's too late.

    The state can't make them if they don't know the problems. When I worked LTC...I would get FURIOUS when I saw staffing. Around the time of state inspection...they DOUBLED our staffing until just after state came...then they cut everyone back again. We literally had twice as many CNA"s on the floor in preperation. It was great. THe residents got superb care...and we weren't overwhelmed, exhausted, and limping when we went home. And...I should add...this is in a pretty good home. (I'd allow my mom/myself to be there if needed) Seeing how it is in a good home...I shudder to think about how other places are.

    However...even when you's hard. I almost took a position in LTC because I DO care and want to make a difference. (different facility)...but the pay stinks..and if you're chronically short don't have TIME to make much of a difference..and in the meantime you put your lisence on the line. It's a vicious cycle.
  11. by   alilnurs2b
    I failed psych nursing this summer, I have to take two classes to bring up my gpa so I'll start in January to do this. I won't be able to start nursing school again til this august '08. This isn't the worse part, because they've changed the curriculum I have to take two classes that I've already taken I only have one more chance and I'm scared not only that I'll fail again but taking the two classes that I've already passed increases my chances of failing I think.
    Last edit by alilnurs2b on Dec 16, '07 : Reason: it wasn't grammatically correct
  12. by   Ms Kylee
    Last week, I came in to work 3-11 and found the nurses at the nursing station in an uproar... and about 3 of them so mad they were about to spit nails. The one LPN told me to put my helmet on because it was going to be a rough ride until 7:00. Then I heard the whole story. The aide that I was replacing (according to the nurses) "Did nothing all day except take vitals." Then I heard "She faked her I&O's, wouldn't and didn't empty Foleys" and a whole other laundry list of things including not giving the patients baths. On my floor, baths is one of the most important priorities, and if you don't give a patient one, you'd better have a pretty good reason.

    Then the nurse told me that she told the nurse doing the most complaining that she needed to write up the aide. Nurse wouldn't (or didn't) do it. Basically, this aide did not do her job and got away with it. This isn't right.
  13. by   nursedudeforchrist
    Quote from Jessiek
    As a nursing student who worked as an aide over the summer, I had the opportunity to kind of see this from both angles. While I really sympathize with nurses who are frustrated by poor work ethics on the part of aides, I just wanted to add that, as an aide, I have never worked quite so hard for so little respect in my entire life. The lack of respect did not come from patients, families, or anyone but from the nurses themselves. Of course I'm not making any general statement about nurses but in my short experience I found the nurses on my unit to be unwilling to communicate with me and woulddismiss me if I brought certain things to their attention. I felt pretty value- less ( is that a word?) to the nurses although I rarely got a break, did back-breaking physical labor, cleaned up c**p all day, and in general ran around like crazy to make my patients more comfortable and the nurses' jobs less taxing. My own morale was pretty low and my respect for women who had been aids for twenty or more years was never higher. My point is that these aids work very very hard for little money and little respect and I think it is easy for many people to dismiss them because they "have no education" or because their job description involves physical labor rather than critical thinking skills. But until nurses begin to treat their very hardworking aids as valued and respected, they can not expect aids to have the same level of dedication to them.. just my opinion and it may seem naive but I really think sometimes nurses' attitudes need adjustment. Please don't take any of this the wrong way- I'm 8 months away from becoming an RN myself- I hope- and I am in no way putting down all nurses or saying all aids are great. Just some observations I noted while working as an aid after being a student nurse for a year. The nicer you are to people, the more willing they will be to help you out.
    Absolutely!!! I am with you 100% on this! 100% I am working as a CNAII while in nursing school and I can go on and on about the lack of respect that we all get. I understand that as a nursing assistant we are suppose to help the nurses with the patients, but a lot of nurses take this to mean that we are just suppose to handle the "dirty work." It was nurses like this that made me not want to be a nurse at all. What they don't understand is that when a pt calls to go to the bathroom or something like that, they won't be helping the assistant, they will be helping the PATIENT! If you come across any bitter assistants, they are more than likely bitter because with all the work that they do, they get hardly any respect or appreciation. Also, they have probably come across more than a few lazy and arrogant nurses who have distored their perception of the entire nursing population. And to the NM who attributed the mean behavior to lack of education, she is, yet, another example of arroagance and ignorance. Everyone, both nurses and assistants alike, are suppose to be there for the patients. And the amount of education or money that you make should not dictate how much you are actually willing to do in order to help the patient.