Major venting about some CNA's

Nurses General Nursing

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First, let me say that I am not venting against all CNA's or even most...I've been one myself. I know how hard they work. I applaude the good ones.

My problem is the majority of the ones at where I work. They talk back, they leave people in messes...it's really making me mad. Just this morning, I told a CNA that was going to get my blood sugars at 5:30, to wait until at least 6:00 because I didn't feel comfortable giving insulin at 7:00 on a 5:30 accucheck. I had originally told her 6:30, but, after she explained to me that she couldn't at that time, I told her I would compromise and make it 6:00. (Sometimes our patients don't get their breakfast trays until almost 8:00 and 11-7 is responsible for the insulin at 7:00) She flat out refused. She told me that the boss said it was ok. I told her, she's not here right now, is she? You're working on MY license, not her's.

She told me no and went and got them at quarter of 6 in defiance.

I told the 'boss' when she came in, but, this is the same boss that let another CNA get away with telling me to 'shut the hell up', as well as, telling a patient to shut up. (Which is why the CNA told me to shut up...I was getting on to her for doing that)

I am so SICK of not being backed up when I tell a CNA to do something. I know I am just a little 'ole LPN at this time, but, I still expect the CNA's to do what I tell them.

I try to be fair. Like I said, I was a CNA, I know how hard the work can be....but, I didn't talk to my nurses any old way I feel, much less, tell them no when they told me to do something.

If the big bosses won't do anything, what am I to do? Go over their heads?

This is my last night tonight. I've done decided that the next place I work, I am not going to be so nice. I've got an interview tomorrow and I am going to explain to the administrator that I DEMAND back up. If I tell someone to do it, and, they snap off, I EXPECT there to be repercussions.

I hate to be so down and dirty, but, I had an spiritual experience a couple of weeks ago that made me see that every patient I come in contact with, is someone's loved one. I don't expect to see them laying in pee or dried food for hours. That is soooo undignified. :o If I don't take up for them, who will?

Any advice? Should I go to the ombudsman if the bosses won't do anything about these CNA's with an attitude?

I hope any CNA's that read this don't take offense. If you do your job honorable, I am not talking about you.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

oh yea i READ YOU LOUD AND CLEAR flo....I have seen this over and over and over (ad nauseum) in OB. I know EXACTLY what you are saying!

originally posted by skm-nursiepooh

...i personally don't think that non-smokers should have smoking duties, especially those with lung problems...i strongly feel that goes against those individuals' personal right to work in a hazard-free environment. in addition, i don't feel that the smoking staff should have to expose themselves to more lung damage by inhaling second hand smoke...if they don't wish to be...despite them being smokers...

ditto ditto ditto

and i am a smoker.

It's worse when it is a family member. I cannot BELIEVE she has had no prenatal care. NONE. She had care the last time because our parents paid for it and she was under her parents insurance. She sticks her nose up at going to a clinic. Also, her 2 year old is always sick, never dressed warmly(even though my mom gave them tons of winter clothes) and all he wants to eat is junk. All they want is a handout. I am very glad I don't live close by because I would be carting them around everywhere and giving them money. I worry about my nephew though. But they will never learn responsibility if people keep doing everything for them.

kids-r-fun

she who talks to cats-

"You can never be to thin, to rich or have to many cats."

I have 2 cats that need to be adopted.....

i personally don't believe that it is our job to take patients out to smoke. not to preach, but we all know that smoking is bad for you. if you are in the hospital, HELLO!, don't you think it would be best to NOT smoke. i don't think it is very professional to see a whole butt-hut full of healthcare workers standing around with sick patients burning up their lungs. Besides, if you've ever had to take care of a newborn going thru withdrawals from a two or three pack a day mom, we all might reconsider.

Remember who you are.

G.I. Gurdjieff

Well, where I work PCT's do Accu-checks and initiate the low blood sugar protocol within 10 minutes of a critical low.......without the nurse if the nurse cannot be located.

I do have to say though, we get a LOT more training to work in a hospital than PCT's who work in LTC.

(Now I see what it looks like when I change the topic of a thread! (hehehe)...)

What's next....Cocaine escorts? Liquor runs for patients? hosting a hash night out for all patients interested meet in conference room A?

Pul-eeeeze!

If they're that well for recreational stuff they can take their happy-butts (literally) home.

If I didn't state this before, here it is...I wouldn't take a patient anywhere to do anything other than a treatment, test or something pertaining to nursing. Period.

Sounds like she doesn't have much faith in her aides. In my facility, only nurses do glucoscans. If you didn't trust your aides, would you really feel comfortable giving insulin based on the BS's they got??

Specializes in ICU-Stepdown.

Well, in our facility, if a patient has the doctors permission to leave (or in other words, the pt is not in isolation or restrained ala baker act) they may step outside for a smoke, but we do not escort them (nor would I do so. THAT is NOT a nursing function, and I do not feel its right to place myself in their presence while sucking on their cigarrettes, spitting tobacco or whatever.

If you are in the facility, I will help you, do all that is required, and even things that are not required. But those that have no wish to get better, please go somewhere else.

Originally posted by Flo1216

kids-r-fun

she who talks to cats-

"You can never be to thin, to rich or have to many cats."

I have 2 cats that need to be adopted.....

Sorry, I gotta hold off on getting anymore for a while...I have 2 that are foster cats but after 3 months haven't gotten a home and the husband is starting to think he's been scammed (as if I would ever pull a fast one and add more cats to our household without telling him!) :stone

We'll talk once George & Gracie (matched pair of elderly Persians) go to a permanent home, I'll need replacements and 10 is such a nice round number (tho an even dozen wouldn't be bad either).

Specializes in ICU.
Originally posted by Susy K

Here's my question.

Say you work with a bunch of non-smokers who refuse to take patients out for smoke breaks? Then what? Who does it then?

Isn't it along the same lines of refusing to take care of a TB, AIDS, pneumonia or other infectious patient because it's bad for your health?

i do believe you are comparing apples and oranges here. can you really not see this difference?!

slap a patch on them. they came to a hospital to get help for their illness. if they don't want to follow the rules, they are free to go home the exact way they came in.

Specializes in LDRP; Education.

Um NO Austin, I was questioning based on MY experiences as a nurse. And I was asking, not making a STATEMENT that they are in fact, the same. Yeesh. :rolleyes:

I worked in OB; people didn't "come" to my floor to "get help for their illness" as you say because pregnancy is not an illness. But what I COULD see happening is a patient who needs to be escorted (for liability reasons perhaps) outside to smoke and everyone on the floor refusing to do so because of second-hand smoke dangers.

We escorted our patients outside, and waited inside the glass doors while the patient sat immediately outside in our view. And yes, this was delegated to the aides if we were too busy, when we finally got aides.

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