Multiple CNA's refusing assigned task - page 4

I'm looking for input on how you would handle a sutuation. There are 5 CNA's assigned to the unit they are also assigned halls. The CNA assigned to the hall I was working had just left to take a... Read More

  1. by   Persephone Paige
    This sort of behavior is in all types of employment. And the corporations are instructed to hire an underdog, a single parent, someone with a disability, etc... to prove that they are about lifting people up. I am for that and it's always refreshing when the employee is a keeper. This does happen on occasion. So often tho, they show up ( like that deserves a reward ) and pick and choose the tasks they want to do. They feel they are doing the corporations a favor by being there. And employers put up with it so they can say, "see, I'm compassionate. Look who I hired..."
    My husband is not in healthcare, when faced with this he was shocked. He'd never come across a worker who was truly stupid ( but hired anyway, while other qualified applicants were overlooked ), or completely unmotivated ( but allowed to stay on anyway ). For a while, not knowing how to relate to this sort of situation, he took on the extra work. Then, after a while, he became resentful and stopped. Then, he began to hammer and make fun of the administrator for allowing this employee to run over everyone in the entire office, call in repeatedly ( and still somehow think she was entitled to a paid two week vacation ), refuse tasks or claim that after two years of repeated instruction she still didn't know how to do a task. The list goes on... I guess my point is that this does happen everywhere, nurses just don't have the leisure of allowing the patient to sit in soil while the CNA get's reprimanded. TIME... If time is on your side, you can hunker down and fight back. With time working against you, you have to cave. There must be another avenue to pursue this effectively.
  2. by   Tenebrae
    "This needs to be done"

    If they still refused.

    "This needs to be done. If you choose not to do your job, I'm going to have to elevate this matter to management and I would really rather not"

    I once had an aide having a melt down on shift who told me she was going to walk off shift before it concluded. I said honestly "hey look, I get this is distressing for you, if you choose to leave before your shift is finished I am going to have to elevate the matter to management which could result in displinary action, or even worse you loosing your job"

    The aide stayed and finished her shift

    Its important to keep a very neutral tone of voice and to not let your frustration show, even though you may have every reason to be hacked off
  3. by   Been there,done that
    You were correct, you had to focus on the med pass. CNA's work under your direction.

    Too bad that it escalated to the supervisor, but now they know... you're not fooling around. Good job.
  4. by   not.done.yet
    Quote from nursegj
    First, the RN was IN the patient's room when he asked to go to the restroom. So she had to LEAVE the room, go to the nurse's station to ask the CNA to help the patient. She was IN the room! The time it took her to go get the CNA, she could have taken care of the patient's needs herself.
    Goodness I get very tired of this mindset. This is NOT ACCURATE at all. Even if the patient were not requiring a wheelchair, we all know that many patients have mobility issues. They are connected to telemetry and IVs and SCDs and wound vacs and chest tubes. They frequently move very slowly. Often they need a walker plus assistance, both sitting down and getting up. Some insist on wearing underwear, which must be gotten up and down without a fall. Many times they are soiled - gown, underwear or skin or all three- and then they need clean up. And then need help washing hands. And then maneuvering all the equipment again and slowly turning around, negotiating the distance back to the bed. IV plugged back in. Chest tube arranged properly. SCDs hooked back up. Telemetry pads may need adjusting or replacing. Wound vac resecured. Then the bed and pillows adjusted, blankets arranged, the snacks or drink procured, TV station turned, personal items replaced or fetched or looked for then fetched then placed, then questions and small talk, boosted up in bed after which documenting the output.

    No, it is NOT faster to just do it ourselves, even if already in the room, when in the middle of a med pass....or someone is waiting for pain meds........ or someone needs meds to bring down high BP... or a family member is waiting for an update... or orders need putting in/acknowledged..... or a lab sample drawn and sent... or a physician needs to be called... or someone needs escorted down to CT/MRI... or an admit is coming... or a discharge is pacing and waiting to go... or charting needs to be done... or just plain review of the patients we've been assigned to make sure we aren't missing anything....or team huddle is happening and we need to go report off.... etc etc etc etc. The norm is several of those all going on at once.

    We won't even bring up our own need to pee or grab a bite to eat and check on our kids. We'll just leave the RNs personal needs out of it. Heaven forbid we are seen sitting down after asking a recalcitrant CNA to do. their. job.

    I don't want to hear this argument anymore to be honest. It borderline infuriates me for the dismissiveness of it. Yes, a nerve has been hit here and maybe I am just tired but honestly, just tired of this sense that we can be everywhere at once and liable for all of it. Taking care of people is time consuming. Taking care of the elderly, the sick, the injured is TIME CONSUMING. It isn't like the people in room wanting to be toileted are going to bounce right up, do their business and bounce right back to bed! If they could do that chances are they would not be in the hospital in the first place.

    That is why the CNAs are there. To do the stuff the nurse can delegate so the nurse can do the stuff only the nurse can do. It is literally why CNAs exist in patient care. Get rid of that and CNAs are no longer needed. If a nurse has nothing to do, fine. He/she should absolutely take care of it and most of us DO. But usually...the VAST majority of the time... that is NOT the case. The willingness to look away from all we are responsible for because we want someone else to do their job so we can do ours is just...maddening. Not one nurse should have to "prove" they are busy, even if they were "already in the room". It simply is not true that one can toilet a needy patient faster than task it. Nursing is busy as heck to the point of insanity many days. I think we can all just plain concede that at this point. Don't shame us for needing help, especially when people are getting paid to provide it.
    Last edit by not.done.yet on Mar 12