Charge Nurse did CNA work. Learned A LOT. - page 2

I did the work of a graveyard CNA last night on my Alzheimer's unit. There was no CNA to cover, so I volunteered to stay another 8 hours. I found out everything that my CNAs should have done, and... Read More

  1. by   nkara
    becoming a nurse doesn't mean neglecting the "cna" work. I understand being busy but assuming that the aides are doing the job falls under your license if it doesn't get done. Protect your risidents and your license and follow up on the cna's.
  2. by   StarNurse2006
    Every morning I have a quick meeting with the CNAs assigned to my residents. I give them any report pertinent to their assignments, confirm what showers they have assigned, let them know if a (combative, agitated, etc) resident has or will be medicated, tell them my expectations (vital signs in by 10 AM, let me know when you are leaving the floor, etc) and ask them if they have any issues they need assistance with. It takes less than 3 minutes, and it makes for a fantastic day. I believe it makes them feel that we are a team and they can come to me with issues, and it also makes them aware that I DO watch to make sure things are done correctly and that I appreciate them.

    If a CNA does not meet my expectations I set out, I counsel them, in person or with a written warning. That is usually sufficient to prevent a second occurance.

    We call these the morning "Come to Jesus meetings." LOL

  3. by   coffee4metech

    Your managemant skills are flawed if you are doing your job the CNAS would be doing there job and obviously they are not doing the job appropiately. And by the way you don't own the CNAS they work for the patients not you ,your not writing the checks every month .So please view them as people not slaves who have to complete the impossible during the shift like most floor nurses do also . Be humble and take this as a lesson and manage your staff with a more structured form of management.
  4. by   Nikki69
    You are communicating with Your Assistants. Good Job!
  5. by   LEN-RN
    This is a classic example of not enough staffing. You saw it and lived it. Maybe you should bring it up to your DON, when basic care is being missed - there is a problem. .

    I liked branbran's approach....I should have quoted it.

    The OP is CONCERNED about the CNAs and their workload and many of the responses are about how calling them "my CNAs" is disrespectful?? Its apparent she cares and it sounds more like an affectionate term. But even so, not sure how it sounds like she owns them and no idea where slave came from. I interpreted that she walked in their shoes and had a whole new respect for their job. AND wants to make changes for the better and was asking for suggestions. And not that it matters, but she didn't say she called them "my CNAs" to their face. Oh should nurses be offended when someone asks the CNA who "their nurse" is??

    The fact that this nurse stayed and worked 8 hours after her own shift, SO THE CNAs wouldn't be even more overloaded, shows her character. If she had no respect for them, she wouldn't have done it and certainly not come on here asking for advice in how to do things better.
  6. by   t1nkerbell
    To: Starnurse2006

    YOU ARE NOT JESUS!! HAHAHA! LOL If I worked with you and had to hear you blaspheme the Lord one time, I would file a complaint against you. How is that remotely funny? And how can you be in charge when you don't even care about someones beliefs even if their not yours???
  7. by   Dixiecup
    Quote from oslogirl
    You asked for advice, so here's my opinion. Don't refer to them as " your "CNA's. It's just disrespectful to them. They are the patient's cna's, and even if they are working under your supervision and direction, they are not "yours". If they hear you talking like this, It would be highly likely that they will resent you. Ask them to round w/ you and "prove" they are doing the required tasks? Umm, no. You will create even more resentment, and no one will want to work with or take direction from you. I think you need to examine your own attitude and learn how to delegate effectively.

    This is just my opinion and advice. I hope you don't take this as an attack. I am trying to help you as a new nurse.
    I disagree here. Nurses absolutely should do rounds to make sure the CNA's are doing their job. Maybe not "with" them but they do need to check that the job is being done. At my facility, the nurses are required to do rounds on the CNA's about the middle of the shift, they have a paper to check off what is not done and give it to the CNA. The CNA completes the tasks that aren't done and hands the paper back to the nurse to sign off on.

    On the other hand, if a CNA has a perfect hall, they get a smiley face on their paper and we keep track of how many "smiley faces" everyone has. They can trade in their smiley faces for rewards in a little store we have with prizes of sorts in it. You would not believe what a motivater this is for the CNA to have a perfect hall. They love shopping in that store!
  8. by   t1nkerbell
    You made an excellent point and it sounds favorable, but dixiecups statement was completely different than what you addressed. It's awesome to hear what you really meant, but I believe it is still good to hear what dixiecup is saying. You were making two complete different statements and you ignored what she said as if it didn't exist. Her response was according to what you said, but apparently that is not what you meant. So, kudos to both of you.
  9. by   fuzzywuzzy
    Quote from Dixiecup

    On the other hand, if a CNA has a perfect hall, they get a smiley face on their paper and we keep track of how many "smiley faces" everyone has. They can trade in their smiley faces for rewards in a little store we have with prizes of sorts in it. You would not believe what a motivater this is for the CNA to have a perfect hall. They love shopping in that store!
    What? That's incredibly juvenile...
  10. by   t1nkerbell
    True. That is very juvenile, although I can see how that kind of system would work. It's their approach with it, that is wrong. It felt belittling to read, but then on the other hand I think a reward system is great. It takes a professional, mature, caring individual to be a CNA and their words and attitude do not support that.
  11. by   Dixiecup
    Quote from fuzzywuzzy
    What? That's incredibly juvenile...
    Well, it works for us and at least we are doing SOMETHING to show appreciation. Our CNA's think it's great and get quite upset if they think we havn't tallied thier smiley faces correctly. No on has a problem with it. If they see me coming down the hall they will sometimes ask me to come back in a few minutes so they can get that smiley face!
  12. by   silverbat
    If the "smiley faces" help make the work enjoyable, gets the resident's the care they should have and everyone has fun doing it... go for it!

    We have contests similar on occasion and it seems to help motivate ALL the staff. You know how one unit or shift likes to say "they" are "better" than the others?.. well, it gives them a chance to "Prove it"!!

    I think it is important to not only DO a good job, but to enjoy it as much as possible. Not that it should be made trivial, because our work is vitally important!

    Yes, it is part of the supervisors role to check up on the aides. If they don't like it, they probably aren't doing their job......AND they know it, or they wouldn't be defensive.

    I think you are on the right track, OP, just continue learning and guiding!

    BTW, I worked as an aide for 6 years before going to LPN then to RN. I worked in hospital and LTC.
    Last edit by silverbat on Mar 15, '10 : Reason: forgot something to say
  13. by   t1nkerbell
    I think your getting a little defensive. I said it sounds like a good system, its just the way you originally addressed it. It did sound demeaning. The way you said it. May be you don't hear it because your use to it. But for someone on the outside looking in, it didn't sound right. It sounded like you were talking about grade school kids instead of mature adults. Thats all. Smiley faces are good!