How do you deal with an insensitive CNA?

Specialties Geriatric

Published

I'm a new registered nurse, I work on an Alzheimer's unit. There is a CNA who is being repeatedly scheduled on my shift, and to tell you the truth, I just don't know what to do with her. She is way older than me, and has been a CNA since I was 8 or something. She feels like she is firmly in charge of the unit, and tells the other CNAs what to do, when to take breaks, and when to go home, and then loudly informs me of her decision.

What concerns me the most is the way she treats the residents. When my one my residents was talking about her husband, the CNA informed her quite flatly, and publicly that her husband was dead. This made my resident cry. Later, the resident was talking about her home and family, and the CNA told her, "You're not home. You're in a nursing home. Your family brought you here and left you." The resident started to really cry then, and say, "My family would never do that to me!" "Well, they did!" is what the CNA said back, and laughed. My resident was distraught by this time, and so was I.

Later, this same CNA ignored me while I was desperately trying to get her attention to get her to get up and put a walker in front of a wondering resident who is a fall risk. She was chatting it up with the girl from housekeeping. I finally shouted at her to get her attention. I never shout at anyone. I didn't know I had it in me, and I shocked myself. It still feels hot in my chest. It gave me a headache.

I am frusterated. Please give me advise on what to do about this.

p.s the fact that this person came to a message board online to ask how to 'deal' with this situation, further reinforces his/her inexperience in dealing with people, that's why we go to school to 'learn'.

Sounds like a drama queen who has no interest in a solution, rather intensifying a problem and people LOVE to do that. The solutions are simple, yet whether people know it or not they enjoy complications, it feeds their lust.

I've skipped over most of the responses, but had to comment on this one. They do not teach you how to be a supervisor in most schools. Most of the training is on the job. I've worked with quite a few "book smart" nurses or A students, but seeing them relate to real life nursing...not pretty. Most people come to the boards for another opinon or a different way to look at things or even somone pointing out where to get an answer.

Specializes in LTC, Alzheimer's patients,Cardiac.

I am a nursing student but know all too well about this scenario from working as a CNA in LTC. Do what you should do in the order it should be done....record and report these incedences to your manager (you probably won't get any results), then you have to take it a step further....the tricky part is making sure no one knows that you reported it because if you do your job will be on the line. They will "find" a reason to get rid of you, especially if you are new to the facility. This discussion is SUCH a slippery slope!!! I have seen many bad nurses stay quiet on these issues and keep their jobs and good nurses speak up and lose theirs. Good luck to you and do what you know is right....just do it in a way that will secure your employment (even if it is for the time being :))

Specializes in LTC, Alzheimer's patients,Cardiac.
p.s the fact that this person came to a message board online to ask how to 'deal' with this situation, further reinforces his/her inexperience in dealing with people, that's why we go to school to 'learn'.

Sounds like a drama queen who has no interest in a solution, rather intensifying a problem and people LOVE to do that. The solutions are simple, yet whether people know it or not they enjoy complications, it feeds their lust.

It is obvious that you have absolutely NO experience in this situation or you would understand. Maybe you should stick to commenting on things that you do have experience with because this is a common problem in LTC. You say the solutions are simple but they are far from it...please, please, please, try to think before you comment on this topic...if you have not experienced it then do not waste our time on negative comments

Specializes in geriatrics.

hearing something like this really frustrates me. if i were in the nurse's shoes i don't know what i would do the moment that the aid made the resident cry and laughed about it. i think my reaction would be fueled by emotion and instrong defense of the resident. hearing people defend the aid frustrates me even further. it is one thing to be argumentative and bold with fellow staff members, but to be verbally abusive is unexcusable. the people that defend her are probably people who are too desensitized to the severity of this kind of abuse, possibly because they too participate in such cruelty, or because they witness it occur so often without any action being taken.

i can't think of any justifiable excuse for this aid's behavior. i imagine that this wasn't a one time thing and that you are not the only one that heard/hears it. because you took action, she will probably keep quiet in front of you, but i'm sure the abuse is still occurring. she should be fired and have her certification revoked. the way the higher-ups dealt with this disappoints me and makes me feel even more thankful for the people i currently work with...

Specializes in LTC.

Write her up write her up write her up write her up!

Specializes in long-term care.

omg! this cna is walking all over you, because she feels like she can, first of all, the comments made to this resident, (in your presence) are a direct form of abuse! verbal and mental! besides the fact that this cna is obviously a b****, with abuse, you are held just as liable if not more, when you witness such treatment of residents, and dont say or report anything, don't let this cna intimidate you, ppl only have as much power as you allow them to have, when you hear her trying to make the assignments, you call the staff to the desk, and inform them that you have made the assignments, and if they choose to follow hers instead of yours, then they are being insubordinate and should be written up, usually after they see that you will write them up, they respond a little bit differently to you, but you definately need to assert your authority, i dont care if the cna is 50 years older than you, as long as you keep it professional..............handle your business, and look out for those little residents, good luck

Specializes in long-term care.

i agree 100%, but she needs to also keep in mind that there is a time frame for reporting abuse, if she plans on writing this situation up formally.....abuse is reportable when......immediately!....and the longer she waits to write it up while shes getting our very helpful comments, the more she is making herself just as liable as the cna, even tho her heart is in the right place

As a current CNA myself, that lady should not be employeed! She is verbally abusive to the residents... and that is serious. She has completed the program and has had much training, so she should know better. She needs to be reported, and as her superior, you need to correct the problem ASAP! As for the record: those living in a nursing home ARE home... that is their home, and we are their guests! We need to recognize this- every last one of us!!!

She doesn't need to be fired. She is used to having her way. Maybe this new nurse can speak with the CNA about her behavior. Then if she continues she can report it to her manager. Then it is up to the manager what is done. Wow, i'm glad that i don't work with any of you all. You guys are quick to want to fire some one.

If I heard anyone treating or talking to any of my loved ones in this manner..I would do everything I could to make sure they are fired or have nothing to do with my loved ones care...That would be a horrible way to be treated.

I am a fairly new CNA and have been working at a LTC facility since August. I don't really understand it, but I've noticed there's something that happens to certain people when they've been a CNA forever and ever and ever. They get cold, hard, uncaring, and in some cases such as this.....downright abusive. There is no doubt in my mind that the CNA you are talking about is committing abuse to the residents. I believe she should be reported. If the DON won't listen take it to the administrator. No matter how long I work as a CNA, I will never let all the compassion and kindness be drained out of me. :heartbeat

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