How do I effectively communicate with patients and staff and nurses in an acute hospital?

[clarinets, CNA]

Ok... Sorry my last question was not detailed enough... Here goes..

i had a couple of difficult patients yesterday... One did not want to have me perform an ekg on him.. I thought he would not lay down because he was heavy in size but did not realize until 30 mins later when I just finished the ekg that he was scared when the other nurse told me.. I did it eventually...

Another patient who who normally does not resist started resisting when I needed to clean because he had a vowel movement... He did not want to do it because he said he was cleaned 2 hours ago and wanted to sleep.. I told him I had to because of skin breakdown... He ignored... I went to the nurse and explained to her what I said to him and the situation and told her I did not know what to do... She seemed to look at me weirdly and told me it had to be done.. We went in together because she had to give her m meds and she explained to him the same thing I said and he agreed...

I dont understand what what I am saying or doing wrong...

how i.e. do I effectively communicate?

I cannot bother the nurses because of getting to know the patient and passing medications... At that time...

What do I do and say to the patient and nurse?

i was a teacher in a public school for ten years... It shouldn't be much different.. I am a nurse assistant certified..

[Double-Helix, BSN, RN]

Sometimes patients simply don't understand what you are doing or why things need to be done. Sometimes they know what needs to be done but they are resistant because of fear, helplessness, embarrassment, etc. Nurses are the most trusted profession and, while it says nothing against you, it's not unusual for a patient to listen to a nurse when they wouldn't listen to a CNA. There's nothing wrong with having the nurse come in to explain the rationale for a test or procedure if you're getting resistance from the patient.

Do you understand the reasons for these tests or procedures? If you don't fully know why the patient is having something done, finding out why, and which doctor ordered the test, may help you earn the patient's trust or cooperation.

Also, asking open ended questions can help you better understand why the patient is acting a certain way. Questions like, "It sounds like you don't want me to do X. Can you tell me why that is?" Sometimes, just offering to have the nurse come in and talk to the patient is enough.

[xxMichelleJxx]

Sometimes patients will be more comfortable/willing to let you do a procedure if you explain to them exactly what you're going to do and why you're going to do it.

[Penelope_Pitstop, BSN, RN]

a vowel movement

This is a frequent complication during Wheel of Fortune.

I'm sorry. I really and truly am.

But I simply could NOT resist.

.

.

.

Anyway - do you have another CNA who "mentors" you at all? One who maybe trained you? Go to him or her for advice, sometimes it's easier to approach a fellow CNA if the nurse makes you nervous.

[amoLucia]

By any chance, do you have a distinct accent, regional or foreign? Might that be difficult for some pts? Just asking.

[clarinets, CNA]

I do... And will...

[clarinets, CNA]

No I do not.,,,