I had some trouble with a CNA...should I talk to the manager?

Nurses General Nursing

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At the hospital I work at, everyone on the nursing staff is on probation for the first 90 days of employment. Then, there are peer evaluations done by the RNs. If the employee shows that they work hard and do well, then they'll be considered permanent employees after 90 days. If they perform poorly, they'll be given another 45 days of probation to "shape up or ship out". Then it's either permanent employment or dismissal.

I work with a CNA, hired for a different ward, but who floats over to ours occasionally, who recieved a lackluster evaluation after her first 90 days of employment. She's currently going through her 45 days. I became aware of all this when a nurse from this CNA's home ward asked me how she was doing over my ward, I gave her a briefing on her performance. She thanked me, saying that the nurses have to finish up the peer evaluations on her and any input is helpful.

Not too long ago, when the CNA worked with us, I brought some photos of a party that the people on our unit had a month or so ago. The CNA came up behind me to look at the pictures and said, "I'd like to look, because I didn't go to the party." At that point, I said, sarcastically, "Oh, well, that's because you weren't invited." Then I started chuckling a little bit, turned away from her, back to look at the pictures and said, "Oh, I'm just kidding, everyone in the hospital was welcome to-OW! Did you just punch me?!" After I turned back to look at the pictures again, she had decided to hit me on my back with her fist, right over my scapula. I said, "Why did you do that? Please don't hit me. That really, really hurt. It's always been a little sore since hurting it playing sports in high school" At that point she said, "Oh, I didn't know you had a bad shoulder" and apologized.

Now, yes, I admit, I probably shouldn't have been sarcastic. But, I know that right before she hit me, I was telling her that I was joking around and that she was welcome to go. I believe that she knew I was kidding around with her, and she just thought it would be funny to hit me for some reason. But isn't making jokes to someone, like I did, a little less offensive than hitting someone, like she did to me? It may just be the way I think, but I was raised to understand that there is no reason and no good excuse to hit anyone, and that there's certainly no reason to just sit there and take it. Having this mindset about people hitting others makes me feel like it's necessary for me to go to my manager, and tell her about the incident.

But, I don't know if I should. I understand she's had her probabtion extended for not performing well, so going to the manager with this could play a big part in her being fired. Part of me thinks that I'm partly at fault, because of my sarcasm right before her hitting me. The other part stands by the thought that she really had no right to hit me, and that the way she reacted was completely out of line. I do know that if I was the manager, I'd want to hear about someone who's working on my unit who reacts in such a way. I guess what I'm requesting from all of you who read through this long post is if I should just go to the manager and tell her what happened or, just leave it be since the CNA is aware that I won't tolerate being hit anymore, and not say anything at all.

Now, I'm just flabbergasted because I never thought, being a nurse working in a hospital with other health-care professionals, that I'd feel the need to write a post to request opinions and advice about a co-worker smacking me. The entire situation makes me feel like I'm in middle school all over again.

First, she should not have hit you; that is totally unacceptable for the workplace and should not be tolerated. Whether or not you report her I guess is up to you. But....are you this mean to everybody or just her? Maybe you can also use this as a learning experience; from your own account, it sounds like you totally humiliated her in front of a group of peers. I'll probably get flamed for this, but it's just my :twocents:

Iagree, I thought wha you said was very mean...and you just dont know what people are going through. I don't condone her hitting you, but in this day in age of violence I would not randomly humilate people I don't know, for the simple reason you don't know what there reaction would be. I have worked with nurses like you and personally you don't sound like my cup of tea either..but I wouldnt hit you.:saint: :saint:

Iagree, I thought wha you said was very mean...and you just dont know what people are going through. I don't condone her hitting you, but in this day in age of violence I would not randomly humilate people I don't know, for the simple reason you don't know what there reaction would be. I have worked with nurses like you and personally you don't sound like my cup of tea either..but I wouldnt hit you.:saint: :saint:

Exactly. I think it was mean too, and inappropriate. However, to HIT her because of it? Totally unacceptable. As I said, patients can and will say worse things, and a CNA who cannot control her impulses to strike back physically is a danger on the floor.

this all sounds childish to me. let's face it, CNAs and other lowly jobs (i am a CNA, so i can say that) are people who have not had the opportunities that other people with more socio-economic class have had. therefore their social skills are not the greatest. and it shows. of course, sometimes they are just young, but that comes with poor social skills--- usually--too. i don't think you should say anything to anyone. except maybe the CNA involved, if it bothers you that much.

I do not consider my job lowly. I see more of the patient than the nurse does. I am her eyes and ears. I report VS, blood sugars, changes in status, etc. That's alot of responsibility.

I am by no means rich but that does not mean I am not futhuring my education. Just because you're a nurse does not mean you were raised rich. I'm sure there are plenty of nurses on this site that can attest to that. Plenty have done clinicals full time and work full time because they believe the end result is worth it. I don't qualify for financial aid but do you think that stops me from going to college? Heck no! I haven't had many opportunities in my life but the ones that do come along I take and I don't look back.

I believe you thank everyone for doing a good job--even the man that cleans out septic tanks. Someone's got to do it and you should be thankful it's not you. Have you ever seen the movie "From Homeless to Harvard"? That girl was living on the streets but still managed to go to an Ivy League school.

If you say this about yourself and your an aide, I'm not so sure I could trust you. If you think your job is lowly then you probably don't take it too seriously. Please, please don't lump all CNA's in your catagory. We're not all alike.

I agree, while there is no excuse for her hitting you, I think you acted a bit immaturely, as well. I know that you were just kidding, but there are some people out there that don't take sarcasm that well, or get it when it's directed towards them. I think that's why your charge nurse said what she did. Now you know that there are people out there that you can't be sarcastic with, and especially in the workplace, you may need to leave the sarcasm at home....or at least until you really get to know the people you are working with.

You are young, and I can say from past experience that learning how to deal with all types of people was the hardest thing I had to learn when I just graduated. The thing is, she apologized. From your posts it doesn't seem like she's starting anything else with you. Let it go, and learn from it. Are you prepared to possibly ruin someone's life financially because of an incident that you instigated?

P.S. I want to make it clear that I am in NO way condoning anyone hitting anyone else.

I agree. You hadn't worked much with this aide before so you didn't know how to take her and she didn't know how to take you. I am sarcastic, it's just my type of sense of humor, but I never get sarcastic around people I don't know too well. The nurses I work with now know me well enough to know when I'm being sarcastic and when I'm not. I know that this aide is on her last 45 days before she shapes up or ships out but still, first impressions count. I absolutely do not condone her hitting you though. No way. That was uncalled for but like I said before, she didn't know how to take you.

I'm a CNA and sometimes I (or we) tend to feel unappreciated. Sometimes there seems to be a clique among nurses. Maybe that's why your comment struck a cord with her. Maybe she felt that you were purposefully leaving her out because of being an aide.

REGARDLESS, THERE IS NO EXCUSE FOR HER HITTING YOU.

I don't care if you are a CNA or not, this is a VERY offensive post. So we excuse assault because it's just a dumb ole CNA? Please. If you lack the impulse control and intelligence to refrain from hitting your supervisor, you don't need to work around people! The majority of the CNAs I work with are intelligent, warm, caring people. I have never even heard the "I'm just a CNA so I can't control myself" excuse before.

That is NOT what Katy wrote. She wrote of poor social skills in some cases. Not anything near an inability to control one's self. She also wrote absolutely nothing in the world about excusing assault.

Your post is unfair.

I agree. You hadn't worked much with this aide before so you didn't know how to take her and she didn't know how to take you. I am sarcastic, it's just my type of sense of humor, but I never get sarcastic around people I don't know too well. The nurses I work with now know me well enough to know when I'm being sarcastic and when I'm not. I know that this aide is on her last 45 days before she shapes up or ships out but still, first impressions count. I absolutely do not condone her hitting you though. No way. That was uncalled for but like I said before, she didn't know how to take you.

I'm a CNA and sometimes I (or we) tend to feel unappreciated. Sometimes there seems to be a clique among nurses. Maybe that's why your comment struck a cord with her. Maybe she felt that you were purposefully leaving her out because of being an aide.

REGARDLESS, THERE IS NO EXCUSE FOR HER HITTING YOU.

I agree with you.

Personally, I believe both the RN and CNA were equally at fault. Words can hurt just as much as a hit or slap. I don't think one is less "bad" than the other.

This whole thread kind of scares me... though I don't do it often, sometimes when someone says something sarcastic to me, I punch them in the shoulder, not hard, but playfully. I think that is what this CNA did, and the only reason it hurt the OP is because of a chronic injury. I'm scared I might lose my job b/c of something like this. People are WAY too sensitive, probably why our country is very litigious.

I have family members that say really, really mean things but then qualify it with, "oh just kidding." "wow nice haircut, did your hairdresser use garden shears? just kidding." When you say something sarcastic like that, there is obviously truth to it, and whoever the comment is beng directed to knows that. The first weekend I started my tech job, I felt very, very out-of-place. A comment like that would have made me feel even more outcasted.

This whole thread kind of scares me... though I don't do it often, sometimes when someone says something sarcastic to me, I punch them in the shoulder, not hard, but playfully. I think that is what this CNA did, and the only reason it hurt the OP is because of a chronic injury. I'm scared I might lose my job b/c of something like this. People are WAY too sensitive, probably why our country is very litigious.

I have family members that say really, really mean things but then qualify it with, "oh just kidding." "wow nice haircut, did your hairdresser use garden shears? just kidding." When you say something sarcastic like that, there is obviously truth to it, and whoever the comment is beng directed to knows that. The first weekend I started my tech job, I felt very, very out-of-place. A comment like that would have made me feel even more outcasted.

Ok so this thread should be your wake up call NEVER TO PLAYFULLY HIT. I know exactly what you mean with about just playfully punching someone in the arm, but that isn't behavior for the workplace, and just because someone else makes unprofessional comments, it doesn't open the door for more unprofessional interaction. It may seem ridiculous, but this is the way things are. It is the same priniciple as making sexual or other offensive jokes. Your friends may laugh at them, but at the work place it could get you fired. Hopefully the OP has learned a bit too about playfully making fun of someone. Neither one in this situation were behaving professionally, but we all learned in kindergarten to keep our hands to ourselves.

Specializes in Nursing assistant.

I patted a superior on the arm during a tense moment, and she implied it was aggression. Be very very careful! No touchy!

Specializes in Obstetrics, M/S, Psych.

Reading this makes me wonder how many are old enough to remember when everything wasn't so PC, litigious and uptight. Work used to be so much more enjoyable. Reading how so many have jumped on the PC bandwagon makes me glad I work mainly from home, but sad that it has come to this. There are so many important issues to truly worry about, so why do we have to sweat the small stuff so much? It's almost as if some are looking to be offended.

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