I don't want to be a CNA anymore.

Nurses General Nursing

Published

After this experience, I don't want to be a CNA anymore. I do not have any luck in this field, I have the worst luck.

I recently spoke with the Nursing home who terminated me to get the real reason why I was let go and things got real ugly. The RN was rude, had me on speakerphone so other RNs/LPNs could chme in aganst me. I ended up crying after the conversation.

Apparently, they said that there were too many complaints against me before I even reached 90 days. One of them was being getting a write up for one diaper being soaking wet.

And then a major one that almost cost my certification being stripped away from me involving a resident and his "shoe". His shoe was put on wrong, and his toes were curled under or something like that. He has arthritis. His son came up there to visit him and said that his father was screaming in pain because of how his shoe was put on. He was so angry that he was going to call state on the Nursing home, and try to get my certification taken away from me. I was unaware that it was this serious when I was employed. I was just told that his shoe was put on wrong and that I was not allowed to get him dressed anymore.

Still, I do not see how that could have happened. He had hard leather sneakers that easily slid on his foot.

The RN who I talked to claim that I ignored the pain and agony he was in--I told her that he was not in any pain when I put his shoes on. Then she switched it up and said he was SCREAMING after I had left my shift.

Then I asked how was I supposed to know if something was wrong--his shoes were perfectly fine when I put them on, he was not in any pain.

She claimed that what I did was not intentional and it was a case of being careless. You cannot tell if something is wrong with his foot because it looks fine when you put them on. Well, I argued why is he wearing hard leather sneakers if he has arthritis then?? Why doesn't he have cloth slippers so this doesn't happen again?

She claims that I was the only person this has ever happened with and since it has not occured again with another CNA.

I really don't know what I could have done differently. What happened was the inevitable. I still assured her that if they continue to make him wear those shoes it WILL happen again, despite her claims.

The other complaint was that I was too rough with a female resident. She complained to a CNA that a girl was not very gentle with her and that she did not want her ever again.

That was the first time I had ever dealt with the woman and I had been working there for nearly 3 months. She was having major difficulty getting up so I did the best I could to help her. Maybe I was a bit too rough with her, but I don't see how I could have gotten her up if I didn't put all my strength into lifting her.

It's really hard being a CNA. It is NOT easy lifting people with a lot of dead weight, what else are we supposed to do? We can't lift them like they weight 1lbs. Just about everything we do to help these people can be classified as abuse. You try to roll patients who are very heavy and cannot help themselves and they are always going "ouch" or "you're too rough"...or if a RN/LPN walks in and sees something and is quick to say you are doing it wrong and abusing the resident.

The other complaint was getting them dressed too early. There was only one particular set that was very exhausting and stressful that I HAD to get them dressed early. They had to be up at 5am, and I would just dress them at 3:30am instead of 4am. If I hadn't of started early I would have been behind. And all the other CNAs are too preoccupied with their workload to give me a hand all the time. I specifically asked the RN if this was in the employee handbook that we were not allowed to dress them at 3:30am and she started dancing around the issue..I stressed that there was no policy in the Nursing Home that stated it was against rules to do this. As a new CNA, how are we supposed to know it's wrong?? Especially, if we have not been properly trained! When I started working there it was really up to everyone's own discretion as to what time they get their residents up. Not everyone got them up at 4am. When I told her this, she specifically asked me for names and was ready to fire other CNAs of course I refused. I am not malicious at all. And I really liked my fellows CNAs very well, and they work very hard.

Lastly, the RN claimed I had many other complaints against me, and when I asked her what they were she said, "I have many things to do right now and I don't have time to be on the phone with you all day". With persistance on my part she finally told me that the other complaints were about the way my 'sets' looked.

I asked why was I not made aware of all these issues. She said she called me but I was never picked up the phone.

I TRULY felt that I was doing the job to the best of my ability. Everyday, when I came to work I thought I was doing the RIGHT thing. I had no complaints from other CNAs, in fact I helped them dress some of their residents. Just to think that everyday I came to work I was doing EVERYTHING wrong. I am very hurt and dissappointed. My intentions were always to do a good job. I was doing what I thought was right.

Lastly, the whole confrontation between me and the LPN was such a set-up to get me fired. The confrontation was what got me written up and taken off the schedule, but when I get there it was not addressed at all!

I know this post is long but I really need to vent. But I have talked to my mother and father and told me that I do not want to work in a nursing home ever again. I still want to be a RN, but not a CNA. I truly feel like there is VERY little respect for what we do and its easy for us to make so many wrong mistakes. I don't want to go through this ever again. I might find a job in retail or something. This experience has really jaded me a bit.

Specializes in med-surg, psych, ER, school nurse-CRNP.

Um, I actually HAVE worked in an LTC, and I can tell you that what the OP is describing would not be tolerated. I can be called all the names in the book, but I can not be told I have not been there. This place was about as understaffed as they came, and we were full, but no resident got woken up or "just dressed" at 3:30 in the morning.

I don't think I was being insensitive at all, the main tone of this thread was how hard it was for her and how all this was to make things easier for her.

When this happened to me, rather than make my residents suffer, I stayed over or they ate in bed, whichever was mutually agreeable. If this was a problem for the grand-high mucky-mucks, I told them that when they got me some resources or some suggestions that would make it feasible to get a boatload of residents up by a certain time without starting before a certain time, I'd be more than happy to try it. I was not a CNA, I was an RN. I never expected my CNAs to get patients up at that hour. And I busted my rear to help them. So, yes I do know what goes on. No, I did not make the residents suffer for managements stupidity. If management had a problem with my overtime, I never heard it, of course, they've been through 4 since I left, and have failed 6 state inspections, so they may have been too busy to care....

What I am saying is....don't do it to make it easy for YOU. Put your residents first. They are the forgotton ones. Don't make them think that they've slipped into the 10th level just because of an unrealistic expectation.

Specializes in LTC, home health, private care.
Do we know that these residents are being deprived of sleep? Perhaps they're going to bed at 7PM or 8PM. Those times seem odd to me too, but not abusive. If I ever had to go into a nursing home, I would want to get up at 5PM and go to bed at 10AM. I've been a "night" person for so long now, that's what would seem natural to me. Do I think that the nursing home would be willing to accomodate me? Most likely not. Almost everything is done for the convenience of the institution - whether it's a nursing home or a hospital.

Is it really necessary to start AM lab draws at 4AM? Well, somebody has to be first if they're all going to be done by 6AM. (And why do they have to be done by 6AM?)

Don't you think that it's odd that hospital patients get three meals in ten hours - from 7AM to 5PM? I don't eat like that at home. But it's for the convenience of the institution.

Why do we make hospital patients wait ALL day for the MD to dischage them home? So the doctors can finish their office hours. That's certainly not for the patient's convenience.

My whole point in the previous post, is that this CNA has very little power over her work situation and she appears to be doing the best that she can. I have no doubt that if she rocks the boat she will be fired. Then what? That won't help either her or the patients.

Is there a way that one of the moderators can get some suggestions from the LTC nurses? Is it really that unusual to get residents up that early?

I am an LTC nurse. I have only been licensed since August 2007. But I was a CNA in LTC for 7 years before I took my boards. 2 things I can promise you:

1. Never would I dress anyone before 5 am, even during 3 am rounds. NEVER. In my opinion, it is abuse.

2. Any facility asking me to do so would lose my as an employee, and could expect to have state called continuously until that situation was corrected.

Um, I actually HAVE worked in an LTC, and I can tell you that what the OP is describing would not be tolerated. I can be called all the names in the book, but I can not be told I have not been there. This place was about as understaffed as they came, and we were full, but no resident got woken up or "just dressed" at 3:30 in the morning.

I don't think I was being insensitive at all, the main tone of this thread was how hard it was for her and how all this was to make things easier for her.

When this happened to me, rather than make my residents suffer, I stayed over or they ate in bed, whichever was mutually agreeable. If this was a problem for the grand-high mucky-mucks, I told them that when they got me some resources or some suggestions that would make it feasible to get a boatload of residents up by a certain time without starting before a certain time, I'd be more than happy to try it. I was not a CNA, I was an RN. I never expected my CNAs to get patients up at that hour. And I busted my rear to help them. So, yes I do know what goes on. No, I did not make the residents suffer for managements stupidity. If management had a problem with my overtime, I never heard it, of course, they've been through 4 since I left, and have failed 6 state inspections, so they may have been too busy to care....

What I am saying is....don't do it to make it easy for YOU. Put your residents first. They are the forgotton ones. Don't make them think that they've slipped into the 10th level just because of an unrealistic expectation.

You are speaking from the perspective of an RN--not from a powerless position as a CNA.

I did not have the option to stay over or make them eat in bed. I was given the midnight shift and was expected to work my schedule hours, staying over all the time would have warranted me a write-up plain and simple.

How can you possibly do such a physical job like this without putting yourself first?? I'm a CNA not Mother Theresa. If something is too difficult or challenging or too overwhelming for me it won't get done. Plain and simple.

I truly feel like some of the posters and people above CNAs think of us as slaves, by telling us to put the residents first and do any kind of workload despite the stress that it may cause us. That is how slaves are treated.

The residents did not suffer, what is up with the negative presumptions? The residents were not physically or mentally hurt or under any kind of emotional distress. They were fine. If anything, it would have to take a really hard worker with a lot of initiative to get them dressed early so they won't have to miss breakfast. I've never thought I would be condemned for doing something that would actually work to the benefit of someone else.

The residents did not suffer, what is up with the negative presumptions? The residents were not physically or mentally hurt or under any kind of emotional distress. They were fine. If anything, it would have to take a really hard worker with a lot of initiative to get them dressed early so they won't have to miss breakfast. I've never thought I would be condemned for doing something that would actually work to the benefit of someone else.

i have some very valid and major concerns, ms nurse assistant.

but i give up.

i.

give.

up.

leslie

Specializes in LTC, home health, private care.

for the OP,

I do not wish to seem cruel by making the following statement. However you do not seem to understand what we are saying and you seem to be taking it as a personal attack.

Your inability to see what was wrong about getting residents under your care dressed for the day at 3:30-4 am is cause for concern. I have read several of your threads and posts. You were in a difficult facility. Even if you had not been terminated, leaving would have been an ideal option. But several posters have tried to give you options for better handling such a situation in the future, and you have not even thanked them for their advice. All you do is keep insisting you did nothing wrong. I can promise you during a state survey it would be considered a violation to get residents dressed so early, whether you had just changed them or not. I cannot stress this enough - getting someone dressed for the day that early is a violation of their rights. Are they able to verbally protest? Did they tell you they didn't mind? Even so, it is WRONG.

Next, I must address the way you keep repeating that nurses think of CNAs as slave labor. I think I can safely say most actually think of them as godsends. When I was a CNA in school for nursing, all I did was think of how much better I would treat CNAs... much better than I was being treated. Much to my surprise I discovered that as a nurse I have responsibilities that prohibit me from helping as much as I would like. Yet my aides know they can always count on me for a lift, or to answer a light, or to check on an alarm. And every night they leave on time, while I'm stuck doing paperwork until midnight... usually with a 16 hour clinical starting at 6 am the following day.

I agree with the posters who are suggesting you wait awhile before nursing school. I did, and I'm a better nurse now for having done so. Work a few more jobs and get experience working with difficult supervisors. Learn how to accept criticism better. Learn more about yourself. You will be better prepared for client care and advocacy in the long run.

Peace be with you and best of luck in all your future plans.

Specializes in Med Surg, Hospice.

I can tell you one thing.. If I had to live in LTC and someone DARED to get me dressed at 0330, you can bet your sorry behind there would be you know what to pay.

Specializes in med-surg, psych, ER, school nurse-CRNP.

I'm with leslie....I give up, too.

Been a CNA, now an RN, soon to be an NP.

I do know of which I speak.

I do not, however, wish to converse in a post that goes nowhere. Good night and good luck.

we're not calling it abuse- the state surveyors would DEFINITELY, UNDOUBTEDLY, call it abuse:

and the facility would be tagged with a very serious deficiency.

the state has very clear parameters on what constitutes abuse.

it doesn't matter what we think.

employees must adhere to a set of guidelines, whether it is the state or jcaho.

if the state ever found out the nsg home was getting these residents out of bed by 4:30am, they would undeniably, be in a boatload of trouble.

that's all we're trying to say.

leslie

Agreed on all counts. Getting them out of bed at 4/4:30 is abusive and an hour earlier just adds insult to injury. Horrible.

good.

i'm glad to hear that.

if not more important, make sure you are practicing within all of the LEGAL limitations as well.

and btw?

when a pt consistently refuses to cooperate/comply?

that means no.

patient refuses.

and that is also, their right.

their LEGAL right.

leslie

I've just got to quote you again. I bet getting them up at 3:30 in the morning has a lot to do with some of them not wanting to get dressed. God knows I wouldn't. They have the right to refuse.

Specializes in Telemetry.

They were fine??

How do you know? Please recognize that these are people who often can't stand up for themselves.

And I'm pretty sure if I've got a patient swinging at me because I'm trying to get them dressed at 3am thats a pretty firm NO. They do have a right to say that, verbally or non verbally.

And even if you don't see it that way you should be aware enough to realize that this patient is NOT in the mood, and maybe give them a rest and try again later, with a different approach.

I must say, I'm appalled that you actually think it was perfectly ok to deny pts sleep at 3am because it made your life easier (or for any reason, really). Equally appalled that you lacked the awareness to recognize nonverbal cues.

People in nursing homes are pretty much helpless and subjected to giving up control of their own lives. Lets not deny them the last dignities they have- their right to refuse care, their right to sleep when they want to, get up when they are ready etc. Put yourself in their shoes. These are men and women who have lived many more years than the rest of us, they are mothers, fathers, wives, husbands, friends, they were just like you and I for most of their lives- they took care of themselves, held jobs, raised families, had hobbies, interests. They had friends, family, loved, laughed and lived more life than us. How terrible it must be for them to lose all control over their health, their life, and their basic day to day. How difficult it must be to not be living in their own home, with their families. Think about that the next time all you can think about when giving care is how to make your day easier. Its not about making your life easier, ms. nurse assistant, its about making their life as tolerable as possible. And that is not accomplished by getting people up at 3am.

Specializes in LTC, assisted living, med-surg, psych.

I've worked LTC in many capacities---as an aide, as a student, as a volunteer, as an RN, and as a manager. I've also worked all three shifts. And I have NEVER awakened and dressed residents at 0330, either for the facility's or my own convenience. Nor have I ever found it acceptable to force them into lockstep routines when they are individuals with their own timetables. Having lived nearly half a century myself, I can all too easily identify with the elderly---after all, in 20 years or so it could be ME lying in that narrow nursing home bed---and Lord help anyone who tries to slip me a "silver bullet" at 0500 so I can have my BM on some administrator's precious schedule!!:angryfire

Yes, I've taken a lot of flak from management in the past for my stance, and yes, I've left a couple of jobs over it. No matter. I am a firm believer in personal choice, dignity and individualized care planning, and I too consider it "abuse" when residents' rights are violated for the convenience of the facility. I've fired people for less than the OP has admitted to---especially when the attitude is defensive and the blame is always laid at someone else's feet.

I agree that the facility she works for sounds terrible, and I'm sure there's not enough help. There rarely is in LTC. However, there is still NO excuse for waking residents up in the middle of the night and getting them dressed for a day that doesn't start for another three hours or more. Put yourself in the resident's shoes for just a moment: how could you possibly be comfortable lying in bed fully clothed? And think of the work you've created for the next shift, who has to come in and change the resident yet again because they've soaked through their clothes.

And while we're thinking outside the box: Every LTC worker should be wondering if at least some of the difficult behaviors we attribute to dementia could be reduced, or even eliminated, if we would just let the residents SLEEP!

OK, I'll climb down off my soapbox now. Everyone has made valid points here, and having worked in so many areas of LTC, I can relate to all of it. But for me, what it boils down to is this: You have to love the frail elderly to survive the working conditions and the petty political nonsense inherent in LTC. If you're in it for the paycheck, if you are going to treat the residents like so many widgets on an assembly line, PLEASE leave and go flip burgers for a living. LTC has a bad reputation, in no small part, because of the perception that only those who can't hack it anywhere else work there. It is only with time and the delivery of quality care that we can begin to change that and make LTC more attractive to the best and brightest workers.

Just my :twocents: worth.

Specializes in LTC, home health, private care.

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sorry - I meant for this to be bigger. But I'm sure you all still understand.

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