I'm going to nursing school-That's nice, DO YOUR JOB

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I'm SO SICK of CNA's, MA's, etc telling me this as an excuse to get in my business! I had an aide try to get in my cart to give a Neb tx because a resident "couldn't breathe." Well try not leaving the poor man with CHF flat in the bed, then he will be able to breathe! Thank God I lock it(some nurses don't!) I swear when I was a CNA I never tried to pull this stuff!

Specializes in SICU.

I guess I see a greater problem than the CNA out of his/her scope of practice, and it's regarding the OP nurse.

In my opinion, whenever someone of lesser authority is acting out of line, it's the responsibility of the one in greater authority to handle the situation. For instance, how many of you, if a child was acting outrageously disrespectful, would not immediately look to the parent to correct the situation. If the parent did nothing, you would probably think to yourself "wow, that child is disrespectful", but immediately afterward think, "what is wrong with that parent for not disciplining that child". Yes, the child is doing something wrong, but a greater wrong is what the parent is doing to society to allow their child to become a disrespectful adult.

In the same way in this situation the CNA is under the authority of the nurse. Hence "Certified Nursing Assistant". So our first thought should be "wow, that CNA did something wrong", then immediately afterward think, "what did the nurse do to correct the situation?" The greater wrong is what the nurse is doing to her patients by not repremanding the CNA.

I don't know if the OP did or did not do anything, but I hope that she did. The first comment was the best one and after that it seemed most people on this thread were more interested in talking about the fault of the CNA, or CNAs in general, rather than what was done to correct it. To me that's like the parent from our analogy posting on a parenting forum about how bad their kid is, and everyone raving about how bad kids are in general, rather than anyone disciplining their child.

My post seems really serious. I hope it's not offensive. I guess I'm in a serious mood. I'm just sick of people complaining about things that they do nothing to correct. I don't know if that's what the OP is doing, but it's the feeling I got. Maybe I am wrong. I hope nobody rants off this lol.

Peace and Love

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Specializes in LTC.
I guess I see a greater problem than the CNA out of his/her scope of practice, and it's regarding the OP nurse.

In my opinion, whenever someone of lesser authority is acting out of line, it's the responsibility of the one in greater authority to handle the situation. For instance, how many of you, if a child was acting outrageously disrespectful, would not immediately look to the parent to correct the situation. If the parent did nothing, you would probably think to yourself "wow, that child is disrespectful", but immediately afterward think, "what is wrong with that parent for not disciplining that child". Yes, the child is doing something wrong, but a greater wrong is what the parent is doing to society to allow their child to become a disrespectful adult.

In the same way in this situation the CNA is under the authority of the nurse. Hence "Certified Nursing Assistant". So our first thought should be "wow, that CNA did something wrong", then immediately afterward think, "what did the nurse do to correct the situation?" The greater wrong is what the nurse is doing to her patients by not repremanding the CNA.

I don't know if the OP did or did not do anything, but I hope that she did. The first comment was the best one and after that it seemed most people on this thread were more interested in talking about the fault of the CNA, or CNAs in general, rather than what was done to correct it. To me that's like the parent from our analogy posting on a parenting forum about how bad their kid is, and everyone raving about how bad kids are in general, rather than anyone disciplining their child.

My post seems really serious. I hope it's not offensive. I guess I'm in a serious mood. I'm just sick of people complaining about things that they do nothing to correct. I don't know if that's what the OP is doing, but it's the feeling I got. Maybe I am wrong. I hope nobody rants off this lol.

Peace and Love

It isn't offensive at all! I hope I didn't come across as if I was just complaining. I took the CNA aside and explained first of all that if a resident is having trouble breathing, I need to be told immediately. I then explained that her action was inappropriate and out of bounds. This was taken care of. Didn't mean to be a whiner, I just wanted to vent.

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I'm SO SICK of CNA's, MA's, etc telling me this as an excuse to get in my business! I had an aide try to get in my cart to give a Neb tx because a resident "couldn't breathe." Well try not leaving the poor man with CHF flat in the bed, then he will be able to breathe! Thank God I lock it(some nurses don't!) I swear when I was a CNA I never tried to pull this stuff!

Wow, I am a CNA going to school and would never think to try something like that. Going to nursing school does not make you a nurse. I wonder what else they do when no one is looking.

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Interesting thread, I had a situation like this recently but the CNA wouldn't stop arguing her position and insisted that I was not in charge or her boss. She was totally out of the box and I can't see how she thinks she can hold down any job when she behaves like that. I feel badly because she is intelligent and a good worker, but the attitude will sink her.

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Specializes in Med Surg - Renal.
I was a CNA I never tried to pull this stuff!

Me either, because I would have been fired on the spot.

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Specializes in LTC.

I hope no CNAs were offended by my post. Many are going on to be nurses, and that is awesome. A good CNA is worth their weight in gold!

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I guess I see a greater problem than the CNA out of his/her scope of practice, and it's regarding the OP nurse.

In my opinion, whenever someone of lesser authority is acting out of line, it's the responsibility of the one in greater authority to handle the situation. For instance, how many of you, if a child was acting outrageously disrespectful, would not immediately look to the parent to correct the situation. If the parent did nothing, you would probably think to yourself "wow, that child is disrespectful", but immediately afterward think, "what is wrong with that parent for not disciplining that child". Yes, the child is doing something wrong, but a greater wrong is what the parent is doing to society to allow their child to become a disrespectful adult.

In the same way in this situation the CNA is under the authority of the nurse. Hence "Certified Nursing Assistant". So our first thought should be "wow, that CNA did something wrong", then immediately afterward think, "what did the nurse do to correct the situation?" The greater wrong is what the nurse is doing to her patients by not repremanding the CNA.

I don't know if the OP did or did not do anything, but I hope that she did. The first comment was the best one and after that it seemed most people on this thread were more interested in talking about the fault of the CNA, or CNAs in general, rather than what was done to correct it. To me that's like the parent from our analogy posting on a parenting forum about how bad their kid is, and everyone raving about how bad kids are in general, rather than anyone disciplining their child.

My post seems really serious. I hope it's not offensive. I guess I'm in a serious mood. I'm just sick of people complaining about things that they do nothing to correct. I don't know if that's what the OP is doing, but it's the feeling I got. Maybe I am wrong. I hope nobody rants off this lol.

Peace and Love

I think that your point is good- and it works if the subordinate worker knows his/her job responsibilities and does them :) And the management/administration follows up on write-ups.... If any link in the chain is weak, it all falls apart... Unfortunately, it's incredibly hard to fire someone until they've screwed up so many times that it's ridiculous..... :)

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I think it's great that a CNA/Tech wants to be proactive concerning a patients treatment however, as other have stated, it has to be within their scope of practice.

I had an example of this today at work. A new admit came onto our floor and I always look at the active orders for them on our computer system. These orders include everything that was/is/will be done for the patient so there are things in there that the techs can look up and take action on. I noticed that this patient had a LOT of cardiac issues going on. Tests, EKGs, medicines for arrhythmia etc. The one thing that stood out was that the patient was not ordered to be put on telemetry. I found this to be extremely unusual so I went and questioned the RN. She wasn't aware of it either so she called the doctor and it turns out the patient was suppose to be put on telem but, he never put in the order.

That's the way I believe CNAs and Techs should work with nurses. I notice something out of the ordinary, I inform you and then if possible we both can work on getting the patient better. What also concerns me is this CNA was so quick to rush into giving a medical treatment rather than using a common sense approach. Raise the HOB, make sure they aren't positioned in a way that decreases lung capacity, take a pulse ox, HR and BP, ask if they are having any type of chest pain. Then go to the RN with your vitals and ask if they think the best approach would be for the RN to use a neb tx.

*sighs* Why can't be people just be patient and learn?

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gymnut-

:yeah: :yeah: :yeah: :yeah: :yeah:

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Specializes in Peds/outpatient FP,derm,allergy/private duty.
gymnut-

:yeah: :yeah: :yeah: :yeah: :yeah:

I second that! :up:

I guess there is a certain type of personality that needs to prove something to others always being "the saver". That tends to blur the lines of scope of practice in their minds and as they believe what they are doing makes them stand out from their peers when in fact it is the opposite that is likely to occur. I've seen nurses do it, too. The only reason everyone in the whole place is still alive is because they were there. :uhoh21:

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I second that! :up:

I guess there is a certain type of personality that needs to prove something to others always being "the saver". That tends to blur the lines of scope of practice in their minds and as they believe what they are doing makes them stand out from their peers when in fact it is the opposite that is likely to occur. I've seen nurses do it, too. The only reason everyone in the whole place is still alive is because they were there. :uhoh21:

Yep... agree :)

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Specializes in LTC.

I used to work with one of these nursing assistants. I would frequently hear "I don't understand why they don't let those of us who are nursing students help the nurses more."

My favorite was one of the times he was in the middle of this rant he said, "I don't see why we can't do your PICC lines for you. They are PICC lines, it's not like they are IVs." He got a lot of education on PICC lines and central lines that day.

And everytime I would pull him in a room when I had something interesting going on, his eyes would get wide and slightly scared and he would find a reason to leave the room.

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