I'm writing up the CNA at my LTC facility

CHATSDALE · Jan 25, 2005

do you know for a fact that the nurse had told the cna when she wanted the v/s...if you come on at 10 or 11 you ae going to be making rounds p report so you have eyeballed the patients...plus the off going v/s would probably be made maybe at 9p ... maybe the other nurse really didn't want them at the same time that you did...talk with the other nurse and let her know that you and the facility will back her up..but she needs to be the team leader..that when she requires v/s esp on a patient who has the potential to go bad then they should be delivered to her

CHATSDALE · Jan 25, 2005

do you know for a fact that the nurse had told the cna when she wanted the v/s...if you come on at 10 or 11 you ae going to be making rounds p report so you have eyeballed the patients...plus the off going v/s would probably be made maybe at 9p ... maybe the other nurse really didn't want them at the same time that you did...talk with the other nurse and let her know that you and the facility will back her up..but she needs to be the team leader..that when she requires v/s esp on a patient who has the potential to go bad then they should be delivered to her

**SKM-NURSIEPOOH, BSN, RN** · Jan 25, 2005

thanks all for your great advice. oops it looks like i may have accidentally gotten 2 different threads started on this same subject. yes i think i will urge the other nurse to write up the cna and i will offer to back her up or confront the cna with her. or yes maybe we can write her up together. i will leave it up to the other nurse whatever she decides. no we don't have a union here. my nurse friend is the main night shift nurse in charge. i am the charge nurse on that unit only on her days off. yes the cna is taking advantage of the other nurse. it makes me furious because this particular nurse has been so very helpful and wonderful to me. i want to do something for her too. i am worried that this wonderful nurse will get fed up and quit because of this cna.

it sounds like you need to sit-down with your shift supv, nm, cna staff, along with the other nsg (who's not only the full-time 'charge nsg' on that unit...but also your charge nsg!), & come-up with a standard of routine practice (that's necessary) for that particular shift so that there'll be continuity for all.

i agree with a few other posters regarding v.s. at midnight. most ltc facilities require v.s. to be done on residents on antibiotics (on days/evenings x5 to 7 days), new admissions or re-admission (again on days/evenings x5 days), whenever an incident occurs (based on what occurs...i.e. neuro check q/* x4 hr....etc), or per sub-acute protocols (usually per shift for the first 5 days of admission...then it's down to per day...usually day shift) for mds reimbursements. just how many v.s. are required from each aide at midnight every night & how many residents are they required for?

sounds to me like you really should step back a bit & follow your chain of command here. the other nsg in question *is* the charge nsg & as such she *know* very well what she needs to do when it comes to insubordination! perhaps you're getting a little itch to write this person-up for yourself? could it be this particular cna rubbed you the wrong way before & now it's time for paybacks...perhaps writing this individual up using your charge nsg's problem as the perfect excuse would surely do the trick because the problem isn't with you this time...perhaps your prior attempts/efforts failed :uhoh21:? i don't know but only you can look at yourself in the mirror & truly answer that with sincerity :stone. just how often do you write your aides-up anyway? not an attack but some some self reflective questions...you really shouldn't allow your anger to be a motivating factor behind disciplining your nsg staff . btw....just how many threads have you started over this one individual anyway? that right there speaks volumes in terms of your anger at this individual & wanting to vent. how long have you been a nsg? can't really tell by your profile as you haven't disclosed as of yet. it sounds like you don't really have all that much experience in this area...again...refer to your charge nsg, shift supv, & nm for advice where disciplining is concerned.

why don't you talk to this charge nsg (regarding this issue) & allow her to make the choice to discipline her full-time aide staff. it may just be her wanting to vent over personalities types...or quite possibly...her dissatisfaction with your facility's demand of her? if this *good* nsg leaves this facility because she can't stand-up to her aides, then maybe she shouldn't be there after-all. like i'd said earlier, this nsg does have her shift supv & nm to turn to if she's unable to deal. you must pick & choose your battles (not others) wisely. trust me, this is but a small thing....there are wayyyyyy more serious things that this cna could be written-up for! stay fair & just & you'll get respect from your nursing staff. just keep that in mind & you'll do fine good luck ~

cheers!

moe

**SKM-NURSIEPOOH, BSN, RN** · Jan 25, 2005

thanks all for your great advice. oops it looks like i may have accidentally gotten 2 different threads started on this same subject. yes i think i will urge the other nurse to write up the cna and i will offer to back her up or confront the cna with her. or yes maybe we can write her up together. i will leave it up to the other nurse whatever she decides. no we don't have a union here. my nurse friend is the main night shift nurse in charge. i am the charge nurse on that unit only on her days off. yes the cna is taking advantage of the other nurse. it makes me furious because this particular nurse has been so very helpful and wonderful to me. i want to do something for her too. i am worried that this wonderful nurse will get fed up and quit because of this cna.

it sounds like you need to sit-down with your shift supv, nm, cna staff, along with the other nsg (who's not only the full-time 'charge nsg' on that unit...but also your charge nsg!), & come-up with a standard of routine practice (that's necessary) for that particular shift so that there'll be continuity for all.

i agree with a few other posters regarding v.s. at midnight. most ltc facilities require v.s. to be done on residents on antibiotics (on days/evenings x5 to 7 days), new admissions or re-admission (again on days/evenings x5 days), whenever an incident occurs (based on what occurs...i.e. neuro check q/* x4 hr....etc), or per sub-acute protocols (usually per shift for the first 5 days of admission...then it's down to per day...usually day shift) for mds reimbursements. just how many v.s. are required from each aide at midnight every night & how many residents are they required for?

sounds to me like you really should step back a bit & follow your chain of command here. the other nsg in question *is* the charge nsg & as such she *know* very well what she needs to do when it comes to insubordination! perhaps you're getting a little itch to write this person-up for yourself? could it be this particular cna rubbed you the wrong way before & now it's time for paybacks...perhaps writing this individual up using your charge nsg's problem as the perfect excuse would surely do the trick because the problem isn't with you this time...perhaps your prior attempts/efforts failed :uhoh21:? i don't know but only you can look at yourself in the mirror & truly answer that with sincerity :stone. just how often do you write your aides-up anyway? not an attack but some some self reflective questions...you really shouldn't allow your anger to be a motivating factor behind disciplining your nsg staff . btw....just how many threads have you started over this one individual anyway? that right there speaks volumes in terms of your anger at this individual & wanting to vent. how long have you been a nsg? can't really tell by your profile as you haven't disclosed as of yet. it sounds like you don't really have all that much experience in this area...again...refer to your charge nsg, shift supv, & nm for advice where disciplining is concerned.

why don't you talk to this charge nsg (regarding this issue) & allow her to make the choice to discipline her full-time aide staff. it may just be her wanting to vent over personalities types...or quite possibly...her dissatisfaction with your facility's demand of her? if this *good* nsg leaves this facility because she can't stand-up to her aides, then maybe she shouldn't be there after-all. like i'd said earlier, this nsg does have her shift supv & nm to turn to if she's unable to deal. you must pick & choose your battles (not others) wisely. trust me, this is but a small thing....there are wayyyyyy more serious things that this cna could be written-up for! stay fair & just & you'll get respect from your nursing staff. just keep that in mind & you'll do fine good luck ~

cheers!

moe

Ted · Jan 25, 2005

please, especially during a heated discussion/debate, keep the focus on the topic and not on your fellow bulletin board member. remember that it is against this bulletin board's terms of service to personally attack another member.

also, rather than directly respond to a post that is a personal attack in nature and may be against the terms of service, please report the post to the staff. let the staff deal with the situation.

thank you for your consideration

ted

co-administrator of allnurses.com

Ted · Jan 25, 2005

please, especially during a heated discussion/debate, keep the focus on the topic and not on your fellow bulletin board member. remember that it is against this bulletin board's terms of service to personally attack another member.

also, rather than directly respond to a post that is a personal attack in nature and may be against the terms of service, please report the post to the staff. let the staff deal with the situation.

thank you for your consideration

ted

co-administrator of allnurses.com

Blackcat99 · Jan 25, 2005

OK folks. Let me explain this one last time. This CNA knows vital signs need to be done by 12 midnight period. Not only does she know this I had her sign an inservice paper last Nov. that clearly state that vital signs are to be done by 12 midnight. It is also the policy at this facility. She is usually assigned to do vital signs on 4-5 residents at night. And no the nurses do not have time to do the vital signs for the CNA's. At our LTC the nurses are usually running all night. The CNA's work hard too but they usually have time to sit and rest for 1-2 hours during their shifts. Even the other CNA's are mad at this CNA for not doing her vital signs and helping this nurse. Anyway, I hope the nurse will write up this CNA. However, this CNA does do her vital signs by 12 midnight when she works with me. It is not my job to "babysit" these CNA's. If they don't want to do their assigned tasks they should be written up period. I am too busy at night to play these silly games. If you don't want to do your CNA job then that is insubordination and it's a write-up. I never have to remind the other CNA's to do their vital signs and have never had to write up any CNA's at this facility.

Blackcat99 · Jan 25, 2005

OK folks. Let me explain this one last time. This CNA knows vital signs need to be done by 12 midnight period. Not only does she know this I had her sign an inservice paper last Nov. that clearly state that vital signs are to be done by 12 midnight. It is also the policy at this facility. She is usually assigned to do vital signs on 4-5 residents at night. And no the nurses do not have time to do the vital signs for the CNA's. At our LTC the nurses are usually running all night. The CNA's work hard too but they usually have time to sit and rest for 1-2 hours during their shifts. Even the other CNA's are mad at this CNA for not doing her vital signs and helping this nurse. Anyway, I hope the nurse will write up this CNA. However, this CNA does do her vital signs by 12 midnight when she works with me. It is not my job to "babysit" these CNA's. If they don't want to do their assigned tasks they should be written up period. I am too busy at night to play these silly games. If you don't want to do your CNA job then that is insubordination and it's a write-up. I never have to remind the other CNA's to do their vital signs and have never had to write up any CNA's at this facility.

Lovely_RN, MSN · Jan 25, 2005

OK folks. Let me explain this one last time. This CNA knows vital signs need to be done by 12 midnight period. Not only does she know this I had her sign an inservice paper last Nov. that clearly state that vital signs are to be done by 12 midnight. It is also the policy at this facility. She is usually assigned to do vital signs on 4-5 residents at night. And no the nurses do not have time to do the vital signs for the CNA's. At our LTC the nurses are usually running all night. The CNA's work hard too but they usually have time to sit and rest for 1-2 hours during their shifts. Even the other CNA's are mad at this CNA for not doing her vital signs and helping this nurse. Anyway, I hope the nurse will write up this CNA. However, this CNA does do her vital signs by 12 midnight when she works with me. It is not my job to "babysit" these CNA's. If they don't want to do their assigned tasks they should be written up period. I am too busy at night to play these silly games. If you don't want to do your CNA job then that is insubordination and it's a write-up. I never have to remind the other CNA's to do their vital signs and have never had to write up any CNA's at this facility.

If that is the case then the CNA should be written up no warning needed. You didn't explain that she is fully aware of her job duties. If she signed a paper at in-service back in Nov and the other CNA's are doing what they are supposed to do then she NEEDS to be written up. It isn't your job to baby sit the CNA but it isn't your job to baby sit the nurse either. You can let her know that you support her but she has to develop a spine and stick up for herself. If it isn't that CNA it will another one in the future that she will have to deal with.

Lovely_RN, MSN · Jan 25, 2005

OK folks. Let me explain this one last time. This CNA knows vital signs need to be done by 12 midnight period. Not only does she know this I had her sign an inservice paper last Nov. that clearly state that vital signs are to be done by 12 midnight. It is also the policy at this facility. She is usually assigned to do vital signs on 4-5 residents at night. And no the nurses do not have time to do the vital signs for the CNA's. At our LTC the nurses are usually running all night. The CNA's work hard too but they usually have time to sit and rest for 1-2 hours during their shifts. Even the other CNA's are mad at this CNA for not doing her vital signs and helping this nurse. Anyway, I hope the nurse will write up this CNA. However, this CNA does do her vital signs by 12 midnight when she works with me. It is not my job to "babysit" these CNA's. If they don't want to do their assigned tasks they should be written up period. I am too busy at night to play these silly games. If you don't want to do your CNA job then that is insubordination and it's a write-up. I never have to remind the other CNA's to do their vital signs and have never had to write up any CNA's at this facility.

If that is the case then the CNA should be written up no warning needed. You didn't explain that she is fully aware of her job duties. If she signed a paper at in-service back in Nov and the other CNA's are doing what they are supposed to do then she NEEDS to be written up. It isn't your job to baby sit the CNA but it isn't your job to baby sit the nurse either. You can let her know that you support her but she has to develop a spine and stick up for herself. If it isn't that CNA it will another one in the future that she will have to deal with.

Santana · Jan 25, 2005

be careful Blackcat! As long as the cna is satisfying you than don't be concerned about she/he does with another nurse......we don't need to fall in to 'control freaks' and this is the way many take situations....take care of your shift and trust me.....let the other nurses do the same:)

Santana · Jan 25, 2005

be careful Blackcat! As long as the cna is satisfying you than don't be concerned about she/he does with another nurse......we don't need to fall in to 'control freaks' and this is the way many take situations....take care of your shift and trust me.....let the other nurses do the same:)