CNAs that take extended breaks

  1. maybe it's just ltc or where i currently work but several of the cnas at my job take breaks up to 60min, twice during the their shift.
    i asked a cna where she was after she was gone for an hour. she caught an attitude and said she was in the bathroom. she was clearly lying because another employee saw her on another unit talking.
    another cna was gone for an hr and 15 min yesterday. i asked her where she was and she said she was on her break and did not feel like coming back in to work. i told her join the club, no one wants to be at work in 70 degree whether. i told her that she will have to be more mindful of the length of time she is on break.
    i have to admit i'm very passive at times with cnas. however, this irks me to no end. it is not fair to me and other good aides to have to answer call lights that could have been taken care of by that patients primary cna.
    i'm thinking about having a meeting with 3-11 shift to talk about this issue. if i don't see changes, i guess it will be time to start writing people up.
  2. Visit NurseLoveJoy88 profile page

    About NurseLoveJoy88

    Joined: Jul '08; Posts: 4,125; Likes: 3,999
    RN; from ZM
    Specialty: 6 year(s) of experience in ltc


  3. by   CyclicalEvents
    Report them to your supervisor. What's the point of paying for help if they aren't around to help?
  4. by   ckh23
    Write them up. I doubt the meeting will change the habits of these people. It has probably being going on for a long time and they just have not been caught or other people have turned a blind eye.
  5. by   SNB1014
    um for real??

    there is always the off chance perhaps we go on break and accidentally come back ten mins later because we werent so watchful of the clock, or the drive thru took too darn slow, or because mother nature called (and violently so...)

    but if you see your cna go on break and you then realize you are without a 2nd set of hands for an hr , tattle, tattle , tattle!!!
  6. by   classicdame
    don't bother to ask where or why as that is not relevant. Just write them up and let the chips fall where they may.
  7. by   Hygiene Queen
    They should have been written up a long time ago.
  8. by   Not_A_Hat_Person
    If they're regularly coming back late, write them up.
  9. by   BrandonLPN
    You're expected to write people up as a floor nurse? I let unit supervisor/DON/whoever handle that. That's why they get the big bucks. As long as I'm doing my job that's what counts. what do I care if the aides are taking 60 min breaks or seem to be in a contest to see how many smoke breaks they can fit in a 8 hour shift?
  10. by   CapeCodMermaid
    Really? You think it's not your job to supervise the aides? You might want to check the nurse practice act in your state.
  11. by   BrandonLPN
    I supervise the floor only in a clinical sense. If I see an aide abuse or harm a member I will of course step in. If I see a resident receive care that could put them at risk I will write the aide up. Absteniteeism, taking long breaks and tardiness is definitely *not* my concern. I have enough to do on the floor without babysitting a bunch of grown women.
  12. by   Nascar nurse
    Neglect is abuse and if your aide is not "available" to provide clinical care as needed that ultimately falls back on the nurse. I am the DON - I'm not there 24/7. The nurses are accountable for what goes on (or what doesn't get done) on their unit.

    By clinical care I am referring to the aides scope of practice, ie: toileting/pericare to prevent pressure ulcers, assisting with feeding/fluids, etc. BrandonLPN - I bet if you look at your job description you would find that you ARE responsible for supervision of the aides and they are working under your license.
  13. by   ginsil22
    Brandon if your aids are gone for an hour and its time to turn your q2 patients, who is doing this? If its not done, that is considered neglect. Also, what would happen when you have an emergency....CNAs are an extension and reflection of you, and quality of care should be on everyone's minds including the CNA.

    This discussion about write ups came up in a class concerning leadership and management. If you have discussed this with the aid and the reasons why it’s not appropriate, and the bad habit continues, then I would do a write up. Discussing it first before you do a write up gives the individual an opportunity to improve, and will help build trust.
  14. by   AngelofLTC
    I have been trying to figure out exactly how I'm supposed to be the LPN "team leader" since I took this position a year ago. I think that you need to pick your battles. If you react negatively to everything your team is doing eventually they ignore even the important tasks you ask them to do. Some things need to be ignored as long as patient safety and care aren't being neglected. Is the team having a rough day??? maybe not picking that day to address a concern would be wise. I have also learned a valuble lesson to never address concerns while you're upset. Give yourself a breather and come at it later. Another important thing I have learned is to not make things personal...that is a huge disaster. You can be friends with your co workers but there has to be a professional attitude when it comes to leading. Lastly ALWAYS lead by example.