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LTC problem getting assistants to respect me

Geriatric   (4,100 Views 22 Comments)
by NurseSuzann NurseSuzann (New Member) New Member

1,453 Visitors; 56 Posts

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Mandylpn has 10 years experience and specializes in home health, LTC, assisted living.

7,451 Visitors; 543 Posts

I applaud you, LTC is a very tough place to work!

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1,189 Visitors; 17 Posts

Hi, I`m in the same boat, new grad, in my 20s, working in a NH. This is my second month on my own, I also feel that some CNAs don`t respect me although I have been nice, polite...

I also feel sooooo overwhelmed that I can`t stop thinking about the job when I get home. I don`t have time to be the nurse that I thought I was going to be.

Hope things will get better for us! Wish you the best!

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1,453 Visitors; 56 Posts

Me too, hopefully we can get better. Its just when you think the problem is all with you and you keep beating yourself up....thats the tough part....I guess we nurses cannot possibly control "everything" that happens.....

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443 Visitors; 2 Posts

:nurse: If you are being treated with disrespect or an aide is rude ect. Pull her aside and privately speak with her. If the behavior continues write them up and speak to you immediate supr. Don't give up sister. There will always be staff that will "try" anyone and everyone in authority. For the aide that called in another nurse. I would nicely tell her if she had a concern to come to you and that if you feel you need assistance you will be the one calling for it.

Show confidence. They get worried if they see a rattled nurse.

Being a new nurse is not easy but you sound like your heart and your head are in the right place. Hang in there!!!!!!

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VeronicaWileyRN specializes in Long term care-geriatrics.

1,604 Visitors; 56 Posts

Please don't give up. It doesn't matter where you work or who you work with there will be people that think they know more, do more and they say more. It is important with the CNAs that if you must confront one that you take someone (another nurse) and address the problem. You should always make the DON aware of the problem. DON may know that that CNA had attitude problems before and that CNA was written up. That CNA could be actting up with other nurses that you don't know about. Somethings that are important 1. don't let the DON see you setting at the nurses station unless you are working, 2. don't take frequent breaks, 3. if you have problems talk to your supervisor, assistant Don or DON. GOOD LUCK!!!

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agldragonRN has 5 years experience and specializes in Wound Care, LTC, Sub-Acute, Vents.

13,859 Visitors; 1,547 Posts

hi, i`m in the same boat, new grad, in my 20s, working in a nh. this is my second month on my own, i also feel that some cnas don`t respect me although i have been nice, polite...

i also feel sooooo overwhelmed that i can`t stop thinking about the job when i get home. i don`t have time to be the nurse that i thought i was going to be.

hope things will get better for us! wish you the best!

me too, hopefully we can get better. its just when you think the problem is all with you and you keep beating yourself up....thats the tough part....i guess we nurses cannot possibly control "everything" that happens.....

i was 25 years old when i started working as a nurse in ltc. i am still the youngest now (27). the cnas can definitely make the job harder. i was "tested" numerous times by some of the cnas. it was very frustrating. it's good to seek the guidance of the seasoned nurses on your floor for advice and ask how to deal and manage the "bad apples". are you the only nurse on the floor? i hope not. i always went to my co-lpn on the other hall when i needed help dealing with the cnas. you also have to be a good nurse and show everyone that you know what you are doing.

don't give up you two. it gets easier once you learn how to deal with the bad apples. i still have one bad apple and argues with me once in a while. i try to resolve it on my own initially but when the cna continues to be insubordinate, i call the supervisor and ask her to come up and talk to the cna. this usually resolves the issue. it is your license on the line if anything happen to your patients under your watch so you must do everything to protect it. this particular cna, i don't ask her anymore. i tell her what to do now. it seems to work. you have to approach each of your cna differently.

good luck! ltc nursing is tough!

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DizzyLizzyNurse has 12 years experience and specializes in Peds Medical Floor.

19,514 Visitors; 1,024 Posts

I worked as a CNA at my LTCF for 2.5 years before becoming an LPN and I had the same problem. Some of the aides I worked with as an aide and never had a problem with, suddenly had it out for me when I became a nurse. Just do your job, be polite, help out, and respect them. I second whoever said if they are being blatantly rude take them aside and talk to them. They will most likely come to respect you. Ask for hellp from the other nurses. I noticed as more new nurses started that those same aides had a tendency to act like that to any new nurse, whether new grad or seasoned pro. People do get territorial in LTC.

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Nascar nurse has 25+ years experience and specializes in LTC & Hospice.

31,826 Visitors; 2,213 Posts

I was a new LPN in LTC at 19...yes I said nineteen! At the time my CNA's were all in their 40's or older & all set in their ways. It was a long up hill battle. (I can still remember them planning to go out for a drink after work & their snide comments that they couldn't invite me because I was just a baby). I was told years later that there was bets on how soon they could "run me off"....fooled them as I out lasted every single one of them (I'm still there 24 years later, although I have quit and come back a few times). I was unit manager by the age of 22 or 23. I earned that promotion thru lots of hard work and by the time I was unit manager I had the respect of at least 90% of the staff. You will never have a 100% support. That's just the way it is & you just need to learn to live with it.

After all these years, my best advice..

1. Help when you can...it does build teamwork

2. Ask for help when you need it

3. Don't be afraid to admit when you don't know something. But, find the answer

4. Treat everyone fair. Don't make the mistake of only asking the one you can depend on for everything. It will build resentment in that person too.

5. Hold people accountable for their actions/inactions. When possible explain your reasoning.

6. Remember to say "Thank You" and "Great job today" - catch them doing something right. Brag about great care and great deeds in public! Complain in private.

7. Don't expect someone to do something they know you would never do (ie: empty bedpans, etc).

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1,453 Visitors; 56 Posts

Thanks for more advice. I am the only nurse on the floor, so unfortunately that is the way it is. I guess I'll just keep pushing on and trying to deal with each person effectively. I don't like people testing me when I'm still learning the job because it makes it that much harder for me to do everything but I guess its something I'll pull through. :)

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1,453 Visitors; 56 Posts

I had excellent staff yesterday and it was a bit better of a day. However I still am afraid and almost crying everyday I get called for a shift when I think I am going to get a day off, but I have no choice, I need to work or I will go even more into poverty with all my loans and such and my husband was laid off :( This place is feeling more dangerous everyday and I try so hard and even when I try to think of everything, I always feel like I might have missed something because there is just no time. I may have missed "little" duties in addition to my important nurse duties such as certain paperwork unrelated to patients and I feel like I'm a bad nurse even though I try so hard and do everything and spend so much time with my patients.

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