Male CNA in a female dominated class

Nursing Students CNA/MA

Published

First I would just like to introduce myself and give a little back ground.

I'm a 24 year old male who has worked at a brain trauma center for a year in house keeping. It doesn't involve direct patient care, but I interact with the patients on a daily basis and I've worked with quite a few who have behaviors right along side the CNA's on the floor.

I'm also a pre nursing individual studies student, I've just gotten through a year of pre and co-reqs and I've got a cumulative 3.75 GPA, my GPA last semester was 3.90. I'm very serious about my profession in health care.

So I registered for the CNA program at my local Boces and it's gone pretty well. It's given me a lot of great experience and for the most part its been profitable with a few bumps.

At this points I'm in the clinical portion of the class, and I've run into a problem with what I consider to be blantant sexism. Today was my third day in clinicals and I was performing perineal care on a resident who was highly constricted, this was a resident I had been working with my first night of clinicals. She was a female and I had to verbally and somewhat physically help her relax so two other sudents and myself could perform perineal care on this resident. Half way through the skill one of the students left without and explination and returned with one of the other students five minutes later. They proceeded to explain to me that, "This resident is a female CNA only resident, so we're going to need you to leave." So I was somewhat skeptical but did not want to make the resident uncomfortable so I just agreed with them and left. I went to the LPN on the floor and asked her if this resident was in fact female CNA only. She said that she wasn't, so I explained the situation to the instructor because I was somewhat upset, and she had a few words with the other students. At the end of the clinical I had a few words with the instructor, and she kind of beat around the bush but I got the vibe from her that she was siding with the female students altough it was obvious that they had lied about the resident being female CNA only because she felt that they where right that I wasn't "In touch" with the residents emotions and how she felt about the care. This resident has severe dementia and she made no verbal responses to any of the attempts we made to speak with her. So we explained the procedure and she seemed to be fine with it, she was just constriced and we had to relax her a little bit; which did mean getting her to open up her legs somewhat.

I firmly believe I know the difference between a resident who is consiously resisting and is upset, and a resident who has severe dementia and is constricted. I was very upset with the situation, and how the instructor didn't really get to the point with the constructive critisism and just kind of hinted and gave me vibes that she thought I was wrong. I'm just . . . frustrated. Can someone give me their thoughts on the situation? I've got three more days of clinicals left and I want to get the most out of them that I can before I move onto my first job as a CNA. I feel like I'm missing something here. I don't know, maybe I need to focus on my interpersonal relationships with my coworkers more? Maybe I rubbed them the wrong way? They had all of their supplies set up on the dresser near the TV, (there was no bedside table). I gave them the bright idea of using the geriatrics chair as a clean surface, kind of like a bedside table to work with instead of walking in and out of the curtain to wash and rinse the washcloth. . . . which I might add meant walking ten feet with a dripping feces covered cloth. . .

Any input is appreciated, thanks!

Specializes in critical care.
...and there are tons of people that would not hire a Mexican to do construction on their house. Discrimination of any kind should be unacceptable. Excuses should not be made for discrimination.
No, they shouldn't be, but are you going to force a person to go outside their comfort zone when they already are facing the total loss of their dignity by insisting they get washed by a person who isn't female or black or purple or gay or bozo the clown? This person is already suffering and it is our priority to care for them in a manner that respects their needs and beliefs, even if those things contradict our own.

I don't think the time for teaching respect for equal rights is when a person is receiving medical care.

Specializes in Trauma.
No, they shouldn't be, but are you going to force a person to go outside their comfort zone when they already are facing the total loss of their dignity by insisting they get washed by a person who isn't female or black or purple or gay or bozo the clown? This person is already suffering and it is our priority to care for them in a manner that respects their needs and beliefs, even if those things contradict our own.

I don't think the time for teaching respect for equal rights is when a person is receiving medical care.

I didn't mean to force a patient to accept care from someone they don't want. I meant health care workers need to stop defending, making excuses, for patients when they do.

Specializes in critical care.
I didn't mean to force a patient to accept care from someone they don't want. I meant health care workers need to stop defending, making excuses, for patients when they do.
I'm not making excuses. I'm providing explanations as to why their preferences should be respected. Being capable of empathize with our patients is part of the job. Many of the elderly that we are seeing now were adults (and married) before the sexual revolution of the 60s and 70s, and they were newly minted adults when the civil rights movement gained momentum. These are people who grew up in a completely different era, with completely different rules and expectations socially. Society has evolved greatly since then. That is not an excuse. That is an explanation. A reasonable one, in my opinion. Take it as a sign of progress.
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