Need advice: quit or stay?

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I am in my first year of nursing, but have worked on this same unit for 4 years prior at the desk and on the floor as a support person. The unit is very large, so that mgt really is not in touch day-to-day with the actual workers. It's a 'if you don't hear from us, consider that a good thing' type of unit, which is kindof nice in a sense, but certain staff can be somewhat 'innappropriate' (rude) and get away with it, too, and then it can be discounted as 'it's a stressful unit', so this type of thing (rudeness, for lack of a better term, is tolerated).

It was hard at first to transition to my new role as RN at first especially when others knew me in the support staff role. The RN's are all ok now, and treat me respectfully, as a peer, but I have had some trouble with a few CNAs. A couple incidents of them yelling at me (and one pointing her finger in my face and yelling) were definate boundary issues for me, and after reporting them, am incredulous that they are not disciplinary type actions.

The last incident (finger pointing/yelling), I asked for a few days personal LOA, as I couldnt take going back there just yet. I am due to go back there now, and am dreading it. I did email the mgr on Fri and asked if I can be assured that this dosent happen again, and got the response that "I did talk to X and she assures me she will act thoughtfully and professionally'.

I am concerned that this will be seen more as MY problem than that of lack of mgt of the CNAs (and there are some good ones, it is the few that seem to have some kind of problem with me, or that they want to work on their own terms). I am concerned that I have not truly been assured that 'that was not acceptbale behavior'. I also am concerned that (like I have been) I will do that job AND mine, and/or have all the above and whatever behavior comes up on MY license.

I do love the actual WORK, and the patient, and this is the area I do love.

Do I stay and continue to try to work this out? Do I look for another position on another unit in this hospital? Or leave for another hospital within the same area?

Thanks for your responses. I have decided to look elsewhere. I wasn't scheduled a workshop day that others I oriented with were, when I emailed the scheduling mgr (to ask that my sick time be applied to the days I took off) I also asked her about this. I was going to shrug it off at first, that it was 'probably because I was scehuled to work that week'. She emailed me back that "it was because I was doing some introspective work, and also that I still needed to settle into the RN role" (I have had no issues performance-wise, my pts safe and happy, I have worked my butt off, and made good judgement calls).

I emailed the top mgr to say that I was confused about this...that on the one hand they thought I was being too sensitive, and now they are using this to limit my professional growth.

I did call an RN who said she c/o once about an aide, got a response back that the aide denied it, and "that was the end of it unless she wanted to pursue it further". She thinks the ancillary staff have more weight because RNs are easier to replace, as the ancillary staff are union and we are not. I thought she had a good point.

So now I am wondering if, when I apply for a new position, this will be used against me...

Specializes in School Nursing.

don't let the "tail wag the dog" here. you are the rn and they are the assistants. period ! you are in charge of them, not the other way around. any good cna will agree with me. :heartbeat

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