Attitude Adjustment

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Over on the nursing issues/patient safety forum there is a good post from a new nurse. This needs more comments. OK?

https://allnurses.com/forums/forumdisplay.php?s=&forumid=86

not-nancy-nurse

Junior Member

Registered: Sep 2001

Location: Louisville, KY

Posts: 3

attitude adjustment needed?

I'm a new grad, currently on day #14 in the ICU....and I have a huge problem! Maybe some of you guys with a little more experience can help me out here--is this really a major deal, or am I just over-reacting?

On my unit we have nursing assistants, generally one to a unit, and every morning we nurses fill out a detailed sheet telling them what our patients need to have done. The responsibilities listed on the page are such things as hygeine, accuchecks, temps, I&O's, and turning. Every morning, I spend five or so minutes filling this out. Every morning, I fully expect that these things will be done as per the instruction sheet....AND EVERY DAY, THE ONLY THINGS THAT GET DONE ARE TEMPS/ I&O'S (IF I'M LUCKY!)

Now, I'm not an unreasonable person, but this drives me NUTS! I understand that often the assistants are as busy as we are, and I am always willing to help them out if I can....but, I DO have the expectation that they will at least TRY to do what they're supposed to do! I've asked nicely, that doesn't work. I've yelled and ordered, that doesn't work either. I don't know what to do. When I voiced concern about this to my preceptor, I was warned not to alienate the nursing assistants because they can be so much help to me. When I replied "Really? When?"--he just looked at me like I was stupid. So is it just me? Am I over-reacting because I'm new and don't yet understand how things work? Or is this a situation like the Emperor's new clothes, where everyone sees the reality and are afraid to acknowledge it for fear of reprisal?

I need help here, folks, because I've got to go back in there tomorrow and deal with these people--and, quite frankly, it's going to take all the self-control I have not to "alienate" them further for not doing their jobs...

Any advice you can offer would be appreciated!

Thanks,

not-nancy

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P_RN

Mod Squad Senior

Registered: May 2000

Location: SC-USA

Posts: 374

Can we say "Passive Aggression" boys and girls?

Asking nicely with a pretty please, if you would, if you can, when you have time........guess what.... doesn't work.

Ordering sounds a little harsh, but a constant expectation such as what were the 12:00 vitals on Mr/Mrs ____? When did you finish the bath....so etc.....works a little better. How does Mr J's elbows look......?

People tend to let WORK EXPAND to the time allotted to it.....so if you have 8 hours you stretch the work out to....8 hours.....So who can blame them if it ALL doesn't get done....Awwwwww.

You need to be constantly vigilent....reminding.....expecting. Threats hardly ever work......PROMISES do.

You then need to follow up on promises...even if it makes the preceptor antsy. He may have been one of the enablers who got the staff the way they are.

Simply using the excuse of $#@% runs downhill onto the NA's is not going to help this RN with her problem. I don't have a problem working with RN's the ones with attitude problem quickly run out of steam when left on their own with their superior attitude.

I have worked in LTC's and hospital so I am well aware of the surroundings I am graduating into, and if I want advice from any of you on this topic I will ask for it just like not-nancy did. Remember it was her who asked for advice not me, your shooting the messenger and not listening to the message.

Mito

I'm sensing the love here (LOL)! Seriously, I appreciate all the time and thought you guys (&gals!) have put into giving me some advice on a VERY tough issue!

I've struggled with this for awhile, and will probably continue to struggle with it--but it's good to know that I'm not alone in the experience and that others have survived. I'm still learning, and I hope to continue to learn. Every encounter has a lesson to teach. The trick is to get far enough past the anger to see what that lesson is.

I'll be the first to jump in and help, but I'm going to take the advice given by several people on this thread and be a little more proactive in asking people to do things by saying something like "Let's go do this..." or "Come help me turn this one." Maybe that will work. Maybe I came off as bossy as Mito took me to be, whether I meant to or not. Like I said, I'm still new at this.

However, I have no intention of letting my patients receive sub-standard care. If I have to suck it up and do it myself, I will, but I'll be looking for someplace else to do it. I need a TEAM, not a babysitting gig! I know there are places out there with people who feel the same way I do--if this is "new-grad-itis," then I don't want to get over it. I want the best for my patients. I expect the other people involved in their care to want it too, and to work towards it. The CNA's aren't working for me, they're working for the patients. I am too. That's the point, isn't it?

not-nancy:D

I'm breathing....aaaahhhhhhhh!.......

not-nancy

I was a CNA for 15 yrs before becoming an RN. Most nurses treat CNA's like they are dirt when in reality the job that they do is very tough. Try giving compliments for the thinks they do right. Help them help you. If it's time for that blood sugar to be done, ask for it 15 minutes before it needs to be done. Ask nicely and if that does not work maybe they need a copy of their job description given to them. If all else fails write them up.

Terrie RN

I was under the impression that now that CNA's are liscensed that they could be reported the same as any nurse. I think that part of the reason for training and liscensure was so they are held accountable for their actions. By not doing the things in their job/practice wouldn't that be considered negligence?

I was a CNA for a very long time and always played as a team player. Why some CNA's seem to think that the standards of practice are lower really need to go back for a refresher course on what their practice entails, or be reported to their state liscensure board for negligence!!!!:eek:

word to Mito...get over YOURSELF...pluleeze.....if you have been a aide for 7 years...you of all people should be setting a proper example of teamwork...your attitude is the very reason we have to deal with lazy aides....and to be technical..you DO work for the nurse...she is the one with the license..she is the one who will be in court if you decide to NOT do what she asks of you...if you are a student as it reads...BOY!!! I want to be a fly on the wall when you wake up and realize what this person is going thru.....

Hey Not-Nancy:)

Hope your situation has been better for you. Please let us know how you are getting along ;)

Originally posted by P_RN

Over on the nursing issues/patient safety forum there is a good post from a new nurse. This needs more comments. OK?

https://allnurses.com/forums/forumdisplay.php?s=&forumid=86

It sounds like this one nursing assistant is split between several nurses and I would assume she/he would have several task outside Nancy's assignment?

Specializes in Pediatric Rehabilitation.

You guys are being a bit harsh on CNA's. They, JUST LIKE NURSES, have some good apples and some bad. To generalize all is unfair. Also, they do NOT work for nurses, they work with nurses. This attitude is what causes some of the attitudes we get slung back at us. We do NOT sign their paychecks, hence they do not work for US! I've never had a problem with a CNA, and I ALWAYS refer to the task to be done as "will you assist me with...", "do you mind doing...while I do...", etc. You get alot more bees with honey...alot more chicken shi# with cockiness.

I, for one, love CNA's.

Specializes in Med-Surg Nursing.
Originally posted by Mito

Simply using the excuse of $#@% runs downhill onto the NA's is not going to help this RN with her problem. I don't have a problem working with RN's the ones with attitude problem quickly run out of steam when left on their own with their superior attitude.

I have worked in LTC's and hospital so I am well aware of the surroundings I am graduating into, and if I want advice from any of you on this topic I will ask for it just like not-nancy did. Remember it was her who asked for advice not me, your shooting the messenger and not listening to the message.

Mito

Again, Mito dear, you come across with much attitude of your own. And in my response to not nancy nurses question, I offered her some advice. NA's, at least the one's I have worked with in my facility are lazy and need prodded to do their job. but I do Not wish to argue here as this is not the point.

i so agree that a lot of nurses treat the assistants like crap. i did the assitant thing too and i know what its like on both sides.

when i get an assitant that even remotely TRIES to do her job i compliment her to everyone ESPECIALLY managent. but there arent too many of those unfortunately.

i think the assitants that do their jobs for real should make more money than they do. and of course should be held accountable like a nurse.

what i TRY to do whenever i can is go on rounds with them. im not obtrusive or anything i just say hey after report lets go to the patients rooms together. that way i can do my assesment while you do the vitals and we can both clean them up or whatever needs done. that seems to work great...when i can do it.

i had a code one night and was going nuts. four hours...yes four hours later after all was said and done my assitant was tired. i found her in an empty room sitting in a recliner watching tv with the door closed.

i couldnt believe it.

of course i didnt let her get away with it. i just kept going back in and giving her more tasks. she didnt like that so she came out to the floor.

and so you see im not just being picky or exaggerating about our assistants...this is the kind of crap i deal with daily.

and has she been reported? countless times. countless staff. and yet there she is.

so i think well if management is not going to

do anything then why should i babysit her?

they KNOW whats going on.

i figure by the time im near the end of my career ill be taking:

some htn med

prevacid or zantac

some strong nsaid for my bad back

prozac for depression

ativan for nerves

and digoxin

nurses are on drugs....lol

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