Nurses who let NAs Boss them around - page 5

When will nurses ever learn to delegate? When will nurses ever collectively stand up and get some backbone--Fight for higher wages, and better benefits like a company matching 401K plan? I get sick... Read More

  1. by   Disablednurse
    No MaryG, you are not wrong to think that the nurse should answer the call lights. When I was working my job was MDS nurse. When ever I would be at the desk getting info for my job, the nurses would sit at the desk and ignore the call lights, I answered them, but got to where I would not take my work to the desk. Some nurses just do not want to answer the lights as they feel that this is not their job.
  2. by   ktwlpn
    Originally posted by MaryG
    I can't believe some of these stories! I guess the fact that i've been a CNA for "only" 4 years and worked at the same facility might have something to do with that. Where I LTC.....we try to work together as a team. Some of us "get it" and some don't. Typically we have 2 CNA's for 20 residents and are usually running our butts off all day. It pisses me off when we are both in rooms busy taking care of residents, lights are going off, and the nurse is sitting up at the desk reading the paper or a magazine. I guess I do expect her to help out. Is that wrong????
    Usually I am busy passing meds,doing treatments,routine paperwork,chart checks,summaries,orders etc while the cna's are doing care.If I stop to answer bells well then I am in trouble because I did not finish my med pass within the legal time limit.Or I am still at the desk after my shift finishing my 7 day assessments and the facility does not want to pay overtime.....I have NEVER been seen reading a magazine at the desk -with 44 residents on our dementia unit and 6 aides I don't have time for that.I also try to help with meals and toileting when I can-when I am caught up with what I have to do-the cna's can't help me do my job if I get swamped due to helping them do theirs....I can't imagine how that nurse would have down time to read a magazine.If she does she should be ashamed.
  3. by   BSN/OncoNurse
    This is a very touchy subject for a lot of NA's, RN's, and Management. My philosophy has always been to work with people instead of against them. NA's on my team know that if I am asking for help, then I really need it. I helped clean and bath patient's when I had extra time. Phe Phe - You need to do a basic statistical approach. Log the amount of time you note certain NA's on your floor taking breaks with each of their shifts. Then compare it with the work that was not completed on their shift (ie bedpans, I&O's etc). Do it however you want, but management may listen better if they have real numbers in front of them on how it affects patient care and time spent doing another person's job. Just a suggestion, hope it works. God Bless.
  4. by   MaryG
    I know that the nurses have their own work to do. I know that I can't pass meds and do their charting for them. I also know that they do have time to help, the majority of the time. I really don't think it's unreasonable to ask that they help. I'm not asking them to do my job, but a little help goes a long way. Even if it's just picking up trays after a meal. I'm not saying that they don't always help, sometimes they do. I guess it just depends on what kind of day they are having and I totally understand that some days are just extremely hectic, Mondays especially. I would love to go to school to become an RN......but i'm really torn. I love my job, I love giving the care that I give and having satisfaction that i'm taking great care of my residents. I see the nurses jobs and it's just not the same. They don't get to spend the same amount of time and I wonder sometimes if they feel a great sense of satisfaction............
  5. by   txsugarlvn

    Wow...I knew it was happening in other places. I have worked in several nursing homes, assisted living facilities, hospitals and also in a dialysis clinic. Most places had CNA's but some did not as they were not required there. I always made an effort to do whatever I could to help out and that included bathing a patient, feeding, cleaning up a patient and checking rooms to be sure they were all neat, clean and the call lights were in reach. Yes, I ran all night. Between charge nurse duties, charting, making necessary calls, checking on patients, and helping out cna's I was a mess by the time I would get home. But, the patients were cared for and that's all that mattered. Sure I got resentful sometimes but I kept it to myself unless we had a staff meeting with just nurses and administration where I felt "safe" enough to express my thoughts.
    Why? Because, in my experience, the cna's were tolerated due to the fact that there were never enough cna's. Send someone home? not unless you wanted to explain to your fellow nurses and the administration why you don't have anywhere near enough coverage now. Never failed that administration was more worried about keeping the cna's happy because they didn't want to lose them no matter how lousy they were. Of course, this happened in some instances with nurses as well. Especially when we were due for our annual inspection.
    It's crummy yes but it happens. Many CNA's will respond to requests made respectfully and reasonably. They will also treat you with respect. You have to work together or the job won't get done.
    If they are really bad, document it, notify administration (from the building adminstrator to the DON) and let them know in no uncertain terms that if the aide doesn't go, you will. If they choose the aide, find another job and be sure to have a letter placed in your file (that you wrote) explaining exactly why you left. Keep a copy.
    It's tough I know but until we have a change of attitude across the board, nothing will change. All we can do is keep our heads high, stay positive, and make sure the patients get the best care possible because they are the reason we all have jobs.
  6. by   nursenoelle
    Ha ! funny that I read this thread today after day 3 back at LTC. iIwas a CNA first, I realize that it is a tough job. To be honest, I thought the nurses had it easier ! Some days, when the doodoo hits the fan, I long for the days when I could say " hey- you might wanna do something about this" . But I can't. I have never, rolled my eyes, or smacked my mouth when given a task.

    Today I had to go to my DON and explain why her one of her aides is alienated. I said that I cannot tolerate neglect. This girl has refused pretty near everything I have asked her to do. No matter how simple. Will you get this b/p ? " nope don't know how" . Did you get mrs.x up? "no, she's gotta do it cuz I already did 2 people " - 2 ******* ppl. .. these girls were arguing over who was gonna get this person OOB. I had enough and told them to clock out if they did not wish to work today, that this is not a day care, they are grown women and would have to work together.

    *sigh* I am still on orientation, and not at all impressed. Everyone just does whatever they want. Nurses too! There has been some major admin. changes recently, and it seems that they are trying to weed out the crap. Lord help me till then. CNA classes start soon at work, maybe some fresh faces, competition will help.

    edited to add : There are some wonderful aides out there, I wish that I could infuse some of the compassion and work ethic that I have witnessed the these girls.
    Last edit by nursenoelle on Jun 4, '03
  7. by   MaryG
    CNA's give the profession a rotten name. YES....I believe that being a CNA is a career choice and i'm very proud of it. I take pride in the fact that I am a CNA and would like to tell the ones that make us look bad.......go work at McDonalds.......we don't need your kind taking care of our elderly. One thing that I truly believe is what comes around....goes around. One day they will have someone taking care of them......just like themselves.
  8. by   nursenoelle
    hey Mary- ever think about movin' to Arkansas ?! You said it well. CNA's should take pride in what is, a very noble profession- human service.
  9. by   MaryG
    It's true that the pay isn't great, but the rewards are so much greater than any monetary compensation. My residents love and trust me.....their families feel like they can always trust me....and my nurses and boss know that I take pride in my job and that the residents I take care of are taken care of the best way I know how. How do you instill that into others????? I've trained others.....but I don't think that they get it. Most are very young girls......some get it....some don't. Do you think there is a secret to showing them how important their job is????????
  10. by   cab631
    I know.......the crappy NAs all moved to PA from FLA! Unfortunately, not enough of them have left! I went from staff nurse to night supv. and I LOVED to catch people sleeping! First I would scare the hell out of them by standing there watching them sleep until they sensed me and woke up. Then I would tell them to go home and write them up EVERY time. And believe me...I got writer's cramp. But the situation improved, slowly....VERY slowly. You've got to document, document, document. And when the rest of the crew c/o that now they have to work short because so and so got sent home, I would just tell them that they are responsible too, because they knew "so and so" had disappeared from the floor and never bothered to look for her/him. The directors usually fired the sleepers after being sent home. People quit sleeping while I was on duty.
  11. by   tattooednursie
    LOL @ cab. How long until they sensed you? Thats funny. If they want to sleep on the job, they should get a job testing sleeping pills or something.
  12. by   cab631
    The depth of the slobber puddle was usually and indicator as to how long it would take to wake up.......I did a little throat clearing or chair-leg stumbling sometimes. It's the ones with their head on a book that usually woke up and said they weren't asleep! If they were students....I tended to be a little sympathetic, but if student or not....if it was a repeat offender, they had to go home...even if I paid for their cab!
  13. by   pcelest9
    Yah, I hear you frogglyleg! As the current prof. that I consider myself to be(CNA), I truely would never invite a coworker outside to duke it out. Just jokin!! However, my repsponse to an assault situation would not be pretty. professional license or not!

    I still would like to know; just .......what are you nurses doing to people, for they have to respond with assault? Or, the the NA's you work with... just plain 'ole ignorant?