What would you have said to this CNA - page 3

I was almost done posting this but it went away? Sorry if it comes up twice??? Anyway, I am an RN on a busy day shift med-surg/onc floor. The other day it was crazy. It was about 1400 and I had... Read More

  1. by   caliotter3
    A write up for insubordination would have been in order. Since you apologized to her, she was accurate in her statement that she put you in your place. You will have continuing and growing problems if you don't put her in her place.
  2. by   Busia
    I can't imagine being upset over being handed a note. It sounds like it was a completely crazy day, and probably not just for you, I'm sure it was nuts for everyone. In a situation like that, I think I would PREFER to have a note in my hand to remind me of something that needs to be done. This CNA sounds like a gem, I respect you for keeping your cool, and am glad you wrote her up. Keep your head high, you did nothing wrong.
  3. by   Sade
    Quote from pagandeva2000
    I am in agreement with this...it seems accusory to throw in that this nurse did not take a bathroom break. Most of us have been there...that one thing happened after another and we could not get away. Some people learn to work around this by making sure that somehow, going to the bathroom and sneaking a meal is included, others don't. That is not the issue at hand. The point of this is the nurse delegated a task within her job description.
    The OP asked our opinion and from my perspective there are 2 concerns here. First is the obvious insubordination by the CNA. I think we can all agree that what happened here was very unfortunate. But lessons can be learned from both sides. In my opinion it is irresponsible for an RN to not take care of herself and get something in her stomach. And I'm not sure where you work but where I work a bathroom break takes me about 30 seconds to pee and 1 minute to wash my hands. Take care.
  4. by   Virgo_RN
    Quote from Sade
    In my opinion it is irresponsible for an RN to not take care of herself and get something in her stomach. And I'm not sure where you work but where I work a bathroom break takes me about 30 seconds to pee and 1 minute to wash my hands. Take care.
    It is not at all uncommon in modern day American hospitals for nurses in busy inpatient units to find themselves in a position where they are unable to find the time to leave the floor for a meal break. Wrong? Yes. Fair? No. Reality? Yes.

    Fortunately, where I work, we have a strong union that mandates that meal breaks must be accommodated, and if a nurse is unable to take a break, relief is expected to be provided, or the nurse is paid overtime for working through their meal break.

    Of course, the nurse in this situation has the responsibility to notify their charge nurse as soon as they realize that their assignment is too busy to allow time for a meal break so that the charge nurse can provide the appropriate resources in order to accommodate that break.

    Even so, there are times when one is so busy doing one critical task after another that before you know it, it's later than you realized and you're feeling the symptoms of hypoglycemia and inadequate bladder emptying. When that happens, the appropriate action is to take a break, rather than simply trudging along through it. This is what the original poster did, which was the responsible thing to do, IMO.
  5. by   LEN-RN
    Quote from Sade
    The OP asked our opinion and from my perspective there are 2 concerns here. First is the obvious insubordination by the CNA. I think we can all agree that what happened here was very unfortunate. But lessons can be learned from both sides. In my opinion it is irresponsible for an RN to not take care of herself and get something in her stomach. And I'm not sure where you work but where I work a bathroom break takes me about 30 seconds to pee and 1 minute to wash my hands. Take care.
    Unfortunately most facilities pile a huge burden on the nursing staff, not just RNs, but LPNs as well. Not good for the patients or the nurses. A nursing license can be lost in the matter of seconds. It happens. That is one main difference between nursing and other staff. Some people take it lightly, but most dont.

    Yes nurses need to take care of themselves, but until a reasonable patient/nurse ratio is mandated everywhere, nurses will continue running the floors doing what is needed while neglecting their own needs. That is just a fact.
  6. by   Sade
    Quote from LEN-RN
    Unfortunately most facilities pile a huge burden on the nursing staff, not just RNs, but LPNs as well. Not good for the patients or the nurses. A nursing license can be lost in the matter of seconds. It happens. That is one main difference between nursing and other staff. Some people take it lightly, but most dont.

    Yes nurses need to take care of themselves, but until a reasonable patient/nurse ratio is mandated everywhere, nurses will continue running the floors doing what is needed while neglecting their own needs. That is just a fact.
    IMO - It all comes down to personal responsibility. When I'm in similar circumstances I find a couple of crackers and drink a glass of water. Takes less than two minutes for me. Relieving myself takes less than two minutes as well. As for me If I couldn't honestly find 2 minutes to relieve myself...
  7. by   LEN-RN
    Quote from Sade
    IMO - It all comes down to personal responsibility. When I'm in similar circumstances I find a couple of crackers and drink a glass of water. Takes less than two minutes for me. Relieving myself takes less than two minutes as well. As for me If I couldn't honestly find 2 minutes to relieve myself...
    Fair enough, but never say never
  8. by   morte
    Quote from Sade
    IMO - It all comes down to personal responsibility. When I'm in similar circumstances I find a couple of crackers and drink a glass of water. Takes less than two minutes for me. Relieving myself takes less than two minutes as well. As for me If I couldn't honestly find 2 minutes to relieve myself...
    depends how far one must go to get to a toilet/food area......
  9. by   Batman24
    This called for a write up for insubordination. You need to right this ship at once or be prepared to be walked on continuously by this CNA. Shameful on their behalf.
  10. by   coffee4metech
    I have to appeal to both sides you should have taken a break on time so it didn't get to the point of desperation that automatically puts you in a bad situation. The CNA should have reacted in a professional manner and voice her vaild concerns , both were in the wrong in this situation.
  11. by   cursedandblessed
    my first reaction is what in the holy heck is wrong with this cna-she's a nursing assistant--her job is to assist you. i adore lists, i make a running one all day long as i do my "job" as a student nurse. this summer it's more of patient tech work with a few extra duties and no med passing.

    i've even had to write on my list a reminder to go drink something and use the restroom. i don't want to leave the floor myself, but found out the day the ac went out, that staying was detrimental to my health when i sweated too much and ended up losing too much k+ and the result was severe leg cramps all night long. now i keep some individual crystal light packets or something similar in my pocket-the ones that are like gatorade without sugar so i can grab some water mix it up quickly and chug it down at the ice/water machine in the patient nutrition room.
  12. by   netglow
    So it shall be written. So it shall be done.
  13. by   jollydogg_RN
    Quote from Mrs.NurseAssistant
    I have to appeal to both sides you should have taken a break on time so it didn't get to the point of desperation that automatically puts you in a bad situation. The CNA should have reacted in a professional manner and voice her vaild concerns , both were in the wrong in this situation.
    you have to appeal to both sides? why?? because you're a CNA?

    there should have been NO circumstance where the CNA should have reacted like that. NEVER. EVER.

    first of all, the RN is responsbile for the tasks that the CNA does for the patients. to ask for vitals and a pitcher of water... whether in note form, telephone, insertmodeofcommunication here is completely legitimate. ultimately, it falls on the RN. we are the team leaders and we have the responsibility to see too it that patient care gets implemented... even if it is delegated.

    i was an extern for a year before graduationg, but basically i had the role of a tech. i would have loved to get a note. i know from working that if a nurse actually writes something down for a tech to do, you know that either the RN is really, really swamped, or something needs to be done asap. otherwise they could walk to you and find you. i would have loved to have taken this opportunity to help the RN out in a time of need, because if you scratch someone's back in your group of peers, people notice. you get talked about. you are MUCH more likely to get helped out when YOU need help if you help out others.

    why is this person even a CNA if they dont want to do something thats ultimately helping the patient?

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