What would you have said to this CNA - page 6

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   coffee4metech
    I would never personally act the way this CNA did , but maybe that CNA has issues with this particular RN . I really don't think that this behavior should be tolerated the CNA should be fired ......... I don't understand why the CNA reacted the way she did ????
  2. by   Scrubby
    Quote from Mrs.NurseAssistant
    I would never personally act the way this CNA did , but maybe that CNA has issues with this particular RN . I really don't think that this behavior should be tolerated the CNA should be fired ......... I don't understand why the CNA reacted the way she did ????
    If the CNA has issues with the RN then they need to deal with it in a professional manner such as speaking to the RN in private, or going to management with their problem. Instead they chose to use racist slang, refuse to work and then badmouth the nurse to everyone in the unit.

    As for not understanding why they reacted...well why does it even matter why? The fact is that they behaved in a completely unacceptable manner. There is no why in this situation.

    But to play along well maybe they simply have a bad attitude, they could be lazy, or they can't handle the CNA role because they don't like being asked to do something.
  3. by   coffee4metech
    I did not want to upset everybody ,sorry if I did that was not my intention!!
  4. by   netglow
    I don't feel that the OP should have to do anything but write her up, "N" word and all. Let the chips fall. The CNA accepted a job as an adult. I am sure she was made aware of her place on the team, and that it would not be Alpha.
  5. by   EastBayCAStudent
    Disclaimer: I'm a soon-to-be CNA, and a student working toward RN. I have more business experience than medical.

    A CNA reports to the RN or LVN, whoever he or she is assigned to report to that day. What was asked is within scope of practice. It sounds like the CNA in question has trouble taking orders, and will have serious ongoing problems being at the bottom of the totem pole. She may not last long as a CNA if her attitude doesn't improve.

    That being said, OP: Learn to stand your ground. It sounds like you are not used to being in a management position, but the fact is that you ARE supposed to manage your CNAs. If they don't listen or take orders well, go report it to your manager.
  6. by   BradleyRN
    Quote from Mrs.NurseAssistant
    The CNA should have reacted in a professional manner and voice her vaild concerns
    There was absolutely nothing valid about the CNA's concerns. Getting water and a temp is her job. If she thinks someone else should do that for her, she is right. And that someone is her replacement!
  7. by   tishirajan
    Indeed, nothing was asked of her that was not in her scope of practice. To me she sounds like a real heifer! CNAs are to report to their RN/LVN and do as asked, be it face to face or in a note. I've had several nurses leave me notes on what they needed done and did them with no problem receiving orders via a note. It's not that difficult to take some B/Ps and hand out some water for crying out loud. Anyone who uses that kind of lanugage is ignorant and needs to find a job that doesn't require them to take care of people. Just my
  8. by   schroeders_piano
    I would have told her "until you have RN behind your name or you transfer floors, you are my ******. I tend to be a little more brazen than most.
    Last edit by UM Review RN on Jun 14, '09 : Reason: profanity
  9. by   Virgo_RN
    Quote from Mrs.NurseAssistant
    I can appeal to both sides if you don't agree then thats unfortunate , this OP / RN needs to practice time management !
    I agree. She's probably been answering too many call lights, toileting, turning, ambulating, cleaning, fetching water and warm blankets for her patients instead of letting the CNA do it. She needs to stop doing CNA tasks and stick to RN tasks.
  10. by   LEN-RN
    Quote from Virgo_RN
    I agree. She's probably been answering too many call lights, toileting, turning, ambulating, cleaning, fetching water and warm blankets for her patients instead of letting the CNA do it. She needs to stop doing CNA tasks and stick to RN tasks.
    Sometimes easier said than done. Short staffed and CNAs nowhere to be found. ha (4 gathered in the shower room eating,...or watching tv in an empty room...Job (CNA)postings in the paper and no one applying. So management turns a blind eye) But thats a whole other thread.

    And where was this CNA??
  11. by   oslogirl
    Quote from jollydogg
    This is actually where I kind of disagree. This doesn't foster or promote teamwork in my opinion. You should always ask someone to do something for them, not just TELL them. I don't think you'd be winning anyone over by this. It's different when you're working FOR someone and working WITH someone. Everyone on the floor is working WITH each other.

    I dunno, maybe I'm the only one who feels like this, but being a new grad, and just knowing how I am, even 10, 20 years down the road, I know its not my personality type to just demand that someone do something.

    Now, if the CNA responses like the OPs did..... then yes, you'll see a different side of me real fast
    I agree with you compltely here. Don't change! We all need to work as a team. When I worked as a tech, I hated it when i was told, not asked, to do something. How difficult is it to say please, or than you? Not very. I can tell you the times I would cry at home for the treatment I received by some. I always ask; am gracious and kind. I walk softly, but I carry a big stick if pushed.
    Oslogirl, RN
  12. by   anonymurse
    I'm not saying the OP did anything wrong per se, 'cause I wasn't there, but I never leave anyone notes. I mean, without assessing the CNA's situation, how am I going to make an appropriate work assignment? So I always get face-to-face. Frequently I'll end up passing something to another nurse instead of my aide, because aides get tied up in both routine and emergent work situations. And before I get to figuring out whether they actually have time, I've looked at their face and figured out if this person is close to blowing up or not. Sometimes, instead of assigning work, I'll end up doing it myself and then going to help out the CNA, because sometimes that's the best use of resources. But without assessing, how am I going to know that?
  13. by   DixieJeanne
    Oh please....

    I am not going to spend my time being all smoochy sweet to my coworkers......"Sally sue, could you pretty please get Mr President in room 208 some water? It'd be such a great favor to me. Thank you so much!"

    Um, no.

    I don't have time for that. Working in the ER I have to get stuff done and get it done fast. I'm gonna say "Sally Sue - the guy in 208 needs water." Period. Actually, I'll be saying it as I run by her on my way to give morphine to my trauma patient with an open fracture. Too bad if she doesn't like it. I'm taking care of people who need me more than I need to be nice to Sally Sue.

    Guess that's why I like working the ER. Nobody gets their feelings hurt nor do they go all crybaby on each other. We're mature enough to know it is not personal and emotionally stable enough to not get in a big high school fight about it. I might yell directions to Sally Sue 4 or 5 times during a shift and we'll still walk out the door together talking about the kids or going out and grabbing a beer.

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