Oh no she didn't!

Nurses General Nursing

Published

Oh yes....she did.

I work as a CNA for a small hospice and really love my job. For the most part, it is a wonderful place to work. Except for one RN that the CNA's and even some RN's have a hard time working with.

Yesterday we had a resident that was actively dying but very restless. Nothing seemed to calm her, her relatives were there at her bed side, we kept her comfortable, she was even give some anxiety meds to help. Nothing seemed to help. I was sitting with the daughter, who was very distraught at seeing her mom like this. I asked her what would your mom do at home when she was feeling uneasy, she said her mom would light a scented candle and put on some soothing music. I told her that we have cd's there with nature sounds and asked it that would help, she said yes so I went and got one, popped it in then asked her what her moms favorite scent was. She said lilac or lavender. I then went to the RN that is a nightmare, to put it politely, and asked her if we had any lavender scent for aromatherapy. She just looked at me with the smuggest of looks and said it's not a priority. Well, to me, that was unacceptable, making a dying person comfortable IS a priority in our facility so I went through the cabinets, found some lavender/vanilla scented oil and proceeded to set up the aroma lamp. The nurse came into the room, stared me down and told me to come out into the hallway. She then told me that she was giving more meds to the patient and that she told me that the oil wasn't a priority and that I need to leave decision making up to the people that are EDUCATED to make those decisions, you are JUST a CNA! Um, wow. I just stood there for a minute, waited for her to leave the room and finished setting up the lamp. That is what the family wanted, so that is what I did.

I waited for about 20 minutes, then walked into the nurses station. The RN mentioned above was in there along with the charge nurse. I took a deep breath and it just poured out. I calmly told her that I didn't appreciate the condescending tone in which she used when speaking to me. I would appreciate it if when addressing a problem or situation with me, that she would treat me with the same respect that she wishes to be treated with. And furthermore, there is no such thing as just a CNA. I resent that you would think that we are the mat under your feet, you are no better than us, you just have a nursing license. Oh and by the way NURSE PEGGY (not her real name) compassion isn't learned with an education, if it were, you would have failed. Yes, I said all of that. She just stared at me with her beady little eyes and a frown. The charge nurse asked me to shut the door on the way out. I would have loved to have been a fly on the wall when I left. When I left the room, I was shaking like mad but felt very good that I said all of that. I also wondered if it would get me fired, especially with the CN being in there, but they haven't called me in yet. I am scheduled to work tonight so we will see if I am sent packing.

Thanks for reading, I just had to share my lovely day yesterday. Oh and by the way, the resident died about two hours later and the family thanked me for taking those extra measures to make her more comfortable.

MissLo

Specializes in Cardiac, ER.

You Go Girl!!

This family will always remember that act of kindness!

I'm glad that you stood up for yourself, and your patient. It sounds as if you did it in a very professional way! Good for you!

Specializes in med-surg 5 years geriatrics 12 years.

MissLo, if I needed a hospice CNA for one of my loved ones, YOU are one I'd want. I was very moved at your compassion and understanding. Sounds like your nurse has become burned out and patients are just patients to her. Thank you for keeping your heart in your work.

I am glad there was no negative repercussion from the Supervisors... actually funny that it was about the insurance.... lol

Maybe the other nurse did have a talking to... I am sure you are probably not the only one who had trouble with her, but the only one to stand up to her. She probably needed someone to put her in her place...a wake up call so-to-speak. Hopefully it will help her attitude a little bit.

Very proud of you for what you have done. The world needs more of you for sure!!!!

God Bless!!!

To OP, I'm so glad everything worked out. I honestly don't see why you should have gotten in trouble anyway. You did the right thing!

glad everything worked out you are an exceptional CNA.

""i calmly told her that i didn't appreciate the condescending tone in which she used when speaking to me. i would appreciate it if when addressing a problem or situation with me, that she would treat me with the same respect that she wishes to be treated with. and furthermore, there is no such thing as just a cna. i resent that you would think that we are the mat under your feet, you are no better than us, you just have a nursing license. oh and by the way nurse peggy (not her real name) compassion isn't learned with an education, if it were, you would have failed.""

i wish i had your gift for coming up with a good response in the moment. i usually think of something great to say after it's too late.

misslo, you gave that nurse a lot to think about. there may be hope for her yet.

:nurse: abbie

Hello Misslo,

You may want to go to http://www.AACN.org and look for Healthy Work Environment (HWE). This nursing organization is leading the movement to create healthy work environments. The behavior you experienced could be described as lateral violence and the AACN site has information on it. Current research is revealing that how we treat each other has a profound effect on patient safety. Does any healthcare provider practice completely alone? Not that I've seen thus far. So when we treat our team members disrespectfully we send them running for cover which diminishes our communication and team work and places patients in harm's way.

The AACN partnered with a very talented group - VitalSmarts (you can see the link to their research):heartbeat. They have a book, a set of CDs and a workshop called "Crucial Conversations Tools for talking when stakes are high". I have no affiliation with them except that their work so vastly improved my communication skills and enhanced my working relationships that I simply must recommend them. One of their concepts involves the fact that we have a choice in how we behave each and every moment. No one makes us mad except us. I am not suggesting that we let anyone mistreat us. I'm simply suggesting that managing my "reactions" to others keeps me in charge of my behavior instead of them.

You took the first step by letting the person know that their behavior is unacceptable (unhealthy and not patient-focused) to you. Bravo. Health care seems to have a large number of people who behave inappropriately (that's another discussion) so invest in yourself well - while you develop your clinical skills find ways (may be outside of nursing) to strengthen your interpersonal skills too. The Joint Commission just came out with a requirement that healthcare organizations address disruptive behavior. I saw this coming about 5 years ago and have been teaching staff nurses skills since then. We will be held accountable for our behavioir.

Also, in fairness to managers, due to labor laws they can not disclose another person's disciplinary action. So even though you may not "see" action, usually behind-the-scene actions are taking place. It's very tricky. I am not a manager. I do not hire or fire people. I've just been baffled enough by wierd behavior that I've studied it somewhat.

Keep up the great work - take good care of yourself - don't violate your values to get even - and I wish you a successful and rich experience in nursing school and on the floor!

Be well...:redpinkhe

Specializes in Corrections, Cardiac, Hospice.

I sit and chuckle over the "not my priority" comment. I well remember giving a man his last beer on a toothette swab. I have many times called loved ones on the phone as a patient was dying so they could hear their voice one last time. OH! How about the lady that got her nails painted the other night by the STNA who was working? Her daughter cried when she saw how clean and beautiful mom looked. None of these are "priority" at that moment I am sure. But it is the RIGHT thing to do. The medicines I give to my patients can never replace the gentle way they are treated or the love of their family members.

I thank the wonderful women I work with every night for the help they give me. I don't care if they are STNA's, LPN's, or RN's. They are kind and compassionate ladies and I would be FREAKING PO's if anyone ever spoke to them they way were spoken to that night. Kudos to you for doing that for your patient.

Out of curiosity, why do you have to provide your job with a copy of your car insurance?

Out of curiosity, why do you have to provide your job with a copy of your car insurance?

Kooku, I'm not really sure why. All employees have to provide proof of insurence to keep in files.

MissLo

Even if all it did was help the family feel better it was worthwhile (the aromatherapy.)

That nurse needs to get off her high horse, Ive met nurses like that before though.

Specializes in orthopaedics.

what you did for the patient and their family was very special. great job.:heartbeat

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