need to get this off of my chest before I go to the DON and demand that this CNA be fired. Here is the situation and let me know what you think.
I work on an acute long term care unit in a LTCF. In general, I have 10 trach/vents, g tubes, more of the serious patient population. Very demanding, but I love the challenge and do very well I am told.
I have one CNA that I am having a problem with. She is constantly leaving the floor for various reasons, disappears constantly, and generally gives very poor patient care. I have went to the DON once, told her the situation and she was reprimanded and moved to another unit. Because of staffing, she was put back on my unit. Did well for one night then back to the same old same old.
On my floor, I have a young man who is a quad due to a diving accident. Wonderful family, two daughters, wonderful wife, such a sad situation.
Has numerous wounds on his coccyx that require a wound vac, Clinitron bed, all which is a real ordeal when he needs changed, causes quite alot of pain for him.
Due to him having BM's x2 yesterday, he had to endure this twice already. Approx 7:15pm, his wife came to inform me that he had had onther BM. I informed my CNA's and told them to be careful with the vac so we did not have to change it again. Well, unfortunately we did and this is where it gets sad. Myself and two CNA went in change him and clean him up. During the procedure, with the wife in the room, this CNA sees that it is her dinner half hour and proceeds to inform us she is going to dinner NOW. She just walks out and leaves us. The patient is half cleaned up, on his side, in terrible pain and she just leaves. The wife ends up having to help the CNA and I clean him up and apply fresh wound vac sites. I kept my cool, finished the job, and continue with my med pass. I could have strangled her. But, I kept my professional nurse cap on and am not sure what to do next. I have only been at this facility for 7 weeks and do not want to get the title of snitch. What should I do next????
