I am the med/surg director for a small rural hospital. I have only been in this position for a few months. I have had my long-standing nurses on one shift complain to me about how the CNA's just do the bare minimum. The CNA's never have more than 10 patients, so it's not that they have too many patients. When I was director of another unit, I still knew that these CNA's were doing everything they could to avoid their job. They take vital signs and fingersticks, but that's about it. The 2 worst offenders are both CNA 1's, which we don't even hire anymore, but they're grandfathered in. Again, that also means if they lose their job, they will not be eligible to ever come back. I have witnessed my nurses sweet-talking then CNA's in order to ask them to please, please, please do (insert job duty), and it shouldn't be that way. The nurses should be delegating tasks, but every time they try, they get major attitude in return. I would love to know what some of the more experienced nurse managers and directors have done to help with this kind of issue. I do have a meeting scheduled with the CNA's next week....