I am an STNA currently and I know every aide has their days where they are burnt out or there is something going on in their home life. I used to work with an Aide like this at my previous employer and not only were the Nurses frustrated, but we, the aides, were equally frustrated. We had to pick up her slack on top of our own work. So us aides decided enough was enough and talked to one of the nurses that we trusted and told her how we felt. First thing she done was take all of us outside before the end of our shift, and asked her what her problem was, kind of like an intervention. We told her how her slacking made us feel and the nurse explained that she decided to get all of us together and see if we can fix what was wrong before she took disciplinary actions. In some cases it turned out that it was a simple problem, feeling overwhelmed, family problems...etc. In other cases they would just sit back and not say a word and continue to go on doing business as usual. If that would happen then and only then the nurse would start writing the person up and tell her " I am writing you up, I have tried to figure out whats going on and nothing seems to be working." So then after a few nurses started writing the person up it was up the administration to take action. I willingly admit there are days that I do not feel like doing anything but never would I leave my residents dirty or smelling like you described. Something should be done about it.