needsassistance

Hi everyone, first post. I currently work night shift in a psych hospital where the CNAs are constantly asleep on the job and display other severe defiance. Unfortunately, if an RN mentions anything, all of the CNAs will no longer complete their delegated tasks as they seem to all be very close. In my time there, I've literally had a CNA turn her head at me and say "no" when requesting her to perform an eye contact (high fall risk and suicidal) while I got an emergency ETO for aggressive behavior on another patient. My question is: How can I fix this? Furthermore, our managers only blame the RN if the CNA is not doing their task, as if we have control over their work ethic. Mind you, we are not the CNAs boss, we do not pay their paycheck, and they know they can get away with anything. It's not a terrible job, but it feels like there is terrible bullying from the CNAs to the Nurses (backwards from what you typically here, I know). Retaliation is also very high in our organization, sadly.

Thanks!

I had a patient sometime back that had c. diff. My instructor asked me to give her a full spongebath, including washing the perineal region. When washing the anal portion where c. diff. stool primarily thrives, would it be warranted to use an n95 mask during this portion to avoid inhalation of the spores when dealing with this contact precaution? If not, is there a logical region to why we do not use this precaution? This is probably a dumb question, but it's been bugging me for a while. My concern is that the spores will be inhaled and later swallowed into the GI track, but I may be splitting hairs. Thanks for any input:)