Let me give you a little history. I am the DON at a LTC facility that has several challenging issues. I have been here only a short while and have little experience but am willing to learn and do what is asked by my administrator. I live in an area where it is difficult to recruit nursing staff, basically no one wants to come here. It seems I have to work with the staff I have or do all the work myself. I'm not sure if it is spring fever, but everyone, CNA's and Nurses, seem to be slacking. I have talked and talked to my nursing staff about staying on top of the aides and making sure they are staying busy and not sitting at the nurses station. It seems to go in one ear and out the other. I cannot be on the floor constantly making sure residents are getting checked every 2 hours, vitals and weights are getting done, baths are getting done, etc. IT seems there are very few good charge nurses anymore. The one good nurse I do have, who tries to get on the staff, gets the cold shoulder, staff roll their eyes at her, etc have no respect. So to keep a long story short, what do you do in your facility to make your CNA's/Charge nurse accountable? How do you stay on top of your CNA's and make sure they are getting the job done? Like I said, I am not in an area where I have staff lining up outside my front door. You either deal with what you have or pay out the *ss for temp nurses, which my facility is not in a good financial situation to do. I wish there was an easy answer to this situation, but I'm not optimistic.