sanchezlpn

Hi there, I am here to ask a question, if you have problems with your cna's and you are the LPN in charge, no charge nurse, just you on the floor in a facility, like where I work, and after 2 months you still are having trouble, disrespect including walking off after being asked to do something (insubordination) and nothing is done, your supervisor says they will have meeting, but you never hear anything, what should you do? On top of it all, I like my job, but how can a nurse, rn or lpn work with just a few people that (1-3) that are not doing what they are asked to do from nursing dept. Where to go from here? anyone? nursing gal

Good luck! You can do this. I graduated this year and have landed a great job on top of it. What to do to prepare, well, where are your weaknesses? Like are you not so good at english, math, etc., because normally you will have to take a pre-exam to get in. After this, alot of studying, note taking and if you are not good at note taking, start preparing now. Where I went we could not use recorders, so I had to get used to active listening and note taking all the time. Read, read and re-read your stuff if you are not sure of something, listen carefully and DO ask questions! Don't be afraid of asking anything! Even if it sounds crazy, its not! Learn learn and learn as many medications as you can! Good luck! nursing gal

Really....you know what really is quite funny...not the laughing kind of funny though...that rude cna's that treat their nurses like crap, don't speak when spoken to, walk on the unit as if they own the place, rude behavior and offensive attitude are actually really hurting themselves.....why I say this? I am an LPN on a unit where I have just one person that is exactly as described above...rude and obnoxious!!! By all means is this person hurting themselves...yes, because this person won't ask me for anything, that person is not getting any help from me if I am unaware they need some additional help on the floor. So in the long run, I spend time with those that respect me, get along with me and don't take me as a fool.....and for those that don't know it, I also know that every time I leave or arrive on the floor, a text message is being sent to the other telling them where I am! I am no fool, I play along and have learned more than I would like to mention here! To all the nurses out there that are being treated like this...I am truly one of the nurses that goes thru this about every night! nursing gal

Liked that, but if the CNA's and others in the workplace of taking care of people would just realize that NURSES do so much more than just push meds and hand out pills to everyone! It's not about just giving a pill and walking away, its our job, its our life to take care of people and we, I wanted to become a nurse for this reason, to help others! I am appauled by the way some of the team I work with, one in particular thinks she/he can be rude and loud to the nurse there on the floor that is in charge. When push comes to shove, I guess we'll see the victor, but I promise, I am not leaving!!!! I am writing all of this person's crap as I see it on paper and just waiting for the ball to drop on them! I am a nurse! I am there to work hard and not be their friend nor am I there and will not tolerate attitude when I ask a simple question, or if I don't give a med when THEY want me too..... just saying....today, I am over the attitude and no one seems to care! nursing gal

Sorry to have chapped you! I am fairly new there, and yes, my superior has just recently told me that this person is like this, so it tells me that they, my superiors are not going to change anything nor do anything about this...I will speak up when due, and to this person, but I am also doing my job first hand, this person is not necessarily not doing their job, they are just giving me hell in the mean time! nursing gal

Never and I say Never talk about others, including clinical experience using names of any kind, not even a nickname because I have found, the world is very small and someone always knows the other! Sorry you got kicked out, but you know the Hippa Law! You are a student and you should have been severely reprimanded, maybe not kicked out, but hey, you do know the Hippa thing, right?

You have to be kidding me, right....that it bit you because of the insubordination! I am being very careful, but also documenting everything, and I mean everything!!!! I will not do anything about it, I have heard though, that this person has always been like this and I ask, why would anyone be allowed to act like this to another, especially when its someone that is simply asking questions, not directing nor being rude back? I continually keep on track, getting in my time, getting in my experience as time will only be the answer to this issue!!! Only time will lead me to the right place...and I am sticking it out for now...and doing my job well, allowing those people that want to act with unkindness to continue, and they will eventually sink! My days are too filled with love for the people I care about there, so I decided, just ride it out and let time tell who sinks! Thanks for all the input nurses! nursing gal

If the facility has no policy in place or other nurses do not also do the same (asking the cna's to let us know when they need to smoke, or leave the unit or floor) then I am the only one stuck in a bad position, alot of resentment because I would then be the only nurse actually asking the shift I work to really work. I don't mind down time even, its not even my beef here, its the attitude when I do ask of something, anything that is....not that I mind down time, its the fact that I can't even be a nurse to my patients without attitude of why I do things I do....I have expectations as to when dinner is over, say 6 p and 10:30 or so the dining room still has not been cleaned, come on, is this too much to ask? Leaving things to be done at the last minute could cause it to not get done period especially if there were an emergency situation....then how would it get done? My point!!!! Get your work done then if you have downtime, go with it...thats all I am screaming at!!!! And I am actually fighting this entire process where I work....no one wants to be the bad guy on my shift, so here I am, the only nurse on this shift and when I work, its a problem, I expect work to actually get done!!!! I know people looking for work, maybe we should post a sign hiring aides for my shift....give them something to think about! nursing gal

I pray everyday for this one aide not to be there when I work.....terrible, but she is rudest person I know!

Is this really happening elsewhere? I too have this problem with one person in particular and I don't like confrontations myself, but being an LPN I want the job done and done right. I also am a pretty newbie at nursing and this particular job but I am not stupid! I however lack experience and handling such arrogance of this one cna or caregiver? not sure? I do not expect to get attitude and disrespect when asking a question to the aides on the floors but still get it. I have gone to my supervisor, she says they are testing me....my thing is that I should not HAVE to put up with this as their supervisor on the shift I work. I work well with everyone else. I am so unable to deal with this person I am at a loss of words and am soooo tired of the crap from this aide. I have kept journals, now I am just hoping I don't get booted cause I am new and now the waters are stirring!!!!! nursing gal

I have to comment on this one....I work in a facility that for assisted living and we have dementia also there. I say to you about this...what you are talking about is so common I am over it where I work. I get attitude, people missing and no one carries any radio's in case we need them even when we are supposed to. I guess I am supposed to yell to the top of my lungs to get attention should I need it....sad thing is that even when people live in assisted living aren't they supposed to be checked, like the briefs being dry every hour to 2 hours? OR AM I totally missing the point here? Lady with real bad red area not changed for 5 hours, is this acceptable, and I asked cna, "she said she was dry"? really? I wander who I am really working with and should I continue to accept attitude, eyes rolling, people smart remarks as an LPN? nursing gal

I am really not trying to be mean or be having them work any harder than they already do, but this one particular situation the patient was not well, the patient was dizzy, did not have steady gait, and was hallucinating, so I withheld a prn for pain. I did what I thought was best and even if the cna does know the patient well, come on, really now....to give prn when this patient was having symptoms of something that could have been exhuberated with pain med (narc)...I am a newly licensed nurse yes, but I love my license and I love these people and do not want anything to happen to them. I do still believe that even though this cna wanted me to give prn and I did not that cna did not have to respond like she did...... nursing gal

I met with a friend of mine, who is also an LPN and she explained to me that our facility is not long term it is difference in asst. living and I should have a more relaxed approach to everything, however, what happened regarding meds was that I explained to the person questioning me about this the reason why so she would understand my point, and then she continued to be rude and nasty about the entire situation, and eventually I found out they called my supervisor after this was done, which, was told that I am the nurse on duty. I am trying to have a more relaxed atmosphere and not be so hard nosed, but they don't give me any slack as to my authority rules over them when I am giving meds and I have a license to protect. nursing gal

Thank you so much for updating me on electroinics that are great for new nurses. I am so easily exciteable when something happens where I work, I need to chill and remain calm, but being a new nurse, not being what I call seasoned nurse is hard at times to remain calm. But I am trying to do this! Thanks again...... nurse gal

Assisted Living but I have decided to take a backseat in this whole thing. A friend nurse came to me and we talked, I am not in a ltf where I need to be so head strong. I can take a breath and allow things to just flow. I am apologizing for being so head strong to these girls., my other girls on the other hand are the bomb. I know I have a good relationship with them.....I feel things just got off on the wrong foot with these aids though... nursing gal

My story comes straight from the heart, my heart! I work in an assisted living facility where I am basically a newby, I started my job less than a month ago. I have found that each day I go to work I want to give more and more of myself to the residents that live there. I have gotten to know these people, love them, hug them, kiss them on the cheek and I feel in my heart that I can make a difference, even if its short term with dementia I can still make a difference at that moment to these people. I always go in to work with a positive attitude, giving smiles to each and every one of my residents, sometimes I even give hi-fives and see a smile come alive. I'll go in to work and start my day greeting everyone, hugging my residents. I say these are my residents because I have adopted them all to be a part of my family, not a real adoption however, but one I have in my heart for these people I care so much about. Giving a smile, giving a hug, giving time to listen, talk to these residents of mine is not in my job description, but its in my heart and the love I have for my residents. I can honestly say that I have found my calling in nursing, I love being able to make just the slightest difference to my residents. At bedtime I will walk out of the residents room singing happily, "good night...don't let the bed bugs bite", and alot of the times I get a song back, singing with me this very same song. It's a job I love! I love to help people. I am not just a pill pusher as many people would put it, I am giving my heart, my love and my time to these residents and know from the way they react that I have definitely made a big difference in their lives! Having a paycheck is great, but walking away after the day is done seeing and knowing that I made someone smile, laugh, sing or just feel better is sooooo much more than just a paycheck! We are here at Thanksgiving and I thank God for allowing me to give what I have inside me to my residents. Thanks to all my residents and to the aides that try to make a difference as well! ♥nursing gal♥

so here i am, again upset....i totally have been trying to find peace with this person i work with, lay off a little and don't be so hard on getting things done, but when i ask a question, not state to do a job, i then get disrespect...what the heck....i am so over this issue i decided to go above this and to my boss who may have to take things in her hands at this point, 2 days in a roll with this person. i will not tolerate this!!!! i am the nurse and i will not allow anyone on my floor to treat me like i am an idiot, like i don't know what i am doing and to be totally rude to me...i will not allow it!!!!! standing firm! nursing gal

I am wondering, do I need a IPod or IPad for nursing. I want something I can download apps to for nursing such as the ones you suggested then take to work with me. I want something to fit in pocket as well. No one likes to carry large items while trying to pass meds and have water with them. We have a computer, I am wondering if I can access this without downloading it to our computer at work? I think my own Ipod or Ipad would be best.....please tell me, what is difference in these and can I use the IPod? nursing gal

Thanks to you that replied about the disrespect I have gotten. I am unsure of where to write someone up at my facility, don't even know if I can....silly...but we are not long term, we are assisted living. There are some rules, but some just get passed over. I am bringing this up with my supervisor, in fact, I am wriitng a request that she be written up for the attitude she has given me. Thanks again and off to work I go.....soon....

Thank you guys, I use my book all the time! I don't like having to look up every medication from the back then thumbing thru to find it in the book, I wish these books were in alphabetical order to drugs....no hunting then! I am getting used to the meds where I work....and they do stay the same, I just want to remember them all! Thanks....

HELLO....are we in the real world here? I laugh, thinking we went to school to earn a bit of respect for our titles! I think we deserve, LPN's and RN's deserve the respect!!! If a team is not working together, it sucks....really! I have this going on where I work, but let you and me both remember...I am the nurse on duty, I love my job, I love my pay, I love my residents and love doing what I have always wanted to do, NURSING! But, I will not stand for an aide or cna to back talk me right in front of me....this is not cool! Hang in there, stand your ground, if they want to run the floor, tell them to get their license and come back....anyways, life is good just hang in there!!!

Hi there everyone....I am ranting at this point in my day. I was approached by an aide that wanted me to PRN a resident and because of the condition the resident was in I did not give any other prn's and the aide gave me lip, actually, she was rude, loud and thought she could tell me to give the prn and she even said, I know what it is for, give it to her....well...as the LPN on the floor I did not give the prn as I stated before, due to the condition the resident was in. I am so upset that this aide did this, tried to tell me, the nurse what to do. I get no respect from this same person each night and I am fed up!!!! I have spoke with my supervisor, nothing is done...I am not a hard LPN to work with, but I do expect that I be treated as the supervisor in charge, the nurse in charge when on my floor! What would you do if your superiors did nothing about this...no one is written up or reprimanded for attitude with nurses....what to do? nursinggal

Hello, Hang in there....you need to know first of all that alot of other people are also in your position. As an LPN I can feel where you are coming from. I get no respect from the aids where I work, well, backup, a couple of them that is. They are just ****** they are not in my position, so go to school and earn the respect is all I can say to this.....and so should you. Be firm, be loving, caring and be a great nurse! Nursing is more than just passing meds, it is a way of life for me anyways.....best of luck and just hang in there! nursing gal

Okay, I work in a assisted living...we have aids and caregivers too. I make sure my counts are correct at the beginning and end of my shift. I am covering my own butt here! I cannot worry about others, there is too much to be done when i am there for that. I cover my own butt though! Documentation is a necesary thing to for this....I keep records when something is not right of my own so it does not come back to bite me on me that is. Watch your back.....I have found my being a newly hired nurse at this facility that I don't have the aids' or caregivers watching my back....as I have theirs....but this I hope to change. They resent me being there and being their supervisor while there, but hey, if they would work, not sit on the rear ends I would not be so hard on them! Anyways, cya as usual!

Question, I work in a facility where it is assisted living, the residents have dementia though...so we must assist and most cannot tell you for sure information if you need it, such as when did you last bath, when did you use the bathroom, etc., they are not able to tell us this information. My question is this....why wouldn't the facility have all shifts, all cna's chart b/m's etc. when this is important information for the nurse, espectially when they are taking meds? I have come into an issue where this is not being done accuratley and just recently a resident complained of hurting in her stomach (we think), and I asked my supervisor about charting, she said we don't do this because they the residents should be able to tell us this information....so.....how does a nurse treat for the right condition, bowel obstruction, impaction, or plain stomach ache ? Am I really asking too much? I need some input on this....please LPN's out there give me some infor on how to handle this appropriatley.... nursing gal