Print out the cna job description and rn for your review. A disciplinary report should be given with another nurse as a witness. Don't expect the write up to do anything more than sit in their emplyment file! At some point, they will be a repeat offender on record, and will cause an injury, then management will fire them when it costs the facility money! Don't sweat the small stuff- okay? It'shard not to. Here is what i do for my really lazy, tired, bad attitude cna's. I always respect them, greet them by name, engage them, get them to talk about their life, the weekend, family, and thank them for the hard work they do thru the shift. I also let them know what i will write any cna up for. With report, let them know what you expect them to do with or for each resident. Ask them to talk to you after each rounds, to update you on how their shift is going. Ask them specific qustions, like: how is John doing? How many x's has Jill been toileted? Does john still have his coccyx patch on? What position did you turn jill? Often, they will "forget" and thenwill do as you ask. The big point is to then say: let me know when you completed that. Some will even lie completely. You will find out who can betrusted by following them on rounds and entering a room they just left or before they finish rounds on a particular wing. Then, say john needs his heels up or mat on floor, is asking to be toileted (push their call light too). It gets your message across, that they are to do their job. A lot easier than writeups. Eventually, they will do what they know you expect because it is easier for them than always having to go back into the room. Thank them for their hard work, how they handled a resident, etc. In front of the next shift. You'll be surprised how it works. They have to want to do a good job. I was in your shoes before too. I love my job now and feel we are really a team. Yes, i still have lazy, liars, and have to do writeups at times, but the best way to find a happy balance was to answer more call lights, before my med pass and to check on them myself after the cna left the room. Hope this helps.