mmdavids

This is very helpfull. Thanks.

I have only been in a SNF for a few months. I have struggled with finding a balance when dealing witj the cna staff. Within my initial 90 days they had gathered together and writen notes to the DON stating I harrassed them to do their work. I have tried since then to change my approach and things calmed down for a few weeks. But I noticed they were testing me again by getting later and later with their intial rounds. We dont usually have a RN supervisor on my shift. So I brought another nurse in to witness my verbal warning to the cna's. But that has just created a huge mess. I have a 54 bed unit by myself and usualy around 2 or 3 cna's every shift. I am beging to think maybe I am not cut out for a nursing home. I just dont think I should have to tell people every night to do their job. Help me understand what I am doing wrong. aI try to keep an eye on what they do but most nights i can barely do my own work. I try to sit and joke and carry on with them but now that I confronted them they are throwing it in my face that I let them skip rounds. But really I was just trying not to ride them. Things are just getting out of control with skipping rounds, nodding off, laying heads down, dissapearing, and refusing to do assignments. Its like dealing with children. I like my job, benefits and shift and want to stay. I am just sick of dealinh with attitudes and people trying to see what they can get away with. Any suggestions are apriciated.