Respect for New Nurses

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Hi, I just graduated from nursing school in May and need some advice. I am a charge nurse at a nursing home that I worked at as a CNA when I was in nursing school.

My problem is none of my coworkers see me as a charge nurses. The CNA's I work with are constantly telling me I am too young (I am 22 working with the majority of people old enough to retire) to be in charge. Not one of the CNAs do what I ask them too and if they have a question they don't ask me they go straight to the DON.

They disrespect me and are mean about it. I do not ask a lot of the CNAs, just to do there job. I am constantly saying if you do your job I will do mine, and there will be no problems. However they slack off on basic care for the residents.

Last night a CNA put a resident to bed at 6 fully clothed. when I when in to the room 10:30 rounds the patient was not change, and still in there socks and shoes. Meanwhile the CNAs were all talking and laughing in the dining room of the facility. I asked why this resident has not even been checked to see if they were wet, the CNA replied I checked them before supper (4:30), and they were dry. They told me, I did not want to wake them up at 7 to get washed up. After explaining that was not ok. The CNA still sat there talking and not tending to the resident. So I had to do it because I could not let the resident stay like that. If I would have tried to write them up they would not sign it saying there is no way some 22 year old is going to tell me what to do. It's really frustrating when no one will do what you ask them because you are younger then they are. If anyone had any advice it would be greatly appreciated!

You all have good ideas!! I wish I had another nurse to back me up when dealing with the CNA behavior we only have one nurse on every shift. It is a small nursing home and the CNAs stick up for each other. It sucks when I have all three CNAs mad at me.

You all have good ideas!! I wish I had another nurse to back me up when dealing with the CNA behavior we only have one nurse on every shift. It is a small nursing home and the CNAs stick up for each other. It sucks when I have all three CNAs mad at me.

It sounds like all three of them are mad at you anyways just for existing and doing your job. So if they're going to be mad at you anyway, you might as well make them treat you with respect!

Specializes in Oncology; medical specialty website.
He complained that you woke him up from his nap?

That man sounds shameful!

No, he called them and lied about me.

I'm glad the DON was concerned. Did you have good relationships with these people when you were a CNA?

Keep us updated I hope things improve!

I had an ok relationship we were friendly, most being older then me by a lot. They seem to forget how much I helped and covered for them when I was a CNA

You sound as though you really care about the residents of your facility, and really want to deliver good care. I hope you will be successful in resolving this situation - I think the people on this thread have given good advice, and I am glad that your DON is supporting you. I hope you will continue to persevere; residents and patients really need people in charge/nurses who are caring and committed to providing good care. I was impressed when I read how young you are (in charge), and how you are trying to advocate for the residents, whilst trying to get the CNAs' to do their jobs. However, I agree that it is time to be firm with the CNAs'. Best wishes to you, and I hope you succeed in bringing this situation under control.

I started out at 20yo and had a babyface. I was tall and authoratative which helped but my mom told me that when I switched from CNA to LPN I would have to change facilities because the transition would be too challenging on top of learning the ropes etc..She was right. Tried to tell hubby the same thing and after three months of having his authority questioned and rejected he too switched facilities. With support you may get through it but unless jobs are scarce I wouldn't take on the extra burden.

I know it will be hard to get people to respect me when 6 months ago I was in there position. Now instead of them telling me what to I am the one in charge. As hard as it will be I think it would be harder to change facilities. I love my residents! Who could not love an 90 year old who needs a hug before they can go to sleep at night. When I am working I know my residents are getting the care they deserve even if it means I have to do it myself. I am going to stand up for myself and stick it out for at least a year. I owe my residents that. If things don't change by then I will have to look for a new job and again thank you to everyone who took time to give me advice!

I know it will be hard to get people to respect me when 6 months ago I was in there position. Now instead of them telling me what to I am the one in charge. As hard as it will be I think it would be harder to change facilities. I love my residents! Who could not love an 90 year old who needs a hug before they can go to sleep at night. When I am working I know my residents are getting the care they deserve even if it means I have to do it myself. I am going to stand up for myself and stick it out for at least a year. I owe my residents that. If things don't change by then I will have to look for a new job and again thank you to everyone who took time to give me advice!

It sounds as though your residents appreciate you too. I think also that the fact that you have so quickly been given the charge position is a sign that your abilities/potential have been noticed.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
Thank you all for your help. My DON did stand up for me and told me this would not be tolerated. I do need to work on standing up for myself and not just do everyone's job for them.

ESPECIALLY do not do their job for them. You might have to nail a few where it hurts. I am glad your DON is backing you. Otherwise, you would be between a rock and a very hard place. Hang in there.

I have been a nurse in LTC for many years and have never come across a situation like yours. It could be because I was 36 yrs old when I became a nurse. I also worked as an aide for quite a few years before that. I have always looked at situations from both sides of the fence. I look at a situation and ask myself if this is a battle I want to pick LOL. The situation you spoke of is a battle I would most definitely pick!! You are a new nurse and you are young, but neither of those are bad things. You have years of learning by trial and error. The fact that you actually went and took care of that Resident shows that you care and are not what I call, "Write Up Happy." Through the years I have worked with many new nurses, all of which are much younger than me. Some of them I question why they became nurses. They treat the CNAs very badly and would NEVER go and do anything to help. I currently work with one new nurse who writes the CNAs up and then tells the other CNAs that she wrote that person up and why. I guess what I'm trying to say here is that you need to be assertive with your staff, but not overwhelmingly so. "Pick Your Battles," as I always say. A situation that harms a Resident in any way, shape or form is something that has to be dealt with. You did the right thing taking care of that Resident. I would have done the same thing and then I would have gotten my pen on the paper with no names misspelled :) Most facilities do allow for a staff member to refuse to sign a write up, but it is still kept in their personnel file. They also usually allow for staff to write in a comment. I can't imagine what excuse this person could have to write in a comment section. Don't be afraid to write someone up for such a serious thing. If you don't, you will always be doing their job for them and you will burn out. For more minor infarctions, I try talking to them first and then if the situation does not change I will write them up. You will learn by experience, just don't let your staff make you feel inadequate or make you hate your job. You worked hard to get to where you are today, don't let anyone take that from you. They will learn in time that you will not take this type of behavior lightly. And as I always say, "I'm not here to win a popularity contest." Good Luck to you Hun, I'm sure you will do just fine! :)

Don't take this the wrong way but you should have left your job after graduating nursing school. They're jealous of your degree, age, salary, and the supervisory position you know hold over them. This problem you are having will not resolve itself, it will get ugly. Good luck on your job hunt.

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