how stupid does your charge think you are?

[passive sambo]

When I was standing by the bed holding the patient up with my mouth hung open, my nurses examined the patient's bottom after removing a huge sacrum dressing. and said it was a pressure ulcer. They agreed it would heal enough in one week to document it as something less serious. My wee CNA head cannot recall. I believe this was more directed at me. The whole dark skin discoloration was clearly irritated skin from the wet wipes and the open areas were skin tears, so I was to quit using anything but water and stop rubbing so hard when I wipe her. I was confused I because i was not allowed to remove the dressing and did not see the healing value of wiping the the outside of the bandage. Do that so it will hea betterl she tells me. I guess I might as well been standing there with a bag over my head. They are rude nurses to me. I wonder if they think I am not going to report them to management and file complaints with the board of registered nurses.

[elkpark]

I saw your other new thread, also, and you sound really angry about how things are going at work. You can file whatever complaints and reports you want to, but the Board of Nursing will not be interested in complaints about nurses being "rude" to coworkers (the Board is interested in protecting the public from unsafe nursing practice, not coworker relations) and, in my experience, when there is a conflict between a nurse and a CNA, unless the nurse is someone management wants to get rid of anyway, it usually gets resolved in favor of the nurse, not the CNA. Your other thread was a long rant about how you are not the charge nurse's "favorite" CNA at work; you might want to pick your battles carefully. Best wishes ...

[passive sambo]

I am not really concerned with the bad manners some people show me, it is part of the job. Perhaps the tone of the post limited the reader's interpretation of why I am bothered to be personal. My other posts are independent of this one and describe situations I have encountered over time that I find humorous. If someone wishes to combine the posts in an attempt to uncover non existing motives that discredit arguments I never presented I will not take responsibility for time wasted. My threads do have titles based on the subjects I am interested in other's sharing and not intended to be inflammatory or shape opinions. This is about swapping stories and venting a bit in a healthy way. If it is fun for others to come on here and want to have a debate I encourage them to select a topic and start a new thread. And if you feel the need to overgeneralize and express my feelings or viewpoints for me, I will let you know that there are fun psychology web sites that are specifically for that and allows you to draw conclusions based on more than a few threads. Okay back to the post. I had legitimate concerns over a patient's well being. I witnessed more than one of my supervisors make a decision that would have prevented measures from being taken to address a condition that had gotten worse. I am not getting into all the details. I previously liked and got along with all but one of them. I am disappointed, they should have not had the discussion in front of me.

[JenERally]

I agree with the PP about the unlikelihood of a BON taking a complaint regarding a nurse's rudeness seriously. But I think applying the principles of therapeutic communication that most nurses got shoved down their throats during nursing school may be of some benefit to you in dealing with coworkers when they are rude and unprofessional. Let them say what they're going to say, rephrase what you hear them saying, and allow them to clarify. Sounds like the coworker you described is passive aggressive. Passive aggressive people will take digs at people subtly but usually cower when confronted.

Best of luck!

[psu_213, BSN, RN]

My wee CNA head cannot recall. I believe this was more directed at me.

I was confused I because i was not allowed to remove the dressing and did not see the healing value of wiping the the outside of the bandage. Do that so it will hea betterl she tells me. I guess I might as well been standing there with a bag over my head.

First of, I am am concerned that you were "holding the patient up." That can be quite dangerous for you and the resident.

Regardless, the RN states that they have a pressure wound and that it should heal. Why is this directed at you? Why do you think she is trying to insult you? As long as you keep referring to your "wee CNA head," why would you expect people to take you more seriously?

As for the dressing, CNAs do not routinely remove them. This is the job of the RN/treatment nurse. Why would you remove the dressing and the scrub a healing wound with any amount of vigor? The nurse removes the dressing, applies the prescribed medication to it (I'm not a wound care nurse, so I'm not exactly sure what they would put on it), and then applies a clean dressing. Ideally, this would happen at the same time as the CNA is performing peri-care, but that is not always possible.