What the heck is the matter with my Cnas?

Nurses New Nurse

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I had a CNA walk off the job last night (I work 10p-6a LTC) because in her opinion I'm a lazy nurse and she was sick of taking 2 of her residents to the bathroom (among other things). She complained the we (the nurses) were always checking up on her and acted as though we didn't want her to sit down. I have told my CNAs that while it may look like I'm checking behind you, it is only coincidence that I'm going in to do my assessement/pass meds/flush g-tubes after you happen to be coming out. I have zero time to be checking up on and following folks around. I have tube feeders, trachs, people with personal alarms, meds to pass, etc and I don't have time to be following CNAs who I presume to be grown men and women who know how to do their job. I've even brought my CNAs magazines and crosswords to help them occuupy their time while they are SITTING DOWN. Apparently the 5 call lights that I answered for her and the ice that I passed for her didn't count for anything. :banghead:Then tonight I had another CNA get mad because I asked her for 2 outputs, count 'em 2 outputs (a urostomy and an s/p cath), and to help me pull up one of my tube feeders whom she had left practically flat in her bed. At 5:45am she's standing by the time clock like she's all done and gives me attitude like I did something wrong. What in the world is wrong with people? :confused: I get that some people don't like their job as CNA. I understad that, been there done that. I've worked as a CNA before so I know the feeling. But am I supposed to do my job as charge nurse and their job because night shift is hard? If I have to work as charge nurse and CNA then what was the CNA hired to do?:angryfire

Yes, that is right but, you do not have to know why things are ordered only that they are. Even as an RN, when a doctor orders a blood panel or such like things, the RN usually only confirms the order if it is questionable because a recent draw was performed and results are available. My point is, no matter what service we are in, we do not have the right to question the orders of our superiors unless they harmful, unethical and such like reasons. I have been in one of the biggest hospitals in the US and I have yet to see the RN report off to a CNA. RN's report off to RN's and then the RN advises the CNA of anything he or she may need and when they need it. If the CNA is too busy and they cannot get what was ordered ASAP, then it is the duty of the RN to obtain. If the CNA says they will do, it is the responsibility of the RN to follow up and ensure those orders were followed through.

And although you need to know everything the patient needs, you do not need nor is it required, from what I understand, for a CNA to know the medical diagnosis or even know the complete hx of a pt.

crediting the wrong poster.....i assure you, my mother would never have put up with the BS,,,,

Sorry Morte, meant for it to be to for Diaper. My sincere apologies. Kudos, my mom either.

And although you need to know everything the patient needs, you do not need nor is it required, from what I understand, for a CNA to know the medical diagnosis or even know the complete hx of a pt.

At my hospital I can find a patients medical diagnosis and PMH on the caredex. Maybe it's different where you work at.

At my hospital I can find a patients medical diagnosis and PMH on the caredex. Maybe it's different where you work at.

No, it's the same; that's why I suggested that if a CNA needs to know something about their patient they can look it up themselves even in the hard copy/chart. As a RN student, I saw that the RN's don't have time to tell their CNA's everything about their patients nor do they have time to explain why they need to do their jobs. The charge nurse nor the doctor explains to the staff RN why they have to do what they ask, the RN just does it. RN's rarely have time to get a lunch-where I did my clinicals let alone explain themselves to their CNA's. If the doctor tells the RN he/she needs an ABG stat, or in an hour, the nurse does it. Besides, when I worked in a LTF, I knew my residents for the most part because they are there for a long time and really never had to have my charge nurse tell me I needed to do something unless it was a new-stat order from the doctor.

Specializes in Tele, Dialysis, Med-Surg, ICU,GI.

I just wanted to add to this topic, is when I worked as a CNA, nothing would annoy me more, when I would introduce myself to a nurse, she would look at me and say, "You're mine".

I get what you're saying. one reason I refer to them as "my CNAs" is become I'm the one going to bat for them when the next shift comes in complaining about how this and that wasn't done. I ALWAYS thank them whether I like their work or not.

Thanks for your advice though. They will cease to be "my CNAs" if that's the thanks I get.

Please don't use the term "my CNA's". It is really rude. From what your profile says, you are in your first year of nursing. You need to reconsider your views. You don't sign their paycheck, and you don't own them.

Well, grammatically speaking, she did imply that she owned them. I used to be a CNA also, nurse now, but I still would never call them "my CNA." I do not disagree that they were not doing their jobs, and she should say something to NM about it. It's just rude imo to say that.

mrsshifflette09, a couple of things:

1) She clearly explained her situation and the way she used the term "My CNA's." You know for a fact that it's a much shorter version of saying "So the CNA's whom I work with on my team and I supervise over." So stop getting huffy and puffy just because you used to be a CNA. She never implied that she owned them, just the same as the person who was talking about their mother didn't imply that they owned her when they said "My Mother". It's just a figure of speech. Get over it.

2) You are ALSO in your first year of nursing, so how can you possibly pull that out as if that means anything? Did you walk into this thread with the sole purpose of finding something to complain about?

3) She didn't use that term in front of the CNA's so as to even imply that she owned them. This goes back to the many uses of "my" such as "my manager", "my HR administrator", "my mother". As you can clearly see, none of these statements implies ownership. I think you're reading too much into things and looking for a reason to criticize and complain.

Please don't use the term "my CNA's". It is really rude. From what your profile says, you are in your first year of nursing. You need to reconsider your views. You don't sign their paycheck, and you don't own them.

Some find this to be rude, and some don't. I don't find it to be rude because I've refered my nurses as "My nurses" because I looked up to them and I learned from them. They refered to me as "My CNA" and I really took that as a compliment because we'd always help each other out and looked after each other. It's team work. I'm sorry you take offense to this because sometimes it's not offensive. Thanks for your input I've never looked at it in a negative way.

I don't really understand why the whole "my" thing is a biggie, and I even read about it in Your First Year as a Nurse, so I guess it's an issue. I don't start my first job until next month, but to my mind, there is a health care team to which I belong on my floor/shift, and so I would feel entirely comfortable saying "my docs, my RT's, my clerk" like I would say "my neighbor." It doesn't mean ownership; it means that we're interlocked in a teamwork relationship.

However, I'll sure be careful about SAYING that, even if I think it! :)

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
I would feel entirely comfortable saying "my docs, my RT's, my clerk" like I would say "my neighbor."

I think I'll start referring to "my mother" as "the woman that bore me." Or something along those lines. "My husband" can be "the man to whom I am wedded." WHATEVER. :D

Specializes in LTC, Rehab, hemodialysis.
I think I'll start referring to "my mother" as "the woman that bore me." Or something along those lines. "My husband" can be "the man to whom I am wedded." WHATEVER. :D

That's great! I love it!...the children to to whom I gave birth. How about this one: the woman with whom I am best friends....you could go on and on. Thanks, LunahRN :yeah:

I guess I should start referring "my coworkers" as "the people I work with" That sounds a bit better than my "my mother" as "the woman that bore me". The whole my thingy doesn't bother me one bit, but apparently it does bother some, and I don't want to offend anybody.

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