What would you do ?
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OK....this started about a week ago...on another hall we have a lady who is on rest home ..she speaks only spanish and of course none of us can understand her and vice versa..the only person who can communicate with her is her daughter. Well....she sat down in the floor...somehow....and the daughter was just...******. Came up to work to translate ....and of course she said that her mom wasnt being "checked on" enough by the cna's...which...I agree.....she's not..but what she doesnt realize is that her mom is TOTAL care and is on a rest home hall which is just assisted lvg. I wouldn't tell her that of course....I would get in alot of trouble with the big wigs even though they are all aware of it anyhow......moving along....I instructed the cna on that hall who happens to be about.....60 yrs old and lazy as anything..she is convinced that b/c of her age she shouldnt have to do any kind of physical care and on that hall...there are 20 people..and only 4 require actual skilled care....so...I told her to make sure she checked on the spanish lady often...every hour if possible and to write down the times she went into that room and what she did for her...just to cover us if that daughter came in again...all upset ...we could vouch that yes..she had been checked on etc etc...well....the cna must have said something to the don who then came down on me for making her check this woman so much....this cna has mgmt snowed...its absurd. the don says to me "do you not know that there are 20 people on rest home?? This is not gonna happen!' and i said back to her....' Do you know that 4 are skilled? She can do 4 ppl and if she cant then she shouldnt be working here.....its Her job to check the ppl she's assigned. " ...so then the don still got an attitude about it so i finally just said "fine....have it your way but when that daughter comes back in here fussing...Ill just direct her straight to you instead and I absolutely will not deal with her like I have for the past 4 nights. I've tried to keep her happy and reassure her that her mom is in good hands so if she has a sour taste in her mouth it wont be b/c of me!' and i left it at that. I dont think its too much to ask of someone just to do their freakin job! If I only had 4 pts....I'd be set...id do all their care, tx's meds...you name it ...no problem. BUT ...when my boss put me in the charge position over a yr ago I told her id do my best to maintain the place but that I wouldnt be responsible for the entire place....each nurse is responsible for their own assignments and their own cna's...and their pts....however...how can we expect the cna's to do what they are assigned when the don doesnt back us up? she never has...probably never will...another example....I have a tube feeder ok....well how about I couldnt find a 60 cc syringe to do her meds with....I called the don ...she tells me to go to the drug store and BUY them myself.......!!!!!!!!!! Umm....no ...was my exact response....its not my job to supply the place. She has no heart at all...I cant believe this person is a "nurse"...i guess it just looks good on paper b/c she doesnt have the heart of any nurse I know. She doesnt care about staff, patients, nothing....except dollar bills and budget bonuses. Anyway..my ? is.....if you were the nurse dealing with that daughter.....would you have done something different or just not tried to appease her at all? Sometimes I wonder what the point is of even trying to supervise those who are unsupervisable. Any input would be appreciated or stories about how you have dealt with these type of issues at your jobs.