What do you think?

[NurxingRoxx]

I was working with a cna that was doing a double shift. We worked together on her last shift of the day. I wanted to perform a diaper change on a two-assist patient, and when I walked up to this cna and ask for help, she told me "I don't go in that room."

... I of course asked another aide for help and got the patient changed, but I was thinking to myself 'Does she have the priviledge NOT to be assigned to a certain room?" I'm assuming she had a conflict with the patient, told a nurse on duty, and was granted permission not to be assigned to that room. What do you think? Was anybody in a similiar situation?

[CT Pixie, BSN, RN]

Being the curious sort that I am, I would have asked her why she doesn't go in that room.

We do have several CNA's that are not to be assigned to certain patients. Sometimes its per resident request for whatever reason, family vs CNA conflict, or CNA has problems with resident. It isn't always that the CNA is a bad CNA or person, but some residents have their quirks and don't like certain people for reasons only rational to them. Some families don't like a certain CNA for a vast amount of reasons..but as I said, its not always the CNA..most times its the wacky family who request so-and-so not be assigned to their family member.

I had one particular resident when I was a CNA years ago, who would not allow me into her and her husbands room. She hated me from the second she saw me, not a word exchanged between us but she instantly had an intense dislike for me.

Come to find out, the resident's husband had a long lasting affair with a woman, who from what I'm was told by the family member.s who looked a lot like me AND had the same name. In her Alzheimer's mind, *I* was that woman back again to try and take her husband away...and him in his Alzheimer's mind WAS that woman back..ughhh! Can't tell you the kicks, scratches, punches that woman tried to get in as I passed her in the hall...

[NurxingRoxx]

Come to find out, the resident's husband had a long lasting affair with a woman, who from what I'm was told by the family member.s who looked a lot like me AND had the same name. In her Alzheimer's mind, *I* was that woman back again to try and take her husband away...and him in his Alzheimer's mind WAS that woman back..ughhh! Can't tell you the kicks, scratches, punches that woman tried to get in as I passed her in the hall...

! Yeah, but this girl is just so aloof and standoffish, I didn't even bother to further question her at the time. My mind was focused on getting help asap to change my patient. Although that night, I did again ask her for help with a certain patient, and she helped me out with no problems at all.

[CoffeemateCNA]

I've had it happen, too. A resident absolutely hated my guts for no reason. He would get so upset that management didn't even want me near his room because of the possible effects of the stress on his health. It went on for months. Come to find out there was a person that looked like me that used to work there that was very rude and hateful to the resident. We got it all cleared up, and he now realizes that the former employee and I are not the same person. We now get along fine (and I'm allowed to enter the room :)).

[NM nurse to be]

That has come up a number of times at my facility too. Quite often is has been the CNA who didn't get along with the resident. Or complaints about the CNA. In some cases, I would believe that. Others, I'm sure it was just a personality mismatch. That happens and when I have someone I really don't like as a person, I have to really work to hide that. The CNA might also have asked to not be assigned to that room on her own. If it were me, I'd have a hard time not taking that personally. And would probably react like your co-worker did.

CT Pixie, that's quite a story! I can totally see that happening. I've been mistaken for other people in their lives before too but never quite to that extent. Congrats on your LPN, by the way I'm not too far behind you, I'll have my LPN in December.

[KimberlyRN89, BSN, RN]

I'm thinking it could be something like the person has had some sort of scuffle with the CNA. I know @ my last job, one of the CNA's who was precepting me mentioned (in passing) that a male resident had reported her to the state for abuse, so she was no longer assigned to him.