Wrote up a CNA, but I was the one who got the boot!

Nurses Relations

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About two weeks ago, I had an unfamiliar CNA on my night shift. She was 'helping out' with a shortage apparently. I am new on the job as well. I had previously been instructed to ''hold accountable' the CNA's on my shift by 'writing them up' for every infraction (something I had chosen NOT to do) Not until the night I had this individual on my shift who would not provide vitals or answer call bell lights. When I witnessed her eating on the shift while charting and ignoring a light going off right next to her (her patient also) I asked if she was going to get that. I was asked in return if I was going to get that. From there, she just went off and proceeded to tell me to write her up because she was going to be just fine, that I was the one on thin ice and that they were always talking about me on the first shift. This behavior went on for the better part of an hour, despite my telling her I would have to write her up if she did not stop (I was professional about it), I tried to call the unit manager (she didn't answer), I finally called the DON (the one the CNA said would protect her). The DON didn't tell me to send her home, she didn't ask to talk to her, she said, "I'll take care of it in the morning." Well, when I go in with my documentation in the morning, the DON didn't give me the time of day. Everyone was looking at me sideways as well. I was told the CNA was out of town for a furneral and wouldn't be back all week. I was told my a fellow worker to take it to human resources, which I did. Long story short-girl was never out of town, she was at work the whole three days I tried to resolve this. She did not get in any trouble. They had her apologize. They said it was a clean slate. They said they wanted me there on the job (I offered to quit because as I told them how would I have any credibility on the job if a CNA was allowed to yell at me for an hour on the floor and still keep her job). I was ASSURED I was a desireable employee- blah, blah, blah.

Fast forward to today, when I wake up to a human resource/DON speaker call telling me I am being 'let go' for poor performance and, get this, being 'disrespectful to a nurse' and the claim of a witness on that.

Wow! REALLY??? I have this fellow RN, also new on the job, but been there a few months longer than me. When I take the shift from her, she gives me 'orders' as to what I am to do on my shift, without EVER being charge nurse. Meanwhile, she actively sabotages me to the DON and unit manager by tattle telling any imagined flaw from my shift (she's 7-3, I'm 3-11 lets also throw in there that an 11-7 shift exists) Basically, I got tired of her dumping her left over work on me so I chose not to do it. So, when I came in in the next day, she told me my assignment for the shift was to give 3 enemas!!!! Yeah, right. We didn't have 'words' but I did question her when she made the statement "I put Ms So n So on Sudafed". I asked her, "You put her on Sudafed? Or, you called the doctor and she put her on Sudafed?" This aggrevated her you see because my confused former classmate seems to not understand the scope of our nursing practice does not include up doing things like deciding on our own to say, do an Oxygen test and take away someone's O2 on our own initative while monitoring sats for 48 hours, and instructing all the other shifts to do the same, THEN taking the info back to the doctor to see if THEY would like to DC the order (instead of asking the Doctor simply if we can do it in the first place and following said order). She REPORTED me to DON for being disrespectful. The interesting thing is the claim of a witness when we were alone in the med room???

I'm venting her because I'm really frustrated about how to deal with the social aspect of being a nurse. How do you survive the sabatour who has the ear of the managers when you work solo on the evening shift so they don't know you. How do you manage CNA's when the managers don't back you up, but punish you for trying to do your job? (I forgot to mention that after I wrote her up, I discovered I was NOT parttime as my unit manager had told me, but was still PRN. For a month, I had labored under the idea I was a parttime employee and stopped job hunting). Once I turned in that write up, my hours were cut from 15 shifts (three a week) to every other weekend only! Turns out the CNA was a long term day time employee. And did she ever LIE through her teeth. Claimed I said, "I'm an RN. I DON'T answer call bell lights!!" I'll also throw in there that I am the minority in the building and the DON the protector is of another race as is her posse of CNAs.

SO it's back to the job junt. I'm just wondering if this will be the continual theme to nursing- back stabbing fellow nurses and lazy CNAs.

Please advise!!!

Specializes in Peds Homecare.

Just a quick question, what were you doing when the call light was going off? When I worked 3-11, or 11-7, I answered call lights. Maybe you were passing meds, or doing something else. I was just curious.

Specializes in Psychiatric Nursing.

I have worked dysfunctional places. I try to focus on pt care and join with others that are trying to get the job done. And to pay a lot of attention to dynamics.... Hope you find a more functional environment.

Specializes in Pediatric Private Duty; Camp Nursing.
Just a quick question, what were you doing when the call light was going off? When I worked 3-11, or 11-7, I answered call lights. Maybe you were passing meds, or doing something else. I was just curious.

Good point, realnursealso. Even when I was busting my butt and really didn't have time to help the CNAs, I always tried to squeeze in some high-profile work, just to prevent the image of "never helping the CNAs". Even though it would set me behind on my med pass somewhat, I'd go into the dining room if they were short a person and help with breakfast or lunch. Maybe it was phony of me but I saw it as an investment for good relations, ultimately making my job easier. (CNAs ain't happy, ain't NOBODY happy.) Many CNAs see a nurse's job as "not so hard" and "sit around a lot and write while I do the dirty work." and even though it's not true in most cases, their perception is their reality. I ended up with a lot of CNAs that did not mind when I asked them to do things, because they knew I pitched in for them without even being asked.

It's frustrating, though, because a nurse can do a CNA's job, but not the other way around. I didn't get a lot of "thank you's" when they punched out on time and said "goodbye" while I scrambled to finish my work.

I was on another hallway finishing with a resident. I came out of that room to answer the light, quite a distance from where I was. When I came around the corner, there she was, fruit cup in one hand standing at the wall chart, with her hip popped out, taking a leisurely bite, then went back to charting. She was facing the light the whole time and wearing a beeper. And only a few steps from the room. When she saw me coming, she just ignored me and kept eating/charting. She had been ignoring the light all night. So, I asked if she was going to get that and was asked the same question in return. I asked as her manager and was given an insubordinate response in return which then exploded in her hour long "You don't tell me nothin" rant in the hall outside resident rooms.

Name another job where an employee would see their manager coming and just flat out ignore them, then be insubordinate and expect this to be okay. Only in a LTC facility where upper management doesn't hold the CNA's accountable.

Please understand that if the light goes unanswered, then I get in trouble for poorly managing my shift and get written up. I don't have time to answer all the lights. I have more than enough nursing to do on my shift, which I also get written up for if it does not get done because I was answering too many lights. Please understand that this CNA had only been there for two hours of a four hour shift. She was filling in for a peak shortage, but really just riding the clock and not doing much work. I didn't know she was a protected employee from the day shift who had been with the facility for years. But what I learned from her rant that night was that I was being sabotaged and blamed for things that were being openly discussed on the day shift. Why was anything being discussed with CNA's about me? So, when she came on my shift, she didn't feel she had to respect me in anyway shape or form. She told me I was not her manager and had no right to instruct her in anything. Of course, in a perfect world, things would have been by the book. But, not on my job. So I actually learned more from the ordeal about my status on the job and found that useful. Whether I had quit two weeks ago or got fired yesterday, doesn't really matter. I was only there for about 24 shifts-two months PRN. I wouldn't be able to use the place as a reference anyway. At least I will get another two paychecks out of them.

What I had to resort to in the end was going in the room to see that the resident was okay and turning off the light (as instructed by the DON) and telling the resident someone would be right with them if it was a non urgent request. Then go back to the 10 things that had been interrupted by answering the light. Things like wound care and med passes. Some of these residents call you because they want their tray removed. Or the refuse to wait to be put to bed and are in danger of falling on the floor if you don't get them dressed and put them in the bed. Just don't have the time. With all the money this place makes, they should bring in two extra CNA's for four hours at meal/bedtime to put these people to bed in a timely manner. But, CNA's who intend to work. They are about a third the cost of the nurses so it would save in nursing overtime when we run late because we were doing CNA work due to the patient ration being too high for the CNA's and nurses.

I'm all about teamwork. But, I'm not about doing your work while you ride the clock and play.

Good point, realnursealso. Even when I was busting my butt and really didn't have time to help the CNAs, I always tried to squeeze in some high-profile work, just to prevent the image of "never helping the CNAs". Even though it would set me behind on my med pass somewhat, I'd go into the dining room if they were short a person and help with breakfast or lunch. Maybe it was phony of me but I saw it as an investment for good relations, ultimately making my job easier. (CNAs ain't happy, ain't NOBODY happy.) Many CNAs see a nurse's job as "not so hard" and "sit around a lot and write while I do the dirty work." and even though it's not true in most cases, their perception is their reality. I ended up with a lot of CNAs that did not mind when I asked them to do things, because they knew I pitched in for them without even being asked.

I did the same. I had certain residents I knew I could handle on my own because they were able to stand up and support their weight so I could toilet them and help put them to bed. On my one of my last shifts I did total care for one paranoid resident with dementia who thought the CNA was a demon or something else scary and didn't want her to touch him. I did all his care without being asked. And I helped the other CNA on a different night who had a similar problem with this same resident. I was part of the team. The other nurse and I even bought them pizza about a week ago as team building on our shift for our regulars. In general, it was the extra CNA that night. Unfortunately, we have a problem child or two still who slack in their work as well. But, the majority were working together. It was a military order them about environment. That's not my personality.

I left out the NOT in military environment. I am definitely not an authoritarian. Let's put it this way, if I were a professor, I'd be the cool professor sitting on the desk engaging the students in free exchange of ideals or out on a field trip.

I really ought to be in education but it doesn't pay. Who knows, I may end up there yet!

Specializes in Critical Care.
...yeah, I had a mysterious 'egging' of my car after the whole incident happened...so I guess they might know where I live.

......are they the freshman in highschool??? who even does that. losers!

I am not suprised. I saw this at my own job. There are a few that will actively get together and decide to gang up on some one else. Nurses and aides get involved. If you are the chosen one, there is very little you can do. Good luck. Hopefully you will find another job soon without so many psychos.

Specializes in Psych, LTC/SNF, Rehab, Corrections.

OP didn't do anything wrong. It's everyone's job to answer the call-lights, but the aide was sitting there ignoring hers. How can OP be at fault? Had the aide been doing her job, to begin with, the nurses wouldn't have even had to go back there.

Don't feel bad OP. I'm a baby nurse, like you and I don't help the aides when I'm busy with my work.

It's one thing when I'm not doing anything. But...if I am and unless something's wrong with our residents or the aides are severely understaffed (like 2-3 aides on the floor)? You'd better believe that the Med Pass takes precedence... my paperwork takes precedence... my feedings take precedence... my woundcare treatments take precedence.

That's how it is. That's how I work. I shouldn't even have to explain 'why'.

When I was an aide, I never bothered the nurses and med-aides to help me out with 'this, that and the other'. Never expected it either.

I see that it's different with some aides. Now that I'm on the 'other side, I mean. On the evening shift, no matter how it roates, there's always one who just waltzes up and bugs the hell out of me. It's always 'me', too. I'd imagine that it's because I'm 'newly minted'?

They'll just waltz up and start demanding things. I was in the midst of drawing morphine for one of my little hospice pt's.

"Can you help me move --- ?"

Dude, I'm pulling meds! There's a freakin' aide, like, 2 doors down! Like I'm going to just put the narcs up, my hospice pt on hold and service her?

Did I help?

Nope. LOL I tried and I've found that it throws me off. It throws me behind. I'll be wasting narc's, throwing 'the count' off and everything else...and you know that we can't be doing that.

Now, I do help and it's usually on my time. I help when I'm not nagged and pushed to do so. When I finish, I'll go to the aides on my hall? "You need help?" If I see an aide struggling and it's close to their time to leave. "You need some help?"

If I mess up and get some formula on their sheets? I'll put on some gloves and help them fix it. It's difficult, yeah... b/c you're crunched for time. The aides have no concept of how crunched for time you truly are. I usually don't have time to be changing sheets and crap. Yet, I volunteer to help because I don't like to 'create' work for people. I can't go in there, messing up... then, "Oh, I'm sorry. Can you fix that for me?"

That's just making their job harder. I feel like I could at least offer to help out. The aides are great. They're thankful. My aides are wonderful.

MY AIDES.

Last weekend, on my break - my break - I changed and put to bed two pts for another hall. Did I get any 'thanks' from the relieving aide coming on shift? Nope...but he's the sort who'd be the first to whine about lazy nurses.

That's the thing, though. I changed the residents for their personal comfort. I put them to bed because they were tired. They are MY pts and I'm responsible for their care + comfort. 'Helping the aide' doesn't register where he's concerned. Had it been for his sake?

He wouldn't been stuck doing it by himself. That's just me being honest. I cannot stand working with whiny, lazy people who operate on this 'pass the buck' mentality.

...and to bring a little clarity into the situation? This is the same guy who, later on in that same shift, refused to put the pt (that I'd changed) on the toilet. He told the Charge that they 'were understaffed' and 'these people are heavy' and blah, blah, blah.

For one, there were 6 aides on the floor. Secondly, he was working the easiest hall: The male hall. Thirdly, the residents aren't heavy. As a matter of fact, he only has to move 4 ppl. Half the people on his hall are walkie-talkie. Fourthly, I used to be an aide. In light of the facts aforementioned? Don't come crying to me about 'what you don't want to do' and 'how hard' your job is.

Basically, he didn't want to do it. Basically, our little resident has to remain incontinent because his lazy aide 'doesn't want to' toilet him properly.

The charge just took it. I'm serious. Of course, I didn't say anything. I was paying attention as always when senior nurses 'do their thing'. I look for these 'teaching moment'.

It was a teaching #fail...but I still learned. LOL She's very knowledgeable, but when it comes to management?

She's Ms 'Get-Along'. LOL

However, I just listened and learned. Despite my exp in other areas? I'm the baby nurse. I stay in my lane. LOL

...but...I would've written his a..s up so fast....!

I'm prior-service military and quite the little 'authoritarian'. Laying down the law is no thing for me to do. LOL

Management is prior service and I know that I would've been backed up. It's not about anyone being on 'my side'.

It's not about 'the aide disobeying an order'.

It's about 'the aide not doing their job'. I'd happily pick up the slack if we could get a better aide in his slot.

OP, I hope that you find another position. If they're running you down in front of everyone (and they are if the aide knew enough to throw it in your face), you're better off elsewhere. I'd try to go elsewhere. There's just too much unprofessionalism for me to handle. It probably won't get any better, either. Whatever you decide. Good luck.

I was on another hallway finishing with a resident. I came out of that room to answer the light, quite a distance from where I was. When I came around the corner, there she was, fruit cup in one hand standing at the wall chart, with her hip popped out, taking a leisurely bite, then went back to charting. She was facing the light the whole time and wearing a beeper. And only a few steps from the room. When she saw me coming, she just ignored me and kept eating/charting. She had been ignoring the light all night. So, I asked if she was going to get that and was asked the same question in return. I asked as her manager and was given an insubordinate response in return which then exploded in her hour long "You don't tell me nothin" rant in the hall outside resident rooms.

Name another job where an employee would see their manager coming and just flat out ignore them, then be insubordinate and expect this to be okay. Only in a LTC facility where upper management doesn't hold the CNA's accountable.

Please understand that if the light goes unanswered, then I get in trouble for poorly managing my shift and get written up. I don't have time to answer all the lights. I have more than enough nursing to do on my shift, which I also get written up for if it does not get done because I was answering too many lights. Please understand that this CNA had only been there for two hours of a four hour shift. She was filling in for a peak shortage, but really just riding the clock and not doing much work. I didn't know she was a protected employee from the day shift who had been with the facility for years. But what I learned from her rant that night was that I was being sabotaged and blamed for things that were being openly discussed on the day shift. Why was anything being discussed with CNA's about me? So, when she came on my shift, she didn't feel she had to respect me in anyway shape or form. She told me I was not her manager and had no right to instruct her in anything. Of course, in a perfect world, things would have been by the book. But, not on my job. So I actually learned more from the ordeal about my status on the job and found that useful. Whether I had quit two weeks ago or got fired yesterday, doesn't really matter. I was only there for about 24 shifts-two months PRN. I wouldn't be able to use the place as a reference anyway. At least I will get another two paychecks out of them.

What I had to resort to in the end was going in the room to see that the resident was okay and turning off the light (as instructed by the DON) and telling the resident someone would be right with them if it was a non urgent request. Then go back to the 10 things that had been interrupted by answering the light. Things like wound care and med passes. Some of these residents call you because they want their tray removed. Or the refuse to wait to be put to bed and are in danger of falling on the floor if you don't get them dressed and put them in the bed. Just don't have the time. With all the money this place makes, they should bring in two extra CNA's for four hours at meal/bedtime to put these people to bed in a timely manner. But, CNA's who intend to work. They are about a third the cost of the nurses so it would save in nursing overtime when we run late because we were doing CNA work due to the patient ration being too high for the CNA's and nurses.

I'm all about teamwork. But, I'm not about doing your work while you ride the clock and play.

I understand you completely. It is complete garbage and bs. This was a big issue on my unit.. It was a huge problem. resolved only when the manger really started cracking down on it, and some quit and were fired. If the manager is bff with them or doesn't care then it won't get better. I never asked an aide for help because I wanted to sit down on to go on facebook. I have my own job to do and am accountable for that and they have thier job to do ( aides where i work have specific tasks they are to do). thank god the problem employees mostly left or where fired.

Specializes in ..

There must be some other details that you're not aware of. Many times we don't know how we're perceived by others, or what our colleagues really think of us. It sounds like you have some enemies--not that this is your fault because workplace politics can be uglier than the social dynamics of a middle-school cafeteria. But, whether you did something to provoke the 'mean girls' or not, they seemed to have it out for you--and have the ear of the supervisors.

There is probably not much you can do, or even want to do in this situation; getting your job back is probably the last thing on your wish list. But, you can to is turn this into a learning opportunity. If you have any good, trustworthy friends from your employment ask them to go to lunch or have coffee with you (one at a time), then ask them to be candid and tell you what they believe happened. Ask tough questions and be prepared to hear some things you might not like or agree with... Ask what other employees thought about you or said about you (and specifically say you don't want to hear names, just their opinions). Just listen, don't interrupt or argue. Try not to react if what they say is negative--you can say, "this is really hard to hear, but I'd like to learn more." Listen carefully and sit on the information. In the next days and weeks try to consider aspects of what they told you, and try to be open-minded enough to see if there is a shred of truth in their words. If they said you were considered to be 'aloof' or 'lazy' or 'condescending'... or whatever, try to imagine if you may have inadvertently come across that way. If you can see yourself as others may have seen you, this may be a way to make some changes and avoid the same thing happening at your next job. It can be a very, very painful process, but it can lead to less pain in the future. If you can sincerely consider their critiques but not agree, then you were probably the victim of the 'mean girls'.

Best of luck. We've all been there at some point, to some extent. It's never easy being the ostracized member of a group. Sometimes it's your fault, often it's not, and sometimes its a combination of the two. I hope you never have to deal with this problem again.

Specializes in FNP, ONP.
Hey BlueDevil! I remember you from our difference of opinions on the DNP thread. Geez, you make me sound paranoid! Not the case, I assure you. But, I am taking your advice and moving on to brighter pastures just the same.

A good thing about moving on is that as a new nurse I need more opportunity to practice procedures and not just dress the same wounds or give the same meds over and over. Hopefully, I will find someone willing to train a new grad. The local hospitals just aren't biting around here! For now, it's back to volunteering. I had to stop until my schedule evened out. Now it looks like I'm wide open in that department!!

I don't remember you or the thread you are referring to, from Adam, so it wasn't personal. Just my observations. Good luck.

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