SOLVED254

I resonated with the instance of incivility and bullying you described as a prior nursing assistant who’s been in that situation. There’s a big misconception that nurses don’t have to clean their own patients up because that’s the role of the CNA. In actuality, everyone is responsible for cleaning up a patient after an incontinent episode with the RN or LVN having the ultimate responsibility and accountability piece if it doesn’t get done and leads to patient harm. There’s also often a power dynamic between CNAs and nurses that leads to bullying when you observe nurses mistreating their CNAs and delegating tasks deemed as “dirty” or “above them” to these CNAs while they sit around talking with other nurses at the nurse’s station. In the same time it took for the nurse in your situation to delegate the task, she could have easily cleaned up the patient with the help of another nurse since her assigned CNA was tending to another patient. At clinicals recently, we ran into this same issue with an LVN who didn’t want to clean up her patient who had been soiled for hours because the CNA was busy tending to others. I ended up getting supplies to clean up the patient with the help of a few of the nursing students because it bothered me that the patient was in pain and had a pretty bad pressure ulcer on her sacrum and yet still had to suffer in her soil along with her roommates who were pissed that they had to smell the soil for hours. Thank you
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