New RN's delegating to Tech's/NA's

Nurses New Nurse

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Hi All,

Like a lot of new Nurses, delegating hasn't come easy to me. I worked as an NAII throughout nursing school and busted my rear to help the Nurses in anyway possible. I did anything they asked (as long as it was within my scope of practice). Even Nurses that were much younger than me, I respected their position of authority (they were the Nurse, I wasn't).

Most of the techs on my floor are very good at what they do, delegating usually isn't necessary - they know what is expected of them and they do it (really helpful bunch). Unfortunately, I've run into a couple who seem to have major chips on their shoulders and one of them takes the cake - she's just plain nasty. At first I had no idea who she was or if she was even an employee - everytime I saw her she was sitting down eating, on the phone, surfing the net, etc. It took me a few weeks to realize that she's a tech. on my hall and was supposed to be helping me out. She does the bare minimum, then makes herself "very scarce" the rest of the shift. I worked a few night shifts with her (she seems to love that shift - spends most of it nodding at the nurses station) - easy money I guess, get paid to sleep.

The first time I asked her to do something (change a wet bed), she gave me a disgusted look, mumbled something under her breath and suggested I do it to get the experience. OMG, I've changed so many stinky sheets, it's the last thing I need experience in. Not that it's beneath me - I still make up several a day, but I was very busy giving out meds and she was sitting on her throne eating a bag of chips.

Anyways, the few times I asked her for help after that, got rude comments, dirty looks and eventually stopped asking her - just did whatever it was myself. The problem is, I have major time-mgmt problems when she's my tech because I'm doing my job and hers. I hate confrontations and since I'm new, didn't want to ruffle any feathers. I told my Preceptor tonight that a tech was giving me a hard time - she immediately said - you mean "X", yah, don't take it personally and basically said she was useless and hated everyone. She said she even gives the Mgr. grief at times. She's even extremely unpleasant to the patients - I have no clue what she's doing working around sick people with that rotten attitude.

I don't care who she hates, what her problem is - this is an extremely busy floor and I Need Help. You know that old saying "kill them with kindness" - I tried that, I think it made her worse. I'm running myself ragged trying to do everything and not sure how long I can keep this up without blowing my top. I can't delegate tasks to "someone I can't even find"... I've heard lots of others have had issues with her - but for some reason, she still has a job, so I'm not going to the Mgr. about it. I'm at my wits end, and would appreciate any suggestions on how to get some work out of someone like this? Sorry for the length, it was a very, very long night with her and I had to blow off some steam. :angryfire

Specializes in Med/Surg..

Stressgal - Great Post. That's exactly what I was trying to say in the original post. I shouldn't have to beg someone to do their job - like you said, what they get in return is a paycheck.

We had a fantastic tech from the float pool today - she was incredibly organized and did everything I had assumed the rest of them would do, great job. When I thanked her for all her help - she said, you haven't seen me at my best.. Oh Boy, I hope she comes back to our Floor....

I don't give a CRAP that she wants to stay in the nursery. That is not her job. I am nice, and I thank her, and I tell her I thik shes doing a great job.

But I am new and she is not and I think its a matter of her getting over it. And the fact that I don't bend over backwards. We will never be friends, and I don't really care. I do my job and expect no less from her.

Wow, I guess I sound b*tchy but I don't mean to and I don't act that way. I am just sick and tired of the attitude.[/quote

IMO this is not a bitchy attitude. We just have to set limits or else break our backs doing all the work for one paycheck and when something happens they are the first to criticize.:twocents:

There is power in the pen. Write them up and eventually they will be out of there. "sitting around eating chips"? This is an employer....not Grammas' house, come on....

Specializes in Peds Cardiology,Peds Neuro,Pedi ER,PICU, IV Jedi.

What you offer in return is that you don't abuse your techs. If you're sitting, checking your emails, don't ask the tech to do something you can do perfectly well yourself, if only you'd just get UP and move (good reason to take your legit breaks OFF the floor). (YOU meaning not you personally, but a nurse in general).

A great idea, and enlist the techs help if you need it...and if it's something minor...then they can do it themselves.

Emernurse...thank you for pointing out that the techs DO fly around all day, doing things that leave the nurse available to do what is specifically HER duty..and that of course does not include shopping on potterybarn.com! :-)

Remember all, a techs job is to ASSIST the nurse in bedside patient care. Unfortunately it is your responsibility to see that it's done, done right and done in a timely manner. As a tech I have no problem doing what's asked of me...life gets too dificult if I don't.

Bottom line is that if TEAMWORK isn't happening on your floor, whether it's between techs and nurses, nurses and nurses, or techs and techs..then you have major problems. You're no better than they are, and vice versa. We're all there for the same reasons (well, obviously not ALL of us)

Me, personally,I would ask her to do MORE than expected, maybe she'll get sick of you and leave the unit. dont be INTIMIDATED!!! Just smile while you win the battle girl.-

-Not such a good idea. Management has a way of frowning on nurses who are perceived as "abusive". And I guarantee you that this tech, as manipulative as she is..will pull that card out of her butt.

Don't be intimidated, but be respectful.

A lot of nurses get that whole "I'm a nurse" attitude and chip on their shoulder too, guys...and though YOU may not be that person, remember that you do work with that person - and right or wrong, all it takes is one like that to bring a good tech down.

If you get into the situation that you've asked and asked a tech to do something...go to the charge nurse and explain. Let her talk to your problem tech...some people just need things brought to their attention...some need a kick in the behind. If it continues....leave a paper trail. We have a former tech who would ONLY do vitals, no I/O, no bed changes...and she'd been at my facility for ....17 years. Instead of being FIRED, which should have happened in the mid 1990s, they kept her and actually had a party for her when she retired last year. UGH. Make sure you spell out in your written incident report what was asked, when, how many times, and the attitude of the tech...and any nurse witnesses.

Have a great day, all.

vamedic4

Out of curiosity, I see advice often about writing someone up...how does one do that? Is it agency specific? I have not heard one thing mentioned about that in the months I"ve been employed. I have, however, noticed a huge increase in tech assisstance on the unit (exception being the one mentioned above). I wonder if something's been said....

Specializes in Peds Cardiology,Peds Neuro,Pedi ER,PICU, IV Jedi.

Cooper...it is specific to your workplace, but ask about writeups for staff/ accidents/incidents...someone should have provided this information to you during your orientation.

It is standard practice to write someone up for repeated or blatant mistakes/omissions/refusals.

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