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
Oct 12, '06
wow---do we work together? I have one like that on my floor too. Where is surfing the internet in the description?
I have decided to become proactive. I have been asking a few of the techs (the ones who are responsible and do their jobs) what their scopes are. (do they draw blood? fingerstick bg? Ambulate for the first time OOB etc.) I am getting a good idea of waht they can and can't do.
And I have been asking them to DO THINGS. Asking by saying "would you please" instead of 'could you please". Including the tech that does not want to work. She wants to stay in the nursery all night and take care of the babies. Great. Except when I say I need vitals on four patients or a patient transported from another part of the floor, hello. Go do it. I ask nicely. The eyerolling and sighing is getting old. The other nurses all get along wonderful with her. I could too, if she would just DO HER JOB.
Tomorrow I have a meeting about the end of my orientation etc. I am bringing up our underutilized techs. And specificaly pointing her out.
I think she dislikes me becasue I already got some stuff changed that she was doing that I thought was wrong (and management obviously agreed because she is not doing them anymore). I don't know if my name ever came up or not, but truth be told, its her job to do things and I ask her to do them. Our techs are underutilized and I have decided to make my life easier and the whole thing better by delegating appropriately and nicely.
One nurse was overwhelmed tonight because she had a lot to do and needed a bg on a patient. She was saying she would have to go get the patient to the nrusery etc. I said "Why not get (the tech) to get the patient and do the blood?" She looked at me like I was nuts, and that it had never occurred to her to tell the tech to do something. Seriously.
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.
Last edit by MIA-RN1 on Jul 19, '07