I have a real problem with ancillary staff and am at my wits end. I need help. - page 4

I hesitate to submit this issue, as I know that most Techs, Aides, and HUCS are dedicated and professional, and that I could NOT do my job without these coworkers. Therein lies the problem. On the... Read More

  1. by   ap05
    I'm new to my unit and the pcts run the show. The other day I asked for blood sugars and vitals and I was told "they're on my paper on the other side." Nothing was entered and she was on lunch. So naturally I had to go walk down and search for her papers for the information and half of it was missing. Another day a pct said to me "go make that bed." I have no problem making beds but not when I have meds to pass and you are able to do it. Same pct informed me that she forgot to get vitals at the end of her shift as she sat in the breakroom. Alright rant done...Anyway I feel your pain. You can try sucking up to them...that's kind of my method right now. If you have communicated your concerns I really feel moving on is your only option. At my hospital it's clear this is just how things work so if it continues I'll leave.
  2. by   RNNPICU
    Is there a way you could walk over to the Dr with whom she is conversing and say Dr.... I am sorry to interrupt your conversation, I have some clinical questions regarding pt.... and then say I also need to borrow <><> I need her to help me with pt... who needs their blood sugar drawn, or what ever the task is.
  3. by   billswife
    Quote from Paws2people
    Out of curiosity, is this a Union job? I've noticed at these places, dead weight staff is in a higher abundance.

    My hospital is a Union, and yes, we have many employees like this. No one wants to work with them, however they also have many "friends" and they stick together. These people know how to finesse the system, and know all the ins and outs. Hurt your hand? They say it happened at work and go out on comp. Nurse X reports you? It must be racial. They are always friendly and familiar with the Union reps in the office. Mostly because of all their time spent whining to them.

    One thing that has always irked me is that because they stink, nurses expect less from them. This causes me to have to work harder to pick up their slack. Many nurses won't even ask them to do anything because it's a hopeless case, so I'm there to fall back on.

    It's unfair to ask me because they are useless, and even more unfair for a nurse to work harder because they aren't reliable.
    No, we aren't unionized, but everything else you say is exactly true for us as well. And, sadly, our more professional ancillary staff do end up picking up the slack for the protected lazy ones.
  4. by   billswife
    Quote from RNNPICU
    Is there a way you could walk over to the Dr with whom she is conversing and say Dr.... I am sorry to interrupt your conversation, I have some clinical questions regarding pt.... and then say I also need to borrow <><> I need her to help me with pt... who needs their blood sugar drawn, or what ever the task is.
    I like this strategy!
  5. by   Spidey's mom
    Just as an aside, I've always been fascinated by how differently things run in other states/hospitals.

    Only the RN or LVN can check blood glucose. We have CNA's here who do vitals and personal care.
  6. by   SopranoKris
    What a tough situation to be in. The fact that it's gone on for 10 years, though, makes me think that you might be better able to save your sanity by transferring to a different unit. If that's out of the question, then you're really going to have to 1) have solid proof of the HUC's behavior, 2) get witnesses willing to back you up, and 3) be ready to handle the inevitable backlash.

    As suggested above, I would document as much as you can, but be short & factual, no opinion. If you know one of the doctors who was made uncomfortable by her behavior, perhaps you could speak to him alone and ask if he would back you up in reporting the behavior to HR. Sexual harassment should never be allowed to go unchecked.
  7. by   adoyo
    I yes with you very much! Did exactly the same and added that unless something was done, I was going to either leave my job or totally decline sharing a shift with the culprit! Well, I was a senior and they could not dare loose a senior for for a Junior! Few more days I worked with the culprit, I gave her NIL by mouth, and this hurt her more than she had ever hurt me before!😊
  8. by   LibraSunCNM
    Quote from Spidey's mom
    Just as an aside, I've always been fascinated by how differently things run in other states/hospitals.

    Only the RN or LVN can check blood glucose. We have CNA's here who do vitals and personal care.
    I was surprised about this too...where I've worked PCTs certainly did blood sugars but I've never in my life heard of unit clerks doing any type of patient care tasks.

    OP, I'm so sorry you're going through this. I've been there, although not to the extreme extent you are experiencing right now, and it's hard to navigate. I think your course of action depends on what you know about your boss's boss and how they would proceed if you went above your boss's head. If you think there's a chance they'd support you, I'd go ahead and start documenting every little thing like others have suggested. If not, unfortunately it may be time to move on, or learn not to let it get to you (something I have a hard time doing!)
    Last edit by LibraSunCNM on Mar 17 : Reason: Hit send too early
  9. by   Spidey's mom
    Quote from LibraSunCNM
    I was surprised about this too...where I've worked PCTs certainly did blood sugars but I've never in my life heard of unit clerks doing any type of patient care tasks.
    I should have added that as well. Our unit clerks are called ward clerks and they do paperwork/computer entry only and answer phones. No patient care. And they don't take medical orders from physicians.

    Where I work, it would be nipped in the bud right away if that kind of flirtation went on . . . the doctors are so busy that if you tried to take some time away from their focus on the patients, you'd be up poop creek. Without a paddle.
  10. by   Emergent
    We have a job category called Nurse Extender. They are CNAs who also work the desk. They make a little more money.
  11. by   Neats
    I would be firm, fair and consistent. When you ask the Health Unit staff person to get the blood glucose state I need Mr. X blood glucose results within the next 10 mins,... you must follow up at the 10 minute mark, when they state they did not get it done or I couldn't get to this in the time frame you respond you did not tell me that, I count on you for assistance, do you need extra training I would be happy to assist you with this. This usually works for me after the second or third time for anyone.
    I also provide the people I am supervising with Must do's within the first 1-2 hours of shift. They have to bring the completed tasks to me before the end of the time I have designated. If they have not and I have to go search them out I make them come with me to record what they have and then they have to obtain the uncompleted tasks before the next hour.... The hardest thing is going back at designated time frames, it is hard but after a few times the staff get that I mean what I say and they usually step up and complete the tasks, if they do not I suggest to them time management classes and break their tasks into hour by hour segments. Is it micro managing....yes but when you state I need the results within the next 10 minutes and they are sitting there still with the same doctor... I call them on it in front of the doctor....I say Hey Doctor X you are keeping my staff from important work, we need those glucose results so we all can do our jobs! Usually if I call them on it in a nice way it never happens again.
  12. by   dumbnurse
    Submit a request to the local ombudsman. These people are on the lookout for negligence, cover ups and general malaise in the profession.
  13. by   NotYourMamasRN
    I have seen a lot of this in healthcare. If you figure out a solution, please share what it is. The only intervention I have ever seen work is when they do something that HR has to take action on and it gets reported straight to HR. This was in a hospital however, in the SNF and LTC facilities I worked HR was not reputable.

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