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

Nurses General Nursing

Published

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 Critical Care Unit where I work we have many professionals in these positions who are wonderful, hardworking, thoughtful, empathetic and professional. Most of them are. We also have two who have driven me to distraction the last 10 years, and I no longer know how to cope with them.

These two HUCS are long-time employees of my institution (not as long as I have been employed here, but close.) Both are friendly with management, and have frankly gotten away with murder for most of their employment. Neither one actually comes to work to do their jobs. Both appear to work primarily to bolster their social lives. Both are "talkers", which is fine if it doesn't interfere with one's ability to perform their assigned tasks. Unfortunately, both have discovered that they are above reproach (apparently) and are able to do whatever they wish, or nothing at all, and no one will challenge their performance.

One is a mid-50s lady who has been divorced for a long time and has been searching (for a long time) for a man. Any man. Doctors preferred. When a physician, or some other man, is present on the pod, she is unwilling or unable to perform any of her work tasks. She moves her chair up close to said gentleman, and embarks on an embarrassing attempt to throw herself at whatever male is present. If requested to do her tasks, (i.e.: glucose checks, retrieve blood from the blood bank, print out order sets, etc. ), she looks at whichever nurse made the request, but never drops a beat in her intimate conversations with the physicians, whom she always addresses by their first names. It seems some of them have been embarrassed by her antics, while others seem to find it quite flattering. HUCs are responsible for blood sugar testing on our Unit, and when asked (at 0830) "Did you get the 8 AM gluc?", if she responds at all, we are lucky if she can be moved from her chair to do the glucose check by 9 AM. I certainly don't mind doing my own gluc checks, but when I'm giving blood and titrating vasoactive drips, all the while preparing an unstable patient for O.R., I just can't be everywhere at once.

Today I asked her to go to the waiting room to bring in a family of a man who was dying, but she could not be bothered. She did not move from her chair. (She was busy throwing herself at the physician at the next computer.) When confronted with the lack of response, she stated "I looked, but they weren't there." This was a blatant lie, as I had found the family waiting by the door in tears hoping to see their father/husband before he died.

This particular HUC, and another one as well, appear to have "special dispensation" from our Unit Directors. Any complaint about their unprofessionalism, or the fact that they just do not do their jobs, is turned back on the RN with "Well, sometimes you just need to do those tasks yourself. She/He "is a valued member of our staff, and your expectations are unfair." Bear in mind that the other HUCs and PCTs have no difficulty performing the same tasks in a timely and efficient manner, usually without any prompting.

I am at the end of my rope! I am so tired of being angry all the time at work because I have no support to care for my patients! The truth is that I really NEED a professional to be working in the HUC capacity, because adequately performing my job depends upon having a HUC coworker who is professionally performing their job. We are a team. I NEED them to work with me to provide safe and quality patient care.

I know from experience that speaking with these particular people results in a passive-aggressive work slow-down or stoppage. I also know that speaking with my Unit manager has absolutely NO effect. I am so tired of struggling, and leaving work angry (and late) due to lack of help. I truly do not know where to go from here.

I would appreciate any constructive advice offerred.

You all as a unit need to have a committed front of zero tolerance with these people. Raise hell with your managers until something is done.

Short of sudden death or disability (how sweet it would be for these wenches, the boss, and all of their ilk to learn what it's like being on the receiving end of their type of behavior), or the Rapture, or some other miraculous change - which is not impossible, for all things are possible with God, this is what it takes for change. Those who are sick and tired of being sick and tired have to band together and make it happen, scary though it is.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
Short of sudden death or disability (how sweet it would be for these wenches, the boss, and all of their ilk to learn what it's like being on the receiving end of their type of behavior), or the Rapture, or some other miraculous change - which is not impossible, for all things are possible with God, this is what it takes for change. Those who are sick and tired of being sick and tired have to band together and make it happen, scary though it is.

Banding together is a fabulous idea but easier said than done. That is because all the coworkers who hate the situation as much as you do will never do anything about it. Even when there's safety in numbers, they'll cower in the background when you go out on a limb by yourself. They'll approach you privately to tell you how glad they are that you spoke up, but they'll never publicly back you.

That is how a bad situation never gets any better. At some point, you may just get too disgusted and leave.

Specializes in Critical Care.

HUC=Healthcare Unit Coordinator

Kooky Koorky, nil by mouth literally means not talking !

Medically we refer to NIL by mouth as in starving someone pre or post operative ly! 😊

Banding together is a fabulous idea but easier said than done. That is because all the coworkers who hate the situation as much as you do will never do anything about it. Even when there's safety in numbers, they'll cower in the background when you go out on a limb by yourself. They'll approach you privately to tell you how glad they are that you spoke up, but they'll never publicly back you.

That is how a bad situation never gets any better. At some point, you may just get too disgusted and leave.

That's when you lasso them and drag them to the boss' office. I know. I once fell for being the spokesman while everyone else, who had sworn to high heaven that they were 100% with me, wouldn't say a word, most wouldn't even go with me to the boss. Stupid me. Still, + change was effected because I did speak up.

I was wondering about the same thing as I was reading OP's post and I've got my answer thanks to you :)

Have you tried to write them up? Even if your unit manager is close to them, if there are plenty of compalins against them, I assume someone above your unit manager would want to learn more about the situation?

How about other nurses? If a good number of nurses suffer from those HUCs, you guys can bring up the issue during staff meetings?

I would not let these people run me off from a job I liked. I agree that you should document everything.

Stop doing their work. Just stop.

Unfortunately, sometimes we have to do their work. I have run into the same issue before. Where I worked, the CNAs were great at giving baths other things not so much. Some of them didn't like to do blood sugars, so they just didn't do it. Another example is a sky-high BP one pt had. I asked the CNA to please get another one, at such and such a time, after the medication had had time to work She had plenty of notice, and I asked her nicely. She just stared at me and begrudgingly a long time, after when I asked her to do it.

Mar 19 by Libby1987

I would walk up to her, look her in the eye softly but directly and ask, "Are you busy?" Yes. "When will you not be busy and able to assist with patient care?" I would expect nothing less than a reasonable response.

If not received next step would be directly asking manager if she was aware and would she be addressing.

If never, or rather not immediately, then next step would be find another employer and submit my resignation with much clarity. In other words, I know my value and they.couldn't.keep.me.

Nobody holds me hostage. That's where anger, resentment and hopelessness live.

So you'd be willing to cut and run. You would rather give up a job you love except for these villains and their villainy, give up your seniority, give up all of the good things about the job, such as a pension, ease of accommodation for personal issues, short commute, preferred shift and schedule. NOt to mention that the new job might be riddled with its own problems and turn out to be even worse.

The OP says that she has already gone to the Manager and was basically kicked in the teeth and made to believe that the Manager wasn't going to do anything to correct this insane situation.

Quote from Libby1987

Do I come across as a cut and run type?

From Kooky Korky..

"Unless I misread what you wrote, yes. You are saying people should try once or twice, directly and then to the boss when the direct approach fails. Then, when the Manager fails to correct the trouble, you would leave.

Did I misunderstand?"

Also from Kooky Korky..

"[snip].. I really think that anonymously recording the behavior, verbally and visually, then sending copies to Legal, DON, CEO, and maybe a news media source or two, and /or the accrediting bodies could

solve this problem. Record all the requests for these evil wenches to do whatever, record their refusals, their lies, their chats with the doctors, and send all of this to the above and let's see who says to fire them and who wants to protect them.

You will have your answer as to who they are related to, who is afraid of them, etc."

I only do direct and I offered that as my approach because it has always had a good outcome (after the first few green years as a very young adult and new grad). I have been very accustomed, entitled if you will, of being heard and I would not have expected to be dismissed but if the place was literally that corrupt then I certainly would, with it clearly known why.

On the other hand, I think your suggestion of reporting an entry level employee or the practice of allowing a couple of entry level employees to the news media for being chatty and lazy and the manager not remedying the situation as nothing more than bravado.

And I wouldn't expect legal or the CEO responding to an anonymous letter than anything other than an unsubstantiated complaint by a supervising employee making noise, it would go straight to the bottom of the pile if not completely disregarded.

Specializes in HHC, Rehabilitation.

I was in a similar situation. Even some of the floating nurses were intimidated by some of our nurses aides. I found another job where I could not deal with that kind of frustration. I also left an review on glassdoor.com about that particular hospital and unit.

Mar 19 by Libby1987

Quote from Libby1987

Do I come across as a cut and run type?

From Kooky Korky..

Also from Kooky Korky..

I only do direct and I offered that as my approach because it has always had a good outcome (after the first few green years as a very young adult and new grad). I have been very accustomed, entitled if you will, of being heard and I would not have expected to be dismissed but if the place was literally that corrupt then I certainly would, with it clearly known why.

On the other hand, I think your suggestion of reporting an entry level employee or the practice of allowing a couple of entry level employees to the news media for being chatty and lazy and the manager not remedying the situation as nothing more than bravado.

And I wouldn't expect legal or the CEO responding to an anonymous letter than anything other than an unsubstantiated complaint by a supervising employee making noise, it would go straight to the bottom of the pile if not completely disregarded.

They have been there almost 20 years,per OP. they are not entry level. How you would take it is not necessarily how someone else would.

Health Unit Secretary. Front desk at Nursing stations.

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