Quote from livelovelaugh22
I am a nurse aide and soon-to-be 1st semester nursing student. Although I am a nurse aide, I am a floater and usually spend most of my time as a sitter (while still performing NA duties).
Thank you everyone for reading this lengthy rant. I hope no one hurls any stones at me for being too uptight. I realize that I may give off an uptight "vibe," but it's for a good reason. I treat my coworkers like family, but I cannot condone laziness, as it risks impairing the health and safety of my patients.
I realize that you wrote this as a vent but I'd still like to offer you some advice. It's my hope that you can use this advice to decrease workplace friction/tension and the internal stress you seem to be experiencing. I sense that you are a bit of a control freak. Being one myself, I can relate. I think that it would help you to realize that the only thing you have full control over, is how you do your
Nonetheless, I am growing tired of NAs arriving late. Leisurely walking in with a Starbucks coffee 5 minutes after I was *technically* supposed to clock out does nothing to soothe my nerves. I understand that life happens, and I am a very understanding person.
This is honestly one of my pet peeves. The person who habitually strolls
in five or ten minutes late, is not a hapless victim of "life happening". It's not
some unforeseeable circumstance that made them late. They are clearly signaling that their
time is more valuble than your
time. It's disrespectful, and these people only do it because someone lets them get away with it.
I've had coworkers who behaved like that. I'd just put my foot down, and tell them that from now on, I'd expect them to be on time so that I could leave on time
. If that hadn't worked (it did), I'd have brought it up the chain of command the next time it happened.
NA: "I don't take the vitals unless the nurse tells me to!" (chit chats with buddies)
Me: "But you know that they're q4!"
*Checks care activities*
Me: "Um... why haven't you turned this patient in 3 hours?" (me to sitter)
Me: "You realize that their vitals were due 6 hours ago, right?"
Sitter: "I bet they're not diabetic, they're just paranoid about their blood sugar!"
Me: *checks EHR* "Um... they take humalog."
Nurse: "Oh crap! Accucheck them!"
You are not in a supervisory position in relation to the other nurse's aides and sitters. If the other aides/sitters fail to carry out their duties during their
shifts, that falls on the patient's nurse to address. If you're there eight hours in a day, you literally have no
control over what happens the other sixteen hours. Another aide might chart that the patient has been re-positioned while not actually doing it and you'd have no way of knowing. At least now with the missing documentation it is obvious that it hasn't been done (or charted at least), and the nurse responsible for the patient can review this and take appropriate action.
If you observe things that causes your patient harm, you should definitely take the appropriate steps to report the observed risks/incidents through the proper channels and advocate for and protect the patient. But if I were you, I'd leave the "policing" of your fellow aides/sitters to their supervisor.
The "I HATE MY JOB, JUST SHUT UP AND LEAVE" employee
Me: "So, this is what went on, this is what you should watch out for--"
Them: *cuts me off multiple times* "Okay, okay, okay." (with an attitude)
The "why are you giving me such a detailed report, you're JUST a nurse aide" employee
Me: "Blah blah blah, important info, blah blah blah."
Them: "Why are you so detailed? It's not like you're a nurse." (laughs)
Me: "Blah blah blah blah, misc. info, misc. info, important info (x10-20) blabbity blah blah blah. Any questions?"
Okay, what I think you should ask yourself is what your motivation to give lengthy and detailed verbal reports is. It's not my intention to be mean here, I just think it might be helpful for you
to figure out why
you're doing it.
Is it because you've been taught that this is the way that it should be done
Is it because this is the type of verbal report you yourself prefer to receive
Are you scared that if you accidently leave out some detail that it would reflect poorly on your professionalism or that harm might come to your patient if you omit some small detail?
Do you do this to bolster your self-image as a dedicated, conscientious aide?
Regardless of why you're doing it though, I think that you need to change your delivery a bit. It's obviously annoying some of your coworkers and the risk is that they miss the important information you are trying to convey, because they're busy sitting there internally rolling their eyes and criticizing your style of delivery. You can't change them
, but you can attempt to tailor your delivery so that the communication becomes more effective. You wouldn't be altering your style of delivery for your coworker's sake, but rather for your patient's benefit. A good, concise report that actually gets through to your coworker is in the patient's best interest.
Once you become a nurse, you might be giving verbal report to the oncoming nurse on six or eight patients in an acute care setting. I think it would help you if you already started practising giving a succinct and to the point handover. You simply can't include all the miscellaneous information and the blah-blahs. Time management and efficiency matters and I think that you'll find that an extremely lengthy and detailed report will annoy many of your future coworkers.
When giving report, I like SBAR (S=Situation B=Background A=Assessment R=Recommendation) If you're not familiar with it, you can find a lot of information on Google. Nurses and physicians use it, I'm not sure it commonly used by aides though. However, that doesn't really matter, because I think you can use it as a base for a brief, well-structured handover. Now you wouldn't believe it considering the lenghty blah-blah posts
I make here on AN, but in real life I give very short, concise reports. Most coworkers appreciate this and if they want the extra (non-vital) information about the patient they can either ask me for it or read up on (charts) the patient in more detail at a later point.
•My inner thoughts: No offense, but it's not like I want to remain a nurse aide for the remainder of my life. NAs and RNs go hand-in-hand, but I will expand my opportunities and become a RN someday.
A piece of advice. Be careful so that you don't convey this attitude to your coworkers. It's bound to be perceived as arrogance or condescension on your part and it might either annoy or hurt someone who for whatever reason isn't planning on becoming a nurse. Nurse's aides are valuble members of the healthcare team and they deserve respect for the job they do.
To sum this up, advocate for your patients and continue to provide the quality care that you are providing
Try to accept that you have limited capacity to change other people, so try not to waste valuble mental energy on things that are beyond your control (and in this case area of responsibility). Do your job well and derive satisfaction from that