Quote from Insurance RN
As hard as it is to learn and follow through..............delegate, delegate, delegate.
Most of the CNAs we work with look at you like I looked at my mother when she told me to do something when I was 13-and the look says it all.
We are having an issue on our particular unit with CNAs wanting to do anything you ask them to do.... the other day I asked one in particular to take a pt down to US because they did not have anyone to pick them up. The CNA was chatting the the lounge. Already had breakfast and lunch break btw. Said ok, and never got around to doing it, kept chatting. It was one where the pt had to have a full bladder. Pt was ready to pee.... I was verrrry busy. But dropped it all to take pt down myself. Managers ARE aware of the problem....
Also have asked to help feed a pt--when it was not even that busy. Or change batteries in a tele monitor, or fix the leads, or other little things.
Note: this is not all CNAs. This is our unit. I was once a nurses aid and worked with many helpful, professional CNAs.
Also have noted nursing students/prospective nursing students are more likely to help out than the reg. CNAs.
One claims she does not get paid for all the running around and constant work that is sometimes expected and just gets her minimum work done. Its frustrating, and adds extra time for me...... or I can just let the patient sit in urine/bm vomit while I have 30 things to do, and the CNA claims its quarter to shift change and she already had done her last rounds.
Most of the time, I find more help talking to another nurse than talking to the CNAs.
Point of the rant....'delegating' does not always work.
Like one other person said and other nurses have told me--- nursing is a 24 job. Somethings may have to left to the next shift. You do all that you can. It is also how you inform the next shift that things have not been done.
That sounds like lying, but it the stressful environment I work in---most of us work in, I have realized that this is the only way to leave a 12 hour shift somewhat on time. (also how I observed from some of the other nurses) Im exhausted an cannot stay 2hours after every shift!
I agree with doing the easier tasks first. And I also learned to completely finish one task before starting another--if at all possible. So it is done and out of the way. Talk to other nurses, and let them know that you are doing this and that, or having problems with this and that. When you give report, you have back up that this and that happened, and were unable to finish everything you had hoped on time.
Good luck to you!