I have to agree with what others have said. I have no problem doing anything that benefits our residents and/or helps out a coworker, but there are times when you are just too busy and can't drop everything unless it is a true emergency. Assisting ambulating a pt is not one, it can wait. You have to make your med pass a priority and shouldn't be interrupted during it. You need to stay focused to prevent making a med error, plus you don't have a big window of time to finish it. With experience you will learn when you need to lock up the cart and attend to a resident.
The bottom line, I have found that you need to be able to delegate and be confident about it. When I first started, rumor went around that "I love working with her(me), she's so easy"....Not quite a compliment, I had a hard time when it came to say, vital signs, all the other nurses had theirs by a certain time and me, well, let's say that 30minutes before end of shift, I'd be running around getting them. One cna would say, I'm sorry I forgot, and I'd be like that's ok. Dinner breaks, some would be gone for over an hr and I would say nothing...Not anymore. We are all adults and we all know what is expected of us. I have become more assertive and firm in my decisions regarding assignments/breaks etc....Now, serveral yrs later, those who are still there enjoy working with me, not because "I'm easy" but because they respect me,
I am fair, not afraid to help out. Big difference. There are those who will try and take advantage of you and it is not limited to the cna's. I have had another nurse who works days, who always left the MD callboard full, treatments that should of been done that weren't etc....why? Because she knew that I would take care of it. Thank God, she is no longer there. I always pull my weight and try to make sure that at the end of my shift I completed what needed to be done. Ofcourse, sometimes you have to leave something because you had an extremely busy day, a death, a fall, somebody going to hosp etc...that is understanding. It's really about mutual respect. That goes for everyone, doesn't matter if it's a nurse, cna, housekeeper, laundry, dietary and so on. You have to give respect to earn it. Always remember that the CNA, are your eyes and ears. They often can tell you when something is just not right with Mr. Jones. The care that they give to pts allows them to notice any changes esp physically. Come on, when's the last time say, you saw Mr. Jones bottom? If your pt can't tell you, it's your cna that will come to you and say, "his bottom is starting to get reddened"......The cna's that I work with are regularlly assigned to the unit I work and let me tell you they have great skills and often have caught something early on with the pts.
I don't remember every saying, "no" to anyone at work,(take that back, I have said "NO" when asked to work 10 days in a row, lol"). You know the old saying, "one hand washes the other"........so true. It's all in how you approach others too. All of this you will learn with experience, as there is no way you can learn this in school.