Accused of being too busy and not "social" enough?? (long)
0Jul 28, '07 by jbp0529I work in a fairly busy ICU, in which it is not uncommon for us to get 3-6 sick admissions/transfers on the night shift alone.
So tonight I was confronted by a fellow co-worker (who was charge on the night I am about to describe), who basically said that on a regular basis I am too busy, running around too much, not socializing with the rest of the staff enough...however she was especially referring to this one particular night in which I had a critical GI bleeder with a low BP, who was getting transfused as quickly as he was pooping the blood out.
2 hours after my shift started, I got an unstable transfer from an outside hospital: a guy who was s/p PEA arrest, on vasopressors, unresponsive, with renal issues (K+ 6.0, Cr > 5), questionably about to start CVVHD (dialysis), and who recently developed a head bleed at this outside facility. He was being transferred to us for neuro-surg evaluation.
To make things worse, on this night: we had no unit secretary, no CNA, lots of inexperienced staff, lots of inexperienced docs (July), and I had gotten no report on this new patient until literally 2 min before he rolled in the door.
Needless to say, between this guy and my GIB patient, I was running around like a chicken with it's head cut off !! LOL The rest of the staff enjoyed a relatively calm night of playing on the internet, flirting with each other, and talking on the phone. No one would step in to help me unless I specifically called out, and then they would only do the bare minimum, and give me disgusted looks for interrupting happy time. Finally, I reconciled that I'll just eat it alone and do the best I could.
Anyway, to wrap it this up, tonight (a week later) my coworker told me that on this night I was rude, abrupt with people, wasn't using my resources enough, and generally wasn't much fun to be around. Well DUH...I had the heaviest assignment on the whole unit! And excuse me if shooting the breeze, walking slowly, and putting on a smiling face are a distant second to keeping my two sick patients alive. And all this coming from someone who has less experience in the ICU than I do.
And then here comes day shift... "What, you didn't bathe your patients?" Whew!! Ok I'm done.Last edit by Tweety on Jul 28, '07 : Reason: if you have to use words with *** in them, they are not allowed. Thanks..........:)
0Jul 28, '07 by TweetyDont' you love it when the next shift arrives and passes judgements like that?
When you are busy like be specific about the help you need and what exactly what you want them to do because they don't sound like the bunch that is going to step up to the plate. It sounds like they are willing to get up off their butts and help, you just might have to ask each and every time and be specific because they aren't going to go looking for things to do.
At least you can rest easy that you did a good job with your patients.
1Jul 28, '07 by Liddle Noodnik GuideQuote from jbp0529My philosophy has always been, if you are sitting on your duff and someone else is busting theirs, you ought to be asking what you can do to help. Unless you have a chronic slacker (sounds like you're not!), it should be understood that coworkers will make sure that EVERYone gets a break and that work is divided fairly. DEFINITELY you should not be getting attitude when you ask them to help you! Would they rather have an unexpected code at 6 a.m.?... And excuse me if shooting the breeze, walking slowly, and putting on a smiling face are a distant second to keeping my two sick patients alive. And all this coming from someone who has less experience in the ICU than I do.
1Jul 28, '07 by leslie :-DQuote from jlsRNi am genuinely appalled.There's something gravely wrong with the picture you painted.
to show such blatant disregard to the sickest of the sick, as well as to your fellow coworkers....i am flabbergasted.
be damned grateful that you aren't social enough.
these 'things' you're doing is called working.
and you're doing what a (good) nurse does.
0Jul 28, '07 by cheshirecatYour workmates sound like really supportive people to be around!!
If this happens again you need to be assertive and say THIS IS NOT FAIR - GET OFF YOUR BACKSIDES AND HELP ME
Refuse the patient load - it is not fair to your patients or to yourself. And remember - your license is at stake if anything goes wrong.
2Jul 28, '07 by FireStarterRNYou can't always predict which nurse's patients are going to start circling the drain. We need to back one another up in times such as described in the opening posting. Team members should not be online shopping while another team member is coping with a crisis.
0Jul 28, '07 by Christie RN2006I agree! There is definitely something wrong with this picture!! When I was orienting on day shift, my preceptor accused me of not being social enough and said that no one knows me because I hardly talk to anyone. Um... lets see I was a new nurse and I was running my butt off trying to take care of my patients and figure out what I was doing! Then a few days later I had a slow day and my preceptor accused me of talking instead of working!! Needless to say I was furious! The people I work with now are great! Everyone is really good about jumping in and helping with things. If we have a nurse that is really busy with a patient, the rest of the staff jumps in and does turns, gives meds, etc to help the nurse out.
1Jul 28, '07 by ICRN2008My mom told me when I got my first job at age 15 that "They're paying you to work, not to socialize". This is true and I think that sometimes people forget it. It is important to get along with your co-workers, help them out, and use your strengths to contribute to the team. However, beyond being friendly and cordial, you have no obligation to "shoot the breeze" at work IMO. If you happen to become friends with some of your co-workers it is all the better, but the work and the patients come first. I think that you know that deep down, but nobody likes being given a hard time. Hang in there and good luck