Fed up with a tech. Long- sorry.

Nurses Relations

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I used to work as a tech myself. I totally respect them and know how hard they work. There is one tech that is really out of hand. We work in a clinic. She has been working in the field for over 30 years, she hates nurses and she hates young new nurses. She hates patients, she pretty much is mean to everyone. She has been giving me a hard time since day 1. It is like swimming upstream every time I have to work with her. She tells people she is an RN and her facebook page states she is an RN. First major issue I had with her, she was told she could leave for the day when patient X was finished. I had hung vanco for patient x and it was scheduled to run for 60 minutes per MD order. 25 minutes later I look in on patient X and she is gone. I call patient x and she states that the other nurse came in and sped up the med. I was livid, went right to the manager and told her what happened. I take this offense VERY seriously as I hung this med and if there is any reaction or anything I am the one who will get blamed. Tech has NO authority to be touching the IV!!! She said she would speak with tech. Nothing was done. Manager said she denied it, and since I didnt see her do it nothing we can do. Patient would verify if manager bothered to call. I asked not to be scheduled with this tech again, as i value my license and she is not safe. I have since written this tech up for several major offense. She has been caught falsifying compliance logs, touching patients ivs more than once etc etc. She just does whatever she wants. I can't even take a lunch when I work with her because I have to babysit everyone who has a med running or she will touch it.

This tech screams at me, cusses at me, and refuses to do her job on a regular basis. I am working with her all the time. All of this in front of patients. I complain to manager, manager states- Oh that is just "techs name" you will get used to her. If I have to hear "oh that is just her" one more time I am walking out the door. So anyway yesterday I hung some vanco. Tech sped it up again. This time I freak out and start lecturing her on red man sydrome and the dangers of meds. Tech cusses at me and said she isn't doing anything sits at the computer and gets on facebook. Manager has a talk with tech. Tech comes out screaming and swearing at me again in front of patients, said I am a tattle tale and said some things that you just don't hear a lady say ever. Patient complains about language. Tech gets written up has a disciplinary meeting Friday about the patient complaint. Now other techs are all mad at me because I GOT HER IN TROUBLE.

I need a new job. The manager seems totally ok with psycho tech possibly killing patients by interfering with IV. The fact that if the patient had not complained nothing would have been done makes me so perplexed. My manager does not manage. My license is at risk.

Specializes in Pediatric Critical Care, Cardiac, EMS.

While I don't disagree that the OP should take action to protect her license, up to and including finding another job - that does not solve the issue; the tech in question will still be employed to terrorize other nurses, misrepresent herself, and endanger patients.

Whether she leaves the job or not, a report needs to be made. Whether her supervisors make it, or the OP makes it, the BON should be made aware of the situation. In Florida, there is a hotline to report unlicensed activity and practitioner misrepresentation - I cannot imagine that other states do not have something similar.

We are ethically responsible for protecting the larger patient population from untrained, unauthorized, and unlicensed practice; there is an actual obligation to report in this situation.

Specializes in Infectious Disease, Neuro, Research.

...last but not least- find out if your state is "single party knowledge state". IOW, can you record a conversation without telling the other party you are doing so. If that is the case, spend the $20 for a pocket DVR, and what you obtain may qualify as assault to the po-po, and will undoubtedly be grounds for "hostile work environment". Lawyer consults are frequently free, and they can explain the legalities.;)

Specializes in Peds NP 2 years.

That really sounds like it is a mess what is going on with your place of employment. The first mistake that was made was making a scene in front of patients. In their mind they are already nervous about going to the doctors office or what it maybe. It sounds like their is a lack of communication by not just with you but the entire staff. You got to remember techs are going to defends other techs. RN' are going to defend their to defend others. I have a similar problem. I know I am a young Nurse Practitioner right now. But, I once had a Nurse extern try to question my diagnosis of a patient that I had seen. To, be honest it just ****** me off. I went and told her, "your not qualified to diagnose a patient." Then came out with a reply with I know what I am talking about. That is one thing you never do in this world is to judge an NP which we all know is higher than some nurse extern. I thought to myself this entire experience was comical.

Specializes in Addiction, Psych, Geri, Hospice, MedSurg.
That really sounds like it is a mess what is going on with your place of employment. The first mistake that was made was making a scene in front of patients. In their mind they are already nervous about going to the doctors office or what it maybe. It sounds like their is a lack of communication by not just with you but the entire staff. You got to remember techs are going to defends other techs. RN' are going to defend their to defend others. I have a similar problem. I know I am a young Nurse Practitioner right now. But, I once had a Nurse extern try to question my diagnosis of a patient that I had seen. To, be honest it just ****** me off. I went and told her, "your not qualified to diagnose a patient." Then came out with a reply with I know what I am talking about. That is one thing you never do in this world is to judge an NP which we all know is higher than some nurse extern. I thought to myself this entire experience was comical.

Um, WRONG! If I, as a nurse, question a medication or possible diagnosis, I am SURELY going to present my opinion... Docs and NPs CAN and DO make errors, and sometimes those *lowly* nurse extern may save your a$$. No, I would not do it in front of a patient (unless you are getting ready to push a dangerous med that I think needs to be double checked), but I *would* do it...

And if that *lowly* nurse extern was right and saved your butt, I'm sure you'd be singing a different tune...

Just FYI, you may want to reevaluate your judgement and harshness. While nurses "can't diagnose" that doesn't mean we can't question a diagnosis, or even know something when we see it. We work around sick people, too.

I am not there to defend other techs, nurses, or Docs... I am there to defend my PATIENT. If that means pointing out a possible error, you'd better have the humility to hear it. You're human, mistakes WILL be made... hopefully you have a nurse there that *IS* looking out for his/her patient, and not to stroke your ego.

Specializes in Cardiac step-down.
i have a similar problem. i know i am a young nurse practitioner right now. but, i once had a nurse extern try to question my diagnosis of a patient that i had seen. to, be honest it just ****** me off. i went and told her, "your (correction: you're) not qualified to diagnose a patient." then came out with a reply with i know what i am talking about. that is one thing you never do in this world is to judge an np which we all know is higher than some nurse extern. i thought to myself this entire experience was comical.

do you ever question a doctor's diagnosis or judgment? probably shouldn't, since we all know that they are higher than some np.

*edit* ok, that came out a bit snarky, but true.

Specializes in Infectious Disease, Neuro, Research.
I know I am a young Nurse Practitioner right now. But, I once had a Nurse extern try to question my diagnosis of a patient that I had seen. To, be honest it just ****** me off. I went and told her, "your not qualified to diagnose a patient." Then came out with a reply with I know what I am talking about. That is one thing you never do in this world is to judge an NP which we all know is higher than some nurse extern. I thought to myself this entire experience was comical.

I believe I know where you're coming from, but please bear in mind, a degree confers neither intellect nor ability; neither is it always a predicator of educational and/or practical experience.;) If you evaluated your decisional process, and validated it, you should be able to explain the diagnosis and why her concern was not validated in the patient's condition. If you are able to explain, the extern might have received some valuable educational development.

Is this a clinic in a outpatient or hospital setting, or an MD's office? In some states, techs CAN be considered "office nurse" and work under the direction of the MD, who's license would be on the line. (Weird, I KNOW but some offices you have MA's or Techs giving injections under the MD's direction and responsibility). Do you have an HR person? Someone who supervises your supervisor? Vanco is complicated--redman's, peaks and troughs, etc. I would do something to protect yourself now. Good Luck!

I am curious as to how this turned out. OP - can you please provide an update? Did you report to BON? Are you looking for another job?

I would recommend speaking with the director of nursing at your facility. This tech's activity, representing herself as an RN, and the manager's and other techs reactions is mortifying.

A few years back I worked with a nurse that was stealing from the hospital. I'm not talking about taking home a bandaid or roll of tape in her pocket. She was stealing thousands of dollars worth of goods, including narcs. I informed the floor supervisor, and the supervisor said, in words to this effect, that I was being slanderous. She was angry with me and told me to be careful of what I said. I was at a loss for what to do next. One night I saw the Medical Director in the hallway and told him what I was witnessing and my supervisor's response. Within 2 weeks my supervisor was terminated, as well as that nurse. The director of nurses said I should have informed her of what was going on. It had not occurred to me to speak with her (I was fairly new to nursing at the time). Lesson learned...

I'm glad there are still good leaders out there! :yeah:

That really sounds like it is a mess what is going on with your place of employment. The first mistake that was made was making a scene in front of patients. In their mind they are already nervous about going to the doctors office or what it maybe. It sounds like their is a lack of communication by not just with you but the entire staff. You got to remember techs are going to defends other techs. RN' are going to defend their to defend others. I have a similar problem. I know I am a young Nurse Practitioner right now. But, I once had a Nurse extern try to question my diagnosis of a patient that I had seen. To, be honest it just ****** me off. I went and told her, "your not qualified to diagnose a patient." Then came out with a reply with I know what I am talking about. That is one thing you never do in this world is to judge an NP which we all know is higher than some nurse extern. I thought to myself this entire experience was comical.

Wow! This is your attitude as a YOUNG NP? I wonder how much worse it will be after a few years. Need to learn some humility. If you realize someone higher than you could possibly be making a mistake, would you stand by and let it happen just because you are of lower rank? There's nothing wrong with people asking questions, it's scarier if nobody would ask questions because they are intimidated of rank. Even presidents/kings have advisers.

Do you ever question a doctor's diagnosis or judgment? Probably shouldn't, since we all know that they are higher than some NP.

*edit* Ok, that came out a bit snarky, but true.

I LOL'ed at this! You should've said ..since we all know they are higher than some "lowly" NP. LOL! :yeah:

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