How to handle lazy LPN's on the team - page 4

We do team nursing on our floor with an aide, LPN, and RN as the team leader for up to 10 patients. I'm new to this. We have a few LPN's who will ignore call lights and ask other people to take care... Read More

  1. Visit  navyguyhm3 profile page
    0
    Very difficult subject indeed. Here's my take...let them do as they do, eventually it will get noticed, either by them making a mistake which can cost them their job/license or a patient complaining. You can always suggest to a patient to fill out a comment card about the care & services or lack thereof and by whom. Your hard work will pay off while the lazy bums mumble and grumble. Good is always noticed less that the bad, so I'm pretty sure there are eyes watching them.
    No matter where you go, there will always be those who work and those who don't. Can't really do anything about it. The best thing to do is to carry on with your job. Things will always come around and play out. Just give it time. I highly suggest the comment cards...it's work wonders for me=-)
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  3. Visit  LPNnowRNhopefull profile page
    1
    It can be frustrating to work in an environment where any one person is not pulling their own weight. We already work in conditions where there may not be enough staff to begin with. Sometimes I think it is particularly difficult for the LPN when their role is not clearly defined. To me an LPN is a natural bridge between the aide and RN. Unfortuneatly, when you are sandwiched between these two levels of nursing - there is a lot of gray territory.

    As an LPN, I can tell you that our title alone is under appreciated. I work with many strong LPNs and feel that I am one as well. But in LTC, I feel that our positions are much more clearly defined and the expectations are obvious.

    If someone (aide, LPN, or RN) is not meeting the expectations - refer the matter to the education department. Once identified, our education RN will work with individual. Instead of jumping to the "lazy" statement, find a way to enable the other person to do better and possibly yourself.
    hyperwalk likes this.
  4. Visit  NursesRmofun profile page
    1
    I have definitely worked with people I could say were lazy. It doesn't take long to figure out. i.e., When the staff member leaves the unit many times during a shift (much more than reg. breaks) or when the staff member hides in an empty room to use their cell phone and is not working most of the time in between. You can write them up and report them, but if there is no backing from the DON or the DON wants to baby the employee, thinking *that* might help, a person who is trying to do the right thing for the patient and can't watch it anymore might leave. (I must admit the above example was not a LPN or RN). Just sayin'.
    Fiona59 likes this.
  5. Visit  sapphire18 profile page
    5
    Wait, is the one that's pregnant the same one going out for endless smoke breaks??

    Sorry for the OT..carry on
  6. Visit  giveface profile page
    1
    I think for me the frustration comes in where it is well known that a certain nurse (be it either category) is very lazy, the nurse manager is well aware and anything documented just falls on deaf ears.
    NursesRmofun likes this.
  7. Visit  stephanieshae27 profile page
    0
    Lazy people may come in all shapes and sizes but it seems like LPN's have a chip on their shoulder. Maybe an inferiority complex?! I know that LPN's go on and on about how they are a nurse too and blah blah blah. LPN's may not be " mine" but they do belong to the patients. Just as much as I belong to my patient. I AM THEIR NURSE. It is my responsibly to care and advocate for them and if LPN's or CNA's aren't doing what needs to be done to help their patients, I'm gonna say something to the lazy workers!
  8. Visit  proudauntie415 profile page
    9
    Lazy people may come in all shapes and sizes but it seems like LPN's have a chip on their shoulder. Maybe an inferiority complex?! I know that LPN's go on and on about how they are a nurse too and blah blah blah.
    Wow, I really hope you are not in any charge position. To demoralize and insult your fellow NURSES, you should be ashamed. You are one of many reasons LPN's do not get the respect as being part of the healthcare team. Shame on you, and shame on any one crazy enough to put you on their nursing team.


    cbsncmom, LPN2RN2013, chevyv, and 6 others like this.
  9. Visit  stephanieshae27 profile page
    0
    The LPN's make their bed, they should lay in it. It's not just them though, its all allied health care. Registered nurses get the most respect than another profession. society has made it that way, not me. I'm a registered respiratory therapist, I know what it's like to be down graded by nurses. I'm in nursing school now, so I'm gonna get the best and worst of both worlds. However, I am a respected RT. people want me on their team. I take pride in what I do. I dont let the fact that I'm " just a RT" crush myself esteem cause people have higher degrees AND pay than I do!!
  10. Visit  hyperwalk profile page
    1
    Definitely not trying to make this an RN-LPN thing, but this sounds just like our floor, only in reverse. Two of our 3 RNs apparently have a "my patient, your patient" attitude, and will literally sit and spin in their chairs before helping a patient when an LPN is running to and fro. If you ask them to help, they will look at you like you asked them to take over the rest of your shift.They do not believe in teamwork, and the charge nurse actually said, after being questioned by another Rn regarding assigning me a 7th patient when the RNs had only 2 or 3 each "That's the way we do our LPN's". Fortunately I work with some great LPNs and we team up to help each other out.
    Fiona59 likes this.
  11. Visit  bbuerke profile page
    6
    That's terrible. I am so sorry it's that way on your unit. Sounds like the age old tale of people not having any appreciation for the work others' do. They say the grass is always greener, well when it comes to complaining, "the load is always heavier" on one's own side of the fence. What we need is mutual understanding. The orientation program on our unit was extended by a week to allow the new grads to shadow all the other staff, HUC, NA, PT/OT, nutrition, RT, etc. in an effort to build respect and understanding of the work of the unit.

    On the other hand, what may appear to be laziness may not be. A family member chewed out a nurse for not spending any time with the patient. What she didn't know was the nurse spent 2 hours on the phone trying to arrange home O2 since it was the weekend; needed insurance approval and everything and she didn't know how to do that. Also, a nurse was complaining about an NA for not getting her blood sugars done by a certain time. What she didn't know was the NA had been helping me w/ a patient who had 10 Stage IV pressure ulcers, the dressings took almost an hour to do.

    When mutual respect fails in these situations, I guess you can always do what my coworker did. An RN was notorious for not helping. Another nurse had had enough, ran into the break room and screamed "<Nurse's Name>, get off your fat, lazy a** and come help me!!!!!!!" Now, while I do not recommend anyone do this, wouldn't you know, the "lazy" nurse suddenly became one of the most helpful on the unit? The nurse who lost her cool immediately went to the nurse manager crying and said, "I think you might need to fire me..." Well, the three of them were able to talk it over and the situation worked to everyone's benefit but that could have gone so much worse...apparently the "lazy" nurse genuinely had no idea that was what everyone thought of her. She was devastated to know what the general opinion was of her and made a good faith effort to improve from thereon out.
  12. Visit  sapphire18 profile page
    4
    Quote from bbuerke
    Another nurse had had enough, ran into the break room and screamed "<Nurse's Name>, get off your fat, lazy a** and come help me!!!!!!!"
    I'm sorry, and I know it's really not funny, but this made me seriously LOL!
    chevyv, Fiona59, adelle.ae, and 1 other like this.
  13. Visit  proudauntie415 profile page
    4
    Quote from bbuerke

    The orientation program on our unit was extended by a week to allow the new grads to shadow all the other staff, HUC, NA, PT/OT, nutrition, RT, etc. in an effort to build respect and understanding of the work of the unit.
    What an AWESOME idea!! I couldn't agree more with your post. We always tend to think the load is less on the other side....If anything is so important it's the fact that nothing can be done to serve our patients better then team work.
  14. Visit  NursesRmofun profile page
    0
    To: bbuerke

    You know, you make me think of the time, way back when- when I was an LPN just out of LPN school and worked on a similarly run unit where the RN's had much fewer patients and had a "lighter load". I ran "to and fro" a lot....and often saw them sitting. True. Can't deny that. I can only say that, since I became an RN (maybe because I am older too), I know that I have had a lot more responsibility when in a hospital role than when I was an LPN in the hospital role. It got a lot more intense with the level of my scope of practice, although, as an LPN- it may have been a "heavier" physical assignment (more total care patients) and more patients in number that I was assigned....balancing the overall acuity. I still would say there were days when my acuity had to be way higher than some of the RN's I worked with...even the ones with CL's and blood products given, etc. In any case, that sure was funny what your fellow employee yelled into that room!! LOL
    Last edit by NursesRmofun on Sep 24, '12 : Reason: Add that this is a reply


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