Learning to assert self with NCP's/PCT's - page 2

by tigrbuttrfly 2,832 Views | 14 Comments

Okay so I am almost and old new grad.. been working for about 6 months now. I am having a hard time asserting myself to the PCT's/NCP's on the unit. Most of them are older in their 50's and sometimes I feel that I am being... Read More


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    I had a similar experience as yourself back when I was a new grad. It initially frustrated me beyond believe and I struggled greatly with being assertive it felt too awkward to be trying to dictate to a person who was far more senior and had worked decades more years on the floor than myself.

    So I tried to do most work myself (This is a bad idea! Your time management becomes hideous).

    Instead after a while (realising the above concept did NOT work) I than tried to learn what things each individual liked. Example some EEN's (LVN) preferred to give medications while others hated it, some prefered to feed patients others to shower them. I tried to delegate work they liked to do and do things for them that they didn't like, I also met with them at the beginning of the shift and would ask when should we start showers? Would you do this? While I do this? So they were involved with the plan too and knew what we were doing. So we became a team.

    It worked waaaay better. Eventually we were on a complete role as a team and they went out of their way to help me, because I helped them and respected their individuality on likes/dislikes etc etc.

    Some might think this way lets you be taken advantage of. I however found this wasn't true, for tasks we both didn't like so much we just shared or took turns. You'll always find a person or two you clash with though so have to work harder to have a smooth run with.

    I think respect can also take some time to grow, you haven't been there long so they'll be learning about you, as much as you about them.

    In dire situations or crazy/busy situations, you do have to just delegate with little consideration to preferences though.

    Just 'X can you please do 'abc' for me while I do this and this? Thanks so much.' Smile and walk away and do your work, you were polite and to the point. I've never found someone ignore me/refuse in this approach.

    Thanking those working with you at the end of the shift is another good thing to do. Shows all their work was appreciated. Even if during the night/day you could of been ran off your feet and barely spoke to them.

    I hope some of my experiences can be of some help.

    All the best!!
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    I would gently(the first time), remind them that we all have a part to play on the Nursing Team. I too only call them when I am desperate, as a male, I try to assist everyone with lifting and up to BSC (even other RNs/LPNs patients). Often, this effects my time management, and nothing is done in return for my patients.

    So, I have a very small stomach for being ignored, or turned down for assistance. It's not like I ask them if they are running 90mph to keep up, they are generally nested somewhere when I ask. I love the ones that play hide and go seek too at the same time the Code Brown of the Week occurs.

    I know there are the CNAs, PCTs, Aides, and Orderlies that I would say are invaluable to our team, but that's not the ones we are discussing here. I don't have to "prove" anything to any staff member because they have been here half a century. And, being here half a century does not entitle you to act like a complete care patient as I have seen in numerous facilities. If the assitant gives me a tude' after all I do to "Not" call them for help, they get a special reward, they get to go home early.

    We are all here for the same reason, and I am not interested in making someone elses paycheck for them. If they don't like their plight in life, there's other jobs, education, or the "door."
    Last edit by BostonTerrierLoverRN on Mar 27, '12 : Reason: error in reasoning, lol
    sapphire18 likes this.
  3. 0
    Some will attempt to get away with whatever they think they can get away with. I just switched to day shift a few months ago, and one of the day shift techs tried to set the tone with me that any time I called her, she would say she couldn't do it. Fortunately she was recently fired, so I don't have to address it with her.

    Sadly these people didn't learn prioritization and delegation in school like you did...they don't seem to understand that I'd love to allow them to medicate my patients while I empty bedside commodes, but YOU SEE I CAN'T LET YOU DO THAT. So you get the more unpleasant tasks, not because I think I'm too good for them, but because it's what's left to do, after I do all the things that I have to do. I mean, I'm not sure why that's complicated, but we did spend a fair amount of time on it in school, so maybe it is, lol. I mean, I worked as a tech for 1.5 years while I was in school. If someone asked you to do something, the answer is "Yes ma'am!!"
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    Sadly in many of these situations the "inmates" have been allowed to run the asylum to the extent management/administration does not back up staff nurses when issues with CNAs/techs arise.

    While there never has been a huge amount of prestige attached to nursing assistant postions, there are many whom would do the job if wages in some facilities weren't a step above MacDonalds.

    There are NAs here in NYC who tell me they make around $9/hr. That is less than 20K per year, you simply cannot live around here on that kind of money.
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    I found it only takes once of me giving up my chair to a tech and asking them to sit down for a second, they have earned it, to get them to see me in a favorable light. A little commiseration/kindness has gone a long way for me. Sharing laughter helps a lot too.


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