If I did not change the patient's bed or give them a bath during my shift, I would not expect to be fired or reported to the nursing board. However, if I did not get an accu check and provide sliding scale coverage, I would be fired and more than likely turned into the nursing board.
The techs where I work do accuchecks, and in the middle of having to do 7 or 8 HS checks we are expected to answer the bulk of the call lights, toilet people, weigh patients, help with admits, do any vitals that are due, and whatever else an RN demands you do RIGHT NOW, like clean up an isolation patient who just messed themselves in the bathroom or whatever. And while doing all that if we miss an accucheck, we just get fired. Forget to empty a drain no one told you about in report? Get hauled into a supervisors office the next shift. Do it more than once and get fired. Have too many RNs complain about you, get fired. Have too many techs from the next shift complain, fired. Patients complain, fired.
Our charting is audited. If an RN does do something you are supposed to do, that counts as a mark against you. I found that out AFTER thinking some RNs were just being super helpful by offering to chart stuff I did all the time. There are a thousand ways to lose your job and potentially end your medical career doing this job, it gets exhausting after awhile.
The other day I saw a call light on and a phlebotomist had just finished up doing a blood draw and informed me that the patient hooked up to numerous lines, tubes and drains would like to go to the bathroom. It suddenly occurred to me why is it they get to just hit the call light and move on to the next patient, while when I'm trying to get through a dozen or more vital signs I'm also expected to toilet people and record I/O and turn patients and get them fresh water and take out their meal tray and record their meal etc.
Imagine if a tech or CNA tells them I'm just here to check your vitals, but I'll hit the call light for you so someone else can do all that because if I don't get these vitals done by a certain time I can get written up? I'd love to see the look on an RNs face when I inform them the patient would like to go to the BR and I got other stuff to do lol.