Being direct with co-workers, aides, sitting at the desk, ect...advice please

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I recently am so uneasy at my job. I like my position, and the work (I have worked hard for this), but am finding it harder to cope. If anyone could offer constructive criticism or advice, it would be appreciated.

On my shift, after initial assessments, there is a group who sits at the desk. Sometimes I wonder if they have patients. I am usually running around. Last night for example there were three of them trying to decide staffing along with the charge nurse (like who should be assigned with who for upcoming shift). It also usually includes a frustrated grad NA (who cant find a job), and it is hard to ask her for help as she usually argues with you over whether something needs to be done.

There is an unusually good NA, but a couple others are hard to find after their initial vitals. I had to get used to this as a standard.

One RN is back after a month absence after showing up to work drunk/after drinking (x2), and after attending a treatment program, while I admire her tenacity to hold on to her job and get back into the swing of things, she is somewhat innapropriate (interjecting observations when I am getting report on someone that have nothing to do with what we are talking about, asking me if I wanted her to do an assessment on one of my pts as I was busy-- shouldnt we do our own assessments? ect).

The new charge RN will NOT redirect aides, ect, avoids conflict.

During a code on my patient, the staff were all in there watching, and I alone noticed call llghts and had to go (after above aide refused to leave and help) because I was afraid a resident would fall.

When I said to one of the RNs who was watching the code that no one was on the floor and I was answering call lights while my patient was coding (code team was in there along with all staff) she said she felt I was "attacking her".

When I had to call anesthesia for IV stick (pt hard stick), grumpy CRNA told me to hot pack arm. I hadnt sat for 5 hours. I sat for a minute, got up to hotpack, the CRNA was there already said 'it isnt hotpacked? I am NOT doing it" I said I would make a note of that. He asked me to get my charge RN, this other charge rn came and they talked and my charge rn said I was supposed to hotpack that, I said I have been working hard for 5 hours straight, and I am disappointed that you caouldnt support me, he got an angry look on his face and said 'thats what we do. I was SO disappointed and decieded not to trust this charge RN again, also he has reported several RNs for things he could have talked to them about and one was suspended on account of it, but of course he sits at the desk and would never confront the cna that sits there (see above). Sorry its complicated.

Another person is nice, but she gets really hyper, and she started to, at the beginning of my shift, hand out forms to rooms I ordered to be tubed (I needed to fill them out and had to re-collect them), among other things, and creating MORE work for me, and I said I know I am busy but I am fine, this is creating more work for me...and as a result of being paranoid about the other staff and feeling like they are at the desk talking about me as they do to others, I said, 'you just said you dont like when people start doing your work, and now you are doing mine. I know, maybe I was abrasive there, but I was busy, and tired, feeling the effects of the above.

Anyway, this is a nutshell picture. I jsut dont feel that close to anyone, save for one person I call and vent to. Any adive? I am sick of taking mental health days off because it gets to me, and would like things to go better but I guess I am too direct sometimes. And people disappoint me.

Wow! sounds like my place of work, too many hot heads but claims they're there to work while they only come in to gossip, lazy around and refuse to even get clean water for their residents to drink.

I have learned to mind my own business to an extent, avoid those who are there for un related work ethics and focus on my been there in the first place, PATIENTS!!! They are my reason for waking up every day, and give them your best, your reward is not far fetched.

Goodluck!

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