Do you ever contend with pesty ancillary staff?

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Often nurses on the floor, while in their busiest minutes of their day, and sometimes even during a crisis, are hunted down by phlebs, radiology techs, physical therapists, care managers, random consults, dietary aides over innocuous issues or pesty requests. These requests come from a group of staff who generally are not accountable for a patient load, but have one job that they perform over and over on multiple patients throughout the day and are not sensitive to the cloud of responsibility hanging over nurses, who are trying to keep track of 10 other things that people have come by to tell them.

"Your patient in room 4 asked for water."

"There's a dime sized blood stain on your patient's sheet (from when they drew blood)."

"Your patients armband is missing (when its on their ankle)."

"Where's this patient's nurse?"

"Your patient in room 7 wondered if you could help them with the TV."

Meanwhile, you're running around looking trying to get pain medication, or you're settling a fresh post op, or stepping a patient up, or trying to prevent a rapid response. You know that what the person says may be important, but it's not something you aren't already cognizant of or something that needs addressing immediately.

Sometimes these staff want you to tell the doctor this or that, and you just want to say "Leave me alone damn it. Why don't you ******* tell them to order it?"

The best is when they pop on the unit for the 15 minutes they need to do their job, see that something is amiss in the patient's room, and they adopt an attitude suggesting that you haven't been paying attention to your patients.

What is your opinion on pesty ancillary staff? Do you experience it, or this just trumped up? What do you think it stems from?

Specializes in Eventually Midwifery.
The funny thing is that the guy almost never speaks English except to bother the nurses, so I think he may have used someone else's SSN to have gotten employed.

I'd like very much to tell him to shut up and keep mopping.

Well that was a pretty hasty conclusion. So what you are saying is that people that speak languages other than English are committing fraud to obtain employment? You do live in America, right? Good lord...

"Pesty" as in an insect? I try to appreciate, and I kind of find the term ancillary offensive. Sounds dismissive/ diminutive. Would YOU like to be referred to as "a doctor's helper" ? :whistling: But I digress... I have had words with a physical therapist who thought pain pills were the only necessary meds. She was breathing down my neck as I got the AM pills (20 or so) for a patient and so I told her that I needed her to back off a bit. Need space to do MY job too.

Specializes in Critical Care, Float Pool Nursing.
Well that was a pretty hasty conclusion. So what you are saying is that people that speak languages other than English are committing fraud to obtain employment? You do live in America, right? Good lord...

America where an estimated 13 million illegals live? Yes.

Specializes in Emergency Nursing.

Ancillary is the correct term, because it means someone who provides support. It's not diminutive.

I had only one serious problem with an US tech in my two years so far as a nurse. I had a pregnant patient in police custody because she was using drugs and was arrested in the street. She also had a UTI and was receiving IV antibiotics. The US tech came to the bedside to verify the pregnancy and said the the police officer "They're giving a pregnant woman antibiotics? That's awful." She didn't realize that I was right outside of the room and heard everything. Now I would have walked into the room and said something to her face about the meth probably being worse for her fetus than a Category C antibiotic, but at the time I was too shy and new so I talked to my charge nurse and wrote an incident report. Luckily the patient was so out of it, she didn't hear anything. But I always wondered what the cop thought of me and my competency after hearing that comment.

Specializes in Eventually Midwifery.
America where an estimated 13 million illegals live? Yes.

And there are 39 million LEGAL immigrants.

Your hasty conclusions and nasty comments about getting back to mopping come off as quite racist.

Specializes in ICU.

Oh, good grief. What is racist about saying the HOUSEKEEPER should mop the floor?

Specializes in Certified Med/Surg tele, and other stuff.
Well that was a pretty hasty conclusion. So what you are saying is that people that speak languages other than English are committing fraud to obtain employment? You do live in America, right? Good lord...

This OP likes to rock the boat. Look at previous posts. Just sayin'

Specializes in Certified Med/Surg tele, and other stuff.
Oh, good grief. What is racist about saying the HOUSEKEEPER should mop the floor?

Obtaining an illegal SSN to gain employment sounds like an illegal alien to me. Quite the assumption and ignorant.

Specializes in Certified Med/Surg tele, and other stuff.

Well OP, too bad you work where you do, but you would not fit in where I work with that attitude of calling people pesty. Imagine how your day would be without all these annoying people? Can you see yourself doing everything they do?

I love our ancillary staff. Even the RT will grab a blanket or ice water, AFTER they ask us if it's ok. I want to be bothered by CM because that means my patient is on the launching pad for a safe discharge. You should be grateful they exist.

Specializes in Med Surg.

Most of the ancillary staff I work with are great. I work nights, so we all have to work together. I've had a phleb come and tell me how much urine he emptied out of a patient's urinal. Heck, I had a doc walk a patient back from the bathroom for me. It freaked me out, seeing him come out of her room (she wasn't his patient). When I asked if she was ok he replied "She said she needed someone to walk with her."

Specializes in Psych, Corrections, Med-Surg, Ambulatory.

The hospital where I worked, pharmacy would NEVER call the Dr. themselves. They'd always call the nurse to say "That med doesn't come in that strength" or "It's contraindicated". They expected nurses to call the doctors for them because they didn't have time. (And I'd have to put down my magazine!) Unfortunately, management wouldn't back us and we got stuck playing go-between.

The transportation people were notorious for making fresh postops scoot themselves off the gurney and onto the bed. If I wasn't right there to insist we move the pt (and the slider sheets made it incredibly easy) I would find some poor person laboriously getting himself onto his bed without any help. I finally started writing them up.

So much for peeves. On a positive note: when I was orienting to my first med-surg job, I had a patient start vomiting just as I was emptying the foley bag. The PT walked in, dressed like she had just stepped out of a band box. I was desperately trying to reclamp the foley in a hurry. Without batting an eye, she grabbed a basin, held it for the patient, emptied it and tidied him up. All in the time it took me to clamp the foley bag. I was impressed. I told her I should really share my paycheque with her.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
The hospital where I worked, pharmacy would NEVER call the Dr. themselves. They'd always call the nurse to say "That med doesn't come in that strength" or "It's contraindicated". They expected nurses to call the doctors for them because they didn't have time. (And I'd have to put down my magazine!) Unfortunately, management wouldn't back us and we got stuck playing go-between.

The transportation people were notorious for making fresh postops scoot themselves off the gurney and onto the bed. If I wasn't right there to insist we move the pt (and the slider sheets made it incredibly easy) I would find some poor person laboriously getting himself onto his bed without any help. I finally started writing them up.

So much for peeves. On a positive note: when I was orienting to my first med-surg job, I had a patient start vomiting just as I was emptying the foley bag. The PT walked in, dressed like she had just stepped out of a band box. I was desperately trying to reclamp the foley in a hurry. Without batting an eye, she grabbed a basin, held it for the patient, emptied it and tidied him up. All in the time it took me to clamp the foley bag. I was impressed. I told her I should really share my paycheque with her.

Our hospital has just started having the labs call "critical action values" to the providers instead of calling them to the nurse to have US call them to the providers. Half the time te "critical action values" weren't so critical. If someone's hemoglobin has been 8.2 every four hours for the past two days, how come it's suddenly "critical" now that it's 8.4?

Now if I could just get the pharmacy to call at all when there's a problem with the med order . . . rather than just ignoring it and not doing anything . . . I'd be a happy camper!

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