Faulted by aides who want help with incontinence care - page 3

Hi, I'm a nurse only 2 years out of school and this is my first nursing job, in psychiatric nursing at a small, acute-care psychiatric hospital. I was first a staff nurse, and then when I... Read More

  1. by   EmmyBee
    Quote from Calliehoo
    I'm having a problem with the aides. On nights, we usually have two. They are not overburdened by work, to say the least; they have ample time to sit around and talk while I and the other nurse are working. It tends to get very busy for the aides in the mornings, with incontinence care, but I'm busy too at that time, writing notes, preparing for report, dealing with patients -- the charge nurses have their own patients (usually from between 7 to 10, depending on census).

    One or two of the aides (who tend to be malcontents) spoke to the nursing supervisor that I don't help them enough on the floor, meaning incontinence care. The fact is, I do when the aides are strapped, but not 1 1/2 hours before the end of shift. The nursing supervisor suggested that to motivate them and to improve morale I participate more in that type of thing.
    If this is true, I agree that the aids SHOULD start doing rounds earlier. The OP is making it clear that during the time they need help, SHE is busy then, as well. If she stops what she is doing to help them, exactly when is she to finish her own work?
  2. by   Calliehoo
    Quote from anewday
    I couldn't have said it better myself. I wish people would realize that as a nurse you are not above wiping bottoms, putting patients in the bathroom, giving showers and all the other basic nursing duties that many think they are too good for. Nursing is more than charting and passing meds. What if you worked on a unit with no aides? Then what? Yes and examining the skin of an incontinent patient is apart of nursing assessment. What better time to do this than during incontinent care
    Thanks for your replies, but you've entirely misunderstood. I shower patients, change beds -- soiled and otherwise, wipe bottoms, get supplies, clean urine and stool (including explosive diarrhea) off floors and seats and walls, clean vomit off (fill in the blank). I also fill the supply closet, fill the linen closet, and do patient laundry. All this in addition to my other duties as charge. As a newish nurse who's only worked at this one facility, I was asking (and have now had answered) the question as to how other nurses handle this, particularly in light of juggling their other duties, charge or not.
  3. by   Calliehoo
    Quote from mamamerlee
    "L&Dnurse2B" The OP states she does help when she can, but during the morning rush it can be too time-consuming to stop and help. So get off your high horse, and when you do become a nurse make sure you read and absorb everything before you make comments.

    I agree with gentlegiver - do what you can to help earlier in the shift, then it makes them feel that you are part of the team.

    And, as long as you are in uniform, you will be wiping bottoms.....
    Sorry for the delay in responding. Ah, life.

    Thanks so much to mamamerlee and others who gave me great suggestions for better prioritizing and team building, among other thoughts (and for also having my back). As I'd said, I am new (green!), and am awed by those of you who make this work look easy (when we all know it isn't).
  4. by   happy2learn
    I love how some of you were so quick to assume that the OP was "above", as someone wonderfully stated, booty duty.

    Where in the heck did you get that out of the original post? Because I surely did not sense any "holier than thou" attitude from the OP.

    Just read the message for what it is and stop trying to read into things.

    To the OP, if they have time to sit and chat, they don't need your help. Sounds like they are just trying to get away with things with the new charge nurse.
  5. by   Up2nogood RN
    I believe it is a team effort BUT at certain times of the shift the nurse and aides have different duties to complete before hand off to the next shift. Delegating to difficult lazy aides can be very frustrating. They already know what you'll do and just trying to see how far they can push you. Push back a little. Ask them if they can help YOU at the end of the shift.
    I had the misconception in my head when I was an aide that when I saw a nurse sitting down, seemingly doing nothing, I assumed that she just likes to sit at the end of the shift and watch me run to answer call lights and what not. Now I know better