I have a real problem with ancillary staff and am at my wits end. I need help.

Nurses General Nursing

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I hesitate to submit this issue, as I know that most Techs, Aides, and HUCS are dedicated and professional, and that I could NOT do my job without these coworkers. Therein lies the problem. On the Critical Care Unit where I work we have many professionals in these positions who are wonderful, hardworking, thoughtful, empathetic and professional. Most of them are. We also have two who have driven me to distraction the last 10 years, and I no longer know how to cope with them.

These two HUCS are long-time employees of my institution (not as long as I have been employed here, but close.) Both are friendly with management, and have frankly gotten away with murder for most of their employment. Neither one actually comes to work to do their jobs. Both appear to work primarily to bolster their social lives. Both are "talkers", which is fine if it doesn't interfere with one's ability to perform their assigned tasks. Unfortunately, both have discovered that they are above reproach (apparently) and are able to do whatever they wish, or nothing at all, and no one will challenge their performance.

One is a mid-50s lady who has been divorced for a long time and has been searching (for a long time) for a man. Any man. Doctors preferred. When a physician, or some other man, is present on the pod, she is unwilling or unable to perform any of her work tasks. She moves her chair up close to said gentleman, and embarks on an embarrassing attempt to throw herself at whatever male is present. If requested to do her tasks, (i.e.: glucose checks, retrieve blood from the blood bank, print out order sets, etc. ), she looks at whichever nurse made the request, but never drops a beat in her intimate conversations with the physicians, whom she always addresses by their first names. It seems some of them have been embarrassed by her antics, while others seem to find it quite flattering. HUCs are responsible for blood sugar testing on our Unit, and when asked (at 0830) "Did you get the 8 AM gluc?", if she responds at all, we are lucky if she can be moved from her chair to do the glucose check by 9 AM. I certainly don't mind doing my own gluc checks, but when I'm giving blood and titrating vasoactive drips, all the while preparing an unstable patient for O.R., I just can't be everywhere at once.

Today I asked her to go to the waiting room to bring in a family of a man who was dying, but she could not be bothered. She did not move from her chair. (She was busy throwing herself at the physician at the next computer.) When confronted with the lack of response, she stated "I looked, but they weren't there." This was a blatant lie, as I had found the family waiting by the door in tears hoping to see their father/husband before he died.

This particular HUC, and another one as well, appear to have "special dispensation" from our Unit Directors. Any complaint about their unprofessionalism, or the fact that they just do not do their jobs, is turned back on the RN with "Well, sometimes you just need to do those tasks yourself. She/He "is a valued member of our staff, and your expectations are unfair." Bear in mind that the other HUCs and PCTs have no difficulty performing the same tasks in a timely and efficient manner, usually without any prompting.

I am at the end of my rope! I am so tired of being angry all the time at work because I have no support to care for my patients! The truth is that I really NEED a professional to be working in the HUC capacity, because adequately performing my job depends upon having a HUC coworker who is professionally performing their job. We are a team. I NEED them to work with me to provide safe and quality patient care.

I know from experience that speaking with these particular people results in a passive-aggressive work slow-down or stoppage. I also know that speaking with my Unit manager has absolutely NO effect. I am so tired of struggling, and leaving work angry (and late) due to lack of help. I truly do not know where to go from here.

I would appreciate any constructive advice offerred.

One tactic I have had success with (although it's not the best way to make friends) is to, in a clear, calm voice so that others can witness, state "Suzie, I have asked you to do such and such. It is part of your job. Are you officially refusing to do it?" If they say yes then I immediately pull out a write-up form but usually it never gets that far because they don't want to look like a fool in front of an audience. Do this a few times and the problem usually gets solved but they won't be friendly about it.
Oh that's freaking brilliant. LOVE IT.

Usually, I would defintely advocate for discussing this with the HUC just the two of you since I like to approach work issues with co-workers this way isntead of going to management. BUT here is the deal you already know, upper managment knows they do not do their job. They always do but because of personal feelings, connections, whatever, they are not going to do anything about it. So, your going to have to get a new job.

I recently started a PRN job in an ambulatory care center last winter. I have already move onto a different location in the same organization because their clinic staff just did not do their job. They sat on their butts all day while the 2-3 of us who do have work ethic ran circles around them. The office manager knew, we got along great, but there was just nothing she could do about it. I'm not fighting that battle because I have yet to see anyone win that one, plus don't have time for that, and I professionally made my exit.

I have yet to understand why managers continuously let staff who do not work continue to do. It just makes no sense to me. They are like plagues that infiltrate the unit, destroy team morale, and everyone leaves -- except the offender who year after year is still sitting on their butt.

Save yourself the stress and anger friend, move on, perhaps a change in environment may end up be a great move for you. I myself am trying to figure out how to work with people who are lazy without being irritated about it so I will be following this to get tips of my own to use in the future.

Out of curiosity, is this a Union job? I've noticed at these places, dead weight staff is in a higher abundance.

My hospital is a Union, and yes, we have many employees like this. No one wants to work with them, however they also have many "friends" and they stick together. These people know how to finesse the system, and know all the ins and outs. Hurt your hand? They say it happened at work and go out on comp. Nurse X reports you? It must be racial. They are always friendly and familiar with the Union reps in the office. Mostly because of all their time spent whining to them.

One thing that has always irked me is that because they stink, nurses expect less from them. This causes me to have to work harder to pick up their slack. Many nurses won't even ask them to do anything because it's a hopeless case, so I'm there to fall back on.

It's unfair to ask me because they are useless, and even more unfair for a nurse to work harder because they aren't reliable.

I'm new to my unit and the pcts run the show. The other day I asked for blood sugars and vitals and I was told "they're on my paper on the other side." Nothing was entered and she was on lunch. So naturally I had to go walk down and search for her papers for the information and half of it was missing. Another day a pct said to me "go make that bed." I have no problem making beds but not when I have meds to pass and you are able to do it. Same pct informed me that she forgot to get vitals at the end of her shift as she sat in the breakroom. Alright rant done...Anyway I feel your pain. You can try sucking up to them...that's kind of my method right now. If you have communicated your concerns I really feel moving on is your only option. At my hospital it's clear this is just how things work so if it continues I'll leave.

Specializes in PICU.

Is there a way you could walk over to the Dr with whom she is conversing and say Dr.... I am sorry to interrupt your conversation, I have some clinical questions regarding pt.... and then say I also need to borrow I need her to help me with pt... who needs their blood sugar drawn, or what ever the task is.

Out of curiosity, is this a Union job? I've noticed at these places, dead weight staff is in a higher abundance.

My hospital is a Union, and yes, we have many employees like this. No one wants to work with them, however they also have many "friends" and they stick together. These people know how to finesse the system, and know all the ins and outs. Hurt your hand? They say it happened at work and go out on comp. Nurse X reports you? It must be racial. They are always friendly and familiar with the Union reps in the office. Mostly because of all their time spent whining to them.

One thing that has always irked me is that because they stink, nurses expect less from them. This causes me to have to work harder to pick up their slack. Many nurses won't even ask them to do anything because it's a hopeless case, so I'm there to fall back on.

It's unfair to ask me because they are useless, and even more unfair for a nurse to work harder because they aren't reliable.

No, we aren't unionized, but everything else you say is exactly true for us as well. And, sadly, our more professional ancillary staff do end up picking up the slack for the protected lazy ones.

Is there a way you could walk over to the Dr with whom she is conversing and say Dr.... I am sorry to interrupt your conversation, I have some clinical questions regarding pt.... and then say I also need to borrow I need her to help me with pt... who needs their blood sugar drawn, or what ever the task is.

I like this strategy!

Just as an aside, I've always been fascinated by how differently things run in other states/hospitals.

Only the RN or LVN can check blood glucose. We have CNA's here who do vitals and personal care.

Specializes in Hospitalist Medicine.

What a tough situation to be in. The fact that it's gone on for 10 years, though, makes me think that you might be better able to save your sanity by transferring to a different unit. If that's out of the question, then you're really going to have to 1) have solid proof of the HUC's behavior, 2) get witnesses willing to back you up, and 3) be ready to handle the inevitable backlash.

As suggested above, I would document as much as you can, but be short & factual, no opinion. If you know one of the doctors who was made uncomfortable by her behavior, perhaps you could speak to him alone and ask if he would back you up in reporting the behavior to HR. Sexual harassment should never be allowed to go unchecked.

I yes with you very much! Did exactly the same and added that unless something was done, I was going to either leave my job or totally decline sharing a shift with the culprit! Well, I was a senior and they could not dare loose a senior for for a Junior! Few more days I worked with the culprit, I gave her NIL by mouth, and this hurt her more than she had ever hurt me before!😊

Specializes in OB.
Just as an aside, I've always been fascinated by how differently things run in other states/hospitals.

Only the RN or LVN can check blood glucose. We have CNA's here who do vitals and personal care.

I was surprised about this too...where I've worked PCTs certainly did blood sugars but I've never in my life heard of unit clerks doing any type of patient care tasks.

OP, I'm so sorry you're going through this. I've been there, although not to the extreme extent you are experiencing right now, and it's hard to navigate. I think your course of action depends on what you know about your boss's boss and how they would proceed if you went above your boss's head. If you think there's a chance they'd support you, I'd go ahead and start documenting every little thing like others have suggested. If not, unfortunately it may be time to move on, or learn not to let it get to you (something I have a hard time doing!)

I was surprised about this too...where I've worked PCTs certainly did blood sugars but I've never in my life heard of unit clerks doing any type of patient care tasks.

I should have added that as well. Our unit clerks are called ward clerks and they do paperwork/computer entry only and answer phones. No patient care. And they don't take medical orders from physicians.

Where I work, it would be nipped in the bud right away if that kind of flirtation went on . . . the doctors are so busy that if you tried to take some time away from their focus on the patients, you'd be up poop creek. Without a paddle. :sarcastic:

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