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

Nurses General Nursing

Published

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.

Specializes in ER.

We have a job category called Nurse Extender. They are CNAs who also work the desk. They make a little more money.

Specializes in Case Manager/Administrator.

I would be firm, fair and consistent. When you ask the Health Unit staff person to get the blood glucose state I need Mr. X blood glucose results within the next 10 mins,... you must follow up at the 10 minute mark, when they state they did not get it done or I couldn't get to this in the time frame you respond you did not tell me that, I count on you for assistance, do you need extra training I would be happy to assist you with this. This usually works for me after the second or third time for anyone.

I also provide the people I am supervising with Must do's within the first 1-2 hours of shift. They have to bring the completed tasks to me before the end of the time I have designated. If they have not and I have to go search them out I make them come with me to record what they have and then they have to obtain the uncompleted tasks before the next hour.... The hardest thing is going back at designated time frames, it is hard but after a few times the staff get that I mean what I say and they usually step up and complete the tasks, if they do not I suggest to them time management classes and break their tasks into hour by hour segments. Is it micro managing....yes but when you state I need the results within the next 10 minutes and they are sitting there still with the same doctor... I call them on it in front of the doctor....I say Hey Doctor X you are keeping my staff from important work, we need those glucose results so we all can do our jobs! Usually if I call them on it in a nice way it never happens again.

Submit a request to the local ombudsman. These people are on the lookout for negligence, cover ups and general malaise in the profession.

Specializes in Float Pool - A Little Bit of Everything.

I have seen a lot of this in healthcare. If you figure out a solution, please share what it is. The only intervention I have ever seen work is when they do something that HR has to take action on and it gets reported straight to HR. This was in a hospital however, in the SNF and LTC facilities I worked HR was not reputable.

Submit a request to the local ombudsman. These people are on the lookout for negligence, cover ups and general malaise in the profession.

How would I locate an ombudsmen? We had them in the Navy, but I haven't seen a civilian healthcare related person with this job title. Do all health care facilities have them?

How would I locate an ombudsmen? We had them in the Navy, but I haven't seen a civilian healthcare related person with this job title. Do all health care facilities have them?

It is not the facility, but a government agency where the ombudsman resides. Look under your state government, or under the county.

Specializes in Cardicac Neuro Telemetry.

I don't necessarily agree with finding a new job. The grass isn't always greener on the other side. There are much worse reasons to leave a job. I think the suggestion of documenting incidents and emphasizing that safe patient care is being negatively impacted may encourage management to act. Mentioning her behavior toward the male physicians may bolster your cause. If management does not budge, then it may be time to transfer units or go somewhere else especially if you just can't take it anymore. Try to frame your complaints from an objective angle. Don't make it seem personal but rather, emphasize how her behavior impacts the patients and the unit as a whole rather than how it inconveniences you.

I love the strategy of saying, "I asked you to X which is part of your job. It's not done. Are you refusing to do it?" I also like the idea of saying, "Excuse me, Dr. Wonderful, but I need to ask Trixie to come with me and discuss doing some patient care. Will you excuse us please so that we can have a HIPPA compliant conversation about it?" - said as you start to turn to walk away.

I'm afraid though that the offenders will quickly figure out ways around these strategies, and more than that, it's exhausting to need to keep herding cats, so to speak. And it's really hard to say calmly and with a smile, "Trixie, I'd like that glucose done now, please," and just stand there until she goes to do it. It's a confrontation of sorts every time you give a directive, and the clinic environment doesn't support non-stop confrontation. Of course if you want to be devious you could tell the males involved that you have heard on the wind that there's a sexual harassment suit in the works involving Trixie. My bet is that they would start avoiding her like the plague, but honestly that's the kind of action I fantasize about in my dark hours but realize it serves nobody in the long run.

I disagree with documenting and reporting. A big long list of misdeeds are only going to serve to remind the supervisor, who has already told you she's OK with the sub-performers, of what a pain YOU are. It costs you coin and accomplishes nothing. Going over the supervisor's head will only serve to make the supervisor mad at you, because there's no way this will do aught but cause her pain. By some miracle if the higher up has been aware of this and has just been waiting for a whistle blower OK, but that's a miracle. I also disagree with giving 10 minutes, or being more clear with expectations. It's not lack of clarity or your being unfairly inflexible at issue, it's a poor fit between the HUC's intentions and your expectations - which seem reasonable, by the way.

I'm all too familiar with the dynamics of organizations which should maintain certain standards of performance but don't, for any number of reasons. I confess that frustratingly often I fall into a sort of childlike perspective of forgetting that my organization is made up of people who have priorities and strengths and places that need work, just as I do. Once I've done what I can to address and issue and kicked it to the supervisor if I'm not successful, unless it involves patient safety I've learned to try to accept it or move on. Not easy! But in the end, for me the only workable response.

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.

You don't know why? Well, either the Manager is scared, or unaware, or lazy, or just doesn't care because she is not the one hurting, or a closely similar reason.

I really think that anonymously recording the behavior, verbally and visually, then sending copies to Legal, DON, CEO, and maybe a news media source or two, and /or the accrediting bodies could solve this problem. Record all the requests for these evil wenches to do whatever, record their refusals, their lies, their chats with the doctors, and send all of this to the above and let's see who says to fire them and who wants to protect them.

You will have your answer as to who they are related to, who is afraid of them, etc.

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.

Stop doing their work. Just stop.

If there are lots of people upset with them, they need to band together and get rid of these evil ones.

Again, stop covering for them and get everyone together who is upset about them, then go as a group to the multiple people who need to take action against them.

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!������

What is NIL?

Specializes in Addictions, psych, corrections, transfers.

I was just about to say this. I have used this tactic a few times.

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