I cannot UNDERSTAND lazy people!

[ShayRN]

We had two incidents this weekend that blows my mind. I wasn't there either time, so this is all second hand, but still, YEESH. I work at a freestanding inpatient Hospice facility....

1) We use a company owned by our hospital organization to mix all our IV drugs. A woman was admitted with breast ca with extensive mets to bone and pathological fx to humerus and hip. A doc at the hospital put an epidural in her and had fentenyl at 5mcg/ml at 15ml per hour. The nurse called the ONCALL pharmacist at 5pm and told him of the new admit. HE REFUSED to go and mix the fentenyl:madface: :madface: Apparently, he was getting ready to go to the movies with his family and THAT was more important the the patient's comfort:nono: The nurse on duty made a few calls and another IV company agreed to mix up the bags and bring them in so she would have enough to get through the weekend. THEN this man called back and said, I have an order from Dr. G, we are going to take her off this drug and try something else. Carol told him, number one, I don't take orders from a pharmacist. Number two, this woman is getting adequate pain control from the fentenyl and I WILL not change that just to make your life easier. NUMBER THREE, did you tell doctor why you wanted to have this changed? Needless to say, our director is getting involved in this tomarrow, but OH MY GOD!!!!

2) We only have housekeeping coverage from 8-4:30. The housekeeper interrupted report this morning with a 10 minute tirate about the rooms not getting cleaned at night. We had a patient leave at 7:30 the night before and with the 14 other patients, plus one death, we didn't have time to pick up in the room She said she is going to the director because, get this, ITS NOT MY JOB! YOU nurses need to be checking these rooms to see if they are clean or not. Umm, yeah, ok, so now on afternoon shift, without a unit clerk, we are suppose to be nurses, unit clerks, secretarys, and HOUSEKEEPERS.. AHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH

Please, please, please tell me. What is WRONG with these people. Or, is it possible I expect too much:uhoh21:

[TazziRN, RN]

The housekeeper sounds like she's trying to get out of working. The pharmacist sounds like he's got his priorities mixed up. Bless the second IV company!!

[crissrn27, RN]

If you are expecting too much then I am too. Geez, that ON-CALL pharmacist shouldn't have been ON-CALL if he wasn't going to do what he was being PAID to do. And housekeepers cleaning, oh my, where did you get the idea that they do that!

[canoehead, BSN, RN]

Our housekeepers say it's not their job to empty trash, it's the nurses' job, so I'm not unfamiliar with the concept of the housekeeper's perogative.

[kittagirl]

Don't you just want to yell sometimes

JUST DO YOUR BL**** JOB OK !

Drives me up the wall, and how often is it something small that in the time they've argued it they could have done it!

Some people are so busy telling everyone how busy they are they never do anything.....................

But I have to say your ONCALL pharmacist was way out of line and I hope he gets all he deserves.

[bethin]

Correct me if I'm wrong, but my understanding of on call is this: you may be called at anytime, whether it is convient for you or not. If you make plans, be ready to cancel them as you are on call.

I had housekeeping interupt me during chest compressions to remind me she couldn't clean a room until someone moved the IV pole out of the room. I'm told I looked like Linda Blair in the Exorcist. We are constantly being left notes and emails to make sure to move equipment out of the rooms before housekeeping cleans, to empty trash, etc. I'll do that right after I pee for the first time in 10 hours.

[AmandaBrittainy]

Lazy - Where do I even begin, I am an ER nurse - does anyone believe there is room for laziness in ER let alone any nursing field?

Nurses will let thier discharges sit for several hours just to avoid not having a new patient, I work with nurses that delegate triage to unit clerks so they can read the paper, place b/p cuffs on dialysis grafts, doctors that order MRIs just so they do not have to disposition thier patients until the next shitf is on. I had to call a doctor three times last night while my patients k was 7 and she went into V-Tach, he was only 5 seconds away but didnt want to get out of bed. These people are dangerous and they seem to get away with everything!

[DusktilDawn]

What's wrong with these people?

Simple:

1. They are under the delusion that the nursing staff is "dumping" on them.

2. No matter how simple it may be (ie: moving an IV pole out of a room:uhoh3: ) they will not "allow" the nursing staff to "dump" on them.

3. They are usually back up by their supervisors AND our supervisors in their quest to ensure the nursing staff does not "dump" on them.

4. Everyone but the nursing staff has a clearly defined job description. What isn't in another's job description is automatically the nurse's job.

5. When it comes to "team work," only one member of the "team" is always looked at to always pick up the ball, and that one member will always be the nurse.

Added bonus:

They get to gleefully brag to each other on break/lunch (yeah, the breaks/lunches they NEVER miss) about how they "stood up and defended themselves" against " the Empire of Evil Nurses" to prevent the shameful practice of actually being forced to even the simplest of things THAT ARE NOT IN THEIR JOB DESCRIPTION.

[UM Review RN, ASN, RN]

I hear ya. Apparently, our housekeepers are not allowed to remove bedding on beds whose patients have been discharged.

I found this out after a housekeeper came and found me and stood outside the door to the room, pouting and waiting for me to strip the bed so she could clean.

I'm thinking, What, are they gonna find something there that they haven't already found in the bathroom?

[Indy, LPN, LVN]

I found and reported to pharmacy two errors inside of an hour one night. Not little ones, big ones. No problem. Midnight comes, I have two crashing patients and a bleeding IV. Pharmacy is on the phone, not the pharmacist with whom I have a good rapport but a tech I've never spoken to before. What does she want? For me to call bed control and make sure the patient in some room that was d/c'ed 3 hours ago, is d/c'ed in the computer.

I told her no, I don't have time for that crap, they'll do their job when they do their job, I gotta go people trying to die on me. And I hung up. My tech got an earful a minute later when she called back demanding to know who she was talking to. ?! I help "pick up that ball" all the time, and don't mind coordinating a thousand and three little itty picky things that someone else should be doing, but I will say no to anyone who interrupts lifesaving care for something stupid, whether they are licensed or ancillary or saint peter himself.

[DusktilDawn]

I found and reported to pharmacy two errors inside of an hour one night. Not little ones, big ones. No problem. Midnight comes, I have two crashing patients and a bleeding IV. Pharmacy is on the phone, not the pharmacist with whom I have a good rapport but a tech I've never spoken to before. What does she want? For me to call bed control and make sure the patient in some room that was d/c'ed 3 hours ago, is d/c'ed in the computer.

I told her no, I don't have time for that crap, they'll do their job when they do their job, I gotta go people trying to die on me. And I hung up. My tech got an earful a minute later when she called back demanding to know who she was talking to. ?! I help "pick up that ball" all the time, and don't mind coordinating a thousand and three little itty picky things that someone else should be doing, but I will say no to anyone who interrupts lifesaving care for something stupid, whether they are licensed or ancillary or saint peter himself.

Let's see, CALL the nurse to tell her to CALL bed control, and than CALL back to get her name of nurse who refused to CALL bed control because of other priorities and hung up. I've never understood why it makes sense to some people to CALL the nurse to CALL someone else over trivial stuff like this.

[UM Review RN, ASN, RN]

Although....

sometimes people just don't have their priorities straight, like the Unit Secretary who refused to put out a stat call on a crashing patient because she was "too busy."

(Tell me, do I have any hair left?)