My husband said something that got me to thinking.

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First let me say my husband is NOT a health care worker. I asked him how things went at work today. His answer was, "as usual, the people who never do anything managed to avoid doing anything for another day, when anything actually got done it was done by the same small group of people who do everything". That made me chuckle and got me to thinking that a lot of the problems we experience with co-workers in nursing are actually part of the human condition and not exclusive to nursing.:)

What's the old saying? 80% of the work is done by 20% of the people.

The other one is that if you want something done, give it to a busy person.

Managements do allow this to happen, but in fairness, there are fewer competent, hard working people in any field than there are "floaters," to use a hockey term. (Not a reference to those in the float pool, who are often very, very good experienced nurses.)

The trick is to identify the bottom 15% of your employees, and 1) work with them to improve then, if that doesn't work, 2) fire them if there is a good enough excuse, or 3) make life miserable enough for them that they quit.

Easier said than done, since everyone thinks they're the hardworking ones. And then you have to find a better person from the available applicants.

Easier said than done, since everyone thinks they're the hardworking ones. And then you have to find a better person from the available applicants.

Oh definitely. This one guy at my work was complained about by everyone. After he got talked to by management, he still thought that everyone was making up lies out of nowhere. Um...if everyone thinks it...there must be some truth to it.

Specializes in EC, IMU, LTAC.
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