My skills are being wasted! vent thread

Specialties Emergency

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I really like most of the techs in our ER. They work hard, and do pretty much anything they are asked to. Difficult blood draws, splints, clean up, you name it, all you have to do is ask. If they are busy, the usual answer is, "I need to this this and this, then I will get to it", not "no I'm too busy". So if what you want is a high priority, you know if you need to have them stop and do your stuff first or if their other stuff is just as important.

Vent part: one tech complains that we are wasting her skills by asking certain things (like going to pick up the telemetry unit so the admitted pt can go to the floor). Ah, if you don't do it who will? How are your time and skills more important than the nurses', who would have to go get it if you don't? (and for the record, I have picked up plenty of tele boxes myself, especially when I'm in charge and we need to get people moving). Your job description includes stocking the rooms with linens, why is it suddenly beneath you? I know you have some paramedic training and are planning on nursing school eventually, but you are hired as a tech here and now. Yes you can do more, so can I; my scope is broader and has more responsibility than yours, yet I put sheets on the shelves, and clean up patients, and put them on bedpans. Do you really think when you get the rest of your training and education you won't be doing these things? Quit complaining and just do your job!

And that is wrong. When they are on duty as Techs, they should be wearing their Tech hats. If it's possible for them to observe/learn without taking away from the duties that they are being paid to perform, then great! I am all for teaching and learning. But, when they are on the clock as Techs, that is their priority. Learning new stuff that might help in their education later down the road is gravy, and should not take priority over their job performance.

If anything, the nurses should be in those rooms learning, so they can better anticipate the physicians' needs.

Tell me about it I needed an EKG on a pt with chest pain and was told that I would have to do it myself as the tech was with a patient. I Did the EKG not to mention drew the lab started the IV and gave the meds. When my pt was settled I went to the room where the Tech still was to find he was suturing a patient with the doctor watching. I was in shock I told the Doctor that suturing was not in his scope of practice and she said it is ok he is doing it under my licence. I wanted to say maybe I should notify the medical board and see what they say. Another time we have a code and the Nurse is doing CPR while the tech was getting a lesson on intubation. Then after the pt was declared the doctor then proceeded to give the tech a lesson on Defibrillators while we went on to the patients that came in during the code. I know it is truly the doctors fault for doing this but it is also the techs fault he knows that it is wrong but hey if someone is willing why not and if the charge nurse condones it as well what can we do.

I don't think you're out of line wanting the tech to do his/her job. It really doesn't matter what he/she will be in the future, right now he/she is a tech and needs to do this job well. Skills practiced here will be applicable to the future and will enhance future practice. No experience is wasted experience, in my book.

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