Over on the nursing issues/patient safety forum there is a good post from a new nurse. This needs more comments. OK?
https://allnurses.com/forums/forumdisplay.php?s=&forumid=86
not-nancy-nurseJunior Member
Registered: Sep 2001
Location: Louisville, KY
Posts: 3
attitude adjustment needed?
I'm a new grad, currently on day #14 in the ICU....and I have a huge problem! Maybe some of you guys with a little more experience can help me out here--is this really a major deal, or am I just over-reacting?
On my unit we have nursing assistants, generally one to a unit, and every morning we nurses fill out a detailed sheet telling them what our patients need to have done. The responsibilities listed on the page are such things as hygeine, accuchecks, temps, I&O's, and turning. Every morning, I spend five or so minutes filling this out. Every morning, I fully expect that these things will be done as per the instruction sheet....AND EVERY DAY, THE ONLY THINGS THAT GET DONE ARE TEMPS/ I&O'S (IF I'M LUCKY!)
Now, I'm not an unreasonable person, but this drives me NUTS! I understand that often the assistants are as busy as we are, and I am always willing to help them out if I can....but, I DO have the expectation that they will at least TRY to do what they're supposed to do! I've asked nicely, that doesn't work. I've yelled and ordered, that doesn't work either. I don't know what to do. When I voiced concern about this to my preceptor, I was warned not to alienate the nursing assistants because they can be so much help to me. When I replied "Really? When?"--he just looked at me like I was stupid. So is it just me? Am I over-reacting because I'm new and don't yet understand how things work? Or is this a situation like the Emperor's new clothes, where everyone sees the reality and are afraid to acknowledge it for fear of reprisal?
I need help here, folks, because I've got to go back in there tomorrow and deal with these people--and, quite frankly, it's going to take all the self-control I have not to "alienate" them further for not doing their jobs...
Any advice you can offer would be appreciated!
Thanks,
not-nancy
_________________________________________________
===========================================
P_RN
Mod Squad Senior
Registered: May 2000
Location: SC-USA
Posts: 374
Can we say "Passive Aggression" boys and girls?
Asking nicely with a pretty please, if you would, if you can, when you have time........guess what.... doesn't work.
Ordering sounds a little harsh, but a constant expectation such as what were the 12:00 vitals on Mr/Mrs ____? When did you finish the bath....so etc.....works a little better. How does Mr J's elbows look......?
People tend to let WORK EXPAND to the time allotted to it.....so if you have 8 hours you stretch the work out to....8 hours.....So who can blame them if it ALL doesn't get done....Awwwwww.
You need to be constantly vigilent....reminding.....expecting. Threats hardly ever work......PROMISES do.
You then need to follow up on promises...even if it makes the preceptor antsy. He may have been one of the enablers who got the staff the way they are.