Thanks for sharing your thoughts. djmatte, I completely understand and respect the RN role, and yes, I have experience in ICU, although not in this specific type of unit.
I have noticed that some RN's will willingly do certain tasks when asked by more senior NP colleagues and by attending physicians, and some of these same RNs will continue to Facebook on their phones and redirect me to do these identical tasks when I ask for assistance ('you can look up the number in that book over there" in response to a request to page a specialist for me) and ask me to solve problems that when I was in an ICU RN role, I would have solved myself.
In past positions, I have assisted RN's with turning and positioning patients, so I could assess skin, and I know other providers did not do this, and then the expectation became that I would assist with full bed changes, even on days when short staffing was not an issue. I did address this by assisting until I was able to complete my assessment, and then excusing myself and telling the nurse I would get someone to come help them from the nurses' station, with the rest of the bed change.
My perception is that I have previously been too friendly, too willing to help out, and this has somehow contributed to an expectation that I would help with nursing tasks, which ended up contributing to a time management issues for me. It is not the expectation of the employer that I assist with nursing tasks. I am not sure I have communicated the scenario and question here optimally, but if other NP's have had similar situations with insights about this type of scenario, I would appreciate hearing thoughts on successfully addressing this. Julia