Here's just one example (of something?!)
Busy bee nurse fills in every single box on every single piece of paper, completes every single extra form created by the hospital, JHCAHO, and the health dept., follows up on every single lab or change of pt. status, charts litigously, caters to familes for the sake of PR, makes most of the inservices, labels every single IV and piece of tubing, updates the careplan, EVERYDAY, yadayadayada.
Lazyass nurse does the bare minimun, completes no forms, (I didn't know we had to do THAT one),doesn't change out of date IV sites, leaves treatments for the next shift, disappears or takes lunch during visiting hours, EVERYDAY. yadayadayada.
Everyone KNOWS who's doing what, and yet the Busy Bees are chastized by being forced to complete the undone stuff, make sure everything is updated, has to review all the forms and get charts and tasks up to par and this happens EVERY SINGLE DAY.
BusyBees and Lazyss Nurses are both still employeed. And although we realize the prediciment middle managment is in, we are also TOLD to folllow the chain of command, and YOU'RE IT!
We're stuck between a rock and a hard place with no place else to go. That's part of your job too.