In the ER I work at now, there is ONE, seriously, one tech who does her job without me even having to ask. We hardly ever work on the same days, but I do get to work with her at least twice a month. It sounds stupid, but sometimes I am so overwhelmed with appreciation for her by the end of the night I nearly have a tear in my eye and I always have to hug her and tell her how much I appreciate her. If I wasn't running around collecting all of my own urine, answering every single one of my own call lights, weighing all of my own patients, charting vitals hourly on top of everything else I have to chart, doing all my own orthostats, cleaning all of my own patients with no help to turn people over, cleaning my own stretchers, etc. I would be able to enjoy my job a lot more. Obviously it is impossible to expect a tech to do all of those things when we are slammed. And of course, I do not mind doing those things, but when it's ALL me, all the time, it gets exhausting. Especially when I have IV's to start, meds to push/hang, report to call, and extensive documentation to chart on top of worrying about doing all the things I just mentioned. Every time I try to delegate techs are either no where to be found, have some excuse, or look at me like I have three heads.