"I didn't go to school to do X" the new mentality in nursing?

Nurses General Nursing

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Does anybody else find the "I didn't go to school to do X" mentality annoying? Annoying, not the correct word. Hmm...frustrating is more like it. Let me clarify: the "I didn't go to school to do X", X being, I guess, bathing patients or waitressing (i.e. bringing patients sodas, etc). Isn't the whole idea behind nursing to care for both the body and soul (spirit, mind, whatever your religious/cultural beliefs are)? My goal here isn't to be all Florence Nightingale-ish, but just to inquire as to when this attitude began and why.

I believe it's possible to prevent your patient from becoming septic and having a keen eye in recognizing subtle changes AND get your patient or patient's family member a warm blanket or maybe the 10th warm blanket during your shift. If it brings them comfort, why not do it? Nobody is above bringing comfort to a patient Nurses are both skilled, intelligent AND caring. I certainly wouldn't want someone with a "I'm too good for X" mentality to care for myself or my family member. And, yes, I understand that it's not always possible to do the little things for patients; there are certainly shifts from (shall we say purgatory? Yes, that's a kinder word lol) where it's just not possible, and I understand that we're pulled in a million different directions. But, it's everybody's job to help patients, not the CNA vs. nurse mentality.

Which brings me to one of my biggest pet peeves (nurses not helping CNA's). One of my friends who is a CNA at another hospital told me that a nurse refused to help her, saying, "That is not my job. I don't touch patients." WHAT?? Wow is all I can say. Most people in the public thank nurses and appreciate all that we do, but two things that are keeping us from being viewed as a profession would be: the above statement by the few nurses who say/do such things, and gossiping/texting at nurse stations. Hospitals really shouldn't have to have policies forbidding facebook and texting; it should be a given that we don't do such things at work when we should be working. (I understand that there are family emergencies, etc, but still, those can be handled in staff rooms away from patients).

In closing, I just want to thank all of the nurses, CNA's/PCT's on here that work so hard every single day for their patients! There may be days where we may feel like all we did was run, run all shift, and think "am I making a difference?" Yes, most certainly. What would have happened if you had not noticed X, for instance? Would your patient not be worse for the weather? Or how about the :) you got from Mrs Jones in Room 202 for doing X? There seems to be a prevalent "I'm just a nurse" mentality, as well, and that inferiority complex really needs to stop.

Specializes in neuro/ortho med surge 4.
When I've been slammed and actually had to ask people to do their own d*** job, these are the responses I've gotten:

RT to suction a patient: "can't the nurse do it, it's almost shift change."

Dietary to bring up the food that they left off the tray, "Can you come down to get it, we're busy."

Pharmacy to bring up a PCA syringe that I'd warned them I'd be needing hours before, "Can you come down to get it, we're short staffed."

Housekeeping to clean an IV pole: "We don't clean the IV poles." Ok, so who does? "The nurses clean them."

Housekeeping to empty the trash: "What? You're too good to take out the trash?"

Formula room, when I called for formula that had been ordered 6 hours prior: "Is there someone that can come get it?" No, we're all running around up here. "Well I was just about to leave." OK, then I guess the baby won't get to eat all night. Strangely when I made it clear it would be HER fault the baby would be hungry, because I wasn't going to take the blame for HER job not being done, she found someone else to bring it to the floor.

My favorite though, is calling the computer folks. Because when I have patient care, they want me to spend 20 minutes fixing the printer or computer.

Oh, and when we're short a tech, the nurses pick up the slack and take a total care patient. When we're short a nurse, the nurses pick up the slack and we all get a patient added to our load.

When we're short both a tech and a nurse? Nurses STILL pick up the slack and take an extra patient AND one of them is total care.

And we get told, "Well we all have to work together." No, working together would be EVERYONE picking up the slack. The hospital version of working together is "Let the nurses do it."

This is my pet peeve. Everything is left to the nurse. If the TV is broke call the nurse, if the mash potatoes are too cold- call the nurse. There is an order for an MRI,. The MRI tech calls and asks if if needs to be done tonight. Geez, there is an order - what do you think? I tell the ancillary staff that if they are questioning the orders they can make that phone call to the Doc themselves and ask if these tests or labs really need to be drawn or done that night. These questions are asked all of the time. It makes me crazy. I once had a respiratory therapist come out of room and tell me that one of the patient's phones was not working. Do you think this RT could have picked up the phone to see what the problem was? I went down to the patient's room who happened to be on precautions. THe phone was not plugged into the wall. THis was a simple fix that the RT could have done themselves. This same RT came up to me another time and told me that a patient's legs were hanging over the side of the bed. I said to her- Well. did you put her back in bed?

I agree if the nurse is not busy he/she should be bringing their patients to the bathroom or cleaning them up if the aides are tied up. I for one always incur Overtime so I am never not busy. Forget about a meal break. I do believe all other departments in the hospital manage to take a meal break. Have yet to see a nurse take a half hour off the floor. There is definitely something wrong with this picture.

Specializes in Med/Surg, DSU, Ortho, Onc, Psych.
When I've been slammed and actually had to ask people to do their own d*** job, these are the responses I've gotten:

RT to suction a patient: "can't the nurse do it, it's almost shift change."

Dietary to bring up the food that they left off the tray, "Can you come down to get it, we're busy."

Pharmacy to bring up a PCA syringe that I'd warned them I'd be needing hours before, "Can you come down to get it, we're short staffed."

Housekeeping to clean an IV pole: "We don't clean the IV poles." Ok, so who does? "The nurses clean them."

Housekeeping to empty the trash: "What? You're too good to take out the trash?"

Formula room, when I called for formula that had been ordered 6 hours prior: "Is there someone that can come get it?" No, we're all running around up here. "Well I was just about to leave." OK, then I guess the baby won't get to eat all night. Strangely when I made it clear it would be HER fault the baby would be hungry, because I wasn't going to take the blame for HER job not being done, she found someone else to bring it to the floor.

My favorite though, is calling the computer folks. Because when I have patient care, they want me to spend 20 minutes fixing the printer or computer.

Oh, and when we're short a tech, the nurses pick up the slack and take a total care patient. When we're short a nurse, the nurses pick up the slack and we all get a patient added to our load.

When we're short both a tech and a nurse? Nurses STILL pick up the slack and take an extra patient AND one of them is total care.

And we get told, "Well we all have to work together." No, working together would be EVERYONE picking up the slack. The hospital version of working together is "Let the nurses do it."

Couldn't have said this better myself. And I can't STAND it when the social workers and other acillary staff come back after a long weekend, and complain: such-and-such wasn't done for Mrs Smith and she's not happy about it. Well, why don't YOU come in on your weekend and do what's needed, cos we are the cleaners, waitresses/ers counsellors, psychologists and general fixer-uppers and go-fors when you lot aren't around! Oh and BTW, please stay back to the time you are supposed to be working till, not clocking off 15 minutes earlier cos 'that's how long it takes me to get my great together to go home' - I've SEEN people do this with my own eyes! Unreal.

I can't stand unjustified criticism anymore - I do not tolerate it now in any shape or form.

Wooh, all I can say is KEEP COMPLAINING matey, cos unless you kick up a fuss, nobody pays the slightest attention to nurses.

Specializes in Med/Surg, DSU, Ortho, Onc, Psych.

Here's another story from last week.

I was caring for mainly elderly people on my shift. Well one lol rang her bell, so I went in to see RIGHT AWAY away what was wrong (she was quite demanding).

This was the complaint:

'Nurse this bowl and cup I'm drinking from tastes like it had another beverage/soup in it, can you get rid of the taste for me please' :confused:

I asked her what it tasted like - the bowl etc was clean - and she said they must put garlic or other things in these bowls, cos she's had others that didn't taste of what they're supposed to taste of. I told her I used to work in a commercial kitchen and huge, high temperature dishwashers are used to clean everything as per occupational health and safety orders. This didn't fly with her at all (why I would lie to a patient about dishwashers, I'm still trying to figure out).

Anyway, she looked at me sceptically and replied 'Well I'm not eating this, you can go down to the kitchen and get me A NEW SET OF BOWLS, CUPS AND A PLATE THAT HASN'T BEEN USED BY ANYONE ELSE!', oh, and she also wanted a new dinner put in them please.

I'd had enough of this demanding, petulant woman - of her and her son. So I said that is not possible; you either eat what's there or you starve.

And she ate her dinner after that with no problems.

Some patients....you just want to hit them over the head with their dinner I tell you!!

Specializes in Med/Surg, DSU, Ortho, Onc, Psych.
Mjmoon, I was just kidding/exaggerating a little with the 10th warm blanket, but I can see how humor would be lost in text. Yes, definitely limits need to be set at times w/certain patients. SummitAP, you make a very good point, one that I have considered before (i.e. why pay nurses OT instead of doing small things to retain the ones you have/decrease turn-over, etc). But, unfortunately, not every person in corporate/management is effective in efficiency, managing budget, employee satisfaction, etc. Some simple common sense could be applied at the corporate level, maybe have a few people who have actually worked in healthcare in the upper level of administration lol. Anybody here feel like getting their MBA, getting into administration, and learning all kinds of pointless buzz words? Like syngery and inventing those acronyms for success in business...T.H.A.N.K.S, etc lol...

quote]

Gil, you just said one of the FUNNIEST things I've ever seen on AN:

COMMON SENSE IN MANAGEMENT, LOL!

There's no such thing!!

Specializes in Med/Surg.
i see this all the time in the nursing home i work in. all these nurses feel they are superior to us cna's. dont get me wrong there are some really good nurses who will help, but like i said-some! i myself will be attending lpn school soon and once im a nurse i know i will help in anyway when it comes to a patients. i have seen pateints tell nurses im soiled and there cna is on break and they will search up and down for there reliever just so they dont help them.i have seen this all to often. its really sad. but i do know i wont become that nurse who has a stick up her ass & thinks shes better then everyone because of a license

ok, maybe you didnt understand what i wrote & maybe you should reread :) to anwser all your comments

#1 im not exaggerating at all, like i said i've seen this with my own 2 eyes which i have 20/20 vision !

#2 i said in that perticular situation his cna was on break so whos responsible for the pateint ? obviously her reliever. now her reliever was assistting one of her own patients. the nurse wasnt busy passing meds or doing dressings, she was just sitting there on yahoo! he had to wait 20 minutes in his feces for the cna, so your telling me she couldnt just take him to the bathroom? yea exactly my point!

like i said there are good nurses & i compleelty understand that you guys have your own work load but if a cna is busy and theres a patient who needs assistance shouldnt you help them? yes ! because every nurse learns in school about doing perineal care :rolleyes:

well, by golly, with that sunny attitude i simply can't imagine why all the rn's on your unit aren't fighting each other to help you out.

Specializes in Family Medicine.
This is my pet peeve. Everything is left to the nurse. If the TV is broke call the nurse, if the mash potatoes are too cold- call the nurse. There is an order for an MRI,. The MRI tech calls and asks if if needs to be done tonight. Geez, there is an order - what do you think? I tell the ancillary staff that if they are questioning the orders they can make that phone call to the Doc themselves and ask if these tests or labs really need to be drawn or done that night. These questions are asked all of the time. It makes me crazy. I once had a respiratory therapist come out of room and tell me that one of the patient's phones was not working. Do you think this RT could have picked up the phone to see what the problem was? I went down to the patient's room who happened to be on precautions. THe phone was not plugged into the wall. THis was a simple fix that the RT could have done themselves. This same RT came up to me another time and told me that a patient's legs were hanging over the side of the bed. I said to her- Well. did you put her back in bed?

I agree if the nurse is not busy he/she should be bringing their patients to the bathroom or cleaning them up if the aides are tied up. I for one always incur Overtime so I am never not busy. Forget about a meal break. I do believe all other departments in the hospital manage to take a meal break. Have yet to see a nurse take a half hour off the floor. There is definitely something wrong with this picture.

Amen Sista!

Specializes in ICU.

My question is, if I am doing your job, who is doing mine? RN's have enough to do, tons to do actually.

Specializes in ICU.
I have never understood - and never will understand - why people go into nursing not wanting to:

- wash people.

- change people/clean up urine/faeces.

- don't like touching people.

- don't like nursing (I've had a student say THAT one as well).

- don't like shiftwork, knowing that nursing is a job where u have to do shiftwork, then complain loudly and vociferously to anyone who will listen. Go figure that one out and get back to me, cos I'm sitll scratching my head over THAT one.

- Don't like responsibility and are scared of it (had this from a student just last week).

- don't like old people, don't like smells, don't like ANYTHING about nursing.

My question to these people is: WHY THE HELL DID YOU GO INTO NURSING THEN? I'm sure nobody forced you into it!

We've actually had a final year student who was aghast to find out she would have to give ALL care to a patient...quote of the day was 'don't you have people for that?' ... we ARE the people luvvy :uhoh3:

Specializes in Med/Surg, DSU, Ortho, Onc, Psych.
We've actually had a final year student who was aghast to find out she would have to give ALL care to a patient...quote of the day was 'don't you have people for that?' ... we ARE the people luvvy :uhoh3:

Hilarious!!

I meant to say the student who said she didn't like nursing was a FINAL 3rd YEAR STUDENT on her 6 week placement. She confessed she didn't like any aspect of nursing - hadn't since she'd started. Well, wouldn't you go into a different field?? I also know parent's of a girl, where this girl gave up nursing altogether - and she had about 3 weeks or 3 months to go. What a shame she didn't stick it out!

I think one of the problem is students see all these glamorous TV programs, where the 'real nurses' have are barking at aides to do the grunt work, while they're chatting up the doctor *sigh*

We've actually had a final year student who was aghast to find out she would have to give ALL care to a patient...quote of the day was 'don't you have people for that?' ... we ARE the people luvvy :uhoh3:

Did she have "people" to do her homework, too? :eek:

That just flashes to skeezy scenes where "the help" are treated like total trash in old movies. Oy.

Specializes in Government.

I'm still stuck on the "tenth warm blanket". I love bedside care and don't mind doing anything patient or family related. However, the every 15 minute request to rewarm a blanket has become a ubiquitous drain on RN time and talent. Especially when it pulls focus from stat orders and IV restarts.

Specializes in neuro/ortho med surge 4.
We've actually had a final year student who was aghast to find out she would have to give ALL care to a patient...quote of the day was 'don't you have people for that?' ... we ARE the people luvvy :uhoh3:

THis is so funny!!!

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