The line that makes me want to hurt someone, aka 'That's not my job!'

Nurses Relations

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I don't know what it is about the holidays that makes everyone so frickin self centered, but I swear, if I hear this line uttered in my presence ONE MORE TIME I will scream. I really will.

Outside of scope issues, there is no reason to be saying this.

Acceptable alternatives, if true?

'I am swamped right now, I really can't do that.'

'I seriously don't know how to do that, and this needs to be done quicker than the time it would take for me to learn.'

'I already attempted it and failed. Someone else needs to do it'

Yes, we as nurses have a bajillion things to do and TPTB keep piling on extra things to do and extra forms to fill out. But I can't tell you how many times I've seen someone sitting at the nurses station, watching videos or socializing on Facebook, and when told about something like oh, their patient on Golyte not making it to the bathroom and having a code brown on the floor, answer 'I'll call housekeeping, that's not my job'.

In the meantime, their pt has to deal with the shame of losing control of their bowels on the floor. See the faces of people who walk by and wrinkle their noses. I mean, I'm not saying you should go sanitize the room, but clean most of it with a towel or something, your patient and their dignity will be thankful.

Or, let's say your pt has a stat lab to be done at 2am. You go draw those since it's quicker than waiting for phleb to come, right? Right?! And when you do that, you check and see if your patient also has regularly scheduled labs in the morning, cuz hey, you might as well draw those, save your patient an extra stick and save phleb extra work when they are responsible for a heck load more patients. Right?!?! Nah, you might as well leave those stat labs to be drawn with the regular labs, because phleb is coming later, and that's NOT YOUR JOB.

You know what happens when you do things you think are not your job(but really, they are)? First, your patient appreciates it. They have a competent nurse who cares more about their well-being than about socializing or making a point. Second, your colleagues appreciate it. They appreciate that you respect them, and that you saved them unnecessary work. And you know, they tend to return the favor. I've had phleb come show me a thing or two, because seriously, I swear I've seen those girls draw blood from a stone a time or two.

I just...ugh...seems like every day, for more and more reasons, I just keep thinking 'I don't want to live on this planet anymore'. Because people are just becoming poopier and poopier (you get what I'm saying). Please, put your big girl panties on, grow a pair, whatever is appropriate. Then shut the hell up and do the work. Even if it's 'not your frickin job'!!!!!

Specializes in Skilled Nursing/Rehab.

I agree - I hate that phrase. I am in nursing school, working as a CNA, and one of my biggest pet peeves is CNA's and/or nurses who are sitting, chatting about something social, just waiting to see who else will get that patient call light. Or the ones who walk reeeaalllly slowly to answer a light, complaining all the way about the fact that they have to actually do their job. Recently one of my coworkers was standing around saying, "OMG - I am so bored. It is so slow tonight." I said, "You could go around and empty trashes, or stock rooms." He said, "That's not my job." I guess he wasn't bored enough to actually do some work.

I agree - I hate that phrase. I am in nursing school, working as a CNA, and one of my biggest pet peeves is CNA's and/or nurses who are sitting, chatting about something social, just waiting to see who else will get that patient call light. Or the ones who walk reeeaalllly slowly to answer a light, complaining all the way about the fact that they have to actually do their job. Recently one of my coworkers was standing around saying, "OMG - I am so bored. It is so slow tonight." I said, "You could go around and empty trashes, or stock rooms." He said, "That's not my job." I guess he wasn't bored enough to actually do some work.

I will empty trash bins as I go. I'd never knowingly leave a dirty brief in a bin in a patient's room. But, as a third shifter, no I will not go around and empty everyone's trash or stock the room if I have some downtime. Patients need to sleep and stocking the linens at 2am and waking half the floor up in the process is unacceptable.

And downtime is a blessing when you get it. If I have a few minutes here and there when no lights are going off and all my work is caught up, I feel zero guilt over sitting and chatting quietly for a bit. Frankly, I would be offended if someone told me to do busywork during a lull. I'd probably have a snide comeback.

Specializes in Geriatrics, Home Health.

I work in home health, so I have quite a bit of downtime. I have no problem stocking supplies, cooking, or cleaning for my client, but I'm not going to wash an entire family's laundry, fix the satellite reception, or carry an 80-pound patient up a flight of stairs.

Specializes in Surgical, quality,management.

One of the porters informed me that I thought myself too good for work now I am the NM. Before I took the position I would always clean as I go kind of thing. First porter I don't work on the floor anymore and second the person you got your info from I am performance managing because they will not do their work and little did you know I spent 2 days last week ferrying people to the transit lounge so that my AM porter could wash beds for new admissions.

Specializes in Skilled Nursing/Rehab.
I will empty trash bins as I go. I'd never knowingly leave a dirty brief in a bin in a patient's room. But, as a third shifter, no I will not go around and empty everyone's trash or stock the room if I have some downtime. Patients need to sleep and stocking the linens at 2am and waking half the floor up in the process is unacceptable.

And downtime is a blessing when you get it. If I have a few minutes here and there when no lights are going off and all my work is caught up, I feel zero guilt over sitting and chatting quietly for a bit. Frankly, I would be offended if someone told me to do busywork during a lull. I'd probably have a snide comeback.

@BrandonLPN - the coworker I was talking to was another CNA...and he had already been looking at his cell phone for 5 minutes for lack of better things to do... I don't think he was offended by my suggestion, but he didn't take it, either. :no:

I work 3rd shift as well, and no, I wouldn't suggest anyone going into patient rooms and stocking or emptying trash while the patient is trying to sleep! Part of the reason I like 3rd shift is that we CAN get caught up sometimes and socialize a bit, guilt-free. I am just one of those people who cannot justify sitting and talking when there is some work I should legitimately be doing at that moment.

Lol. Sometimes I have to stop myself from my automatic answers. We're training our toddler with manners right now. I'm so used to automatically saying 'What's the magic word?/What do we say first?/You're welcome?' Or 'Ask nicely/Don't yell/Don't interrupt' that it almost comes out with patients too.

Although unacceptable, makes me grit my teeth less when it comes from a patient than a family member.

To comment on what others have said, I do agree that there's stuff we end up doing that is nonsense. Ordering stock for the floor, unclogging toilets, fixing tvs and printers, yea, my training didn't prepare me for that.

My issue was with nurses saying that in response to stuff we CAN and are TRAINED to do. Draw blood, change patients' linens if they are soiled, God forbid putting someone on a bedpan!

But yea, I'll get right on that stuff as soon as I finish writing my patient's kid's homework assignment.

Lol, of course there are lines to be drawn, people just draw them at the wrong place.

That's understandable. I've never encountered someone who just didn't do something and asked me to do it instead. I've worked in some pretty good places...and the people who would try something so foolish know better than to try it with me. :)

Specializes in Public Health, L&D, NICU.
I agree. There are some scenarios when that's a completely appropriate response. I (no exaggeration) once had an Attending MD stop me in the hallway and say "where is my interpreter for room 18?" And I said "I have no idea, that's not my patient." And then he said "well I need an interpreter, can you arrange that?" (I don't remember what he specifically said but it wasn't that nice.) Sorry, no. I am NOT your secretary and I'm busy- you know- actually taking care of patients. There was no reason why someone on the team- between the Attending, NP, Sr. Resident and Jr Resident- couldn't page the interpreter himself. I don't know their schedule and I refuse to take part in the whole "nurse is doctor's hand-maid" role. Same goes for things like "I need this copied, faxed, I need to read the patient's chart." I'm happy to tell you where the copy machine, fax machine or patient's chart is but, again, I'm not a secretary.

I understand why you feel that way, and to me that is entirely different from the "not my job" statements dealing with patient needs. I will always do just about anything for a patient (and have) including fixing meal trays and mopping floors, but the doctors are often on their own as far as I'm concerned, especially residents. It's good to encourage independence!

Specializes in Public Health, L&D, NICU.

I've always been little surprised at how much nurses are expected to do, depending on the facility. And nurses really do often do it all. We are the last line of defense for our patients, and we really cannot (nor should not) say "it's not my job." At one small hospital I worked in, administration was all about cost-cutting. We had no unit secretary. When complaints were lodged because phone calls weren't being answered (and the L&D nurses were expected to do phone triage here), we were given cordless phones. I have literally answered a call with my left hand (after profuse apologies to the patient) while I was checking the patient's cervix with my right hand. I didn't violate anyone's privacy, but I had to catch the call before they hung up. They also cut out night housekeeping, saying that we could mop the rooms while we did recovery. Our main OB was notorious for making every delivery room look like a slaughterhouse (I really think he did it on purpose) so you would pause in your mopping, prop the wet mop up against the wall, wash your hands, glove, palpate the patient's fundus, and then go back to mopping until the next time to check.

I think many of us have found ourselves doing something, wondering when exactly they covered that particular task in nursing school (crouching under a bed using hemostats in place of a screwdriver to work on a loose stirrup comes to mind). An old nurse once gave me a Swiss Army knife, saying every nurse needed one. Sometimes we have to be maintenance, dietary, lab, social work, case management, concierge, waitress, and mom, all in one shift.

Specializes in SICU, trauma, neuro.
No. If my 16 yr old patient "needs" to go outside to smoke a cigarette or marijuana, it's certainly not my job to accommodate that. And, yes, I have had patients who stated they "needed" these things before. And many of the things the family "needs" they can get themselves. I'm not a waitress. I'll happily point you in the right direction to the kitchen but if I have other patients who actually need me, I'm not making a family member a sandwich.

I took this comment as referring to the poop line. "I became a nurse so I wouldn't have to clean up poop," likely assuming that there will be a CNA who will do that. Poop is a need, and yes even us highly educated RNs still clean it up. The CNA may be in another pt room or at lunch, incontinence care sometimes takes two people (the vented, sedated, chemically paralyzed, 300 lb variety come to mind)

I didn't take this PP as saying that we need to cater to everything someone claims they "need," such as help going outside to smoke, water above a fluid restriction, or something from the galley when the nurse is busy and the CNA is not.

Here's my "favorite"....manager goes into patient room on rounding. Patient needs to go to bathroom. Patient is on restricted activity and needs to be handed a urinal. Manager says "just a minute" comes out of said room, finds me, and says room 489 needs to urinate.

SERIOUSLY?! You were right there, the urinal was right there, and when you ask if the patient "needs anything before you go" per the handy scripting, that means "as a manager, I do not do urination"?!?!?!?!

Or the "other person" who you asked to assist with incontinence care for your patient is suddenly too busy having a cell phone conversation that they can not do what you asked....so "my patient has had a large amount of incontinence. I can wait until such and so gets off the phone if YOU WOULD PREFER or you can come and clean her up?" Why, yes, I would love for you to wait even more time for the poop to be really stuck on your patient's skin......

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