They are laughing at the patients

Nurses General Nursing

Published

Saturday I worked with the worst crew. The staff at the desk was yukking it up all day. You can hear them from all the way down the hall- laughing, joking, a few cuss words thrown in here and there. I can hear them making fun of one of the patients because they can smell her stool from the desk. The aide goes on break 2 hours into the shift and is sitting there eating donuts and ignoring call lights.

Their attitude seems to be contagious and next you know PT is over there yukking it up and not doing their job. Then you have an LPN mosey over there and sit while her RN is busy trying to help one of their patients who is vomiting and blowing PVC's. I ask the aide to help out a patient while I get vitals and settle in a new admit (she is supposed to do this- but cannot seem to understand that she is supposed to be working) as she goes to put said patient on a bedpan she makes a joke about gluing the bedpan to her behind. I ask LPN to assist her RN. She rolls her eyes to the others and slowly makes her way down the hall-for now.

So me and the other RN are running our butts off. We both explain to the aide her duties and responsibilities. She agrees to help out more- then can be found back at the desk yukking it up while call lights are lit up like a Christmas tree. There are now 5 staff members at the desk- while 2 RN's work their butt of on the floor. Supervisor called but cannot come down because she is tied up. Continues like this most of shift.

I am discouraged, I am disgusted. I am not a martyr but I believe that we are here to help our patients and to do our job. I have been accused of being to serious at work by these very people. I do not have time to sit with them- I do not want to sit with them- and I know they can feel this.

At the end of the day- their are 2 RN's in the supervisors' office with incidents report in hand. I hope supervision takes them seriously. I hope our patients are getting better care and the last laugh today.

I've worked shifts like that and it sucks! :) I even had a charge nurse who would give me a bigger load, plus admits, etc, because according to him, I was the only one he could trust to do it...sigh. I told him he needed to grow some balls and figure out a way to make the other nurses do their job. He never did. I finally complained to my nurse manager enough (me and two or three other nurses...I'm certainly not the only one who works my butt off) and they made a few changes. #1...the charge nurses have to fill out a form detailing how many acuity points each nurse's patient's have...(takes about five minutes because the ward clerks fill out most of it)...any more than three points above or below someone else has to be justified in writing. #2...nurse managers and office interns are now spying on staff and writing down when they sit, when they read the newspaper, how often they go into the breakroom, etc...pretty junior high and somewhat demeaning, but it sure made a few people sit up and take notice of how much time they wasted. #3...they just got rid of five nurses...ones that had frequent complaints that they weren't pulling their load, ones caught wasting a lot of time, one that was found sitting in a utility closet reading the newspaper. Hired some new nurses and the teamwork has improved, patient care has improved, and it's rare to see any call lights at all because nurses are now checking in with their patients more often and trying to improve efficiency...might not work everywhere, but it's really helped up out. It was awful working short until they got the new nurses hired, but I'd almost rather work short than have to run my tail off while another nurse sits...

Specializes in Hemodialysis, Home Health.
Originally posted by 3rdShiftGuy

I worked on a floor where the Charge RN (myself) worked like a dog, while other people relaxed.

On my new floor I vowed to be a better RN. To grow some big brassy balls and use them.

Here ya go Tweetums ! pendant120.jpg

THAT outta show 'em what you're made of !!! :D

Well doo doo.... oh well... they were just beautiful, too ! :chuckle

Specializes in Critical Care, and Management.

The charge nurse that I have on my weekends thinks that working is a big social event. She offers absolutely no help whatsoever.She plays the radio loud and talks and talks all day.She makes alot of personal calls too. (Do you think this bothers me?) You bet is does. I've only been at my job 4 months ( I just moved) and I am appalled at the role of this charge nurse and many others I work with. It seems to be a consensus from the rest of the staff too.They choose to ignore it. I just want out. I am so disappointed in this facility where they claim to be the best hospital in a fairly large city. What are the rest of the places like? Recently it was someone's birthday and she was the initiator of the singing. I have been a nurse a long time and I just want to work with people with brains and some heart for the rest of the staff. not party people.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
Originally posted by ktwlpn

THis kind of attitude can be seen in everyone-cna's,lpn's,rn's and on to some supervisors and administrators....You can report poor care and you can try to set a good example by giving your best care and your respect to all......If you are not the charge nurse try not to waste your good positive energy-just take care of your patients until you find another job in a place with a better atmosphere....I know what you are talking about-I gave report to the RN following me yesterday and told her about a problem resident...Her response was" He's a pain in the ass" A poor bedridden end stage Parkinson's guy with a funky decube and a g-tube....He is someone's loved one,right? I can't change her-I can't control her actions...all I can do is play some music for him,give him his pain meds in a timely fashion and throw in some extra mouth care and hand holding....I just recently became the charge nurse on this unit and the staff are remarking that I am "uplifting" the atmosphere.....That's my goal...I can only improve my little corner of the world and hope my attitude is infectious but some people are just azz holes.....

Excellent Post (as always)!

You're absolutely right about that it can be at any level. Many times it's the RNs and managers laughing and goofing off while the others are working. I wonder if there's a way to be positive and uplifting AND have big balls?

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
Originally posted by jnette

Here ya go Tweetums ! pendant120.jpg

THAT outta show 'em what you're made of !!! :D

Well doo doo.... oh well... they were just beautiful, too ! :chuckle

Picture didn't show. Let me try. I love it!

pendant120.jpg

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
Originally posted by Rapheal

Tweety you are right. I need to grow some "BBBs". I think I am starting to grow some but mine are still small. I have been a nurse for almost a year now and I am just now getting some confidence. At first I did not want to make trouble- I would usually just vent and whine on this BB. This is the first time I put it in writing and made sure I verbalized the problem and had the other RN do the same for impact. I just have to accept the fact that some people are not going to like me and that is hard because when I was growing up I was taught to "be a good girl" and to always be pleasant and sweet. So it is kind of a conflict for me. When you grow up like that you learn to be more passive-aggressive and this is a trait that I have outgrown both personally and professionallly. So I am learning to whine less and to be more direct and constructive. Thanks for the input. I have got to get off this BB and get something done today before my day is shot. I am just going to put it out of my mind and stop worrying about the fact that I made waves. I did what I had to do, I will do it again next time and I will not feel guilty. And thanks again for the response.

Heck, I've been working at this place 11 years, and I'm still learning about the supervision part of my RN responsibilities. Remember you are there to work, not socialize and make friends. It helps to have a good rapport with your staff, but you can't stoop lower. Keep your standards high. Good luck.

Specializes in ED staff.

I think most of us have worked more than one shift in these kinds of conditions. Not sure what the answer is. I used to be the charge nurse, it's just too frustrating and with little increase in pay. I love to stay busy, I don't believe in getting paid for doing nothing. I do have a problem when I need help and no one can be found. I also have trouble with people being too loud at the desk. The last crew I worked with as charge nurse knew what was expected of them. We were all about the same age and had a good work ethic. My motto is ask for help when you need it, no one should have to take care of a patient all by themselves. This is how nurses get burned out and/or physically hurt. Hope things go better for you. :)

Specializes in LTC,Hospice/palliative care,acute care.
Originally posted by LilgirlRN

. My motto is ask for help when you need it,

Yes! No one can give you what you want if you don't clearly ask for it... Tweety-uplifting big balls? may I suggest

http://www.internationaljock.com/suspensories.html

Men's suspensories are designed to isolate and support the testicles .....

:roll :kiss

Specializes in Gerontological, cardiac, med-surg, peds.
THis kind of attitude can be seen in everyone-cna's,lpn's,rn's and on to some supervisors and administrators....You can report poor care and you can try to set a good example by giving your best care and your respect to all......If you are not the charge nurse try not to waste your good positive energy-just take care of your patients until you find another job in a place with a better atmosphere....I know what you are talking about-I gave report to the RN following me yesterday and told her about a problem resident...Her response was" He's a pain in the ass" A poor bedridden end stage Parkinson's guy with a funky decube and a g-tube....He is someone's loved one,right? I can't change her-I can't control her actions...all I can do is play some music for him,give him his pain meds in a timely fashion and throw in some extra mouth care and hand holding....I just recently became the charge nurse on this unit and the staff are remarking that I am "uplifting" the atmosphere.....That's my goal...I can only improve my little corner of the world and hope my attitude is infectious but some people are just azz holes.....

ktwlpn, something about your post really touched my heart, almost made me cry. Thank you for an excellent post.

Specializes in cardiac, diabetes, OB/GYN.

These are tough situations and when people tell me they do things the way they are used to or that is how so and so likes it, I nicely but firmly remind them that while they certainly can continue to do things the way so and so does them while so and so is in charge, while I am in charge, I prefer all the patients are done with regard to assessments and vitals at the beginning of the shift, and it it my preference that we all work together..I am not opposed to assigning specific rooms to specific people if that is their preference, although on the night shift I do not find that crucial, as we all work together. I tell them I intend to work with them to get our assessments done first before I do the charge work of charts and things ( unless I have fresh orders to do) and that if it is quiet I do not expect the aide to be running around cleaning things when we could assist...If there is equipment in the hallway and I have a few minutes so the aide can sit down, or the 12 hour people, who in my view as oncoming charge nurse, have preference, I do that...

I remind them that I didn't put myself in charge, it was assigned, so while I am fulfilling that role, we are going to do the best job we can as a team...Anyone who has difficulty with that may feel free to speak up and change the way they do things when I am not in charge...I then assign someone right away to the first labor patient, bearing in mind who had the last one or more difficult situation, and encourage them to discuss amongst themselves what they would prefer, allowing for the fact that things can always change, but that I will do my best to honor their wishes..If things get a little loud at the nurses station, I gently remind them to keep it down, without chastising them..It isn't always a perfect situation, but I find people respect that approach especially when they are involved and feel they have a say.....

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
Originally posted by ktwlpn

Tweety-uplifting big balls? may I suggest

http://www.internationaljock.com/suspensories.html

Men's suspensories are designed to isolate and support the testicles .....

:roll :kiss

Thanks! :roll :chuckle

I see this issue as a leadership problem. This is why people SHOULD be chosen to be in leadership positions...for their ability to lead effectively and stop behaviors like this from escalating.

Too often our 'leaders' are there for the title or their ability to azzkiss. Sad isn't it.:rolleyes:

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