What to do about tech refusing to get VS?

Specialties Med-Surg

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I have a tech at work who I'll call Sarah. She is a really good tech. The problem is that she has an attitude with me. I have reported her at least twice and nothing ever gets done. It goes like this:

I always get my own admission VS, post-op, post cath, and blood VS. I very rarely ask a tech to do anything for me. They know what they are supposed to do and they do it. Yesterday I had a new patient that the physician had sent up from his office, he wasn't even allowed to stop at admitting, dx: viral meningitis. He was 80 years old and I was told that his temp was 103 and that I was to immediately start an IV, order labs, give IV Phenergan, get VS, etc, etc..... At the same time I had another admit come up from the ER. I asked Sarah to get the vital signs on the first patient while I was starting the IV. She brought the dinemapp in the room and said "since you're in here you can get them" I said no Sarah get the VS, she said " do you want me to show you how to operate the equipment, is that the problem?" and she promptly left the room. I was not only furious but embarassed in front of the patients family. I told my assistant nurse manager and she didn't say much.

This is the 3rd such similar incident with this CNT in about 3 months time. I have spoken to her directly also with no results. Any suggestions? What I'm thinking about is asking for a confrontation in the nurse managers office.

I would like to tell her that I think she does a good job but do not appreciate her reluctance to do something that I ask her to do because I only ask when it's really needed. I would like to tell her that she needs a refresher on what her job description entails. Should I mention that I am her superior, well that's not the word I want to use but you know, I'm over her, in charge......?

I want to tell her that if she wants to give the orders that she should go to school and get her nursing license. Thanks for any advice you can offer. We both work tomorrow and I'll let you know how it goes. Thanks.

Sherri,

It is scary. I am a former burn patient and was given Tylenol instead of Toradol.

Let's see if we can guess how your "manager" handled or will handle this problem. After 24 years I am convinced they go to a special school where they all learn the same technique. Since the manager's first priority is not to make any more work for herself, she must turn you into the problem. This comes in the form of such remarks as , "Funny, you seem to be the only person who has this problem with Sarah; I haven't heard any other negative remarks about her". Now, you're the problem. This tactic is designed to get you on the defensive and start questioning whether you have any right to speak up! Second in line might be something along the lines of, "Is there anything in particular going on with you lately? I've heard people are saying that your attitude has become quite negative". Now you are really in for it. It's Oh My God time!! Have I been that bad? Maybe I really AM the problem!!

Now, the manager has won, so to speak. She gets out of having to support you or address this problem in any way as well as not having to deal with the possibility of possibly firing this insubordinate tech and replacing her, which would be an enormous hassle, not to mention cost the hospital money training someone new. Is this even remotely how things went? This is actually all the rage if you read nursing management magazines. It is conveniently called having staff "take ownership of problems" which makes you wonder what managers are needed for anyways or what they actually do for a living except perhaps scrutinize all your paperwork for any box that has not been properly initialed, etc.

Specializes in OB, M/S, HH, Medical Imaging RN.

Actually, if you read the entire thread, Sarah has been reported for this same thing numerous times and also for telling patients that she is a nurse and for saying inappropriate things in front of patients about nurses. My nurse manager never puts me down. She is very fair to everyone. The problem is that she is way too lenient. Sarah finally got talked to during her yearly eval. I hope this lasts for awhile now. The last few days I've worked with her she's gotten VS without me even having to ask and has not smarted off once. Keeping my fingers crossed. :)

Actually, if you read the entire thread, Sarah has been reported for this same thing numerous times and also for telling patients that she is a nurse and for saying inappropriate things in front of patients about nurses. My nurse manager never puts me down. She is very fair to everyone. The problem is that she is way too lenient. Sarah finally got talked to during her yearly eval. I hope this lasts for awhile now. The last few days I've worked with her she's gotten VS without me even having to ask and has not smarted off once. Keeping my fingers crossed. :)

Lucky you to have a nice manager. Our Director of Med/Surg is fond of telling nurses who express concern about short staffing to "put up and shut up". How sweet!

file a complaint and ask for a meeting between the two of you and the nursing manager

hello I am new to this but I have to say that as a CNA in my facility it is the CNA's job to do VS and assist the PCCIt is not our job to talk back and be difficult. Although I do feel your pain. We have a few Cnas that believe that a PCC is not doing her job if they are not helping the Cna. Never mind all the paper work that the PCC has, ect. It is very frustrating to me to listen to the CNA whine. Let alone sit back and watch the Cna write up the Pcc for not doing the CNas job. LOL tht is a laugh. It appears to do no good to go up the chain of command. I have been dealing with this for over a year. So I feel your pain. I wish you well. Thanks for letting me reply and vent :Melody: :rolleyes:

Specializes in rehab, antepartum, med-surg, cardiac.

I have a friend who had repeated problems with a particular CNA, who didn't do vital signs, I&O, and things she had been assigned. My friend ended up doing both her job and the CNA's job repeatedly. She finally went to the nurse manager and asked not to be assigned to that CNA again and told her that she would rather have load of patients where she was to provide primary care without a CNA. The CNA finally came to my friend and asked her what she could do so that they could work together again. My friend explained to her what the problems had been and what she expected. She never had another problem with the CNA.

I know that there are some nurses who are lazy and dump on the CNA's, but in Dutchgirl's case, that did not seem to be the issue. Two admissions at once is impossible for the nurse to do without the help of someone.

Could you possibly take this to the chief nursing officer for your facility or to HR if this situation has repeatedly been ignored? It is too bad that the attitude of what sounds like a very qualified CNA is probably going to lead to her losing her job.

Let's see if we can guess how your "manager" handled or will handle this problem. After 24 years I am convinced they go to a special school where they all learn the same technique. Since the manager's first priority is not to make any more work for herself, she must turn you into the problem. This comes in the form of such remarks as , "Funny, you seem to be the only person who has this problem with Sarah; I haven't heard any other negative remarks about her". Now, you're the problem. This tactic is designed to get you on the defensive and start questioning whether you have any right to speak up! Second in line might be something along the lines of, "Is there anything in particular going on with you lately? I've heard people are saying that your attitude has become quite negative". Now you are really in for it. It's Oh My God time!! Have I been that bad? Maybe I really AM the problem!!

Now, the manager has won, so to speak. She gets out of having to support you or address this problem in any way as well as not having to deal with the possibility of possibly firing this insubordinate tech and replacing her, which would be an enormous hassle, not to mention cost the hospital money training someone new. Is this even remotely how things went? This is actually all the rage if you read nursing management magazines. It is conveniently called having staff "take ownership of problems" which makes you wonder what managers are needed for anyways or what they actually do for a living except perhaps scrutinize all your paperwork for any box that has not been properly initialed, etc.

You forgot this one: "Are you and Sarah having a personal conflict you need to work out?" LOL!

Specializes in OB, M/S, HH, Medical Imaging RN.

This issue has been resolved. I only hope it lasts. Sarah was repremanded at her yearly eval. She is a good CNA. I don't see her getting fired. I wouldn't want to see her get fired. I still plan on talking to her about her attitude. I personally think she's jealous and the only way she'll get over that is to go back to school. I wouldn't go over my NM's head. I really like her, she is very fair and would never tell us to put up or shut up. I can't imagine. I don't think I could ever work for someone like that. My nurse manager has too much class for that. Her problem as I see it is that she is too lenient. I think it's because they don't want to be short-staffed. It takes an act of congress where I work to fire someone. I'm not looking for anyone to get fired but you wouldn't believe how bad someone has to be and they have to have all this "documentation". I think it's because 2 former employees have sued the hospital and won large settlements.

i dont want to sound one-sided here but, why couldnt you get the signs if you were there????. i work as an aide on an ortho floor and i know how busy the nurses can get. Ultimately, at my facility it is the nurses responsibility to make sure the vitals are taken, because you need this information to move along with care. it really bothers me not jus as an aide but as a person who wants respect and to not be taken advantage of when something like this happens, me personally i would have got the signs especially if i brought the dinamp in the room. im not saying that anyone was right or wrong, i just wanted o add my opinion.

Hello,

Our Aides are very busy, but the nurses even more so. BUT the difference is they have a working relationship, and do things for each other, whis is apparently missing here. It may be the nurse's responsiblity, but it is the aide's assigned job.

If she doesn't want to do her job, it needs to be addressed right then, not "next week, on my list." And if you need to confront her right then, take her to the Director's office right then and do it, rationally. If your Dir. doesn't take care of business, after trying, go over her head. Follow the chain of command. This is crazy!!!!! :crying2:

Specializes in OB, M/S, HH, Medical Imaging RN.

I do think there is the age old problem of some (not all, some are perfectly happy with their position) CNA's being jealous of the RN's. I'm sorry about that. The only remedy is that they go back to school. I graduated at the age of 46 so it's never too late!

Miss JKM I hope you got your question answered. When a new admit comes in, the optimal response on my unit is to have several people in there together; one getting vitals, another 'hooking up' monitors and starting an IV, another starting the history and physical, perhaps even another starting order entry. The more the merrier! Teamwork is what makes a unit run smoothly and gets the patient taken care of quickly on admission. If I must do all this myself it slows down the process considerably...not a good thing if the patient is acutely ill/unstable.

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