It just so happens that most of the anal retentive, self righteous, extremely type A management ass kissing types are also the ones that are okay with getting paid less to wake up and do their makeup at 4AM so they can come to work and talk to administration, go down to the cafeteria and get breakfast, gossip about their coworkers and occasionally work. Not all of them are like that, but pretty much all the ones that are work days- kind of like how not all trapezoids are squares but all squares are trapezoids. Anyway. Glad we could have that little math talk.
But on the subject of my ridiculous coworkers, we had some down time the other night at the 4 AM stretch so we compiled an unofficial list of all the lame ass excuses they come up with in report that leaves you getting screwed but usually not realizing it until they have already skipped out to the parking lot- known more commonly where I come as getting dayshifted. I will now share them with you.
1. "I don't know anything about this patient, the charge nurse just put them in the room 5 minutes ago and I haven't seen them. Nothings been done." Now. About half the time this is true, because day shift charge nurses do love giving people ambulances and bringing people straight back to their room from triage at the same time, and rarely is anything done because that would require effort and the charge nurse getting her ass surgically removed from the charge desk chair. Luckily we have trackers that show how long the patient has been in the hospital and how long they've been back in a room, so we can see if they got there at the exact same time as two other patients, and whether the nurse really did get screwed, or whether they've actually been in the room an hour and half as opposed to 5 minutes. And if this is the case, I won't bug you about it, but I will chart when I assumed care, when I connected the patient to monitoring equipment or did something to help them not die, and that I never received report, so that if shit goes down, you're done, son.
2. "All they need is the urine" I hate this shit more than anything. Again, trackers ya'll. I can put together the story that Dr. Lazybitch ordered urine on this patient 4 hours ago and that despite your best efforts she cannot and will not dispo this chest pain patient without a UA. But since you were too lazy to get up for 15 minutes to ambulate your elderly patient to the bathroom, now I will do it while I get passive aggressive notes from the MD. Thanks a million.
3."She's been in there asleep" Why is it that I hear this statement from the same nurses and every time I go in to find their patient writhing in pain, saying they've been hitting the call button for 2 hours. Really? How hard is it to ask the doctor for some effin' Morphine?
4. "He was a hard stick and the paramedic wasn't available so I didn't even try" Really? Are you a fucking nurse? Then act like one. Maybe if your skills are really that shitty you should go work at the nursing home where you can send your patient to the ER every time they need an IV start. Or maybe you should start your own IVs occasionally and then you might remember how to do it right.
5."Yeah, yeah. Everything's been done" (whilst holding the chart to their chest) Ohhh man. The kiss of death. If it looks like they're hiding something, they probably are, like the fact that their patients have been dangerously hypertensive and in pain all day, they didn't notify the doctor, and they didn't give the meds that were ordered at 1400. When it's all the charts, you better get into the urinary cart and grab yourself some economy size lube, because shit is about to get bad for you.
This is in no way a comprehensive list. What kind of tricky shit does the "other shift" where you work like to pull in order to bamboozle you into doing their work?