Or "patient care associates" or nurses' aides or whatever your union insists you be called!
Listen up: you are working on my license, taking care of my patients, that I am responsible for! You're called "ancillary staff" for a reason--and that reason is to buck the fuck up and do what I say to do. It's in your job description. You take direction from nurses. Your job exists to help me. So please note that it doesn't help me when:
1) You fake vital signs. Seriously, it's just gonna piss me off that I have to check them again. I know for a fact that that pale, diaphoretic guy does not have a BP of 150/80 and a pulse of 87. Just do the damn vitals.
2) You disappear. I know your union gets you a million breaks. Your 15-minute break. Your hour break. Your other 15-minute break. Whatever. When you're not on break, I need to see you. Checking in with me every hour or so to suck up and then disappearing to go text and smoke and chat with your buddies on the back steps does not count as work.
3) You give me lip. When I tell you I need an EKG, the correct answer is, "I'll get right on it." Not "I'm on my break," not "can't you find someone else," not "In a minute."
4) You make up your own work hours. You leave your job at 12 am, same as me. If I ask you to transport a patient to sonogram at 11:30 pm, the correct answer is, "sure!" Not "I'm not going if she needs a chaperone because I finish at 12 and even if you send my replacement when she gets here right at 12, I'll end up getting out late." Listen, lazy. You don't work in a bank, where you get to stop working and close the doors at three pm. I don't get to leave if my relief doesn't show up. Suck it up and transport the patient. And don't bitch at me because I asked you to go to sono in front of the nurse manager, and she heard your little tirade and now you look like the lazy asshole you are. You should have shut your trap and done the transport.
5) You complain about scrubbing ass. It's your job. Sometimes I can help you. Sometimes I can't, and you'll have to ask one of your colleagues to help you. Yes, I can scrub ass. But I also can start IVs and assess patients and administer medications and insert Foleys and monitor patients and write notes and talk to the doctor about the patient's care, and you can't, because it isn't in your scope of practice. Your scope of practice is to do what I ask you to do, and I'm asking you to scrub some shit off the ass of this patient because I'm fucking swamped taking care of all these other patients. So scrub it, and don't give me attitude about it. If you didn't want to scrub butts, you're in the wrong business.
6) you can't do your job anymore. I know you're super old. So retire already. If I need help moving a patient, you're not really useful.
Yea, there are some wonderful techs out there-- the kind that you don't have to ask anything of, who love their jobs and also manage to anticipate every need you might have. But they get used up and burned out because of the assholes they're outnumbered by.