T-tom, you're such a mess, where' ya been all my nursing career
Now there is something called EAP, employee assistive program where I work. Not every angry, abusive nurse needs to be fired, many need help with life skills and anger mangement, have issues that we have NO idea about. We have NO idea what load this person carries at home.
No... not making excuses, saying that many hospitals have skilled counselors who can help. Write up your observations, approach the manager and ask if they see it fit to do a referal to EAP, if you have it. If you are comfortable, then ask the employee what on earth is up, what can the unit do to help....
You didn't mention if this was a new trait, or an ongoing personality defect. BIG difference in MY book. I've gone as far as to having my best work friend removed from patient care because she was unstable due to home life.. so I've had to make tough choices... been there... But if you can't approach this guy, you're forced to let it continue... not an answer, or do something through management... you can't always count on your peers to do it WITH you or FOR you. You also can't bank on the fact that management "KNOWS". If you've not gone there, maybe no one else has either... don't enable.
As I've said before ..easier said than done.
since I'm being long winded, if you're being verbally abused you can say at that moment.."do you realize what you've just said...... how do you expect me to respond to that... you might consider taking 5, then trying that response a different way... don't approach me with that tone, please lower your voice, you're at the nurses station.. (with any flare up from any of the above, immediatly involve the charge nurse, after saying we'll continue this when you are able to controll the volume and tone of your voice... walk away... then DOCUMENT until the pen is empty.