Quote from ThePrincessBride
So, I get a "note" from management. Yes, the policy was technically broken and I take full responsibility (and it had been my first time doing this procedure since starting my new shift). It had to do with dual sign offs (I'll leave it at that). To get some perspective, I asked ta couple more seasoned nurses/mentors for their insight because I was flabbergasted. They are shocked that this coworker went up to management about this issue and have even stated that they couldn't believe this coworker went to management over something extremely petty.
And then I find out that she was apart of a really bad sentinel event (d/t negligence) not too long ago (think loss of limb). APN confronted her and she took a blase attitude over what happened and even defended her actions (in front of someone she was training!) and that is when APN took it up the chain.
It kills me. I admit that I am not perfect, but to have someone with a stye in their eye complain about the speck in mine gets me. She not only made this mistake, but she didn't care. She reminded me of the policy (which, at the time, totally left my mind) and I thought it would be left at that.
To seasoned nurses, how does one deal with a person like this? I am fighting the immature urge to confront her...but how do you deal with someone who throws people under the bus not for patient safety (b/c her sentinel event was enough to get her license tossed), but to make themselves look better? I have never had any negative instances with her before and I wasn't aware of her history, but this has thrown me off guard and ticked.
I take responsibility for my actions and going forward will not make the same mistake again and will keep my distance away from this one.
No one is perfect. But if you broke the policy, own that and deal with the fallout as gracefully and with as much integrity as you can. The other nurse isn't important, although I fully understand the urge to let the air out of her tires or something. It's about YOUR practice, and you want your practice to be the very best you can make it. If you want to be truly evil, thank her sincerely for calling attention to your error so that you can fix it and never make the same mistake again. Trust me -- it will mess with her mind!
Management knows all about the sentinel event, so she's not making herself look any better even if she might THINK she is. There's also the possibility that she was more affected by this sentinel event than you think, but she's too prideful to let on to anyone else how much she cares. I learned this the hard way when a friend was involved in a sentinel event.
And third . . . don't trust her again. Just don't trust her. Watch your back. This was always the most difficult one for me. It would never even occur to me to throw someone under the bus, so I was never alert enough to watch for the possibility. One particular nurse threw my husband under the bus, though, and I've had an eye out for her ever since. She tried to throw an orientee of mine under the bus on two separate occaisions (two different orientees) but I was able to document (or have the orientee do it) thoroughly enough to de-fang her.
There's one particular person you have to watch out for everywhere. Usually it's not as bad as all that, but I must confess that the Evangelicals who tell me I'm going to hell for not attending their church with them and the Mommie's who insist everyone buy candy for their kid's schools both have me on high-alert status.