Excessive write-ups at work

Nurses General Nursing

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I'm a new grad (have been working for 6mo. now) and the unit where I work is known for excessive write ups. This includes ANY med errors, but also forgetting to put a meal percentage or not completely filling out a graphics form, or even forgetting to sign a signature somewhere, like the bottom of the MAR. We have a union at work, but with talking to my fellow co-workers, no one (including myself) bothers to call them when they are written up for whatever reason (fear of rocking the boat?).

The write ups seem to get much worse now and the DON is insistent to my charge nurse that any incident should be written up quickly, so they are sent to HR as soon as possible. I'm on second shift, so we tend to get the brunt of the write ups...first shift doesn't seem to get as many since we're covering their butts and night shift that does the chart audits...well, who's to cover them? You can imagine they get written up a lot *sarcasm*.

This is really putting down the morale, especially during my shift. I'm thinking it's best to be looking for another job, a place friendlier to new grads...or finally bringing in a union rep during during a "conference" (aka write up)?

Sorry, just needed to vent. The work pays well and it's not nearly as stressful as other units (as I would imagine since I work), but I'd rather go for a place a little more stressful with a little less pay for a more supportive management and environment.

Specializes in CDI Supervisor; Formerly NICU.
Heh,I know how you feel I get a lot of "verbal" writes up.I work as a home health nurse and they put a huge emphasis on the paperwork and sometimes I forgot to sign something or make some paperwork error.But today I almost had lost it when after having a very hard day yesterday with one of my patients who had a very critical blood pressure and refused to go to emergency (I stayed with him for couple of hours and came back home at midnight) my boss gonna tell me that I have been putting different heights in one of patient in progress notes!!! Really ok so the paperwork isnt perfect,but I just spend like literally 14 hours yesterday driving seeing patients and one patient had a blood pressure of 250/140 and I had to stay with him for like couple of hours (for free) but the first thing you going to say freaking papework instead of thank you.

What?

Just to specify regarding the MAR, I meant signing the bottom of the MAR with your name/signature. I totally understand how not signing for a med would be an issue, but forgetting to sign your name and signature at the BOTTOM of the MAR? Seriously?

And to also clarify a "write up":

When counseled, the charge nurse gives us a form with what we did wrong. The top of the form has several boxes. The first one is "Verbal warning" or "verbal conference". Despite it being "verbal" it is still written down and kept on file. The second box is a "conference" which is an actual write up and that is also kept on file. The other boxes are suspension, then termination.

Regarding med errors, it is also seen and approached as punitive when med errors occur on our unit. I hate to use the excuse of being a "new grad" but I've already done my fair share of errors, non life-threatening, but I still felt remorse and shameful for those mistakes. We get written up for it...not sure if each one was filled out as an incident report, though, since it's night shift that would catch it and fill it out.

I don't know why no one has called for a union rep. I guess everyone is scared? And the reason why I hadn't called a rep was that I had just gotten off probation about 2 weeks ago....calling a rep would have been a pretty bad idea at the time. I'm a little scared to initiate the whole thing, but I guess the next time a write up does occur, I will call for a rep.

I honestly never heard of write ups until I started coming here to allnurses - and I've worked in a lot of places. We have incident reports for sure, but write ups? If you do something grievous enough to warrant disciplinary actions, you get a letter from the nursing office, but it has to be pretty bad.

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