I am being disciplined. What Now? - page 2

by jadelpn 16,066 Views | 28 Comments Guide

Every nurse at one time or another loathes the words "HR needs to see you" or "You need to go speak to the manager" even if you are well aware that you made a mistake, and that you are going to have to answer to it. There are... Read More


  1. 7
    Quote from HM-8404
    I am not a nurse yet....
    This is where the problem started. Your other experience is great, but until you've worked as a nurse independently with a license to worry about, the dynamics of a floor and the management will elude you. Articles like this will not make sense.
    HappyWife77, monkeybug, cuhome, and 4 others like this.
  2. 0
    A few people have brought up drug abuse and alcohol as reasons for discipline. While I believe most nurses are responsible and avoid drugs and excess alcohol it is good to be aware that most employers now drug screen via hair samples so they can see if you've had drugs in your system for a long time. Also you may be subjected to random drug checks and this is a routine thing if you file a workers comp injury. So stay on the safe and narrow and avoid drugs. For pain management NSAIDS work better than narcotics in many cases, even in bone cancer I've read they use NSAIDS for pain treatment. Why take the chance of getting addicted!
  3. 0
    Quote from brandy1017
    . So stay on the safe and narrow and avoid drugs.

    Good advice but be aware that even a negative drug screen won't clear your name. I have known 2 nurses that were falsely accused of stealing narcotics, the state board got involved and the investigator from the state told the nurses it didn't matter they tested negative, they could be selling the drugs they were accused of stealing. The attitude of the board was guilty until proven innocent. The culprit was eventually caught and it wasn't either of those initially accused.
  4. 1
    Yes, sometimes there is favoritism. I have been written up with out my side of the story being asked. The write up was already in place and then I got to tell my side of the story but it did not seem to matter.
    losbozos likes this.
  5. 0
    Quote from Chisca
    Unless you rock the boat. I wrote a letter to the director of nursing pointing out the danger to patients by assigning 5:1 in the step down unit. I was called to the directors office where they thanked me for my concern and oh, by the way, we have reviewed your charting for the past 6 months and there are a number of "discrepancies". The message was clear. Not only could they fire me, right to work state an all that entails, they could cause harm to my licensure if they wanted to call the board of nursing. In the field of nursing management has huge power and you are kidding yourself if you don't think you will have conflict at some point in your career. A nurses highest obligation is to their patient, not their employer. And the employers highest goal is to make a profit, safety be damned.
    Seems to me like your management team is made up of a bunch of POS's! You point out something serious and in return they sugarcoat your discovery and also give you an "ultimatum" that basically says don't )))(;:;(@& with the management!
  6. 0
    I've had 3 positions since I became a ADN-RN. Two of those companies were unethical, and likely medically incompetent to be treating patient's. One of those 2 was really good, except for the DON telling me in my first meeting in front of my LPN's that my new shirt made me look like a child molester. I'm not impressed with management, I'm only impressed with those people I've met that get the job done for the patient, that put their patients concerns before those of their facilities. There are good Doctor's out there, good nurses, good CNA's, good LPN's, good volunteers. Any RN's I went to school with will self-correct long before a patient becomes jeopardized. I don't worry about them.

    So far I'm not impressed with 85% of the personnel in the facilities I've worked in. So far what Ive seen mostly is incompetence from Administration and RN's that are pill pusher's, mostly the bottom line is money for the physician's and facilities, and most of the nurses I've worked with.
  7. 0
    Great! I could not have said it better. This country is a 100% pro corporate environment, which means corporations (which are now "people" thanx to Justice Roberts and his republican Supreme Court) and corporations have a single goal- profit. So do right by the corporation and keep the patient in mind as you go along, and you should be fine. But think of yourself as you perform your job b/c NOONE else cares about us. Not the company, and not the patients. It's not all so bad once you get used to it, it's just modern reality, and it's the SAME in all fields.
  8. 1
    "Rarely does anyone get blindsided with a disciplinary action. Most of the time we know if we screwed up. What is wrong with accepting responsibility for what we have done and move on? Not often is someone fired for a "first offense", unless it is something major. In that case they deserve to be fired."

    Well, this is quite na´ve. Having been in the nursing workforce for 20 years, I can tell you that people do get fired for a "first offense", and they don't always "deserve to be fired". In addition, people can easily get blindsided. Watch your backside, document as though your career depended upon it (because it might). As one MD friend of mine said once, "When somebody sues somebody in the medical field, they'll blame the janitor if they can, just to avoid taking the hit themselves." You-know-what runs downstream. HM-8404, I'm sure your intent was good, but consider what I've said. It will serve you well.
    hospicern030363 likes this.
  9. 2
    Quote from New_Man_Nurse
    ...
    So far I'm not impressed with 85% of the personnel in the facilities I've worked in. So far what Ive seen mostly is incompetence from Administration and RN's that are pill pusher's, mostly the bottom line is money for the physician's and facilities, and most of the nurses I've worked with.
    I hear your dissatisfaction w/ a profit-driven workforce. I too was there, but I quickly got over those feelings after I was "released" from my 1st RN job of 2 yrs when an LPN on my shift made a medically unrelated, non harmful administrative infraction. I would learn afterwards that mgmt politics was driving the issue, but for me the result was my immediate dismissal by "human" resources OVER THE TELEPHONE on a 3 way call the next day.
    I was thrown out of my position like a bag of garbage by "human" resources and my DON, who wouldn't spend an ounce of energy in my defense. Only 2 yrs later would I rejoice when I learned that that DON was fired the same way, for an equally invalid reason.
    This is what happens in a "right to work" state. This is what profit driven corporations do. To bemoan the attitudes of the RNs laboring in this system is to miss the big picture- people are slowly developing the attitudes of their bosses and employers, mainly b/c noone feels secure. And they feel insecure for good reason, b/c corporations make sure that workers know they are replaceable.
    Oh, and many if not most patients are looking for someone to blame for any little thing. They complain about and berate the very people who keep them healthy and alive, and actually expect good smiling service in response.
    So basically, it is people at all levels who are responsible for the "attitude" we see everywhere. Only when the country changes en masse wil things improve.
    losbozos and MBARNBSN like this.
  10. 0
    Very well said. In school we are taught the Pollyanna "patient comes first" and in the reality of the workforce we learn (usually the very hard way) that the employer is the boss and you had better please the corporation. I educate the medical staff that reports to me, in a professional and intentionally vague way, to do right by the company, mgmt and the patient.
    The wise staff understand & work wisely, & in their best interests. But there are plenty who continue to see patients as wonderful needy humans simply in need of care, and not consider them as potential career enders. They are both, and should be treated appropriately as both.
    That said, I still like my career.


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