making enemies - page 2
I worked third shift last night and received complaints about the nurses who cared for my patients on day shift. I passed these complaints on to the supervisor on day shift this morning. She told... Read More
Jan 25, '07wow - you already got a lot of responses and I just wanted to give you a supervisors opinion. You did exactly the right thing. It's your supervisor that did not. She should never have been bullied into talking about that in front of you and NEVER should have admitted that she heard these complaints from you. THat puts you in the awkward position of being the "snitch". You were advocating for your patients regardless of if their complaints were valid or not. It is the supervisor's job to find out the details and help explain to the patients whether the nurse was doing the bes tthing to help or was being inappropriate. I don't know what else to say that will help because the damamge was already done - but keep doing what you are doing and give the best care to your patients that you can.
Jan 25, '07Quote from nurselaurSee, and I was a supervisor at one time, and my response would have been, "did you ask Jane about this?" if it was a first time thing. Now, if "Jane" had a lot of complaints or a history of some sort, then yes, it's best to go straight to the supervisor, but if they are complaints such as being left out of bed too long, I would prefer that the staff try to handle this or else it becomes "go to the supervisor for anything."wow - you already got a lot of responses and I just wanted to give you a supervisors opinion. You did exactly the right thing. It's your supervisor that did not. She should never have been bullied into talking about that in front of you and NEVER should have admitted that she heard these complaints from you. THat puts you in the awkward position of being the "snitch". You were advocating for your patients regardless of if their complaints were valid or not. It is the supervisor's job to find out the details and help explain to the patients whether the nurse was doing the bes tthing to help or was being inappropriate. I don't know what else to say that will help because the damamge was already done - but keep doing what you are doing and give the best care to your patients that you can.
By the way, I was considered a good supervisor by my staff and they were truly sorry to see me go. I was fair to all, but I also expected a lot from my staff, and that included problem solving like this.
Jan 25, '07I would have handled this much differently. I would never report a complaint like this, because many times they are groundless. Some pts like to play one shift off of another. Maybe the day nurse was super busy or doesn't have the best bedside manner. I will listen to the pt's complaint, but it's up to them to go higher up. If they are super upset, we have a care and service report form that we can give them. They can also use these forms to lavish praise on their caregivers.
Yes, reporting complaints of this sort will make enemies. It can start a shift war, where the different shifts write one another up.
Jan 25, '07I agree with the general census here...should have approached the nurse first. Don't ignore your pt's complaints, but don't take them for the gospel either. After getting both sides of the story, then you could determine whether any serious incident occurred that was worth bringing in the supervisor. At the very least, the nurse should have had the opportunity to address the complaints first hand and clarify or make ammends for anything that happened. You didn't even give her that chance...is there a reason for this besides you feeling that you had to be the 'patient advocate'?
Jan 25, '07The nurse in question does get into a bit of trouble on her own. I guess I will try to handle these situations differently from here on out. I will try to approach the day nurse, but I don't know if she will listen.
I was overtired this morning, going on next to no sleep, 12 patients including one that wouldn't stay in bed, and my 4th shift in a row - maybe I wasn't thinking as clearly as I could have been at 0615.
I think I would have got the same attitude from the nurse and her tech even if I went to them first - that's probably why my first instinct was to go to the supervisor.
Jan 25, '07If the day nurse had 12 patients too, maybe that had something to do with the complaints.
People don't like it when you do what you did, reporting them without telling them.
Jan 25, '07I echo what others are saying...take the issue up with the nurse before you go carting over to the head nurse or supervisor. These things, unfortunately can begin to rear into an ugly head. Advocating also calls for diplomacy and knowing when to say what to who. I know that you did not mean any harm at all...you're new. But, watch around, above and below you and try not to make total enemies out of your co-workers; you may need them.
Jan 25, '07Lori
Being a patient advocate does not mean every time a pt comes to you with a complaint you go to the supervisor about it. Like it was said before, there are two sides to every story and before you go advocating you should get both sides. If anything, you should have given a heads up to the nurse that the pt had a complaint and then maybe you would have had a chance to hear the nurses side. Its nice to know that you care for your patients which I think is why you'll do well as a nurse but girl, you gotta work with your co-workers and you never know, one day it may be you being complained about for something that you may not have done intentionally.
Jan 25, '07some pts really like to be the 'favorite' pt and when a nurse is busy and can't sit and talk or give special attention they get their feelings hurt
the pt that was left sitting up 'all day' this could range from neglect to the family considering two hours all day..even if you decided that the case warrented going to supervisor you should have asked what time she was placed in chair, when a return to bed was requested, dx anything pertinent so that the supervisor would have information to make a judgement
as for 'slamming med into iv' this would be very difficult to judge by patient or by a nurse that wasn't a witness some meds like k+ are very uncomfortable but proper dilution will help
talking with the nurse would not only be a courtesy to fellow worker but it would put a nurse with sloppy habits on alert to clean up their act
i hope that you continue to give good care and standing up for pts
Jan 25, '07I think I would have spoken to the nurses directly involved to give them a chance to remedy the circumstances, or clarify what really happened. It is important to comfort and help the patients, as well as help restore their confidence in the nurses involved. Think of yourself as a mediator of good will...
Of course, if there is evidence of real neglect or harm, or the nurses are not responsive to patient concerns, go to the supervisor. Additionally, sometimes I have approached my charge nurse to give her a heads up that the patient is not very happy, especially if I was the one who blew it. Let's face it, we all will displease someone one time or another, and I hope someone will give me the benefit of the doubt.
If the patient was left sitting up all day, you really have a problem there. But this might not be an individual nurse problem. Sounds like understaffing. That would be neglect.
Jan 25, '07I had a pt complain about me b/c I kept turning them.
"She was always in here flipping me from one side to the other. I just wanted to be on my back. I could never get to sleep!"
She had a stage four pressure ulcer on her coccyx!
She was paralyzed from the waist down and a bit wonky but imagine if a passing student took her complaint seriously and sent it up the ladder before checking w/ me first?
But I think you get the point.
Jan 27, '07Quote from DixieleeUnless it is a life and death situation, I would always go back to the nurse where the complaint originated.
Jan 27, '07To me, being the snitch is a bad thing..You have to look a the overall person who got the complaint..Is she a good worker? Does she do her job? You have to look at everything...No one is 100% perfect and one little complaint or mishap does not make that person a bad person to be reported..
But there are many people who would think differently..Many people would snitch for many reasons..Maybe the snitch wants more hours or maybe prefer different shifts to work so they get people fired or written up..
In the past, I worked at a facility..A CNA who worked for many years there told me that every new nurse gets reported for minor mistakes from the co workers..The nurses who report want their hours and shifts intact so the new person does not get it..Last edit by Bala Shark on Jan 27, '07