do you work with any nurses that seem to lack professional accountability and responsibility? Are you seeing a disturbing trend toward this?? This has been a discussion in one of my online classes and I wanted to get some feedback from members here.
Here's an example....I worked with a nurse that walked out of a code...on HER patient! Her excuse was..."you guys could handle it"! My opinion....professional abandonment. She was fired for this but according to my NM, the reason she was fired didn't sink in. She saw no problem with walking out of that code...."I don't see what the big deal is....there were other people there."
She wasn't a "newbie", had been an RN for a couple of years and this wasn't our first issue with her. She had always lacked personal self-direction....wouldn't answer call lights, never did anything without being TOLD to first, etc and had her probationary period extended because of it.
Have any of you worked with other nurses that have walked out of codes, refused to admit to medication errors, falsified charting, etc?? How is this handled at your facility? What do you think is the underlying cause? Is it a lack of education in nursing school? A lack of personal responsibility? I'm just trying to gain some insight into this...and please...no BSN vs ASN debate....the nurse I was talking about was a BSN and had graduated at the top of her class.
Nov 21, '06
by NRSKarenRN, BSN, RN
Along with being fired, should be reported to BON for patient abandonment.
Definitely seen decrease in professionalism across ALL professions, more acutely in past 10 yrs. I especially rankle when I here comments like "ANA/AMA standards don't apply to me, I'm not a member".
One of the tenets of professionalism is personal and professional accountability. Nursing and healthcare is so much more than learning a concept to pass a test. If personal integrity not important to parents, next generation isn't going to think so either. Trying to cram so much info into students heads these days, think this aspect is glossed over....certainly minimized by "is this going to be on the test" mentality some student bb members espouse.
Last edit by NRSKarenRN on Nov 21, '06
Quote from Tweety
I see some isolated incidents here and there, but haven't really noticed any trends or an decrease in professional accountability.
What that nurse did was deplorable, but is it right to extrapolate (sp?) out of this that nurses are becoming less accountable than in past years?
Tweets...this discussion started in my online class. We are RN's from all over the US, working on our masters in either nursing education or management. We are discussing accountability, responsibility, stagnancy, pt advocacy....or rather the lack of that we have seen and what we can do to promote critical thinking and encourage professionalism.....when mentoring, reorientation, moving to a different unit, in-house and out of house conferences do not seem to work. I'm not trying to generalize or be judgmental...I am truly seeking some guidance here...trying to find a way to reach nurses that do not seem to advance their practice any further than entry level.
Not picking on newbies....I've seem examples in experienced nurses also.
Last edit by rninme on Nov 21, '06
: Reason: typos, typos, typos