Verbal, Written Warnings and Termination

Health care employees are worried or concerned they may be on the ladder of warnings, from verbal warning to written warnings with termination not far up. For many this is not an unrealistic fear, it is something which is affecting their daily working life and erodes into their home life. This is the nurse's guide to warnings and what to do when you get them. Nurses General Nursing Article

I know a lot of healthcare employees are worried or concerned they may be on the ladder from a verbal warning to written warnings and then fired. For many, this is not an unrealistic fear it is something which is affecting their daily working life and erodes into their home life.

For some employees, it is something which occurs out of the blue and was totally unexpected, for some they are expecting it to happen because of an incident which has to happen either by human error or an unfortunate series of events, but for most it is a devastating situation when it occurs.

Warnings, verbal or written, are usually part of the employer's policy and are not written into law in your state. Most states have "at will" employment where you can quit for any reason at any time, or your employer can fire you for any reason at any time.

So what are verbal warnings? They tend to be the initial step in the progressive discipline process. A verbal warning is an oral notice to an employee that he or she is not meeting expectations or that his or her behavior is inappropriate in the workplace.

A verbal warning may be an appropriate response to situations including:

  • inappropriate behavior that if repeated could lead to a written warning
  • use of derogatory language
  • tardiness
  • failure to follow hospital practices/policies

The next step is a written warning if poor work performance or a behavioral problem continues after an employee receives a verbal warning, a supervisor may need to employ a more serious measure.

A written warning might be an appropriate response to situations such as:

  • failure to comply with a verbal warning
  • insubordination
  • frequent absenteeism
  • in some instances, a written warning may be appropriate without a prior warning or a record of a prior offense.

Wikipedia quotes termination as

Involuntary termination is the employee's departure at the hands of the employer. There are two basic types of involuntary termination, known often as being "fired" and "laid off." To be fired, as opposed to being laid off, is generally thought of to be the employee's fault, and therefore is considered in most cases to be dishonorable and a sign of failure. Often, it may hinder the now job-seeker's chances of finding new employment, particularly if he/she has been fired from earlier jobs. Job-seekers sometimes do not mention jobs which they were fired from on their resumes; accordingly, unexplained gaps in employment, and refusal to contact previous employers are often regarded as red flags.

Termination of employment - Wikipedia

So what should we do if faced with a verbal warning?

We should see it as an opportunity to change whatever behavior is deemed inappropriate in our work environment. We might not always agree with what we are being accused of but at least you are being given a chance to change. You should take notes and not commit the meeting to memory, you can review them later when you are alone with time to think. If nothing else they can be the "before" point as you start a process of personal growth.

If your boss doesn't suggest a feedback appointment, ask for an appointment to discuss your progress at a reasonable interval. See this as a continuing dialogue, not just a one-time slap on the wrist.

Not all warnings are fair or appropriate. If the above steps have been taken and you were treated unfairly, you might want to talk to your boss or HR about the warning. Although it is just the first stage of discipline, it does go on your record so you shouldn't blow it off. If the situation persists unfairly, make sure your resume is up-to-date.

If you are given a written warning then you will have an opportunity to read then write your own comments, you are expected to sign a written warning and this is an area of concern for most people, are you signing to say you agree with what is written or are you signing to say you are acknowledging receipt of the written warning?

You are actually signing receipt of the written warning and not that you agree with what is written, many employees do refuse to sign written warnings. Hopefully, your manager would explain this to you.

During the course of my research, I found it interesting that there were more articles advising the employer how to discipline their employees than useful articles to help the employee work through their issues and what to do if they receive verbal or written warnings.

If you do find yourself in one of the above positions it is worthwhile to do a search on stress and how to manage stress, these articles do offer useful advice which will help you improve your working life and in turn will help you change which will in turn probably meet the work disciplinary requirements.

If you are reading my blog because it is something which is affecting your life at this time, the document, document, form a positive action plan implement an action plan and see it as a positive allowing you to change and improve.

Good luck

verbal-written-warnings-and-termination.pdf

Specializes in women/children, pacu, or.

They can't ask if a person is eligible for rehire, anymore. I checked with HR and one of my ex-supervisors.

Specializes in women/children, pacu, or.

Hello everyone. I just re-read some of the posts and something occurred to me. There is a common theme thinly floating in a majority of the posts. First, please don't anyone take this the wrong way. Ed Med made a very good point. As I see it, the first reaction/feeling/whatever of many of us (that have gone thru this bullying BS) is disbelief. Complete and utter disbelief that slurs to our reputation are being verbalized and.... worst of all, believed by many and almost nurtured by our supervisors. After processing this crap we then move to the anger phase of our journey. We feel powerless against this force; not sure how to deal with it and become very angry. And this probably doesn't help when the perpetrators calmly watch us spin ourselves into a tizzy. Then, it seems like we almost slide into a helpless/passive phase. We use words like, "I can't let them bother me", "I'm above it", etc., ya'll know what I'm talking about. I think (because we're nurses) we can BS ourselves into not wanting to make waves while the psychopaths (yes, that's what I said) continue their self entertainment of bullying, lying all under the guise of professional nursing. The fact that the joint commission has actually had to issue a sentinel alert for "behaviors that threaten patient safety" speaks volumes to me. I am suggesting that our gender, role in society, female dominated profession, and (alleged) co-dependent nature provides a firm foundation for this behavior and practice to proliferate. And I believe management is as deeply involved as the staff. And if I may speak generally, men don't seem to so this kind of thing. They get in each others face and yell and then it's over.

When I was a fairly new grad in my first job, one of the more experienced day shift nurses proudly proclaimed, "I don't get mad; I get even!". And after 20+ years she's still there, getting even with anyone that gets in her way of her doing whatever.

Why do we tolerate this???? I say something needs to be done about the bullies. And it's not going to be HR or the managers. These psychopaths are slippery, they document everything, start whispering campaigns, and do it till someone gets fired, quits, or they get bored and move onto someone else. I, for one have vowed to myself not to repeat or listen to gossip and will speak up when I hear it. I'm sure I've done my fair share of harm to someone, but not anymore. My experienced has ruined my life for a bit. It will get better and I hope I can get another job, soon. But I will never be the same person I was before this "assault" on my character, ethics, and practice. I've had to take ownership of my own behavior, as we must if we are going to try to end bullying. I once tried to discuss this with one of my problem people and she flat denied that bullying existed. There is no self awareness to them at all; no guilt. That's why I use the psychopath description.

Horizontal violence in nursing needs to stop. Our profession is starving itself for lack of education and honesty. HR needs to get out of bed with administration and managers need to take a good look inward and stop tolerating write ups and other rumors.

Thanks.

Specializes in med surg, cardiac step down, rehab, geri.

wow ed med if I could give you a gross of KUDO's I would hell ya what you said is all true

and I was a nursing supervisor I worked a unit, supervised nurses and cnas

no one hated me but the 7-3 unit manager why? because I had treated my staff like I was brought up to treat people with RESPECT what they didn't know I taught them

I had rn's with bsn's who couldn't do a simple picc dressing I taught them so they could teach someone else and all the while behind my back was the unit manager running to the don making negative comments about me to the point of dirty looks from the don when I came to work, I had no idea how paranoid the UM was I had fun we worked hard we got back stabbed I said see ya have a nice day you paraniod mouse and moved on and I am so happy I did

thank you for a great post!!!!!

I don't think it is a matter of "too many letters after their names" or conversely not enough education to make them into professional managers. I think it is that many managers have learned to kiss-up and have risen into management only to wield power over others. They enjoy power rather than leadership which is a totally different thing. The Peter Principal by Laurence Peter says that "people will rise to the level of their incompetence". Perhaps that is why there are so many in power that should not be there.

I have not worked under or with men enough to judge whether it is related to maleness or femaleness, but women learned to be rutheless in business from men. Men historically ran businesses and in order for women to break through the glass ceiling they had to become like men, which includes suppressing nurturing instincts. My husband who works in a plant full of men tells me all sorts of backbiting and nonsense that goes on, no different from the hospital.

No, I am sorry to say that I don't buy the females are to blame thing. Nor do I buy that it is over or under-education. I think it is just mean people who make up a lot of the population. 20% of the people cause 80% of the problems. We know who they are in our workplaces, and they are everywhere.

Specializes in MDS RNAC, LTC, Psych, LTAC.

Mendoza,

I live in Washington and I moved here from the Midwest and quite honestly I have never worked with such unprofessional nurses in my life as out here. People here in general are blunt and unfriendly and pay lip service to politicial correctness and as you experienced, racial attitudes are everywhere but good to know I am not only one that has had trouble "fitting in" some places highjack you from day one like my last job. Thanks for posting...

I took a job at St Joseph's In Bellingham WAshington on MCU under *****..

I and been away from the bedside for three years and had been working in the clinic setting . I have been a nurse since 1976 and know alot.

I was two weeks into my orinetation when I was told I was"not a good fit"

In my time there I was approached by one nurse who told me to "watch out" Another nurse told me that the President was a terrorist and made racial statements. The person I was orienting under was a good technician but not a good nurse. She was dictatorial and task orientented.

SO I say to you if You want to take a job on MCU in Bellingham WAashington, "watch out"

Specializes in women/children, pacu, or.

I couldn't agree with you more! I'm from the Midwest, too and have exactly the same observations. I truly believe this has been a major factor in my relationships at work. I'm almost ready to grab Todo and move back to Kansas. Tornados and all are still better than the attitude & behaviors tolerated in my part of the west coast. My straw hat is off to you and thanks for validating the weird factor.

Specializes in Geriatrics.

I have been in ur shoes and til this day i refuse to repeat what i hear it is amazing how the tongue can be a leathal weapon

Specializes in Geriatrics.

Hello it has been a long time since i have been on this site but i was shocked to read ur blog. I recently finished school for LPN and switched position at what was my current job. Well while i was on shift one of the resident had a black eye the following morning. When I made my rounds throughout the night there was nothing out of the ordinary. I was placed on suspension through a hand written letter left for me at the time clock. After about 2.5 weeks the cna confessed to her wrong doing was arrested and is awaiting trial. Now i was called in 2 weeks after that to here "I'm sorry but we have came to the conclusion that there is no way you did not see a bruise on her face at 5am" my mouth fell open at this time i am thinking to myself how they will tell me what i saw. This aide completed her last round between 4 and 5 because she clocks out by 5. From what i learned in school all bruises do not show up right away. I am not blind and trust the information i was taught. Now a new job is telling me I can't get put on the schedule (after speaking to this other nursing home) until all of this clears up. My spirits were crushed, Is this what we go through all these long months of school, studying, headaches, and strains on my home life. Don't understand how people can be so evil. Really don't know what i could do about this. As of August 27, 2010 i have been at home without income.

Specializes in MDS RNAC, LTC, Psych, LTAC.

rserie,

I am so sorry. I know its like sometimes you are just set up and thats right I bruise like a grape and it still takes a day or two for a bruise to show. Geriatric age patients bruise easier but it does take some time before the bruise shows. I have had patients have a fall and their skin looks uninjured and then the next night they are showing a bruise. I always document that no apparent bruising is noted at this time right after a fall to protect myself.

If you were fired you can probably get unemployment I know in my state you could unless you are fired for gross misconduct and the employer must prove it. I wish you the best of luck. I know it shakes your whole foundation and I hope things get better soon. :flwrhrts:

Specializes in Geriatrics.

Psychtrich 39,

Thx for the kind words it really means alot right now. It just hurt my heart to know that no one stood up for me. As an employer I would want to take my employees words for face value until proven otherwise. All I can do now is let the LORD handle it on my end and pray for the family, resident, and the aide. I have been an aide since '99 and never had a complaint about not reporting or charting what i saw. I made this statement before leaving "Common sense would have told you had I saw these bruises I would have filled out an incident report, assessed, documented, collected a statement from all parties involved, notified the family, and pass report on to the next nurse with my paper work for the DON" all i got was looks with no words. I may be a new nurse to the cart but i have been around this for along time to know right from wrong :hug:

Specializes in women/children, pacu, or.

It's all so depressing to hear of this. What has happened to our profession. I do want to add that the more one achieves in the nursing profession, the greater the liability.

Specializes in Med Surg,.

Nothing has happened to our profession that is new. This stink has been going on since the begining of time, it is just now that we have a forum to discuss the stink in. There is no other way of finding out. This forum is great and wonderfull for informing others of the preditorial behavior nurses exhibit. The public has no clue what we suffer. My only problem or my biggest problem is that the boards of nurses act as though they have no clue this stink happens. What the heck.