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 OB, HH, ADMIN, IC, ED, QI.

It's so sad to see posts by nurses who endured insults and abuse for as long as 20 years!

We need to support each other by finding a positive outlet for our pent up emotions. When I worked at a hospital many years ago as an Inservice Coordinator, I started having monthly sessions with each unit's nurses on all shifts, with an objective that I needed to know their needs for education, in order to provide pertinent programs. What I found, was the need nurses have for tools to deal with angry coworkers.

This happened in San Francisco, and George Bach just wrote "Constructive Aggression" then; and gave a workshop at UC in Berkeley called "Fair Fighting", complete with soft bats with which you could hit someone without physically hurting them, as if they were the person who had been scrambling your self esteem. I brought some of those techniques back to work (although the soft bats were a recommendation rather than an actual activity). Eric Berne had also just come up with his "Transactional Analysis" work, and I used his descriptions of the 3 facets of personality which can result in miscommunication, and other theories he described, to assist nurses and supervisors in keeping their working relationships at an "adult" level.

That was quite effective, and nurses told me they employed the information and techniques at home, to get away from ineffective ways of dealing with problems there. I've described many of the methods in other posts, and still believe that short of psychotherapy, that yields positive results and keeps people from erupting inappropriately. The behavior described in the posts here, indicates that changes in behavior can occur from employing "straight" interactions instead of "crooked" ones and allows psychic control over one's own behavior, with the result that others want to utilize it too. Of course anything will work well when ethical and not malevolent intentions exist. Without that it is a lot harder to relate positively to those who are stuck in childish thought and actions; and it will work then, too if the techniques are done consistently.

Good luck with your efforts in calming disturbed waters.....

something that i ve often thought about i wonder how many of our "bosses" including all ancillary personel check the board sites on the internet to see what they re employees are saying about them...we all konw it s our first right admendment but i often think that they find a way to twist it into something....watch your backs when you post and whatever you do DO NOT go to plalce of employment on a web site and log on to the site.. once they have basic Id they can look around the internet to see what is being said..

Specializes in Medical surgical.

Hope this fits in, i was oriented by one staff member that boldly told me that she does not have the time. Another that told me to take the narcs., carry on the cart etc. etc., so no back and forth. Well you know what happened, rushing, forget to replace in count, written up, meds. late to floor etc. , cannot write all the details, written up, and doc. not on file written up, transcrip. error, FIRED, left in good faith, had a job before leaving premises, back to what i love caring for pts., no stress, weekends off, 3 days salary = 2 weeks there, destressing, 4 days to clean, sleep , but concerned when all other employees are awaiting their last write up and then thru the door, while still working them like dogs.

Sunrock...sooo sorry you had that bad experiance.... i know what that feels like,,, having 33 years in this and lord knows how many I ve orientated... I used to work with someone who absolutely refused to orientate anyone new to the floor and i ll never forget the night i had to orientate a new staff nurse and was sick with a cold that was raging into a fever...but you know what that new employee always remembers that...that i stuck it out for her and to this day she always comes back to me with any questions she has..but i also agree with the dumb assed stuff about write ups.... in the last 3 monts get this... an uppper respiratory infection...then wound up in the hospital with chest pain and it turned out that i pulled some serious chest muscles while we were not staffed right for the workload( funny how they can staff for numbers or acuity when it suits the budget ) prior to that they asked us to take time off and help them out so many of us did that and then they cut our hours for 2 weeks when they were slammed with a few resignations then they restored our hours and we didn t have enuf supplies to do out job... then i go into work with a major cold worked 2 days and the second day i had a raging fever ... i had to finish the 2nd med pass and finally got to go home well needless to say i m home today still with a fever and a md bill...BUT when i go onto work tomorrow i will guarentee i will be hit up with a write up for "excessive" abscenceso it s no wonder wht we leave our jobs...go figure....

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"

Interesting post.

I, too, have been told I was "not a good fit."

Can anyone define ??

And WHY, (please WHY) would anyone want to be a ("nurse") notwithstanding my 33 years in this "profession". ?

Need I "roll over","sit", "fetch".

Oh yeah, it's YOUR,Mother, Father...(fill in the blank...) and YOU treat me like CRAP....!!

YOU'RE RIGHT !! It's not a good fit. My life, my sanity, my heart....

But then, I'm TOO OLD for the Peace Corps.

Would that I could...eyedrops in Africa..soap & water in Namibia...condoms in South Africa.

I've wasted my life/energy for thankless/privaledged brats...and yes, I'm a "baby-boomer".

Only wish I could start over. But, then, don't we all?

Get a Dr. excuse for your absence- won't that help?

Specializes in Med-Surg, Dialysis, and Surgical.

I agree 100% with all. I just left a job like that. It was pick at this, pick at that, nothing was right...Some ppl missed multiple days, I missed one day the whole yr and was told attendance could be better..I mean WTH? If they are after you like that I agree on the "Get Out" part. It will just make you miserable and before you know it you are taking it home to the family...GET OUT FOR YOUR HEALTH! Find something better.

Specializes in Medical surgical.

Why would a hospital/facility change from JACOH, ARE THE STANDARDS TOO HIGH, and why all the housecleaning, it should be done on a daily basis. Then they have mock runs before the authorities are called in. Please explain.

Just remember you are not :aln: !

'"I feel chewed up and spit out" sounds like a song, poweroflove.:yeah: Great description. We nurses need more protection of our jobs from unethical managers and 'mob mentalities' as well. Hang in there, friend. :redpinkhe:hug:

Specializes in OB, HH, ADMIN, IC, ED, QI.
It happened to me and I am now without a job and denied around 184 hours of acrued PTO that Mission Hospital in Asheville, NC can lawfully deny me. I feel bitter at the moment and unsure if I will remain in healthcare. I also feel chewed up and spit out. At age 59, I need to bounce back quickly, but not sure where to start.

Your age may have been one reason for your misfortune. Insurance companies increase premiums to over $1,000 more per month, for people over 55 years of age. It could be that your hospital found that too expensive, and manufactured reasons to discharge you. This is why unions for nurses are a good idea. If you are in one, go to your rep and ask/demand that an investigation happen regarding the charges for your insurance. Otherwise look in the goivernment pages of your telephone book, and complain to the labor relations board. Your congressperson or senator for your district is also a resource, and may have a Consumers' Handbook for other resources.

It's usually customary to be paid for PTO when you leave your employment, no matter what the cause is. Check out the legality yourself, by asking the Labor Relations Board about that. Remember that Federal laws supercede state laws, and state laws overcome city or county regulations. Use a lawyer as a last resort. They're expensive, and not always correct. If you do choose representation by a lawyer, be sure to choose one who is an expert in Labot Law. It's also wise to check where the lawyer went to law school, as night schools don't always prepare lawyers as well as credible universities.

I'm so sorry that you had to go through that, but if you enjoy nursing, it could be that hospital nursing isn't for you, but home health is..... Investigate other areas for nursing jobs through internet agencies like Career Builder, Monster, etc.and file your resume (without using your last job, unless you were there so long that leaving it out wouldn't look good). The Human Resources office at Mission Hospital is allowed to only give the dates of your employment when called for a reference.

One of the best things I did while unemployed, was to go to the Workforce (formerly Unemployment Office) and join the "Profiles" club for professionals, a great place to get more information about job availability and how to write resumes, interview, etc. Of course it's good to be with others in your situation, for support. there may not be other nurses, but everyone has the concerns that you do about the future, possible career changes, etc. Good luck!

Specializes in Med nurse in med-surg., float, HH, and PDN.

LORD,LORD,LORD! I have read all the previous posts and it is really just so sickening! I have been in some similar hot water, but got reported to the nsg board. One incident in 40 yrs. and can't even get an interview callback from any of my numerous applications. An otherwise sterling record, and references offered from many high-ups at previous employments who have known me for 30 years, and still no responses from any applications. Nobody wants a nurse with an "encumbrance" attached to their license. For a while I felt that if someone would just talk with me face-to-face, they would certainly be glad to give me the job, but I can't get foot in the door ANYWHERE! I have been doing private-duty as a CNA, which my wallet hates, but at least I am doing the patient-care I love so much. I have to find a nursing job under certain board requirements and work under their probationary rules within a certain time period, but I'mbeginning to wonder if that will ever occur. I, too have gone through the humiliation and stress, lack of sleep, headaches, palpitations,depression.....and continue to do so in spells,at intervals. Where I am working now, they have known me for years and years and are equally disbelieving, So many supervisors and charge nurses to whom I have given the rundown of events leading up to what went on, have all, ALL said, "I wouldn't have turned you in to the board for that! They all think it should have been handled differently, even my board instructor who had to accompany me through the aftermath requirements. In fact, she told me that my ethical dilemma was that I should have left the job LONG before, that even SHE couldn't have and wouldn't have been able to do that job. It had that "staffing X # of patients, where X=ridiculous" as one of you so aptly put it. And I just kept thinking I could get a handle on it if I just tried a little harder for a little longer. HA! I can tell anyone, now, take the advice of those on this blog/thread and GET OUT WHILE YOU STILL CAN BEFORE SOMETHING HAPPENS. It will forever be your "FAULT" if you don't, because it is MY fault and the only ones who give a **** are those who've gone thru something similar and those who know me, KNOW ME, but can do nothing to get me in a position where I can restore my reputation and self-esteem. I feel like I could have all my patients and employers from years past standing behind me singing the hallelujah chorus and still I would get no bites on my application lines thrown out. What I did was not so terribly heinous, but that, too, doesn't matter. And so it goes, here I stand. At least I know now, from the fifteen pages of responses on this thread, that I am in good company with good nurses who care, who have passion and integrity and who are definitely under-appreciated . And the people who are out such good nurses are the ones who really end up suffering: our patients. I'm glad I got to be a nurse starting "back when" the patients were the most important thing about the profession,

People do not believe what a horrible occupation nursing has turned out to be. It truely is detrimental to one's health. I believe every word you said - and the palpitations, depression, stress - - it's all real. Nursing is the one profession where you have to be PERFECT. If the doctor misses something and the nurse doesn't realize it, the nurse is held responsible (eg., well patient x has this history - why didn't you think to do this...?).... Well, because sometimes you do and sometimes you don't. ... We are too **##^^ busy and not educated enough to be playing doctor but are expected to. When someone is in chronic A.Fib - some are on tele monitors and some are not. How do they choose? I don't know.