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

it is heartening to hear so mcuh support and disheartening to see so many good nurses fall into this cat and mouse game. How did our profession get so cutthroat? JCHAO did not help that is for sure..

Specializes in OB, HH, ADMIN, IC, ED, QI.
it is heartening to hear so much support and disheartening to see so many good nurses fall into this cat and mouse game. How did our profession get so cutthroat? JCHAO did not help that is for sure..

In all disputes with employers, there is the need other employees have, to preserve their own hides. Therefore, when their input about a colleague's good work is really, desperately needed, they'll hesitate, intimate, and hedge rather than be in the position of choosing allegiance to a fellow employee/nurse over their employer. Suddenly all the years of teamwork fall away, and uncertainty makes the person on the "hot seat" look guilty. Then the administrative pariahs attack, and their positions depend on accomplishing what has been demanded of them.

This has always happened, but at this time of financial uncertainty the need for a salary is so great, that there are more situations than ever in which nurses are pitted against each other. It isn't clear why a nurse is victimized, and the issue at hand looks crazy, but someone saw the opportunity to discredit a perfectly good nurse, for a small thing at which no one would usually look twice, but a big deal results. When the nurse who has been involved in it is terminated and leaves, there is relief for those remaining, that it wasn't them.

I don't think it's possible to stem the tiide of terminations due to age discrimination, until those to whom age discrimination has resulted in losing their jobs, band together and hire a "class action" labor law attorney. Since "at will" limits what one person can do, many people who had the same experience can claim unfair labor practises. Notify me with a private email if you want to proceed in regard to age discrimination experiences you've had. Thanks. :lol2:

I am not sure how to do that as I am new to allnurses.com. I may have to upgrade my membership . I will try that in hte next few days..

this last thing has shaken me to the core. I may have to leave the country for good as I will not be able to afford to live here

Thank you Lamaze,

Well I have had many experiences with litigation and once spent 9 months in a deposition.. That is another story.. This last one still has not played out.. I will let you know after next week... it is no doubt in my mind that some one said. Hey who let this old broad in here. Don't you know her medical is costing us an arm and a leg. Get her of her.. Then got rid of me.. Not a good fit? doing what?? no one fits in two weeks..

What I did do was go to HR state my position then told them the nursing comminuty at large should know about this.. I now have a meetign with the higher uos in which time I will state at will does not mean they have a right to discriminate . The supreme court has now made is more difficlut to prove your case of ageism. Claence Thomas did that but protected racism ..

Specializes in Med/Surg Cystic Fibrosis Gero/Psych.

Hey, a warning is just that.... (your bad, be gooder):yawn:

If your manager can add, which is quite unlikely, as they are always "over budget", maybe they'll begin counting them and figure out they need to talk again....

Just to hear themselves.

If they want you gone in a "right to work" state, you're gone.....

Federal law protects against discrimination (gender, race, religion etc..) being fired for that is still "wrongful termination" even in right to work states. That's EEOC stuff.

What if my concern is staffing? And that I don't feel comfortable or capable of caring for X number of patients? Where X=ridiculous? I send my concern up the chain.... and probably get fired for "not meeting expectations" right.... ? Our CNO is crazy about administration for some reason (pays her mortgage). She will not address our concerns. They already laid off all the LPN's due to the X ratio. Lost several RN's to resignation and transfer..... doesn't that illustrate my point? Could it be clearer? Nurses sicking out allot... me too please! Let me get behind everyone else in the warning line! No, wait, I'll get in front on the way out, come on! it's a parade!

Seriously, can I voice my concern to the State? The Managers? Will it really be "Considered"? I feel that only state or federal governmental reg's can put our hospitals back in line with modern top notch medicine. Who's delivering it? Nurse X!:heartbeat

Specializes in Med/Surg Cystic Fibrosis Gero/Psych.

Sorry to post twice but I have to say.....

Litigation will only cost you more than it's worth.

Blow it off and find something else, do you really want

to go back to the same?

You have a better chance of getting money falling down in a store on a wet floor than

from getting fired for bad reasons....

No litigation is not an option but I will go there and tell the head honcho my side.. I am also 62 so it fits.. at will or no there are laws except the last supreme court made it very hard on old foks to claim ageasim

I was wrongfully given verbal warnings, and "written up". This took place after FMLA. I was determined to advocate for myself. I consulted an attorney immediately. He gave me advice thru the entire process. I was not going to allow any human being to mess with my character and reputation. Cost so far $400. $200 for a 2hr. phone consult, $200 for a 2.5 hr. face to face meeting. Not the $1,000's I imagined. I reported my managers actions, and behavior to my director, HR rep., Ethics and Compliance, and my personal family counselor (for guidance and documentation of the grief I was going thru). I saved copies of everything, and provided proof to back my case. EXAMPLE, schedules; childless RN's=3 day weekends/8hr holidays, myself=2 day weekends, always required to work 12hr holidays ~~even after questioning many times the precluding factor as to which I had to~~, phone records, staff present @ the time of the "false" misbehavior, the "kudos" from peers & pt's. An investigation took place, I continued to be ME!! I came to work on time, gave my patient's extraordinary care, smiled, walked proud. The more I continued to be me, my manager continued to falter, and was terminated. Now, I hear stories from other staff in which she did the same thing. I s'pose now that she is gone, they don't feel a threat and come forward. Some are reporting to HR, E&C, our director, for something that happened yrs. ago, w/ this same person, hoping to receive some taste of empowerment. If anyone is treating you wrong, and you know it is WRONG- have the courage to protect yourself!

good for you for standing up for yourself.. IHave had that happen too.. It can work but if you are new, and I mean two weeks???!!?:bugeyes: All I can do is go talk to them , and I will. What is funny here is HR has set up this meetign with the head administrator and goign through the greavanve process even though i was nto under contract?

I talked to her, she listened, then set this up.

Specializes in Med-Surge.

The legality in today's nursing profession compromises patient care. Today's nurses constantly feel threatened by all the legality and politics that occur in the hospital setting.

I am a CNA, I have just finished a career change from successful banker to CNA. I thought nursing wouldn't be as cut throat as banking, I find if you work hard don't goof off, don't take naps, your not in the inner circle. I pay attention to what I do and do my job, I am feeling really insecure I am 57 years old I have always wanted to be a nurse and I am on my way, I actually love the CNA work. I take it seriously and I am especially kind to the residents. I do whatever the nurse asks me to do, even if it is not part of my work load. It seems I do nothing right. Should I speak to human resources, or am I wasting my time.

Specializes in OB, HH, ADMIN, IC, ED, QI.
I am a CNA, I have just finished a career change from successful banker to CNA. I thought nursing wouldn't be as cut throat as banking, I find if you work hard don't goof off, don't take naps, your not in the inner circle. I pay attention to what I do and do my job, I am feeling really insecure I am 57 years old I have always wanted to be a nurse and I am on my way, I actually love the CNA work. I take it seriously and I am especially kind to the residents. I do whatever the nurse asks me to do, even if it is not part of my work load. It seems I do nothing right. Should I speak to human resources, or am I wasting my time.

Well, since you called patients "residents", I guess you work in a long term care setting. There, the roles are pretty clear cut regarding what nurses who have over 1 year of nursing education under their belts, (usually LPN/LVNs)do; and what (sometimes) certrified nurses' aides do. Among the nurses' aides, there's usually someone who is the self proclaimed leaderhich can mean that he/she has been there the longest, or has the strongest desire to lead others. If a nurse has ticked one of the aides off, she/he can expect the others to come to her/his aid only if he/she hasn't done something that the others won't do (like his/her job well), and maybe gone the extra mile, which endears that CNA to the nurses.

Often CNAs are wannabe nurses, but due to their life's circumstances (having children young, not enough money for college, etc.) they haven't done what you're doing. So they may resent you, and certainly they think nurses are elitist. Some flaunt knowing more, or being more important, seemingly, or just plain bossy. The fact that you love taking care of others, and don't see your work as only a means to a paycheck, that also separates you from others who don't get their satisfaction from doing the job they're paid to do. So right now you need to be OK with the differences between you and those who have made their way with chips on their shoulders, possibly.

Many people have been in your situation, giving rise to songs about it, regarding smiling, like "Let a smile be your umbrella", "Smile a while you.......... away", "Keep on smilin', cause when you're smilin', the whole world smiles at you", and (sob) "Smile even though you're crying......." So smiling helps the loneliness, sadness and even ostracism that we can't please all the people, all the time. You're in transition from the person you were, in a dishonest world, to the person you want to be, in a different world in which some people have seen so much pain that they minimize their and others' hardships, seeming not to care; and with any rebirth there is pain.

You don't seem from your post, that you're likely to evolve into a non caring person, and when others project that, it can be scary. I know thyat, because I've walked where you are, not as a CNA, but as a nurse who cared very much about patients having good care, and I alienated others who hadn't that commitment. Rather they would project uncaring by hiding from those who would remind them of their responsibilities, ignoring human needs, and obstructing the success of nursing care plans. You are not, and never will be like that. So you don't fit in with thyem, and you're not a nurse, yet. However you will become one of the best of us! The more you learn and the more you care, the better you'll be - so smile...... :specs: