Verbal, Written warnings and Termination - page 7

i know a lot of health care employees are worried or concerned they may be on the ladder from verbal warning to written warnings and then fired. for many this is not an unrealistic fear it is something which is affecting their... Read More

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    Quote from lamazeteacher
    Then why did Massachusetts ignore the fact that health care reform, with increased monitoring of those LTCs would be enacted with a Democratic Senator? They voted for a Republican one, who will advance insurance companies' greed, lobbying, and increase costs of care while resting back on what has always been the way of health care?
    " because you can't fix stupid"

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    enforcing these punishments is not as easy due to the shortage and cost of hiring replacements
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    OMG October97 I totally know where you are coming from. I told a future nursing student the other day that most nurses work when they are sick because they have to and she was shocked. I told her if you want sick days go into teaching, not nursing. If only the public knew.
    trixie333 likes this.
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    At our facility I know a nurse who was terminated for coming to work with the "pink eye" and endangering patients health - among other excuses...if you don't fit...your gone for any number of reasons. Bully behavior should not ever have to be tolerated!! Nosey backbitters, love to upset fellow employees, floor managers turn a deaf ear and a blind eye to the low lying snakes in the of these snakes told me as a new hire.."I will burn your house down, blow up your car.. if I ever lose my don't know who your dealing with!"...(ohh...yes I dooo Satan's little helper...Hell's flames will burn higher as your Master pushes you into his pit you poor excuse of a human being one day) She brags.."I've known the floor charge nurse since I was two years old...I ain't going nowhere cause she loves me"...(I hear the floor manager retires, again, in a couple of years..I can't wait..nor can about 20 others who are sick of her)...ohhhh the drama ..and she stays 3 hours overtime daily...spends 2 hours in the floor managers office ...making up crap on new keep eyes off her. You can mention a name on another floor and she knows all about them and their business...she doesn't chart unclogging IV's with heparin/NS...but spends her time looking for any fault on anybody to run to the floor manager who is amuzed...who gets all up, in the shark feeding frenzy, in the floor gossip. One nurse quits a month..keeps cost down they laugh. I'd much rather have a floor with nurses working together as a team...but, that's not gonna happen.
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    may i take your thread a step further? i’m looking for my 2nd lpn job since boards (nov 09) and anticipate a tough time with references from my 2.5 month-long 1st lpn job at a 30-bed alf/dementia, alz. i can't believe i'm uttering this to another living soul, let alone to other nurses, but i made 4 med errors in those 2.5 months. i'm blessed to say no one was hurt. the errors were not the “wrong med, wrong patient” type. although a med error is a med error, mine were less cut and dry. the 1st one was in my second week of working there - a resident had been out with her family all day and i forgot to go to her and give her meds when she returned at 9pm. the final one was about a doctor’s order change i didn’t follow because the nurse who took the order on the previous shift didn’t put it in the mar or mention it in report. my don begrudgingly admitted that i may not have made 3 of my 4 med errors had there been another nurse around i could consult with. we were small with only one nurse per shift. a little context: the week after i resigned, for their own reasons, 2 of the other 3 resigned, and the 4th advised the don that she was actively job-searching. by the time of my resignation, my don had taken a fair amount of heat (which of course trickled/flooded down to me) regarding my med errors - for not monitoring my work the 1st few shifts i worked there and also for not training me according to policy. the whole situation was so dysfunctional and turned really sour from then on.

    i know i will be an excellent nurse when i have some experience under my belt - hospice home health is my goal. i also know that in this 1st year of nursing, i need to work in a larger, more supportive environment where i can bounce things off of other nurses as i learn. there may be laws protecting employees from negative references, but i don’t have the time, money, or heart to pursue any of that. i list this employer on my resume and applications, as is legal and ethical, but, which is unfortunately also sabotage.

    seems most facilities require in-person completion of an application packet along with a resume before they’ll schedule an interview. this 3- or 4-page packet includes a release form - that must be signed on the spot - addressed to the previous employer requesting disclosure of any and all information in the applicant’s file, and that the applicant holds them utterly and eternally harmless for doing so. i was not fired, but i would not be considered re-hirable there either. if i were an efficient hr person, with that release form in hand, i’d get a reference before taking precious time for an interview. so, obviously, i may not even get out of the gate with some of the facilities. i’d so appreciate any suggestions at all about navigating this fallout. thanks in advance!
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    The med not being on the mar was not your fault. There could have been 10 nurses there for you to consult but why would you? What would have prompted you to consult someone regarding something you knew nothing about? Good luck finding another job. Hospice actually may work because they aren't as concerned with med errors...
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    Reality is that many med errors are covered up. We have all made a med error at some point. The thing I think you need to recognize is that maybe this kind of an environment that has chaos and tons of meds is not for you. It is hard after a bad job experience to find another one, but not impossible. Consider night turn where there are fewer med changes and less going on. Or, consider a different environment. I can't suggest home health because as a home health nurse myself I know you have to get some experience under your belt to be succesful. I think ALL nursing jobs have insane workloads and craziness anymore. If you really want to get into hospice or home health you have to find someplace that you can stick it out for at least a year. It takes 6 months on any job to really feel that you have a handle on things, and at least a year to be completely comfortable.
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    I have a clinical instructor who is trying to get rid of me by saying I do med errors. She succeeded today. Why are clinical instructors allowed to single out one person and ride their backs?
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    Nursing instructors do it, teachers of other types do it, bosses do it. It is called abuse of power, and you will find it everywhere where one is in charge of others. They do it because they can. My son is in a vo-tech school and I see his teacher doing this same thing over and over to certain kids. He does not like certain kids, usually the ones who need him most. He picks at them and picks at them, lowers their grades for any little thing, lets others get away with the same thing but rides the ones he does not like. It is unbelieveable that this goes on. You can't touch him because he is in the teacher's union. I work there so I can't do anything, but once he has graduated and I am gone from this job, there will be letters I assure you. It may not do any good, but the pen is mightier than the sword sometimes. Look for school rating websites- write about your experience on there. There are two sides to every story.
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    These people get away with it because, I agree, they are in a position of power. I agree it is also abusive. They are supposed to be teaching you, it actually shows a failure on her part - unless you are incapable of learning which I doubt that is the case....

    They get away with it because no one reports them. It has to be reported over and over unfortunately. What I would suggest, if you can, is go to someone higher up that you trust (if anyone). Without anger, and without any emotion at all, have your facts laid out of what occurred and that you are concerned about it and how it will affect your degree. That you are willing to make any changes that your instructor deems necessary - but you don't know what to do because she hasn't told you. You should be allowed to have a plan outlining EXACTLY what the problem is, do EXACTLY what she says to do, and have her sign off daily that all your work is fine. It is a pain, but it may take her off your back (as she is also being monitored daily by someone higher up who will review the outcome of the daily plan (make sure you have a copy). It also shows that you went and spoke to someone "without being fired up" about your concerns and wanting to learn what YOU CAN DO to make it better. This approach shows you are very mature and it takes the accusation away from the instructor (nonetheless, you have still reported her). She still has a chance to save face, which makes it possible for you to continue to work with her.

    It's tricky, but the more diplomatic you are about it, the better chance you stand.

    Good luck dealing with a bully.
    trixie333 likes this.

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