What do I do? (long) - page 3

I have been a charge nurse on my unit for quite a while now. There is a particular nurse who has been there for many years. She is very knowlegdeable, has very good clinical skills and interacts well... Read More

  1. by   Verna127
    Could the administration send out a memo to all the nurses reminding them about the particular rule and what the consequences will be for disregarding the rule. Have all the nurses sign and date a paper that they have been informed about that rule. Then if the rule is broken again follow up with the protocal for disregarding rules. Verbal warning, written warning, suspension, dismissal whatever consequences were decided on.
  2. by   RN007
    I know I'll sound like a simpleton, and although I've held mgt positions in my former career, I'm still just a student nurse right now, but could you just talk to her, reminding her of the rule and consequences, and maybe she'll get the hint?
  3. by   htrn
    I feel for you chgrn. If there is anyway you could let her know that mgmt is going to start coming down on this particular rule, that seems to me to be the right thing to do. Can it be mentioned in passing, during a conversation with a bunch of nurses - "I've heard a rumor that mgmt is really going to start coming down on people that do (whatever the violation is) - everybody needs to watch their backs" I like the idea of making a copy of the policy and putting in everyone's face.

    Is is possible to look up the hospital's diciplinary process - is there a step by step - 1st offence is a verbal warning, 2nd is a write up, etc... That way you could give her the verbal warning and tell management that you were just following the hospital's policy.

    Thanks for the info about a culture of not following a particular rule therefore the rule cannot be enforced - we have a fairly new absenteeism/tardy policy that is not really being enforced and it is starting to tic me off. Now I won't feel so afraid to call in sick next time I have a 100.0 fever.
  4. by   CrazyPremed
    This does stink because you are stuck in the middle.

    Just remember this - if someone else goes to management and complains, and tells them that you know that she does _______, it will make you look worse than her. I think that this is simple - CYA. Tell her that you are embarrassed to have to talk to her about what she does, but she should not do it. Remind her that - if she continues - she is not just jeopardizing her job, but yours also. If you can't put your duties as charge nurse first, you may not want to stay charge nurse (please don't be offending by that comment).

    You aren't the captain of a sinking ship; you should not go down while rule-breaking employees escape in life boats.

    CrazyPremed
  5. by   Dakkon76
    It would depend on the rule. If it's a dismissable offense, it must be pretty serious even though it has nothing to do with patient care. Otherwise, I'd suggest that you tell management that you'll keep an eye open... and when you see her breaking the rule, rather than write her up perhaps inform her that:

    management has asked you to be aware that a few hospital policies were being broken and that you were to inform them if anyone breaks them... this way it doesn't look like you were supposed to watch for this ONE specific action. Tell her you're not going to write her up, but that you wanted her to be aware that the hospital is "cracking down" on such infractions. At least then she has fair warning, and hopefully she grasps the seriousness of it at that point... if not, it's not your fault and at least you tried to give her a heads up.
  6. by   mika1
    I did not get a chance to read the other posts, but my first insticnt is maybe you could pull her to the side and say whatever the action is that she is doing is an ofense that would warrant termination and you dont want that to happen to her.
  7. by   Mulan
    So what did you do?
  8. by   ChrgRN
    Hi again. Just wanted to update everybody on what was going on. Thank you your posts and advice. I haven't been scheduled to work with her all week but two days ago I went to the hospital and waited for her in the parking lot at her vehicle when her shift ended. I told her, "This is off the record and you didn't hear this from me, but management wants me to catch you _____________." It didn't go anywhere near as bad as I thought it might have. She thanked me for the warning, and we chatted for about 10 more minutes. I wasn't unwilling to talk to her, as one poster stated. What I meant by saying I could not talk to her was that I wasn't sure if or how I should approach her about it. She is loud, outspoken, opinionated, and has a tendency to become defensive and argumentive. As DusktilDawn stated, I am sure management didn't want me to warn her.
    I am also planning to resign entirely. I have been a nurse for a little over three years, and a charge nurse for six months. I don't like being in charge and it's not worth the stress. I feel mgmt wants this nurse out, and if it isn't this way it will be another. I haven't been happy there for a while, and I want to do something different other than med/surg. A friend of mine has been trying to get me to come to her hospital to work in the OR, and I have an interview Monday. If I am offered the position, I will submit my resignation that day. And when I am finished there I PROMISE I will reveal the infraction.
  9. by   Mulan
    Glad to hear it.

    Good luck!
  10. by   texas_lvn
    Quote from ChrgRN
    Hi again. Just wanted to update everybody on what was going on. Thank you your posts and advice. I haven't been scheduled to work with her all week but two days ago I went to the hospital and waited for her in the parking lot at her vehicle when her shift ended. I told her, "This is off the record and you didn't hear this from me, but management wants me to catch you _____________." It didn't go anywhere near as bad as I thought it might have. She thanked me for the warning, and we chatted for about 10 more minutes. I wasn't unwilling to talk to her, as one poster stated. What I meant by saying I could not talk to her was that I wasn't sure if or how I should approach her about it. She is loud, outspoken, opinionated, and has a tendency to become defensive and argumentive. As DusktilDawn stated, I am sure management didn't want me to warn her.
    I am also planning to resign entirely. I have been a nurse for a little over three years, and a charge nurse for six months. I don't like being in charge and it's not worth the stress. I feel mgmt wants this nurse out, and if it isn't this way it will be another. I haven't been happy there for a while, and I want to do something different other than med/surg. A friend of mine has been trying to get me to come to her hospital to work in the OR, and I have an interview Monday. If I am offered the position, I will submit my resignation that day. And when I am finished there I PROMISE I will reveal the infraction.
    Isn't it funny how God uses things to open doors to other places we may not have gone? Good luck with the interview, and I hope you get the job. It sounds like you handled the situation in a very respectable manner. Good for you!!!!:blushkiss
  11. by   ICURNinIL
    Well, first and foremost, I, as a charge RN in the ICU I work in, is a part of the management team and we are involved in monthly management team meetings.
    If there is NO documentation regarding the infraction, then how can a hospital fire someone? You have to follow the documentation and disciplinary action policy to the letter to be able to fire someone or that person could sue the hospital!
    I sure hope you find something you like ChrgRN! It leaves a bad taste in your mouth if you are used to try and get someone in trouble and you've only been a charge nurse for 6 months!
    I would not like that type of management style if I were in that situation as well.
    I wish you well!
  12. by   meownsmile
    I have a feeling you are right. If someone in administration wants her gone, shell be gone one way or another. Its sad and unfortunate that things have to go that way because its more than likely a personality conflict than her actual nursing skills.
  13. by   pagandeva2000
    Quote from TriageRN_34
    I have been put in a situation like this by my admin, and I will tell you it sucks! Why can't admin do it if they feel it is needed? But then again...it is part of charge nurse duty isn't it...to ensure safe patient care, and that all facility policies are being followed.

    Sadly you really must do what they say and report a violation if one is seen. I know it is a horrible situation to put you in, but the nurse is not following facility protocol/rules and must be disiplined (ouch...I know, some rules are silly looking but still must be followed...even on just on a basis of work ethics).

    That is very sad, to see that a good nurse can be shot down so easily for not following a rule that does no pt harm or risk safety! I had to fire two awesome nurses because they were in a hurry after lunch and one had to use the bathroom so the other nurse clocked her back in to save time and get back to work...this was cause for dismissal (you can not even touch another persons time card, let alone clock them in/out). I was mad and in tears when I had to let them know, and that they were needed in the admin office...they knew their checks and pink slips were filled out .

    But bottom line, that was part of my job...and had to do it or my admin would find a way to make me also guilty by not reporting it.
    While I sort of understand what made you decide to report these nurses, I don't think I would have done it the first time around. You say that they were awesome nurses...couldn't you have told them what you witnessed and stated that if it was done one more time, then, you would have to report them?

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