What do I do? (long)

Nurses General Nursing

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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 with patients and their families.

Management is aware that she is continuously breaking a particular rule. (I don't wish to elaborate, all I will say is that it has nothing to do with patient care or safety. I even created a new identity on allnurses in fear of somebody figuring out who I am.) Management wants me to catch her (it wouldn't be difficult) and write her up. Violating this rule is a dismissable offense. I don't agree that it should even warrant a suspension, but a rule's a rule. The fact of the matter is that she refuses to follow it. I think to myself, "Why can't she just abide by it to avoid consequences?" But she has been a nurse for many years and she is set in her ways.

I am dreading having to do this because if I catch her, I know what the end result will be. I hate to see an otherwise good nurse lose her job over something this trivial. I feel even worse because a few years back she helped cover my butt in a sticky situation, and she also taught me some neat tricks and shortcuts.

I am afraid if I overlook this or turn my head the other way when I see her do this, management will reprimand me for doing nothing. I know I CANNOT tell her because she might go off on them and she will probably accuse management of trying to get rid of older nurses. What do I do? Should I give subtle hints to her to stop it? :uhoh21: Any suggestions would be greatly appreciated.

Specializes in Case Management, Home Health, UM.
The rule is something that people don't pay attention to anymore. This nurse is not the only guilty person, but seems to do it the most. Management has seen this rule violated, and nothing was ever said to employees or to charge nurses about not enforcing it. Personally, I think management is after her because she does things one way and one way only.

To my knowledge, she hasn't been warned or reprimanded, but she is aware of policy and refuses to abide by it. As Rebecca Jean suggested, the only fair thing to do might be to warn the employees (in writing) that this rule will be enforced henceforth, and anyone who refuses to abide by it may face dismissal. DusktilDawn is right on the money. They are getting me to do their dirty work. I have been in charge for about six months now and I am starting to regret it. I am not scheduled to work with her for the rest of the week. Maybe it will give me time to reevaluate. Thank you for your help. Goodnight.

You are dealing with the same problem I had when I was a Manager and for which I quit. Upper Management cannot make rules then turn around and not have them apply to everybody. If they are not going to enforce them, they don't need to be making them to begin with. :madface:

You have to decide what kind of person you are. Then you know what is right for you to do.

Specializes in Long term care, psychiatric.

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.

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?

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.

Specializes in Telemetry, ICU, Psych.

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

Specializes in 2nd Year RN Student.

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.

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.

So what did you do?

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.

Glad to hear it.

Good luck!

Specializes in Med/Surg, ER and ICU!!!.
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

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