Your thoughts on being "written up". - Page 3Register Today!
- Jun 17, '12 by interleukin"Conscientious Professionals" do not tolerate such catch-22 conditions. They ask:
"Which do you prefer....all charting done or no overtime?"
These days, they are often incompatible scenarios.
If you, indeed, allow yourself to be turned into a long-term task monkey, then don't complain about it.
As a professional, you need to at least apprise them of their impossible mandates.
And, if they won't address or resolve the issues then, as a professional, pack up your dignity and leave.
Continuing to patch poor management behavior only guarantees its perpetuation.Last edit by interleukin on Jun 17, '12 : Reason: grammar
- Jun 17, '12 by loveu123I used to work on such a unit at the same hospital that im in now. People used to talk constantly about how they were scared of getting a write up for any little thing that happened on the unit. My coworker got a write up for choosing to intervene for a patient that had a vtach instead of restarting an infiltrated iv line to give vanco that was q24 hours. I left after they tried to write me up for punching in 3 mins late. I treatened to get union rep becausr our contract allowed to punch 7mins before and after. Im now working in a step down unit with trauma and surgical that is much more difficult at the same hospital,and i am not as stressed as i used to be in my old unit. The leadership in my new unit is very supportive and respect us and makr us feel appreciated.Last edit by loveu123 on Jun 17, '12
- Jun 17, '12 by VivaLasViejasPersonally, I think write-ups are WAAAAAY overused in our profession. Like other posters before me have stated, we aren't grade-schoolers in need of discipline for some minor infraction of the rules, such as chewing gum in class. We are adults and should be treated like adults, although I have no problem writing up someone whom I've already warned about a patient care issue or a particular behavior (calling in with the 'bottle flu' every Sunday they're on duty is a pet peeve of mine).
But unless it's something flagrant, such as leaving residents in soiled briefs for the next shift to deal with, I prefer to assume staff members need education, not punishment, so I'll sit them down and discuss the problem, then document the conversation in a journal in case they continue the objectionable practice. This constitutes a verbal warning; it starts a paper trail that progresses to written warnings (three strikes and you're out) and finally termination if necessary. I don't like to see my company have to pay unemployment claims, so the paperwork had better be there. (Now, if I can just get my floor supervisors to do this.......)
- Jun 17, '12 by wickeddiazrnQuote from RNSuzq1I'd like others thoughts on being "written-up" at work. Before becoming an RN, I spent 6yrs in the Navy & 10yrs in Business. In all those yrs, not once was I written-up for anything. I've been working on the same floor for quite a few yrs & have never seen anything like the write-ups people get, for the most ridiculous reasons. I only know a few people who rec'd warnings for med-errors or patient care (it's rare). Most of the what you're written up for, are minor clerical errors, things that could & should be handled with a quick discussion with Mgmt, if at all.
These are actual notes: You were observed on the video tape with a drink at the Nurses Station - this is not permitted, please make an appt. to discuss this. (The Mgr. walks around the floor all day guzzling coffee, go figure). You clocked in 1 minute late last week, please see me to be re-educated about the importance of being on time. Really? That was the 1 time I was late in all these yrs & I get drug into the office about it. I was late because a lost old man in the lobby, asked me to show him where the ICU was, so he could see his Wife. They didn't care - I got a write-up, that'll teach me not to be nice again.
We recently had a pt that should have been in the ICU, not on our floor. She needed constant care, left little time for our other patients. I work nights & my co-worker who works days, had this same group of pt's all weekend. It was such a heavy load, she ended up having to stay late each night, to get all her charting done. What does she get for staying late to get it all done? A nasty-gram in her box - See the Mgr. about unapproved overtime. If she hadn't done all her charting, she would have been written up for that - you can't win.
It's just so insulting, to be constantly treated like a bunch of Toddlers who need constant supervision. We're a group of conscientious Professionals, that take patient care seriously. My group on nights, keeps the floor running & handles any problem that comes our way, just fine, without the help of any Manager breathing down our necks - but would they ever say Thanks, you did a great job - NEVER!!! All you hear is negative - you forgot to cross a T or dot an i - from someone who hasn't touched a patient in years, if ever.
Recently had a talk with my Brother, a long-time Trauma Nurse in another State. He said he's never heard of so much ridiculous, nit-picking and there were too many hospitals out there that appreciate and value their Nurses, to keep putting up with this. He works for a Union, so I'm wondering if that's why him & his fellow Nurses are treated decently or is it just my place?
This is frustrating. I have recently accepted a position as a risk manager at my facility. First thing, if these are being "written up" in an actually reporting format that your facility uses to track and monitor trends etc, that information is very confidential. Please be careful when posting "actual notes". Our eSRM system cannot be printed. When I do trend and have to present information to committees, to help with changing a process, I have to make sure that the information is very watered down. In fact no one can remove note or minutes from those meetings. I keep a record of the minutes only.
Have you talked to your manager about this face to face and in a professional maner? Just because someone is in a management position it does not mean they have the best communication skills. He/She may be very uncomfortable aproaching people face to face or one-on -one. I agree that the drink at the station, I would have just walked up to you and had a nice discussion about it. In addition, Iagree that the rules should apply to her also. I always come across the reports that you can read are just being petty. I review them, look to see if maybe it could be a problem or why did the person report it, and then many times close it out. I can still go back in at another time and run reports to see if something is really becoming a problem.
The fact that you feel that "you" are being written up and not the "action" is a big alert for me that the culture at your facility may need to be re-educated as to why reporting is important. Many of the saftey process that are inplace currently came from tracking errors.
As far as the union, it depends on the union and the leaders of that union. I have seen great ones and poor ones. The great ones comminicate for the nurse with the management and have frequent meetings throughout the year. They do not only meet when there is a problem. They frequently discuss things in terms of patients and safety. Yes, they also support the nurses, but they also have a eye on the management/hospital side. Remember, if a hospital goes under due to financial reasons or saftey issues the nurses are out of a job too.
I am curious did anyone "write up" or report the fact that you have a patient that should have been at a higher level of care? That is what needs to be addressed. That is a big patient safety issue.
I hope things get better for you and that you find a way to get management to listen to you. You may want to speak to your Quality Director or Risk Manager if you feel like after you speak to your manager that things will not change.
- Jun 17, '12 by applewhiternThe things we get written up for are silly, too. I can understand it ~ if it compromises patient care, such as a med error. But we get written up and verbally assaulted for stuff that is ridiculous. I worked for over 20 years without any problem, actually never got "wrote up" for anything, except the occassional commendation for doing an exceptional job. Now I work at a place that writes you up for anything and everything. One problem I have noticed is that they don't bother to investigate first, read your notes, see the doctor's orders, etc. They just immediately write something up, then you have to spend your time trying to prove yourself. It is hard to be a professional when people are bent on bringing you down. A lot of the stuff we get in trouble for has to do with "patient satisfaction." If a patient perceives that you said or did something, you are in trouble, even if you are following the doctor's orders. Like I said, we spend a lot of time investigating write-ups that could have easily been prevented if the managers would simply look at the orders and read the nurse's notes first.
- Jun 17, '12 by NutmeggeRN[QUOTE=PrimaFacie;6609596]The food and drink at the nurses station is an OSHA rule.
When I went to look it up to cite it for you, I found this funny article by a doctor who was ticked off by it:
Why Is Food and Drink Prohibited At The Nurse's Station And Other Hospital Work Areas?[/QUOTE
Well I guess I am screwed! I am a school nurse and I am lucky if I get to finish my AM coffee and the only way I get to eat lunch is if I do it at my desk...God forbid someone wait the whole 22 mins we (teaching staff and faculty) are alloted for lunch, for the bandaid they needed two hours ago!!!!! or for the ibuprohon they needed at 8 am.....maybe schools are different but we have OSHA regs as well
- Jun 17, '12 by That GuyI guess I was a lucky one. I was only ever verbally reprimanded for bonehead mistakes. I think the write up thing is way over done and a cop out for spineless managers not willing to address situations in a better light. Or maybe I have it wrong and their hands are tied in what they can/cant do.
- Jun 17, '12 by justin.jI know this is definitely not the popular opinion, but coming from an HR background, I think valid write-ups can actually be really valuable. I think the important thing to remember is that any time you get written up, you should have the chance to write a rebuttal to the write up should you not agree with something or have something to add. That way, your rebuttal is included in your file in writing, and should the situation ever come back to haunt you it's not just a "s/he said, s/he said" verbal conversation. It can actually become something that protects you as well.
Additionally, you certainly do come off as professional, but not everyone out there is and sometimes the only way to get someone out cleanly is to have multiple write-ups citing the same issue. Although I think most employees try their best, I'm guessing during the course of your work life, you've come across one or two people who you know aren't doing their job well, make your life a bit harder, whom you'd like to see gone and you know deserve to be gone. Write-ups help get those people out cleanly.
All that said....this train of thought is all based on valid write-ups. Your write-ups seem completely unnecessary and bogus! Next time you get a write up for something as stupid as being 1 minute late, make sure you write down your side of the story and let them know you were simply giving great service to an individual. If your boss doesn't believe you, well, perhaps you can just tell her to check the security cameras since she seems to like to do that. Good luck with your situation, I hope it gets better.