Bullies at the work place.. vent - page 6

by ohmeowzer RN

7,761 Unique Views | 58 Comments

I am so angry .. I turned a nurse in awhile back for a med error .. she confronted me and I told her that I had to do it because the pt did not receive the medication that was ordered .. she got mad and yelled "I would never... Read More


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    It depends on the situation, and we all make mistakes. Before going to management, I would talk with my coworker first, always. They may have a rationale for their actions, and you won't know unless you've spoken to them. I don't know the specifics of your particular situation, but if a coworker went to management without at least speaking with me first, I would be annoyed. It isn't very pleasant to work with people when you feel you have to watch your step all the time, otherwise they are going to report you. Consider this perspective before you decide to act.
    RNitis, anotherone, TJ'sMOM, and 3 others like this.
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    Wow! this turned out to be an intense discussion. I have been a nurse for 30 years and and IV nurse since 1987. Honestly, if I wrote everything up I found I would spend hours and hours some days filling out occurrence reports. I know the IV policies and IV medication policies very well since I wrote a good portion of them and uphold the highest standards for infusion care but I learned a long long time ago I would get much farther with improving care if I worked as a member of the healthcare,mentor and educator.

    So I pull nurses aside and tell them their tubing is outdated,their IV tubing is no longer considered sterile, their IV site has been infiltrated for hours,they should have administered the phenytolamine for that extravastion,they should have accessed the port instead of administering the Vancomycin through a tiny chest wall vein for 3 days, contrast media is a vesicant and that is really an extravastion and now we need to treat it and monitor site carefully,adn please stop giving that TPN through a midline. Those just a very few things I have seen. I want the nurses to know I am on theri side and I am there to help. there really have only been a hanful of times when that approach did not work for me and usually the nurse was a big problem for others as well.

    I guess in this case I am struggling because it is a medication. I have had to write up a few things of course for example, when I have found the wrong mediation dosage or IVFs hanging.when I have found a tunneled CVC that the dressing was no changed for 21 days or a horrid infiltration or extravasation. So yes it depends on the error and if is occurring a lot a more global 'fix " is needed.
    anotherone, chevyv, TJ'sMOM, and 2 others like this.
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    Quote from iluvivt
    I want the nurses to know I am on theri side and I am there to help.
    Most of our IV team is like that. Makes us want to call and ask for help rather than screw up our lines (and veins and area surrounding those veins) trying to figure stuff out on our own.
    chevyv and joanna73 like this.
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    We have all had med errors, and part of the process of some hospitals is to put a report in when you discover one (or make one, and I have done that before as well). It is a process thing, and not meant to be disciplinary. (although it could be if one is routinely forgetting meds).

    If I am coming on shift, and say it is 3pm and someone forgot a 2pm med, I would give it. It may be slightly over the time that it was due, but given that most places there's an hour time frame, it would be a slight variance. Then if you are required to report it, I would simply state that the med was given late. Same thing with any shift change--most (not all) but most meds can be given at the start of your shift if it is within the hour time frame. A number of facilities have "safe med" guidelines that tell you when it is OK and not OK to give a med late. If yours doesn't, then that is perhaps something that you could suggest if you are feeling like you are not sure whether it is safe to give the med or not late.

    What I find the most annoying about the situation is that one finds a med was not given when one does your chart review at the begining of your shift. A med was not given that was due at say 2pm. It is 3:15. You do not give the med, but instead write out a report. That is not great practice, either. Or that one finds that a 2pm med was not given----when they look at a MAR at 8:30 pm in preperation for 9pm meds. If you reviewed earlier, you could have seen that a med could have been given in the timeframe. But you did not, so you report it. Covers your a** as well, no?
    anotherone and TJ'sMOM like this.
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    And as an aside, one may have not given a med because a patient declined it, was not on the floor at the time, or was nauseated and wanted to wait......lots of reasons. Sometimes, taking or not taking meds is the only thing that the patient feels they have control over. That is why it is so important to speak to the nurse about it, as she may have charted this refusal, but just forgot to also note it on the MAR.....
    anotherone, FMF Corpsman, and joanna73 like this.
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    The thing that has bothered me with the OP's post is the first line where he/she mentions "turned in". It sounds so malignant. You don't turn your colleagues in via a report ever, you just report an error and preferably a solution to prevent it as well. I have the same problem with "writing someone up". Why not just report the situation and leave identification, naming, judging, branding and execution to management (they get payed more and some are great at executions).

    We have to work with most of our coworkers in the same space for hours at a time. In emergencies we have to rely on each other completely. How can you trust each other if you start turning people in and writing them up. I'm not saying you have to accept substandard performance from your colleagues but at least don't hand your colleagues over to the firing squad wrapped in a purple ribbon.
    anotherone, Ruby Vee, FMF Corpsman, and 2 others like this.
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    OP- what was the missing med? This would really help this discussion have more understanding. There is such a range of what HAS to be reported, and what can be taken aside.
    anotherone likes this.
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    Also, I find it ironic that the title of this thread implies bullying, when probably bullying was not the case. If your coworker was upset, OP, her reaction was related to the fact that you chose to report first, rather than speaking directly with her. Reporting has its place, but, know that once you start this trend with coworkers, it may become ugly. The next time you make an error, don't be surprised if the tables are turned.
    anotherone, RNGriffin, wooh, and 1 other like this.
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    do unto others
    RNGriffin, wooh, TJ'sMOM, and 1 other like this.


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