Do you tattle on your co-workers when you find something missed? - pg.2 | allnurses

Do you tattle on your co-workers when you find something missed? - page 2

I work in an environment where everyone smiles to your face while they are stabbing you in the back. With nurses who will lie and exaggerate the truth telling the NM on you in emails and phone calls,... Read More

  1. Visit  anotherone profile page
    2
    that is how it is at my job. i used to never mention errors now i do, rarely. dont blame me that your incompetence is mentioned. but i am the type that will tell someone to their face and maybe never tell the manager. things like drs not notified of high temps, low bps etc, labs from hours ago not drawn. i dont care about things that will most likely not harm pt. i rarely go tell the manager cause i thought what is the point. nothing changes . but have come to realize that most other coworkers do tell and write emails on every little thing. i guess in an environment like that it might harm you to not do the same thing!
    WildflowerRN and squatmunkie_RN like this.
  2. Visit  loriangel14 profile page
    0
    We don't "tattle" on my floor. If it's something minor we just fix it. It is something like a med error I will fill out an incident report. Where I work incident reports aren't used to punish anyone, they just track occurences.If a nurse makes an error and sometype of review or education is indicated they get it, quite often an issue is addressed by general education for the whole floor so no one is singled out.Having someone else write an incident report on you isn't viewed as an act of hostility, just something we required to do.I have also caught myself in an error and written one on myself.I have e-mailed a manager with concerns but this is handles confidentially and the other person never knows who spoke to the manager.
  3. Visit  BSNbeDONE profile page
    3
    Quote from squatmunkie_RN
    I work in an environment where everyone smiles to your face while they are stabbing you in the back. With nurses who will lie and exaggerate the truth telling the NM on you in emails and phone calls, then smile and joke to your face. How can you work like this? When you're constantly looking over your shoulder worried about what mistake will go in your permanent file? If I find something wrong, something missed by the previous nurse I fix the problem and move on. (the shift is WAY too busy to stop and write emails on what the previous nurse missed by accident) But, now that writing emails and vindictiveness is what the NM wants from his staff, I guess I will give him that. I learned something last week. Trust NO. ONE. EVER. Please give me your thoughts!
    Oh the things I could say here! But to keep it short, the first and last time I reported to my manager because of the way I was treated as a float nurse within minutes of reporting to duty, I was made a DO NOT USE on that floor. After that, I only talk to my patients. I don't talk to anyone on the floor, in the hospital, in the city, or even in the county! I do my hours, pack my car, and drive my happy *** back to where I came from. When I see that I've gotten missed calls from the job, I just smile and think, yeah, you miss me, dontcha? Lol! So, no, I don't tell! (BUT!) If the patient complains to me about another nurse, I have o choice but to act on their complaints. So, I will ask the charge nurse if he/she could talk with the patient in room #--- when he/she gets a minute. Then the charge nurse can determine if the manager should be involved.
    Last edit by BSNbeDONE on Feb 6, '13 : Reason: Phrase removal
    GrnTea, anotherone, and squatmunkie_RN like this.
  4. Visit  samadams8 profile page
    1
    Wait. I'm not for anyone "tattletaling" per say. I mean if it is truly a patient safety issue or something like that, well, you have to fill out incident reports and be as judicious and careful as possible. I am talking about standing up against unfairness and manipulative games and hypocrisy. My usual first approach if there is something in question is to go directly to the horse's mouth. I try to handle something in question the way I'd like it to be handled if it were me.

    But the toxic, backstabbing abuse, well, that gets really tricky in terms of how to deal with it. Like I said, if it is a strong enough level of toxicity, I will find another position. I may or may not write a letter to administration as to why. It depends. But I'm not hanging around though for a bunch of crap that no one really cares to clean up. When the toxic level gets high enough or serious mistakes really take hold, maybe then they will be smart enough to deal with it. In the meantime, I'm not wasting my life with it if I can help it. If something is rotten, it either has to moved, or you have to move. When they leave it there to rot and rise to toxic levels, well, I'm going to move away from it.
    anotherone likes this.
  5. Visit  KelRN215 profile page
    4
    If you find an error that compromised patient safety, reporting it is not "tattle-taling", it is doing your job.

    I have found some pretty critical errors when working in the hospital. Filing an incident report led to an email being sent to the manager with the information. The one that immediately comes to mind: I was caring for a patient with rapidly progressing cancer who developed acute hyponatremia eventually discovered to be from Cerebral Salt Wasting. EVERYTHING we were doing with him was based on his sodium levels and he was ordered for q 6 hr Na+ levels. I drew his level as ordered and sent it to the lab. A colleague sent labs only a minute or so before me. Soon thereafter, labs were resulted for my patient and they listed an Na+ level of 137. His most recent level had been 131. It seemed like a big jump but the night before he had jumped from 123 to 129 over the course of a few hours. Not long after that, another set of labs came back that listed the Na+ level at 134. I called the lab to find out what happened and they stated "we have two samples for him." I insisted that that was impossible because I had drawn the labs and sent the sole sample down myself. Then they told me who'd signed the other one and what happened became clear... my colleague had mislabeled her patient's specimen with my patient's label. Despite receiving samples labeled for two patients in one bag, the lab ran the specimen from the other patient labeled with my patient's name and resulted the labs as if they were my patient's. Had we not caught this error, we may have mistakenly believed that my patient's sodium level was normal and that we had successfully treated him... if we had made any decisions based on this incorrect lab value, his sodium likely would have dropped again, perhaps critically so. This error had to be reported and it wasn't tattletaling. This situation should have never reached the point that it reached because it was the hospital's policy to cancel all lab orders if specimens were received for 2 patients in the same bag because they couldn't be sure if they were actually samples from 2 patients or if part of the sample was mislabeled, as was the case here.

    The point of reporting errors isn't to tattle on co-workers, it's to figure out what happened to prevent it from happening again.
  6. Visit  mariebailey profile page
    5
    I'm an open book. I blurt out every mistake I make for God & everyone to hear b/c I'm terribly neurotic. Your floor needs more people like me so there's no need to tattle.
    catlvr, Orange Tree, GrnTea, and 2 others like this.
  7. Visit  jmll1765 profile page
    0
    We have an online reporting system in place at my facility that allows you to report incidents and is supposed to be "blame free". The types of things we report are usually med errors, falls, and the occasional incident with a physician. I agree with the poster that said the reporting systems are only as good as the leadership. I made a med error when I was a new grad and immediately filled out a report on myself..I figured it was better for me to "tell" on myself than for someone else to do it. I am now a charge nurse and I recently had nurse tell me that another nurse routinely made med errors and our nursing manager never made her fill out an incident report. If management isn't going to make you fill it out, what good is it?
  8. Visit  anotherone profile page
    0
    In many jobs most people oppurate under the "the best defense is a good offense" mentality. i have to say my manager loves this and seems to encourage it.
  9. Visit  samadams8 profile page
    5
    Quote from KelRN215
    If you find an error that compromised patient safety, reporting it is not "tattle-taling", it is doing your job.

    OK, I think, once again, some clarification is needed.

    I don't think the OP is talking about reporting critical errors and such. We all have to uphold safety and ethics.

    This is NOT what OP is referring to. It's making issues when they are not really issues and can be addressed directly without a lot of nonsense--it is doing so for the purpose of getting one up on someone or somehow undermining them, sabotaging, them or somehow getting a leg-up, being malicious, or getting even.

    All of that is equally unethical and unsafe.

    That is indeed the point.
  10. Visit  loriangel14 profile page
    4
    Quote from samadams8
    OK, I think, once again, some clarification is needed.

    I don't think the OP is talking about reporting critical errors and such. We all have to uphold safety and ethics.

    This is NOT what OP is referring to. It's making issues when they are not really issues and can be addressed directly without a lot of nonsense--it is doing so for the purpose of getting one up on someone or somehow undermining them, sabotaging, them or somehow getting a leg-up, being malicious, or getting even.

    All of that is equally unethical and unsafe.

    That is indeed the point.
    Yes you probably right about that.I have seen floors other than my own engage in this. Running to the manager for petty things just to even a personal score.Sometimes all it takes is one person with this mentality to make the whole unit a nightmare to work on.Thankfully my floor doesn't have this culture.
    joanna73, anotherone, Hygiene Queen, and 1 other like this.
  11. Visit  redhead_NURSE98! profile page
    3
    Quote from squatmunkie_RN
    I work in an environment where everyone smiles to your face while they are stabbing you in the back. With nurses who will lie and exaggerate the truth telling the NM on you in emails and phone calls, then smile and joke to your face. How can you work like this? When you're constantly looking over your shoulder worried about what mistake will go in your permanent file? If I find something wrong, something missed by the previous nurse I fix the problem and move on. (the shift is WAY too busy to stop and write emails on what the previous nurse missed by accident) But, now that writing emails and vindictiveness is what the NM wants from his staff, I guess I will give him that.

    I learned something last week. Trust NO. ONE. EVER.

    Please give me your thoughts!
    I'm to the point where, if I have let someone know before that XYZ is against policy, or pointed out that they did not follow protocol orders, etc., the second time I'm going to start writing incident reports on them. I'm actually pretty sure it's against policy to NOT write an incident report when policy hasn't been followed, for example, a patient has had someone ignore their potassium/mag for 2 days (actually, 3-4 nurses have been responsible for the pt, had protocol orders, and did nothing)...now I'm looking at a 1.1 mag level and spending the whole day supplementing and having the patient get lab sticks when if someone had followed protocol orders this wouldn't be an issue.
  12. Visit  rn undisclosed name profile page
    1
    I am fortunate the unit I work on is nothing like that. If I find something I tell the nurse about it. Or if it's during report I tell them. It's usually a new grad. If they're not receptive and the issue is significant enough I will talk to my manager or do an incident report. But I do attempt to talk to the person first and have it taken from there.

    There used to be a nurse on my unit who would write up "everything". My manager knew that and took her write-ups with a grain of salt. I was once written up for putting restraints on a pt and neglecting to tell that nurse and there was no order. Except I didn't put restraints on the pt and it was the caregiver at the bedside who did it and it wasn't the first time on that admission. Had I known that I wouldn't have had the restraints at the bedside. I did however tell the nurse how the patient started acting beligerent near the end of my shift but was ok and didn't have to do anything further. Luckily this nurse is no longer there. Everyone hated giving report to her.

    I will admit I don't do incident reports as often as I should. I'm just not going to stay any later throughout my shift to do them. I'm usually ready to go home. I do less than one incident report per month.
    anotherone likes this.
  13. Visit  payitforward profile page
    2
    I dont thin we're talking about patient safety- if someone is doing something wrong then yes that is an issue and should be addressed. We all can agree on that. I'm referring about what we do to each other. The backbiting, back stabbing, name calling resentments. That really doesn't need to happen. Why do we do it??? who can say?Jealousy,pride? Whatever. I try and stay away from all of that negativity. BUT when you smile in my face and call me everything BUT my name behind my back, and try and make it seem I'm not a good nurse? We have issues. Tha's why I come to work, do my job, and go home.The ONLY person I put my trust in is Jesus!
    SCTravelRN and squatmunkie_RN like this.


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