I need advice...I am having some issues with the charge nurse and a tech at my job. I really don't want to go through all the pettiness that is going on. But for the first time in my 14 year career, I feel the need to keep records of what is going on. I know that keeping diaries about patient care is not appropriate unless you want it used in a lawsuit. But the documentation I would be doing would be only a reflection of the situations that occurred and how I viewed the situation at the time. It would not reveal any patient information that could identify the patient.
The reason why I feel the need to do this is because both people have proved themselves dishonest in the past and they both go out to smoke together. I used to smoke and I know what gets discussed in the lil sewing circle. Also, they are friends and the charge nurse is not able to mediate between the tech and me because of his affinity for her. Basically, without notes it would be my word against theirs if anything goes down. If their stories collaborate then I would be seen as being in the wrong. At least with dated notes detailing my perception of the events, I could say that I have been aware of the issues. I would be able to back up my side.
Is this appropriate? I revealed this to another nurse who is having issues with the same tech and she was concerned that this would be a liability for me. I assured her that I did not use any identifying patient information and she was more in agreement.
It's tough to break into a situation where there is already a clique in place. Denting that circle is pretty much impossible (not that you want to join it, but you do have to work with the people in it). Situations like the one you are talking about - in which people relatively low in the pecking order have an inordinate amount of influence due to their relationships with someone higher up - are common. I found myself in a situation like that once. The people in the clique got all the choice assignments and schedules and the rest of us got the leftovers. Some non-nursing personnel even indirectly made nursing policy and scheduling decisions through their influence with the DON. Anybody who crossed one of them was called into the office and chewed out. I wound up leaving, and it was a good move.
As long as you are there, definitely keep a personal log.
Last edit by Orca on Dec 14, '09