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- Dec 3, '09 by leslie :-DQuote from BigBub1000it wasn't only the lack of bruising but more important, the pt stated she didn't get injections.I guess lack of ecchymosis might be proof of no shots. Do anticoag shots always have to bruise? Maybe some nurses have found a way to give these shots without bruising the patient. Don't know, just wondering. Does anyone know? Why did both nurses get fired? I could see the one who was not really giving the shots being fired. But why the other one?
as for the other nurse who was sleeping on the job...
you don't find that a terminable offense?
generally, i believe in sharing concerns w/the colleague first.
truly, i hate having to report others.
i don't know how many times i've given a warning to cna's, and finally warn them that i'll be forced to report to the nm.
one time, i spoke with a nurse with whom i had major concerns.
all she did was try to cover her tracks.
i ended up reporting her as well.
op, just know that it's not even the majority of nurses who go running to the boss.
it's just that it's these types who create toxic working environments, and the only way they're happy is by bringing others down.
nursing is tough on so many levels.
and there aren't any absolute, black and white answers.
it's mostly about using our judgment skills.
when i die, i want that frank sinatra song played...
dang, i want that song BLASTED!
..."i did it, myyyyyyyyyyyy wayyyyyyyyy..."
- Dec 3, '09 by Ruby Veei, too would rather talk to my co-workers than report them. but there are times when someone needs to be reported. the nurse who was sleeping on the night shift rather than taking care of her patients, for example.
i used to work with a nurse i'll call maria. i liked her a lot; we were good friends. and then one day she messed up and hung lidocaine instead of the heparin drip that was both ordered and charted. i came on the next shift, talked to her about it and she was shocked and extremely apologetic. she swore it would never happen again and i believed her. i was sure she had learned her lesson. a week later, sitting in the break room, someone mentioned that they had followed maria that shift and she'd hung a norepinephrine drip instead of the epinephrine drip that was ordered and charted. that person had talked to maria and she was sure she'd learned her lesson and it would never happen again. then one day it was an insulin drip she'd hung by mistake. it turns out she hadn't learned her lesson and no one ever reported her mistakes . . . until a patient died.
i worked with a nurse i'll call lynn. lynn was a new grad, just off orientation and was taking care of a man in his 40s who had just had heart surgery. an hour before he was supposed to transfer to the floor, lynn's patient went into atria fib with rvr. the physicians ordered 5 mg. of diltiazem. lynn asked a more experienced nurse if that was a reasonable dose and when told it was, proceded to give 5 mg. of digoxin. she took ten doses out of the pyxis and gave them iv push. the patient died. it was lynn's first mistake, and it was tragic. she was reported, of course, and lost her job. she ended up working in med/surg for three or four years where she became one of the best nurses there. she continued to learn and grow and transferred back into the icu where some of us still remembered that fateful night she'd pushed 5 mg of digoxin. she'd learned from her mistakes and never made another med error that i ever heard of.
sometimes someone needs to be reported.
but i agree, it's best to just talk to them first, if pssible.
- Dec 4, '09 by C-DIFF PHIL RNwhen you start youll soon find out what nurses have the more malignant type of nursing personality, youll be able to spot the "know it all done that before and you are doing it wrong again" type nurse. It will not take you long to become aware of the different nursing styles that nurses have and you will be developing your own style. i have found out that no matter how large the hospital is 50 beds to 400 the word travels fast to what kind of nurse you are and the type of good nurses or idiots you work with. good luck
- Dec 4, '09 by PAROPPYSpeaking as a nurse who has been reported in the past to a manager I can say that I would have much rather had the person come talk to me instead of running right to the manager. I was particularly upset one evening and I cursed in the hallway and went on to tell a coworker that i was really angry with a patient's family member over some behavior that he had exhibited (yes I used some pretty harsh language). A CNA that overheard me went to my manager and relayed the whole conversation and that I had cursed. I almost lost my job but was suspended for two weeks because of my hospitals strict no cursing policy. I was devaststed. I would have much prefered if the CNA had just come to me and said that she didn't appreciate how I was acting. To make matters worse I had just found out I was pregnant, I had just bought a house, and I am the sole supporter because my husband was finishing school at the time. I would have been ruined if I had lost my job. Please think hard before reporting someone to management, especially if it is something that can me solved by correcting someone or making your concerns known to that person. On the other hand though it made me appreciate my job 100x more
- Dec 4, '09 by blondy2061hReporting isn't always punitive. It's often to look for patterns in errors. If the bed alarm thing keeps coming up, maybe another inservice will be done.
Our computer order entry system was completed changed because of one pattern of errors that was consistently repeating itself.
Yes, I realize that saying error reporting isn't punitive is a bit rose-lensed, as obviously it is sometimes punitive, just pointing out that I HAVE seen changes from it.
- Dec 4, '09 by nursel56She got written up after she stepped up and e-mailed the supervisor about the bed-alarm problem, which led to another training session which revealed that several more employees weren't setting it properly? In other words, she did exactly what a responsible nurse should do, and then the supervisor wrote her up when someone else reported her for the same thing? Wow.
I look at it this way. The incident reports SHOULD be done. The goal being, as someone else stated, improvement in procedures etc. I don't get upset or angry because I might need to make an incident report. Bad things do happen sometimes.
What you are describing is a pattern of petty and vindictive behavior, that is directed in the effort to destroy someone, not make things safer. Obviously, there are times when you have to report someone. This one co-worker I had was stealing hemostats and selling them as roach clips I reported this person, who also falsified vital signs on a q two hour patient- so I felt like I needed to let them know. But it's a decision never to take lightly.
Not all facilities have the back-stabber mentality, thank God. I just resolve not to be that kind of person and have the judgement to know when it's time to move on.
- Dec 4, '09 by WANT2BANURSESOONIncident reports don't equal the same thing as being written up, atleast in the facility I used to work for. An incident report was for special things like patient's falling, patient's trying to elope, patient's who got abusive toward staff/other patients. Incident reports aren't what I was talking about.
Somebody (I think it was Ruby) cited examples where patient's died due to a nurse's mistake. I know that is the extreme of what can happen, and it's indicative of the important job that nurses have. However, we need to remember that our coworkers are PEOPLE too. Our aim should be to reduce errors without being punitive. I think a lot of the time if things weren't so "punishable" that people would be more willing to seek help.
I remember working at a facility and being unsure of how to use the van "special safety belts" to transport patients. I was scared of having backlash, but being responsible I bit the bullet and asked for help. I WAS tempted not to ask for help however, and the repercussions could have been bad if I didn't.
Of course there are situations that require reporting, but nursing just seems to be a field where people exercise that option more as a plan a. For example, I wouldn't report a coworker for venting about a patient AWAY from the patient...if we were in the break room or something and a coworker was venting (as was mentioned in a previous post) I wouldn't report it. If a coworker was saying it in front of a patient, I would have been mortified and would have talked to her about it once. If I saw it again, then i'd probably report. I'm just saying, there's a line and there's a difference between being reported for things like that versus medication errors.
All i'm saying is give your coworkers the benefit of the doubt!!
- Dec 4, '09 by nursel56Totally agree!! And yes, Ruby's example, the nurse basically killed the patient, is about as bad as it gets.:imbar Worst one I ever saw, a nurse gave an infant 10x proper dose of epinephrine. Baby did OK, but I can tell you those minutes were the longest in her life, and she was a great nurse. I work with a supportive group of people now, it is sooo nice after some of those steaming cauldron toxic environments.