Staff splitting going too far? - page 2

I'm posting this on the general discussion board to get a wide variety of opinions, sorry it's so long!! I work at a residential psych facility and of course care for a number of borderlines. I work with one other nurse who... Read More

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    Badness mate. I didn't even need to read your entire post- she has sociopathic issues of her own and I suspect, does not realise how her behaviour is re-enforcing other manipulative behaviours. As other posters have said, document, document, document. She is crossing BIG lines. It is your responsibility to notice, which you have and you need to intervene. You said you really like this colleague as a person- remember, most social manipulators are incredibly nice, it's part of the game, don't play it.
    MaryAnn_RN, VivaLasViejas, Altra, and 4 others like this.

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  2. 4
    I would ask your supervisor if you can begin having regular staff meetings, for the purpose of educating and talking about splitting of staff as part of a borderline trait, talk about how the care plans need to be consistently followed, and most importantly negative counter-transference on the part of the staff and how it is that it impairs a person with borderline personality disorder to be able to try and acheive a goal of more "independent" living. (ie: to a high intensity half way house, to a low intensity half way house, etc) The need on the part of the staff to be "liked" should have not a thing to do with someone's work, and by engaging in counter-productive behaviors, they are in essence hurting the patient's progress. Then make sure that all of the notes and education from the meeting are signed off as understood by all of the staff. That way, any discipline towards staff can be verified as nurse (staff) being educated, and understand the risk to the patient. This could be generic and not directed to this nurse, however, examples such as : patients with BPD will use and manipulate staff that is seemingly "on their side" as a means to an end ie: more cigarette breaks. Care plans need to be followed without personal emotion. BPD is created by early trauma, so in essence, patients need to re-learn positive coping skills, as often their reasoning is much like a toddlers. Firm direct and consistent rules, discipline and coping skills are key to the success of a BPD patient to try to be successful.
    NO50FRANNY, dudette10, kids, and 1 other like this.
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    Quote from caliotter3
    This is the reason why many people have learned to keep their mouths shut. All it takes to learn this behavior is one time to be burned royally, while the person in the wrong walks around unscathed.
    Another reason nursing is so dysfunctional to me. Crazy the way it all works out.
    Sisyphus likes this.
  4. 1
    Sounds like "Ann" might do better to work in child care because that's generally how one handles a toddler having a temper tantrum...a toddler that couldn't do serious physical harm to someone if they got out of control. She's letting the residents wrap her around their little finger, and it's going to cost someone big time.
    lindarn likes this.
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  6. 1
    wait a minute....(talking to myself here)

    where i work....a LPN can't be charge over a RN. maybe it's different where you are...i don't know. i know that in my area, even when i worked as a STUDENT nurse.....there were things i was allowed to do under the supervision of a RN, but not LPN. it seemed kind of silly to me, but it was just a matter of law.

    anyhow...i think you should have a talk with ann. my initial thoughts on the situation are not that she's "gone too far" or she's a "sociopath," but instead that she's gotten to know the patients and is doing what she knows will get them "under control."

    she may not even realize that she undermining you or that they are "splitting staff." why don't you ask to meet with her, tell her your concerns, and see what she says? you might be able to work out a plan....like if something escalates...YOU are in charge of the decisions and she backs you up regardless of what your decision is.

    she has probably become complacent and is flattered that they "only like ann" and has forgotten that they have personality disorders and are implementing the "splitting" technique. it may just take a simple wake up call. try it before you get the "big dogs" involved.
    lindarn likes this.
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    Quote from elprup
    Another reason nursing is so dysfunctional to me. Crazy the way it all works out.
    Life is dysfunctional. I've had these types of coworker issues in many settings. Yarn store drama anyone?


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