He Says/ She says, Who's in Charge? - page 3

by AngelfireRN | 4,098 Views | 31 Comments

I have a question, guys, and I want brutal honesty...I don't want to quit my job. I love it. But I will leave if this mess continues. As I have mentioned, I work in a clinic that dispenses controlled substances. As such,... Read More


  1. 0
    Sure seems that way. Another angle? If I leave, they will have to close the clinic. 6 people, plus Doc and Mrs. Doc will be without a job. 4 of whom have small children. Add that to abandoning over a thousand patients, and no wonder I can't sleep well. I think my sense of guilt is overwhelming my good sense.

    What fries me is the potential for this to get out of hand. Heck, why even screen if you're not going to enforce across the board? Are we so scared of a complaint to a governing body (BON, BOME) that we just kowtow to every person who throws a temper tantrum?

    Seriously considering the possible effect on the family budget if I were to just say adios.

    I do still PRN at my other job...they'd be overjoyed if I came back full time.

    As I have said already, this sucks.
  2. 2
    [QUOTE=AngelfireRN;7309737]Sure seems that way. Another angle? If I leave, they will have to close the clinic. 6 people, plus Doc and Mrs. Doc will be without a job. 4 of whom have small children. Add that to abandoning over a thousand patients, and no wonder I can't sleep well. I think my sense of guilt is overwhelming my good sense.

    What fries me is the potential for this to get out of hand. Heck, why even screen if you're not going to enforce across the board? Are we so scared of a complaint to a governing body (BON, BOME) that we just kowtow to every person who throws a temper tantrum?

    Seriously considering the possible effect on the family budget if I were to just say adios.

    I do still PRN at my other job...they'd be overjoyed if I came back full time.

    As I have said already, this sucks.[/QUOTE/]

    I admire your loyalty to your patients and the other staff, but they are really not your responsibility. TPTB who own/run the clinic hold this responsibility and created this situation. You have nothing to feel guilty about. Believe me, they would be very quick to dismiss you if it suited their purposes, without a second thought to your financial status.

    Ultimately, you need to do what is best for you. 40+ hours is too much time to spend at a place where you are disrespected and their practices are questionable at best. If you can't quit outright, then at least start a serious job search, or go back to your prn job. It's not going to get any better if you stay where you are.
    uRNmyway and Tinabeanrn like this.
  3. 0
    Quote from AngelfireRN

    I do still PRN at my other job...they'd be overjoyed if I came back full time.
    Sounds like you have an out. If you are concerned about them closing if you leave, give them 2 - 3 weeks notice to find someone else. Tell them your going full time at your PRN job because it works better for you for XYZ reasons and leave it at that.
  4. 0
    Oh no! Jump overboard before the Titanic sinks! There is no way in tarnation that I would stay in that mess! You are a licensed and certified professional with an advanced practice degree. Take off your heels and run like the wind.
  5. 2
    Update...

    Today, I feel vindication like none other I have ever felt in my life. The patient's outsourced drug screen came back, and was lit up like a Christmas tree. Multiple things, including illegal drugs. The OM interrupted me with a patient to show me, then had me come with her to Doc's office, where I received an apology.

    My OM is absolutely beside herself. She is so mad about having been made to feel that we had to cater and kowtow, only for this to show up, that she literally could not think of what to say. When this patient shows up to challenge the letter we send in the event of dismissals, as we feel they will, I have been told that not only am I allowed to be present for the discussion, I will be allowed to express my feelings about the situation, to the degree I see fit.

    I feel like I have lost 20 pounds. The fact that I overheard OM telling Doc "When I think how they came in here and threw Angelfire under the bus, and then us...Oh, I am so mad."

    It was the LEO that did it. Scared her to the point she caved.

    So for now, I'm going to go day by day. I don't think they will do anything like this again. OM got wind of the fact I was talking to my other job. I was overheard by another employee...they warned her, hey, Angelfire's UPSET.

    But, boy, what a day.
    uRNmyway and Tinabeanrn like this.
  6. 0
    Good for you!
  7. 1
    Well I am glad you got an apology. I would start looking if nothing else. I literally just quit my job because of nonsense like this. Everyone in the office needs refills on vicodin and xanax. Been on the mess for years with no hope in sight of them coming off of them. Its a group practice so when I don't give them the meds, they come back in a few days and see Dr. so and so and get it. Mind you, positive UDS for cocaine and marijuana and negative for opiates and benzos.....really? WHERE DO THEY DO THAT AT! Its all about a dollar. They get these pts to come back month after month and it generates volume. I told my OM that I would rather starve than to partake in crime. Because at the end of the day its wrong as two left shoes to give ppl narcotics just for the sake of making money. No objective data to support the need to be on narcotics at all. It was ridiculous!

    I get that you love what you do, that's great! But this behavior is not going to get any better. Practices are being closed left and right for things like this and providers are going to jail. Its not worth it. Im proud that you did the right thing in the first place and I encourage you to keep practicing within the guidelines...not just doing whatever the OM says to do. What? Really right now. She sounds insane! Its your license and not hers. We have the duty to do what's right for our pts regardless of who agrees with it.
    SycamoreGuy likes this.
  8. 2
    She's an OM why was she part of this decision making process at all. Im glad you got some vindication but I dont see the culture of that clinic changing. I would look around and start freshening up on my negotiating, interviewing skills. Somehow I dont think this is going to be the last post we see from a ****** off (and rightly so) Angelfire
    BCgradnurse and zmansc like this.
  9. 7
    NPAlby is right. The problem isn't this incident (which isn't singular, you post these issues about once a month), the problem is an unhealthy workplace culture and inappropriate relationships. None of the rest of what you posted is your problem and they will all be just fine without you. We all like to think our patients and colleagues would be lost without us, but let's be honest, they did fine before we got here and they will do fine when we are gone. None of us is irreplaceable. Save yourself. Get out.
    SCSTxRN, Tinabeanrn, myelin, and 4 others like this.
  10. 1
    Glad this incident worked out for the best, but I have to concur with Blue and NPAlby, this is going to happen again and again and again until you decide to change jobs. Make a plan, you decide if it's find another job, go FT at the PRN, or whatever and move on. This is no way for a professional to be treated and irregardless of what is going to happen at this clinic, you need to protect yourself first.
    BCgradnurse likes this.


Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.

A Big Thank You To Our Sponsors
Top