Quote from Redriot
I will start by saying that I am sorry that this has happened to you.
Now to the nitty-gritty:
To those nurses who have said that as a new nurse you should "fly under the radar", "keep your mouth shut", etc. I can only say that they should be ashamed of themselves. Is it not part of the Nursing Code of Ethics that we advocate for our patients and their families? And yes, it is political. All health care workplaces are politically driven, especially since implementation of the new CMS regulations (aka Obamacare). Of course you should protect your license also.
But all of that is an aside of the question originally asked.
As a new nurse, or an experienced one, it is overwhelming to integrate into a new work place and culture. I would cause a major riot if they tried to schedule me 8-in-a-row. That is NOT acceptable anywhere unless you are the one picking up extra hours or agreed to that schedule. If you were hired with a block schedule, then that is what you should be working. They are pulling one over on you and I would go back to HR and ask for copies of the policies. Then take that and copies of your hiring contract to a lawyer for a free consultation.
Union reps are a waste of time when the dirt hits the fan. And please don't anyone reply to me to try and convince me otherwise. I am entitled to my opinion which I base on my experiences at both union and non-union hospitals. The start date is the day you start with the organization and NOT the day you start on the floor. You should ask yourself "what day did they start paying me?". Again, I think it is worth consulting a lawyer to get the details from HR if you are needing to pursue this.
Lastly, if you truly feel that there are some serious patient risks in the care given and/or the safety of patients I would strongly recommend reporting it to your State Department of Health. It is done anonymously and they are required to follow up on any complaint filed. Give concise details and specific dates if you can to identify incidents of compromised care and patient safety.
Just remember, there are some of us nurses who will also stand up for what is right. You will find another job and continue to be a good nurse, take what positives you can from every experience you have, and don't let the politics of healthcare ruin your enjoyment of what you do. US healthcare is complex and frustrating and unfortunately that will not change anytime soon. Good luck with all you do!
I certainly didn't say to not speak up. I am saying pick your battles. If you must stand, be prepared to accept that the consequences may be harsh or unfair. In the employment game of nursing, FAIR is not a part of the system. The sooner nurses learn that the better. I say stand for what is right, but have a back-up; b/c the world is unfair, nursing is often quite unfair, and it is often VERY capricious with its dealings with nurses and employment-based decisions.
For those that think you can't get axed after probation, it's not so.
Most states and places function under At Will Employment. Under AWE, you can be terminated for cause OR FOR NO CAUSE AT ALL.
Most applications or even letters of job offers specify that they are to not be construed as a contract
. Only when you work under contract do you have some protection from capricious decision-making in terms of your employment--an even then, loopholes can be found and used.
I believe there was unfairness with regard to the OP, b/c I have witnessed this many, many times in nursing over the last two decades.
One wonders if in a number of instances, orientation/precepting evaluations are assigned nominal values simply b/c the employer, mgt, nursing in general want to limit legal backlash from capricious dismissal of nurses--and that ole line that so often falls under the often bogus, "not a 'good' fit."
It seems like a reasonable explaination, but I have seen so much abuse of that line, it makes me want to barf every time I hear or read it.
If more objective measures were in place, they'd be a little more nervous about screwing with people for capricious reasons. But they Oh So love their capriciousness.
Nursing doesn't truly employ scientific approaches and metrics when it comes to evaluating nurse employees. They may well have the bulk of the benefit with AWE in most instances, but it makes them more vulnerable to lawsuits if it is clear that they really don't have any valid or objective reasons for terminating a nurse. Yes, on one hand, mostly they don't need a reason to fire someone, but legal departments know that if you have a good nurse and there is potential for him or her making a strong legal case, they don't want to 1. Go to court over it, 2.Receive bad press from it, 3., Have to pay to settle out of court. Either way, potentially they could stand to lose money and face
Geez, some many places and units function like those ridiculous, idiotic, and obnoxious people on one of those "Real Housewives of..." shows. But at least on those shows, they are out
with their lunacy to make dramatic points and ratings. Nursing usually involves a lot of doublespeak, backstabbing, and unhanded politics. Sure this isn't true everywhere, or all the time, thank God, but work in for a while. You will NOT be able to miss the whole Real Housewives nonsense--it's just more subtle or sneaky
Half the time I have to wonder how lazy certain nurses are. They have all this time to start trouble and play games, but they wouldn't if they were doing their job to the best of their ability--with excellence and care--every single day. (If this doesn't apply to you, don't get bothered by it. I wonder when people get bothered, b/c they know on some level that they are playing this game, and they want to rationalize their behavior--or b/c they, on some level, really get something out of their nonsense--as opposed to really focusing on working with excellence and incorporating tolerance and support for other nurses--whether these other nurses are cookie cutter versions of them or not.)
But woe is nursing, b/c unfortunately this IS the way the game is played.
Let each nurse function by way of her/his own conscience and ethics--hopefully they are and will stay strong in higher ethics, caring, and support. Nonetheless, b/c the hospirtal or institution or unit/floor culture may not roll that way, however, these nurses with backbone and integrity must be prepared for potential backlash.
I am really hating how nurses feel like they are over a barrel and take on the old, "If you can't beat them, join them" mentality. In two decades, it has been very rare for me to see nurses stand together enough
in order to do what is most right for patients and for their "profession."
Please, please stop judging this nurse--the OP. We weren't there. We don't know the whole dynamics. I give this nurse the benefit of the doubt primarily b/c of having seen so much compromise, abuse, and capricious behavior in nursing and healthcare, it makes me truly feel ill. I could be wrong in this instance with this particular nurse and situation, but again, I wasn't there and neither were the others here--other than the OP.
&%*$. What will it take for nurses to be supportive of each other???? Give the person the benefit of the doubt.
The OP is probably better off if it truly was a house of horrors, as many of these type of facilities can be. If indeed she overreacted, she will have learned to pick her battles more carefully and hopefully have another job as a back-up in the future.
Again, most of my colleagues and I will NEVER
work only one nursing position--or for one employer again. I want to be in the position to say, "This is outrageous, wrong, idiotic, or whatever, and I refuse to work this way." I want to be able to use my sound nursing judgment, and if it pizzes the wrong person off and they want to try and weed me, fine. I have another position.
At will employment looks good on the surface of things, b/c it is supposed to mean either party can terminate at any time for any reason. The thing is, you have to work somewhere, and employers definitely feel like they are "Giving
you a job or a position." No, I am offering you a service as well--and a quality one at that
The reality is, without a sound contract, the benefit of AWE, hands down, goes to the employer.
Why is the world do you think that physicians work under contract, reviewed by several lawyers and such, unless they own their own private practice?????