An odd staff member

Nurses General Nursing

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I had to really think about whether or not to pose this question here on allnurses. But after some thought, I would like to get some feedback on how to deal with this awkward situation. I am at a loss.

We recently hired a new employee. He seemed a bit odd at first, but I just chalked it up to my perception being off. A few days later, I was having lunch in the break room and hear him telling a co-worker EVERYTHING about his life. He left nothing out. We were all sitting at the same table, and he did not speak in a quiet tone. He was describing how he was sexually abused all his life by his father, that his wife died a year ago, leaving him with 4 kids to raise on his own-two of them with special needs; how his financial struggles are never-ending. He says that he is anxious because his mother had a heart attack last week and he had to leave work early (and did our co-worker think that management would look unfavorably upon him because he had to leave early?). Then he announced that his new girlfriend just died from a seizure. Our co-worker patiently listened and invited him to join her church to see if he would find a support group there that he liked. The rest of us ate our lunch quickly and left the break room.

Last week, more than a few co-workers approached me and told me that this new employee was making them uncomfortable, because he was elaborating on his life's challenges.

I don't know what to do. If what this guy says is true...Oh. Em. Gee. What an awful hand in life he was dealt! On the other hand, I don't think that it is appropriate for him to divulge such intimate details of his life in the workplace.

Here is my dilemma:

1. Should I talk to him directly about this, stating that I am empathetic to his multiple plights, but that he should focus on pt care while he is at work; (this seems very cold to me) or

2. Should I let our NM know what is going on? (I don't want to get him in trouble and consequently add MORE to his plate.) I am not his direct supervisor, although I am the charge nurse and a few employees have already asked that they not be assigned to him during his orientation.

Thanks for your thoughts. I really don't know what action I should take, but know that I must do SOMETHING. The staff don't know what to do either...this is a very awkward situation.

Specializes in FNP.

I don't understand people who think they need to interfere in this guy's life, report him, or some such thing. He's either lying, delusional, or telling the truth. Who cares? In any of those instances, why on earth would you want any part of it? Go back to work, mind your own business, ignore the guy. DO NOT get sucked in to the drama in any way. Let him get his own counseling. He is, presumably, an adult. It has nothing to do with you. For god's sake, keep it that way!! STAY OUT OF IT.

This is why people end up on Springer, people. You don't know when to ignore the crazy and back away. :uhoh3:

Kind of like how I feel about allergies. I have watched this for a long time, and have come to the conclusion that if someone has more than three drug allergies, they usually have some underlying mental health issues. I mentioned this to an anesthesiologist once, and he concurred.

FWIW, I felt like I had to suspend disbelief reading that fellow's life history. Is it possible all of that really happened? Yeah, I guess. But my BS detector is beeping, big time.

Wow, that's a pretty harsh assumption for only a few allergies. On the other hand, I was doing a pre-op assessment the other day on a patient, and she brought in a sheet with her current meds, allergies, medical history, and prior surgeries. She must have listed over 20 drug "allergies," and just countless illnesses and surgeries. Many of the "allergies" were simply adverse reactions or even expected side effects vs. true allergies. This is not all that uncommon and usually no big deal. But I must confess that by the end of this pre-op assessment, I suspected this lady was definitely afflicted with some "underlying mental health issues." I wasn't sure what to put on her red allergy arm band, so I just wrote "multiple allergies-refer to pre-op assessment." In retrospect, I guess I should have written them all on the band, though it would have required four or five bands to cover them all. Legally, that's probably the only way I could have covered myself.

Here is my view of the situation.

A man is talking about very sexual explicit situations at work.

He is portraying it as abuse so anyone who tries to silence him will seem cold and harsh.

I am not there, but I would listen to my instincts; I would suspect this man of being a perv who enjoys verbally exposing himself to the ladies(and maybe a few men).

I would either leave the breakroom when inappropriate topics come up, or a polite but firm, "Please, let us talk about something else" will do.

Many threads here talk about standing up to bullies, and nurses cannot expected to tolerate this kind of indecent verbal exposure.

If this nurse has no boundaries discussing these personal issues with co-workers, I am concerned that this may occur with patients as well. Some persons with a history of abuse (especially sexual) have difficulty setting boundaries with others an an adult. Their boundaries were violated in horrific ways during their childhood and victims never learned healthy boundaries with others . In some cases, abused children grow up becoming predators or abusers themselves. This gives them a sense of control or power over their past abuse.

This employee needs therapy or counseling NOW. He has no boundaries with ANYONE. Keep a close eye on vulnerable patients just in case. This needs to be addressed by the NM immediately.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.

It is important that the charge nurse or NM talk to the person about workplace expectations and steer him toward appropriate outlets. And document the conversation. If he continues to be a loose cannon or demonstrates other perv tendencies, you've already started a paper trail, which will speed up the discipline/termination process if it comes to that.

Specializes in Maternal - Child Health.
If this nurse has no boundaries discussing these personal issues with co-workers, I am concerned that this may occur with patients as well. Some persons with a history of abuse (especially sexual) have difficulty setting boundaries with others an an adult. Their boundaries were violated in horrific ways during their childhood and victims never learned healthy boundaries with others .

This is a valid point.

I rarely disclose my profession when seeking healthcare. I want to be educated and treated just like any other patient. When I was discharged from the hospital with my first baby (back in the days of 24 hr maternity stays), I scheduled a home visit due to my daughter's jaundice.

The nurse arrived mid afternoon and my hubby saw this as a great opportunity to go upstairs and take a nap. The nurse indicated that she knew I was a NICU nurse and started off with a conversation comparing different local hospitals, whom did I know, etc. I wasn't all that interested, I just wanted my baby's bili checked and to take a nap myself, but I went along, figuring that she was only trying to make conversation.

It progressed to her love of OB, but inability to work it due to sexual abuse as a child and her critique of numerous managers, co-workers and physicians based on whether she felt they were sensitive to this issue.

It took me literally 2 hours to get that nut job out of my house and all of 30 seconds for me to call the agency and report her completely unprofessional conduct. I gave them the option of sending another nurse for the next visit or cancelling altogether.

It is not appropriate for any worker to over-burden fellow employees with personal issues, especially people whom they barely know. And NEVER acceptable to share such personal information with a patient.

He sounds like he's delusional or a compulsive liar or like he has some serious psychological problem. I wouldn't believe anything he says at all and I doubt that talking to him about it would change anything. I'd just talk to the nurse manager. She needs to find some reason to fire him because he sounds totally crazy.

Specializes in Trauma Surgery, Nursing Management.

Thanks for the perspective, Jolie.

I am hoping that my casual chat with him will help him realize that he needs to zip it when he is at work. I have chosen to go this route rather than discussing it with my NM first. She is a believer in having staff handle issues first, and then coming to her if no resolution is reached. I agree with that mindset. Although there is not an acute issue, per se, there IS quite a bit of uneasiness amongst the staff.

My worry is that this dude will cause distractions for other nurses and thus lead to mistakes. For example, on his first day, he just observed. He sat down with his preceptor and instead of paying attention to the surgery, he had diarrhea of the mouth and launched in to a spiel about his hardships. All his preceptor asked was, "So where are you from?" The surgeon in the room even paused when this guy said that his wife recently passed and that he was dealing with raising 4 kids on his own, and that he didn't know what to do, but his new girlfriend would make an excellent mother. As a result, the nurse in the room didn't hear a request made by the surgeon.

I don't think that he will be inappropriate with patients. I truly believe that he is embellishing in order to gain the sympathy vote of some of the staff. I have not seen him be the least bit appropriate with patients, and he IS a good clinician. He can focus on the task at hand, but when there is downtime, he launches into another sob story, and his preceptors are getting freaked out.

I appreciate all the replies, y'all.

Oh , yes it IS up to me to believe it or not! If this person is soooo far out there, that his behavior is questionable,I am concerned about his ability to care for people.

Specializes in PeriOperative.

I'm confused. Why is everyone using the word "crazy" in such a negative context?

I've always thought it was a term of endearment for people in hospital administration. As in, "You just missed Crazy. She came in to make sure the blanket warmer was below 85 degrees (F), so that we don't accidentally burn or warm patients."

Canes, you are one of the most compassionate and sympathetic people on AN. I'm sure (if anyone can) you will be able to approach this person in a respectful way and hopefully resolve the situation.

I have seen surgeons throw orientees out of the room if they are too chatty. And one you have a reputation, it is hard to change it. The sooner he gets the message, the better.

I don't understand people who think they need to interfere in this guy's life, report him, or some such thing. He's either lying, delusional, or telling the truth. Who cares? In any of those instances, why on earth would you want any part of it? Go back to work, mind your own business, ignore the guy. DO NOT get sucked in to the drama in any way. Let him get his own counseling. He is, presumably, an adult. It has nothing to do with you. For god's sake, keep it that way!! STAY OUT OF IT.

This is why people end up on Springer, people. You don't know when to ignore the crazy and back away. :uhoh3:

Some of us would actually throw a life preserver to a drowning person. Silly us.

I'm confused. Why is everyone using the word "crazy" in such a negative context?

I've always thought it was a term of endearment for people in hospital administration. As in, "You just missed Crazy. She came in to make sure the blanket warmer was below 85 degrees (F), so that we don't accidentally burn or warm patients."

Canes, you are one of the most compassionate and sympathetic people on AN. I'm sure (if anyone can) you will be able to approach this person in a respectful way and hopefully resolve the situation.

I have seen surgeons throw orientees out of the room if they are too chatty. And one you have a reputation, it is hard to change it. The sooner he gets the message, the better.

When someone shows enough pathology to alarm co-workers, the potential for destructive tendencies has to be considered- whether inward, or outward. "Crazy" as a term of endearment is not the use in this situation as described by the OP. Not the "crazy" uncle who plays armpit music, not the "crazy" lady with 15 cats in a 10 foot trailer, etc.

Talking mentally ill, in need of help.....unknown how ill- or just unbalanced. But an issue.

Really don't see the difference? :eek:

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