Anxious, depressed, and might need to go to HR.

Nurses General Nursing

Published

I will try to make this as concise as possible:

2years on the ICU & in trouble with the supervisor who started at the beginning of the year. The new boss frequently pulls me into her office to talk about "concerns". She said other nurses have witnessed me doing things incorrectly, that my charting is wrong, the MD's are becoming less confident/trusting in me, and that I keep making mistakes. She drills me on why I did this or that on a patient I took care of 2-3 weeks ago (as if I could remember...). She has shouted at me in her office and in the hallways a few times. When I ask her why she is concerned, for more details on the situation she's concerned about, or when I ask to look at my charting with her (so I can see what this problem is, and fix it) her response is that she "does not have time" .. or she just changes the subject. She has told me that I had better fix my faults, however, or we were going to head down the disciplinary action road, and if things do not change: termination.

I was shocked... My previous boss gave me positive reviews, commenting that I was consistently "cool, calm, and collected." He corrected me / pointed out my weaknesses when warranted, but with full explanation, and was always supportive & encouraging. I am certified / trained to care for any patient who walked into the ICU. I precept students and new nurses. I get along with my peers, even go out with the crew after work sometimes. I am on two different ICU unit committees. I am a focused worker. I do not understand what I am doing so terribly wrong.

I tried to handle this on my own for awhile, (stayed late to chart every shift, triple checked everything, pushed myself harder and harder to ensure everything was 100% correct)... but the complaints from my supervisor continued and got worse, and now a couple of the charge nurses are following her lead... I eventually confided to 2 nurse friends I trusted. I asked them to review my charting and even "nit-pick" at my nursing practice / patient care and to help me discover these "faults" ...but they said that they had no concerns, as I am always critcally thinking, asking questions when uncertain. They even chuckled with how I practice things in a very "OCD" like fashion - constantly rechecking everything. One of the girls recommended going to HR. Nurse friend #2 disagreed, arguing that they saying on the side of the hospital, not the nurses, and that these things rarely work out well for the nurse.

Fast forward: its been 4 months. I work tomorrow early morning, but am up @ 0130, unable to sleep again because I am dreading work, am anxious about work, and cannot stop thinking about work. I started applying to other positions...which breaks my heart as I loved this job until now and was good at it. I fear getting fired, and my confidence as a critical care nurse is dwindling. I have nightmares about me accidentally killing patients and wake up in the middle of the night in panic. Work never leaves my mind... it consumes me every single day.. Maybe I am placing too much importance on this - it just a job - I tend to be a worst case scenario thinker.. i would hate to lose this position.. I moved over 1000 miles away from home for this job.

I started going to counseling last week. I am exhausted, sleep deprived.... I feel demoralized and torn down. My counselor actually recommended that I go to HR for this situation... I am afraid (never done it... I hear "HR" and think -> "HR is on company side, not on your side" -> "you're just gonna shoot yourself in the foot or get fired if you go to HR")

I need advice... and would appreciate personal examples / stories, if you have them. I am naive, and something like this has never happened to me. Would you recommend HR? Were you afraid of going to them? Have you had experiences going to HR about something similar? What do I even say / where do I start? How else would you address the situation?

Thank you much ❤️

Specializes in Informatics / Trauma / Hospice / Immunology.

I hate that so much of nursing and even nursing school operates on threats and intimidation. Corporate jobs do not. You can be out of there on a travel nurse contract in a matter of weeks. You are ICU, the top dog. You can go anywhere, anytime. If you want to stay and fight, I might start consulting a highly recommended employment and labor attorney to prepare to build a case for what sounds like an inevitable lawsuit.

Specializes in Acute Dialysis.

I had a VERY similar experience. You have to leave. That was the only solution for me. And you know what? It was the best choice I ever made. Different hospital, different unit, different state, different something, but you have to leave. Your mental health is more important than this one job. I feel for you. I HATE that this happens to us. But it’s way too common. HR won’t help. You have to leave.

i went agency, layed low for a while till her reference didn’t matter anymore, then applied at a new hospital. U can try that if you need an immediate solution.

Specializes in Acute Dialysis.
On 4/21/2019 at 2:16 PM, BeatsPerMinute said:

Thank you to everyone who has replied ❤️ I have been feeling so stuck and unsure of what to do... the responses are really helping me see the situation & options more clearly, reflect, and move forward..

I will continue searching for jobs, document everything, and explore the HR option. When I go to work I will better practice guarding myself against the intimidation and just focus on providing the best care that I can for my patients. I will continue counseling and take better care of myself when I am not at work. I hate that I have let this affect me so much, but it is what it is, and I am learning from it. Please continue to share thoughts, stories and experiences - they are truly helpful and provide more ideas for me to work with as I navigate through the situation.

Again, thank you all very much. I sincerely appreciate the advice and encouragement.

Happy Easter!

One more thing. Don’t try to “be better.” You will kill yourself trying to find the flaws in your practice that just aren’t there. Did anybody get hurt because of you? No? Would you be satisfied if you were the nurse taking care of you? Yes? Then you can’t fix what ain’t broke. Don’t let this person make you second guess yourself constantly. That was my mistake. It took me years to get over the second guessing and self doubt. You do NOT deserve this. But you also won’t be able to fix it. Again, I suggest signing up with a local agency and simply saying on the application that you don’t want your old job contacted. Get former managers and safe peers to reference you. Good luck.

Any manager worth anything will give specific examples and specific steps that you should take to improve. This one isn't. Which makes me think she is a piss poor manager, a good manager never berates someone in public, ever. that in itself is reportable. Get a good knowledge of the expectations that this person is supposed to meet. Make specific detailed accounts of how those expectations have not been met, hey, tit for tat you know? Get the dirt on her. While you are doing this ask her for written directions of what she wants you do to, etc, get her pinned down, don't let her just verbally tell you, she can recant anything if there are no witnesses. AND, get the hell out of there asap. She won't stay probably, then in a year or so maybe you can return if you love it so much. Just be sure to follow procedure and use the hospital policies to your advantage. They are set up in a way to help everyone, not just a bad manager.

Document everything - time, date, incident, what was said. EVERYTHING. Also I would notate everything that you did alongside her complaints. Obviously be wary of privacy laws, but otherwise cover yourself. Gather previous reviews and if possible get letters of recommendation.

It sounds from what you've said that she has taken a personal dislike to you. Personally if it was me, I'd be proactive in this and not be lurking around waiting to be dragged into an office and put down....

I'd go to her and speak my mind. Firmly but politely. Have everything written down. State your case. Cover yourself. I'd be very clear in stating that a good manager guides and encourages, and wants the best for everyone around them so that the team is better as a whole. Personal opinions that cannot be backed up with fact are just that - subjective opinion. If she has a problem you need facts and evidence in black and white, not just random accusations.

Ask her to provide such things, and be sure you get it in writing from her. If she has any valid points then you need to be given the opportunity to correct them. Make that clear to her too. She can't just throw comments around without guidance, that's ridiculous management.

I know how you feel, I've been there. It's horrific. Start looking for another job as backup just incase you need to bail on this one, but DO NOT leave yourself vulnerable like this. Bullies can smell fear a mile off - you need to be proactive and protect yourself. Best of luck!

On ‎4‎/‎20‎/‎2019 at 11:57 AM, kp2016 said:

I started a new job a few years ago in an area where I had years of experience. My preceptor (who had significantly less experience in this specialty) was a nightmare. Criticized me constantly, publically and in front of patients. It was so unprofessional she was once shamed into apologizing to me when the patient told her her comments were mean and unnecessary. Our unit manager took every negative thing she said about me as fact. I was given several unfair verbal performance corrections. After a few months I was beginning to wonder if I really was as lacking in knowledge and skill as this person as this person managed to mentioned to me daily. I was terrified that I would be fired and given how apparently incompetent I was, would never get another job. I was depressed and hated going to work. I fantasized daily about walking out and never going back.

Preceptor left abruptly and the manager was fired (for incompetence !!) Our new manager gave me a glowing performance appraisal and a pay rise. Sometimes it really isn't you. I have never gone to HR, mainly because I don't believe they will do anything. I also believe from my own experience that many people on your unit are well aware you are being treated this way and don't want to get involved least they get the same treatment. If I was you I either pray the manager gets fired or start looking for a new job.

The point about coworkers not wanting to get involved is very important.

You can't trust that they are telling you the truth about how great your charting is or how perfect your work is. And I'm not saying you are not a great nurse. I'm saying that coworkers generally will not back you up or stand up for you because they either don't really care or they fear trouble for themselves if they do.

See if it's legal to record your talks with your boss, then do it if it is legal.

Ask her directly what the real problem is if you don't mind confrontation.

HR is going to do what's best for the facility, not for you. HR is definitely not your friend.

Good luck.

For one of my prerequisite classes, (I am currently a nursing student in an RN program who occasionally browses these forums) I was required to read a book titled "dealing with people you can't stand". I would recommend this to you, because it talks about how to deal with different types of personalities in the workplace, and how to stay professional in doing so. It could be very helpful for your situation and I couldn't help but throw it out there. Here is a link to a copy on amazon.

https://www.amazon.com/Dealing-People-Stand-Revised-Expanded/dp/0071785728/ref=pd_lpo_sbs_14_t_1?_encoding=UTF8&psc=1&refRID=B3WBHR5JEX7PEF76EXD8

Even if this book is of no use or help to you, I wish you the best with whatever you decide.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

Do you have a union? Your union representative might be able to help you figure out what your options are.

Specializes in Critical Care.

Just wanted to say thank you guys for your continued responses. I read through them all before I go to work. It helps ❤️ Will be keeping all these things in mind.

Staying focused on my patients when I work. Have applied to a number of RN positions - already got some call backs for interviews. Excited & hopeful. Just gotta push through now.

Gathering notes of the negative interactions & meetings with my manager with dates and any witnesses as I remember them. Will be mindful to document it as it continues... Also have my resume, previous performance reviews (which are positive), certifications, committee work and preceptor docs altogether. Prepping myself to go to HR - just in case... I am not optimistic, but if it comes to it, best to be prepared.. Management is ruthless. Each week is worse than the previous. Have a bad feeling. Idk what it is.. just that weird, gut feeling that something is gonna happen, that I do not have much time left to work with. Also just plain exhausted.

Will check out the book, Stephaniej - thank you.

Ruby Vee - no, we do not have a union

Specializes in Vents, Telemetry, Home Care, Home infusion.

Consider contacting your facilities EAP program ---it's a FREE confidential workplace service that employers pay for. EAP helps employees deal with employee, work-life stressors, family issues, financial concerns, relationship problems, and even drug or legal concerns. My employer's EAP provided 3 free phone counseling sessions and would link one to community counseling with discounted cost when further counseling desired.

Wishing you better days ahead.

It’s good to be self aware, to be able to know the areas that you can improve on, and to work on said areas. However, it sounds like the issue at hand is the nurse manager. Unfortunately in life, my experience has revealed that there are people for one reason or another that try to bring others down. It’s important to remind yourself of your good qualities and to be confident in yourself as much as you can. I know it can be hard to be confident when bruised from emotional distress which is why I encourage you to surround yourself with positivity and to be kind to yourself as it can be critical to healing yourself. It sounds to me that you are a great nurse so keep being just that! I’m sorry that you are experiencing what you are experiencing and wishing you a better work environment. All the best!

Specializes in Peds, MS, DIDD, Corrections, HH, LTC, School Nurse.
On 4/20/2019 at 11:08 AM, verene said:

I am tempted to secretly audio record these conversations, as odd as it would be. But that would be proof.

Be careful, as it as already been stated, in some states this is illegal. I have used email as proof many times. I know it may be a bit late in your case, but if you do have any emails that would be proof for case, use them.

Short story.... I worked with a nurse that always wanted to play the victim and tell our supervisor that the nurses weren't team players and that we all purposely left her out of things and how she wasn't privy to important info. I began emailing her to inform her of important info that was coming down the pike, I would email her to invite her to participate in the various special things we were doing as a team and for our clinic nurses. She would always decline with some excuse and then go to our supervisor and complain about how no one included her on things and how she didn't know about changes because no one told her. When the supervisor came to me to inquiry about the accusations I printed all the emails, he read them and realize she was the problem, not the team, and he addressed her about her attitude and passive-aggressive behavior.

Let us know how things go for you. Best of luck!!

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