Deliberate sabotage?

Nurses General Nursing

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Recently, our "manager" has been deliberately going behind people to remove a "mandatory object" after rooms have been set up for days to see if the staff is checking the room every shift. It could be taking the 02 connection set up apart in a room where the pt is on room air, unscrewing the flowmeter, disconnecting the suction tubing that runs behind the patient's headboard, taking the yankuer out of the room, or replaced a water pitcher with an unlabeled one. Now, I'm all for making sure things are set up right, but deliberately sabotaging people? Seems odd to me. I know if I set up my room yesterday on admission, I expect it all to still be there the next day; unless the patient transferred rooms, there should be no reason for anything to be missing. I give a cursory glance around during report, but I don't thoroughly check it after I've already worked a shift with that patient. I get that sometimes things get taken down or removed, but doing it on purpose? I feel like I have more important things to do than checking behind myself every day now that I'm concerned my manager took something in between shifts. Does anyone else have managers or teams that come and do this?

I cannot stand managers like this not to mention the whole situation is unsafe. I worked at a hospital that did similar things to see "how long" it took us to notice. It almost seemed like they were trying to find something to do to justify their jobs. Here's a better idea. They still have a nursing license right? So when their staff are drowning (say day shift with ten patients each-true ratio, and the mind games continued that day), the next thing they can do if they are bored is, I don't know, maybe help out a little on the floor?! These stupid games are a waste of time and resources.

Specializes in Emergency Room.

I have no floor experience. I work in the ER - we have trauma checklists we must complete every time a new RN takes over care of that section. Granted, those lists don't include such things as tissues, urinals, and bedpans. We have techs the are asked to restock our rooms couple times a day. Our regular ER room don't have check lists - but Im too anal to NOT check some things. In our reg ER rooms I always check: cardiac monitor, bp cuff, 02 sensor - wall suction and tubing - wall o2 attachment and tree - adult and pediatric ambu bags -and a full, or mostly full portable o2 tank under the cot. The rest of the stuff I have time to retrieve if I need to.

I wish every nurse checked their "regular" ER rooms like I do.

Specializes in Pedi.
Recently, our "manager" has been deliberately going behind people to remove a "mandatory object" after rooms have been set up for days to see if the staff is checking the room every shift. It could be taking the 02 connection set up apart in a room where the pt is on room air, unscrewing the flowmeter, disconnecting the suction tubing that runs behind the patient's headboard, taking the yankuer out of the room, or replaced a water pitcher with an unlabeled one. Now, I'm all for making sure things are set up right, but deliberately sabotaging people? Seems odd to me. I know if I set up my room yesterday on admission, I expect it all to still be there the next day; unless the patient transferred rooms, there should be no reason for anything to be missing. I give a cursory glance around during report, but I don't thoroughly check it after I've already worked a shift with that patient. I get that sometimes things get taken down or removed, but doing it on purpose? I feel like I have more important things to do than checking behind myself every day now that I'm concerned my manager took something in between shifts. Does anyone else have managers or teams that come and do this?

If your entire staff operates under this assumption, perhaps that's why the manager is doing what she's doing. Saying "I worked yesterday and the suction was there" won't protect you if it's not today and you need it immediately. Is it not possible that since yesterday your patient's roommate coded and someone took the ambu bag off the wall? You need to get in the habit of doing the required safety checks at the start of every shift. I don't agree with the way your manager is going about doing this but my guess is that there was some sort of sentinel event where required safety equipment was missing because the appropriate safety checks were not being done.

I haven't read the whole thread, but I have two ideas:

1) I had a shift charge nurse like that once. She took it into her head one night to announce an "inspection" of all our rooms in the ICU for supplies, cleanliness, and the like. We knew she was gonna do it, so we took extra care to make everything sooooo damn perfect. She dinged somebody for ..... having too many pens on the pen holder cup on the desk. And looked very disappointed that's all she could find. Crazytown.

2) The simplest solution is what I would call the "hotel bathroom seal." When the room is set up, a piece of tape with the name of the person who did it and the date and time goes on the door. The door isn't opened until the next admission comes in. If then there's something missing, you know who needs feedback. Otherwise, there's no borrowing from any empty room. If there are things needed elsewhere, they come from a properly-stocked supply room or get delivered from Central Supply stat. If it's a two-bed room, the curtain is drawn around that set-up and secured, same deal.

Specializes in ICU.

It just seems really unsafe just to determine if her nurses are actually checking a room.

Specializes in Nurse Scientist-Research.
She dinged somebody for ..... having too many pens on the pen holder cup on the desk. And looked very disappointed that's all she could find. Crazytown.

I'm sorry, but if a manager wrote me up for that, absent some official policy (seriously!), I'd write it up so some other department, hopefully up the chain could lay eyes on that ridiculousness. How? What?? Seriously nothing better to do . . .

Removing anything to do with oxygen or suction is a huge safety issue. If a cardiac arrest was to happen in the 2 minutes after she removed a critical piece of equipment, before the next nurse was around to "do their checks" that would COMPLETELY fall on the crazy manager. If I were you, I would contact your Risk Management department and relay all of this to them. She is putting patients lives at risk. I understand the concept of what she is trying to make happen, she is just going about it in a completely terrible and unacceptable way. Also, what does it say to the patient who see's this psycho removing important things from their room, obviously it won't make them feel comfortable and that their team is working together to keep them safe and provide great care. I am so sorry you have to deal with someone like that.

This is such passive/aggressive managing. And defeats the purpose of "learning ya'll a lesson" by stripping fully stocked rooms of mandatory items.

IF there was a thought process that the nurses were not stocking rooms correctly, or checking the rooms--really, if your manager is going to all of the trouble of checking each room to "take" something--why not just make sure they are all stocked and if not, stock the room?!?!?! Perhaps if she comes to a code or two she would realize that a nurse not noticing something could turn into a code gone bad. What then, she runs around yelling "I GOTCHA!!!! Bwahahahahaha....." Seriously not helpful.

If the rooms are already stocked, then I am not sure what the issue is. Other than passive aggressive "I am in control and want to catch you doing something wrong" stuff. And perhaps if she has that much time on her hands, she could just take a patient assignment-that would be a lot more helpful.

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