Discipline or Discrimination

Specialties LTC Directors

Published

I have recently been promoted to the New Clinical Director of our Assisted Living Facility. I have worked for this company now for 3 years and have been in nursing for 20 years. Part of the problem with me accepting this position is I had to do a transfer from a "sister" facility so the employees do not know me. I have been there now for 3 months and I have not made a lot of changes but the ones I have made were neccessary. The employees have not been held accountable in the past and now I have implemented the attendance policy, which has not gone over well. I have been auditing their documentation, orders, MARS and TARS, etc... I have held two nursing meeting plus individual meeting with each employee to give them a chance to get to know me and my expectations, as well as me getting to know them. I recently had to write a nurse up for a med error; this is the second one I have found on her in the past week. With the first one I pulled her into my office and had a verbal discussion on the error, no write up occured just counseling. Up to this point she has been very willing to help me adjust to the position, willing to do what I have asked, but now with this second error I had to do the med error report and notify the doctor. When I called her into the office to discussion this second error, she became hostile, refused to sign the med error even though she admitted she made a mistake. Now I get the cold shoulder, attitude when I ask her to do something, and to top it off called into the General Managers office to let me know she has filed an EEOC against us. I was in shock so now I am told we need to walk on egg shells because of this. Is this what it has come to....This has nothing to do with race.....It has to do with being an advocate for the resident, to ensure they are safe and well taken cared for........Am I crazy?

Specializes in ICU, CM, Geriatrics, Management.

Good advice here. Nascar Nurse beat me to the PC.

Specializes in Maternal - Child Health.

I agree with what the previous posters hae written.

But I have one additional thought. I'm not excusing this nurse's behavior, but wonder if she was somewhat motivated by fear of dismisal.

Is there any way of developing a med error reporting system that is not punitive in nature? That is the trend that most nurses seem to support in the hospital setting. Perhaps it could work to your advantage in your facility as well.

Specializes in Psychiatry, Case Management, also OR/OB.

Well.... I bet I can guess the outcome of THAT episode!!! If that person wasn't fired, and the nurse didn't press charges for assault... I wouldn't want to work there, for sure.

Specializes in ICU, CM, Geriatrics, Management.

Hang in there and keeping doing a good job.

Make sure you keep upper management engaged in everything significant.

Put all employee notices / coachings, etc. in writing. And, as suggested, bring a manager with you to disciplines.

The EEOC complaint shall pass in time.

Good luck!

Specializes in acute care and geriatric.
i agree with what the previous posters hae written.

i'm not excusing this nurse's behavior, but wonder if she was somewhat motivated by fear of dismisal.

sooo not the point, she has to show respect for her supervisors and the responsibility is on her to accept constructive criticism in a positive way and not throw it back at her supervisors!! beleive me it is hard enough to be the heavy here, but someones got to do it!!

is there any way of developing a med error reporting system that is not punitive in nature? that is the trend that most nurses seem to support in the hospital setting. perhaps it could work to your advantage in your facility as well.

punitive is not the issue, noone punished her, but she has to take responsibility for her mistakes and learn from them- you have to see if from the patients point of view- and they will sue if they can find damages, mistakes in our business are serious and dangerous, that is not to say we punish, but we must point them out and learn from them!!!!!

Specializes in NICU, Post-partum.

Too many people, if they are of a minority group, gender, age (depending on the situation), think that counseling for poor work performance equals discrimination.

As long as you are holding every employee to the same standard, why should you fear the EEOC? She is getting exactly what she wants...special treatment...thus the entire purpose of filing a complaint.

The employee has to prove discrimination. That is going to be impossible if you apply your policies consistently.

Specializes in acute care and geriatric.
As long as you are holding every employee to the same standard, why should you fear the EEOC? She is getting exactly what she wants...special treatment...thus the entire purpose of filing a complaint.

The employee has to prove discrimination. That is going to be impossible if you apply your policies consistently.

well put..... and an important point.

I hate supervisors who treat their 'friends' differently and hold them to a lower standard or look away at their mistakes. Consistency is key to good supervision.

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