Disrespect & Profanity

Nurses General Nursing

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I've got a couple of burrs under my saddle blanket and am requesting feedback from the allnurses community regarding professional behaviors:

I believe:

Someone should be referred to with their title of Ms, Mrs, Mr, Dr, etc. and their surname until permission is granted otherwise.

Profanity in professional situations is rarely acceptable and if so used, should be in consensual agreement, e.g. "May I speak frankly?"

It gets my goat how some believe they have the freedom to address another or use language that is not becoming to a professional relationship.

My wife, medical nurse Belinda, told me that at Anomaly Memorial Hospital the staff are encouraged to refer to the patients by their first names because it comes across as being more friendly.

In reading some articles on the internet, profanity is condoned and supported in some professional situations because it "releases tension".

"Bullhockey!" say I.

In my experiences, respect is received, even with Salt-of-the-Earth Psychotics, by giving them respect. And that respect, reinforced, has prevented escalating patients from experiencing total meltdowns: The statement, "I expect you to give me the same respect I give you" has caused many an angry patient to take pause.

I think of the multitude of smiles I've received, asking a patient, "May I call you...?" Or: "What would you like to be called?"

Profanity is rarely necessary in a professional situation. The use of profanity can be a sign of loss of control, or apathy. I hear profanity from an acquaintance as their way of saying, "I can say whatever I want with no regard to you".

I truly enjoy using euphemisms to say the vilest thing in the sweetest, most respectful way. Forms of the word "imprudent" has become one of my favs as of late: "You can't fix imprudence" sounds so much more respectful than the mainstream saying. Or: "How imprudent of administration to do that!"

Euphemisms help to take the focus of how something is said and puts the focus on what is said.

What do you think?

Specializes in Dialysis.
6 hours ago, Davey Do said:

I was discussing this whole Clark debacle with Jason Hiney RN tonight. It seems Jason attempted to lovingly guide Clark by saying something like, "Just stay away from Dave".

After the shift report incident, Jason noted that Clark was on the geriatric psych unit for no particular reason, maybe except to just make me feel uncomfortable.

Jason told Clark, "Look, you'll never win in this thing with Dave. He's got a license and is a money maker for the hospital and all you've got is a...

****ant master's degree!"

It was funny when Jason told me this, but now I'm wondering if Clark is not more troubled than even what I thought.

I think Clark is in with someone (nepotism hire), that's the only thing saving his butt right now. But, he's watching you so that he can throw you under the bus if need be. Just keep on, keeping on!

Specializes in Psych (25 years), Medical (15 years).
On 3/15/2020 at 10:31 AM, Hoosier_RN said:

I think Clark is in with someone (nepotism hire), that's the only thing saving his butt right now. But, he's watching you so that he can throw you under the bus if need be. Just keep on, keeping on!

I mentioned your comment to Jason Hiney RN the other night, Hoosier. Jason is aware of no family connection, aside from an uncle of Clark who has an an administrative HR position at another local hospital.

When I told Jason about Rita putting off our meeting until next week, due to other pressing matters and the like, he enlightened me a bit:

There was a restraint process in ER which was poorly handled. Caught on video, it showed a staff member performing a "therapeutic hold", with their elbow to the patient's chest!

Jason believes Rita was required to immediately terminate some ER staff, so her priorities laid elsewhere.

Things are appearing rather glum at Wrongway. There's a thread I started called "Call Off Criteria" about Colby, a great male nurse and his need to leave 10 minutes early from his shift due to an injury suffered by his toddler daughter. Colby was given a "call off" for leaving 10 minutes early and weekend option nurses are allowed only two a year, or they lose their weekend option pay.

It was a last straw for Colby, so he has resigned Wrongway for a higher paying position at another local hospital. Three other psych RNs have put in their notice, one recently obtaining her NP license. Also, a psych LPN has put in her notice. Wrongway has hired one new RN, who is currently in orientation.

So, with ER staff getting fired, nurses quitting, the Coronavirus scare, and the multitude of other things going on, Clark's investigation is probably being put on a back burner.

As long as I don't have to deal with Clark and his inappropriate behavior, I don't really give a flying fruit basket what administration does or does not do. My "keep on keeping on" has been shifted into neutral.

All of the psych units capacities are being are capped at relatively low numbers. Word is that new patient admission acuity is also being heavily scrutinized. Jason believes this is administration's attempt at preventing further loss of staff.

Thanks for your comment and support, Hoosier!

Specializes in Psych (25 years), Medical (15 years).
15 hours ago, Davey Do said:

As long as I don't have to deal with Clark and his inappropriate behavior, I don't really give a flying fruit basket what administration does or does not do. My "keep on keeping on" has been shifted into neutral.

I'm rethinking this position.

I don't believe I should have to accept further work assignments until my concerns are validated and addressed and I am reasonably sure that I will be working in a safe, non hostile work environment where established laws, codes, guidelines, policies and procedures are enforced.

So there!

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
6 hours ago, Davey Do said:

I'm rethinking this position.

I don't believe I should have to accept further work assignments until my concerns are validated and addressed and I am reasonably sure that I will be working in a safe, non hostile work environment where established laws, codes, guidelines, policies and procedures are enforced.

So there!

It's hard enough looking after sick people without assorted clowns and fruitcakes throwing monkey wrenches. Your coworkers shouldn't be like having additional patients to look after. (That's what students and visitors are for.) It's time for management to do a complete hiring practice overhaul.

Specializes in Travel, Home Health, Med-Surg.
7 hours ago, Davey Do said:

I'm rethinking this position.

I don't believe I should have to accept further work assignments until my concerns are validated and addressed and I am reasonably sure that I will be working in a safe, non hostile work environment where established laws, codes, guidelines, policies and procedures are enforced.

So there!

No you shouldn't have to work in a hostile environment and Clark is most definitely causing extra distress there. Who knows why he acts like that, maybe because of his own insecurities, or becuase he is so smart with that masters, who knows. Either way it shouldn't be your problem and/or the units problem. This will most likely cause issues for your patients also, I am sure they can sense tension etc on the unit. Hopefully your admin won't drop the ball even with all the other issues going on. I used to work on a unit that had multiple therapists and some of them were just brutal to work with, IMO they put themselves on a pedestal and everyone was far far beneath them. They were more worried about keeping their "I am so important" image than taking care of patients or working as a team (not all though of course). The language wasn't a issue back then but they didn't feel the need to follow codes of conduct etc either, not even common courtesy. It was frustrating but Clark sounds worse, way over the line, IMO.

Go get um, good luck!

Specializes in Psych (25 years), Medical (15 years).

Thank you, TriciaJ and Daisy for you continued input and support. I believe that I've pretty well made up my mind that I'm just going to give Wrongway an ultimatum. If they accept it, which they probably won't, I'm just going to let them know that I will not work under the conditions I've been working under for 17 years.

I did some studying on IDES criteria required in order to quit a job and receive benefits. I am 99% sure that I can easily prove criteria. Belinda and I had a long talk yesterday and she is supportive of my actions and decisions.

In the meantime, I'm allowing my energies to be channeled wherever my little heart desires:

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I posted this on the cartoon website. My previous cartoon about the CPI training restraint error got quite a few good comments from some of my subscribers.

Specializes in Psych (25 years), Medical (15 years).

Okay. It's in the hopper:

Ms.Weasle:

This notice is to inform you that I will be accepting no further work assignments until my concerns are validated and addressed and I am reasonably sure that I will be respectfully treated while working in a safe, non hostile environment where established laws, codes, guidelines, policies and procedures are enforced.

I have received recognition from administration for being an extraordinary nurse because I adhere to certain standards. I cannot adhere to those standards if I am not supported by the facility at at which I work.

Copies of this notice, and the email of March 12, 2020, will be faxed to Mia Pillsbury, Director of Psych.

Sincerely,

Davey Do RN

What do you think?

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

I'm loving this.

Specializes in Psych (25 years), Medical (15 years).
5 minutes ago, TriciaJ said:

I'm loving this.

Thank you, TriciaJ. I hold your opinion in high esteem.

Now: Please tell me why you are "loving this" so we can trade perspectives.

Specializes in Travel, Home Health, Med-Surg.

I am loving this too. You put the ball in there court and put them on notice. One thing though, have you received recognition from your admin? (The Daisy award was not your admin). So what is your plan if they dont respond before your next scheduled shift?

Good luck, I am afraid you will need it!

Specializes in Psych (25 years), Medical (15 years).

I am glad you too are loving this Daisy, and as I requested of TriciaJ, request the same of you as to why.

The DAISY award was signed by the chief quality control officer, its reason for being presented was read at the awards ceremony, which I did not attend, and was to be presented by the CEO. The award was given to me the following Monday by my direct supervisor. So, I'd say, yeah, administration recognized me.

As I wrote in my notice, "I will be accepting no further work assignments until..." I plan not to go into work until the aforementioned criteria has been met.

Thanks for the good luck wish, Daisy. However, I beg to differ that I'll be needing it.

Like a game of chess, or working as a scrub in OR, I've planned my reactions to the many possible variables several moves ahead. I endeavor to expect the unexpected so that the unexpected becomes the expected.

But, if I trip and fall and land face down in the mud, it won't be the first time.

Thanks for your comment, Daisy!

Specializes in Dialysis.

I'm loving it because you are taking a stand, in the name of patient safety and employee responsibility and all rules that apply as such.

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