Does your employer make accommodations for your disability?

Nurses Disabilities

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The working world is a strange place. You work in a zillion crappy jobs for most of your life, and then, if you're very, very lucky, you find the right job. You go along for a year or two, thinking you've got it made, being glad to get up every morning and go to work. Then....some life-changing event fetches you upside the head with a two-by-four, and you find yourself in the mud, sprawled on your assets and wondering what the deuce happened.

In thirty-five years of working, it never once occurred to me that I would ever need the Americans with Disabilities Act. I never thought I'd have to be treated as a special case in order to perform my job at an acceptable level. Every workplace has its sad sacks who can only do day shift, or work in a single department, or work only a few days per week; some folks feel sorry for them, while others ignore them or even bully them.

I just joined them. Next week I'm starting a four-day week because my company has decided I need more time off because of concerns over my mental health. I'm good with that; in nursing, five-day weeks are hell, and they wear me out. It's the reason for going to four-day work weeks that galls me, as does the fact that several people from the upper echelons have told me that they expect me to use the extra day to "rest and rejuvenate" (their words, not mine).

As much as I'd like for altruism to be the driving force here---and there is some genuine worry on the company's part because they know me well and have always liked me---I've been on the business end of things enough to know that this isn't all about making Viva happy. It's about the fact that they see me as a potential ADA issue and need to show that they are working with me; if they were to fire me without having at least attempted to accommodate my 'disability', they'd be toast because they have no other reason to let me go.

Don't get me wrong. I'm grateful for the help, not only because I fear being 50-something and jobless in this economy, but because I really do like my job and want to stay there until I'm done with nursing. It simply feels like something fundamental has shifted in my work life, and it will never go back to what it once was. I'm branded now.....I'm someone who "needs accommodations". And that feels really, really weird.

So, how many of you are working under similar conditions? Does your employer work with you willingly as mine is doing, or did they have to be dragged kicking and screaming into the 21st century? What sort of accommodations do you need---restrictions on physical activity, time off for medical appointments, a quiet space in which to work, reduced hours? And how is this helping you succeed on the job---if it helps at all? Inquiring minds want to know!

Specializes in Home Health, MS, Oncology, Case Manageme.

I have had mutiple back surgeries due to herniated discs. Now, I have chronic back pain and belong to a pain management program. Until recently I was an RN contingent field nurse in home health and I didn't need any special consideration from the management. A couple of months ago, I took a new job which was supposed to be an 8:00-4:30, 8 hour/day desk position with a very large home care company. I didn't tell my manager about my back because it never affected my work before. Unfortunately, within 2 weeks of starting, I found out that it was actually a 10 hrs/day salary position. I started having terrrible back pain sitting in that chair 10 hrs day. I did get a doctors note that my manager really did not want to honor and HR didn't know what to do with it. My manager decided that I should work 10-6:30 pm because we were busier later in the day. Of course, I stll wasn't able to leave at 6:30 and became good friends with the cleaning crew. This was not the job I agreed to! So, I resigned and now I'm going back to school for a higher degree hoping that I'll have more job choices. You are lucky that your employer is accomadating you.

Specializes in Case Manager/Administrator.

As a manager I always try to make accommodations unless it seriously affected the operations. I got a new traveling job with a state agency 2 weeks before I turned 50. I went to my age 50 check up, they found a lump and I was diagnosed with breast cancer. Mind you I just started a new job. This new job could not accommodate me. I was crushed and numb. It was a state health and human agency. They placed so much pressure on me to quit, they thought I knew about the cancer and took the job for the health benefits. I did not know I had breast cancer before I started this new job, (had health insurance thru my husnbands job). Long story short I do not work there and have a great job now and am a cancer survivor.

This has taught me to go the extra mile for employees not only as a manager but as a fellow co-worker too.

Specializes in Critical Care.

They suggest we tell them if we need accomadations re immunocompromise ie HIV, but I wouldn't trust them to honor it. However they don't mention if you need light duty re lifting. Forget about light duty, unless workers comp. Otherwise sit home and get by on 60% disability. I really don't trust or believe that they would honor a disability. Light duty for workers comp is just to make sure your not sitting at home getting paid to do nothing! As far as bedside nursing you must be able to work like a mule or there is no job for you

Good Luck to you. Another reason I wish we had national healthcare to realize you are just one illness or job loss away from losing your health insurance, its just not fair! And why can't we have a safe no lift environment in this day and age! Too many healthcare workers are being forced to work in chronic pain just to keep their job and the roof over their head! Used to be a CNA needing a less strenuous job could become a HUC, but no more! Now you must be both a HUC/CNA so there is no room for you if you become old or injured. Less accomadations are available than before if you ask me!

I understand completely your concern..about finding a job, about being "branded" - all of it...employers right now have the benefit of picking from "tons" of applicants...with all the concerns healthcare businesses have now (cost containment, doing more with less people,etc) they are, in my opinion, less likely to, long term, work with/accomdate someone with a special need - they are, most likely, going to do what they have to within the ADA laws/guide lines but at the first chance relieve themselves of the employee - whether they like them or not. Sadly, people by and large, still in 2013, seem less understanding/forgiving of mental health issues that other ones (such as bad backs or diabetes). One of my past employers was extremely difficult in allowing nurses to work their schedules around for doctors appointments (this was a M-F 8-5 employer). One of the nurses has MS, she functioned very well, asked for nothing except to leave or come in 30 min. early/late once a month - the manager was always giving her a hard time..it was amazing what she had to go through just to keep her lab appt. Where is the compassion for employees like this? There is a vast difference in employees who abuse sick time/days and those that are genuninely in need.

Take care of yourself Viva, you are a great help to many on here - myself included.

Specializes in Gerontology, Med surg, Home Health.

I would not have any issue with making reasonable accomodations for an employee who really needed them. BUT, I have a nurse who got her doctor to write she can't stand up and push a med cart so she's not on the on call schedule. Really....you can go to the casino and stand at a slot machine all day but you can't stand for 4 hours to push a cart?!?

I would look into getting an FMLA from your doctor and tell your manager that you will take a day off as you see fit. I have learned not to let anyone control me but to be control my own destination. If you need a day off then take it using your FMLA (if you don't already have one). You should be the one telling them when you need some time off. I have found in the past I have tried working with my managers and they were not willing to work with me so I went to the next step. Goodluck :)

Oh and BTW...they do not like it when you do this.

My employer is wonderful. Twenty years ago I was hired through a Vocational Rehabilatation work re-entry program. So he knew what he was getting. He has made several very reasonable accomidations for me over the years including regular hours, short shifts, and time off for appointments. He has been good to me and I have been good to him.

Fuzzy

Specializes in Registered Nurse.

My employer does not know I have a herniated disc. They do not accomodate employees who bring any type of medical note requesting a modification to their job description. One of my coworkers lost her ability to perform her job after an MS diagnosis. She had to go on disability. Recently, a coworker, who had a baby brought a note with weight restrictions. She was not allowed to return to work until she could return without restrictions. They could allow for less hours, or lighter duty but they won't. I believe they fear any injury or problem occuring in the workplace and how this would effect their liability.

I have been a nurse at my job for 23 years, with a great work record. My husband was diagnosed with cancer and he recovered. The stress of that and being the caretaker caused me to go into depression and I got help. I was open with my manager and had been on a leave of absence within the last 2 years on and off. I have depression and am on medications that help, but some days are better than others. I have not been the same nurse as before. I had trouble with focusing with the responsibilities on the job that resulted in medication errors that were not serious, but errors all the same. My mangager suggested a leave of absence. I did not qualify because I work part time. She should have suggested that I go on disability, since my behaviour was not what it should have been. I was a great nurse and within the last 8 months, I started to not behave like my self. She knew that my LOA was denied because I told her. No options were given to me and I continued to work. I was terminated. It is difficult to try to look for work with a termination on your work record. It is hard to find work when you are an older nurse; you have the experience, but the employers only see the termination. The medical profession is supposed to be compassionate and mental illness is a disease. It is not recognized as a disease like other diseases, and this is so unfortunate. You would never let a nurse come to work with a broken leg or other disease processes. I am doing better and I have found a new job that has hired me, but it has been 3 months since I last worked. It has been a struggle, and to those of you that are struggling with this issue; hang in there and know that there are people willing to give you another chance.

Specializes in LTC, assisted living, med-surg, psych.

Nurses with broken legs are almost always treated better than nurses with broken brains.

That said, I'm grateful for the chance to redeem myself and try to salvage my job and career. I have to learn how to be a long-distance runner rather than a sprinter, which is what I've been for most of my life; it's hard to change now, this late in my career. Got to give it a shot, though, because I am in this thing for the long haul and if I can't manage this job, I'm essentially done as an RN.

Specializes in Home Health, MS, Oncology, Case Manageme.
"Making reasonable workplace accommidations" as a manager in home care Central Intake office I've accommodated multiple staff over the years:

Despite our office being relocated to another floor due to growth and no one mentioned work issues, I've fought for several staff (with doctors note) to have standing workstations -cost $350.00/each for change.

Accommodate Light Duty RN's periodically to do RN referral review.

I wish you had been my manager when I was in Central Intake!

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