Dysfunctional Unit?

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I've had problems with one fellow RN in my unit which I posted about in the past. I started by confronting her, speaking to the manager...meetings were held, I started a paper trail about her interfering with my care in front of patients. Then she made a remark that I didn't like the color of her skin. It was suggested that I contact ethics, which I did to protect myself if she pulled the race card again. I asked only that the racial remark be reviewed, and not the rest of my paper trail. Long story shorter I was told she received appropriate disciplinary action in HR.

So so about a month ago she told our manager that she had to stop me from taking a patient with a saturation of 88% to an unmonitored floor from the PACU. This was a blatant lie. She walked by a couple minutes after I took the patient's O2 off for a brief trial of room air. Of course I told her I was replacing the O2 and got a tank to transfer the patient. I documented everything I did. The next day I started telling the manager about the patient, and when I was done she told me what this nurse had said. I was furious. I told her that I could file an ethics complaint and confront her right now, or she could talk to her and if it happened again I would file the complaint. The manager discouraged me from confronting her and said she would talk to her. I have the specifics set aside if needed.

Another co worker on a different occasion told he manager at I medicated a patient with a pain level of 3, and then had to give the patient a fluid bonus to bring up her blood pressure. I asked for the name of the patient so I could review my charting, and conviently no one remembered. Again I was furious. I was not written up or told that any of my care was not appropriate by management.

RN #3 has recently started speaking very sharply to me. I told her several times not to talk to me in that tone with no behavior change. Our manager told me that this nurse 'barks' at her as well when I finally approached her, after much hesitation. So she spoke to her and her side of the story was was that I had spoken to her that way as well. ?

The only other RN's on our unit are per diem. The first 2 have worked with this manager for almost 20 years. I've been there 2 1/2 years, but am NOT a new nurse.

So now I go in and interact as little as possible. I try to mind my patient's and concentrate on work.

Last week nurse 3 was barking at nurse 2. I mentioned this to the manager informally and she said "This is a dysfunctional unit". I asked her what could be done about it. She replied that everyone needed an attitude adjustment. I chose not to ask her how this could be done.

Bottom line is my mental and physical health are suffering from the stress. The work itself is manageable, the environment is becoming intolerable. I am the major breadwinner and don't have the luxury of quitting. Starting over terrifies me because difficult people are everywhere.

Thanks to those of you who read my rant.

This is old, but I wanted to share the update. Manager went out on leave in Sept. Now resigned on disability. Director resigned, neither replaced, 2 of the 3 immediate coworkers are vying for the mamnagers spot. Both are horrible choices.

In December, I gave 2 weeks noticed and started another job. It was a challenge learning a new hospital's charting and computer system from scratch. I didn't learn like the 20'something new grads in my orientation, class, but I got it with time. Just when I was about to be assigned to night shift, a huge family crisis exploded. My drug abusing 27 year old son started back with threats and thefts. I didn't feel safe at home. I stayed at a friends house. I couldn't focus or concentrate at work. I mentioned the situation to my preceptor. His answer went like, ' home problems can suck, but we are responsible for lives'. I called the EAP, and used every resource and then some. I did not pass the probation.

2 days after I handed in my badge, my son overdosed in the bathroom at home and died, his middle brother found him. He did not carry out his threat to do it live on FB and implicate his brother for putting him up to it. When he made that threat, he spent a week in a psych facility, and my mental health took a nosedive.

My confidence is in the toilet, I lost a son and a job in the same week. I have applications out, but am not being aggressive job hunting.

I kick myself for taking such a big risk with the familie's livelihood. I have been advised to take time off..couple months, before working again.

I'm considering home health, as SSI disability for psych issues does not look promising.

This is just the continuation of 10 years of dealing with the cycle of addiction in the family. We tried everything and then some.

Encouragement needed, advice welcome, but I'm done being 'yelled' at.

My gosh I have no words of advice but you have my sincerest apologies and I'm so very sorry to hear of your misfortune. I am a spiritual person and I believe that your son is now in a place where he is happy healthy and free of his addiction. Please take care of yourself whatever you need to do, do it. I'd recommend some psychiatric help such as therapy to get you through this.

Best wishes

Truvy

VAC,

I am so sorry to read of the devastating events you have endured. I am not fit to give any advice but perhaps it might lift your spirit the tiniest bit to know that a fellow nurse and member of this site is thinking of you.

I do hope you will have time to grieve and also time for some serious self-care - you deserve both of those things.

Peace & a ((hug)) -

JKL

Specializes in Psychiatry, Community, Nurse Manager, hospice.

I am so very sorry for what you are going though. I do not think that you put your family through financial stress when you decided to get another job. To the contrary, you saw the writing on the wall and you made a very smart move. It did now work out due to circumstances beyond your control.

Adjusting to a new nursing job is hard even in the best of circumstances. In your circumstance I think it is downright impossible. You could not possibly have the emotional and mental reserve to deal with all the challenges and stress of a new job immediately after the sudden and tragic death of your son.

Is there any way you can give yourself some time off from working? Can you borrow from your 401k, take out a home equity loan, move into a smaller place?

Do you have family, a church, friends who can support you right now? Bring in every resource you can. Let people come stay with you or go stay with them. Take anything they offer. Social support, financial support, emotional support.

Thanks, everyone. I am still experiencing stress induced mental fog, and I have an even greater fear of starting over. I know I am not ready to start over yet. We can afford another month or so without my income. I'm am getting all the help I can, and working on rebuilding my self confidence.

I'm so happy to have support on here������������

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

All I can do is echo the sentiments of the above posters. Wishing you peace and healing. And serendipitous help from unexpected sources.

I will repeat the words of others who have posted before me: I am very sorry for the loss of your son, and your job.

Yes, take the necessary time to heal yourself before moving on with your professional life. Lean on all of your resources, including this Web Site. We are all sending you the warmest wishes for the future.

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