frenemies

[livingthedream33]

How do you handle frenemies in the OR? I know it is always hard for a group of (primarily) women to all get along. I work with nurses that engage you in conversations about issues with-in the department only to run to the mgrs office and tattle! It is all I can take. I have been recently "warned" about talking about these issues (real ones - like repetitive med errors, incorrect preps, techs leaving the room before pt extubated, chg nurse assignments to less experienced nurses.....I can go on and on...) among co-workers. I have taken them to mgt but absolutely nothing is done. I was given a written notice to NOT talk about the issues or the warning itself with any staff or surgeons!!!!(I will be terminated if she hears I have). The surgeons know that the pt safety issues exist and of course want them fixed. ASAP! Maybe I stepped on someones toes by letting the chief of surgery know about these issues but now it is about to cost me my job....What do I do?

[shodobe]

You are always going to have that "tattletail" that loves to look good in the eyes of the NM. If you have an idea who might be the "snitch" try to avoid any conversations that might be considered taboo. Even if someone else initiates the conversation and you just happen to hear them talking, just walk away and don't engage them. I know it is tough but people always want to prop themselves up by being that "inside informant. I do think it is ridiculous that you have to fear for your job because you are bringing up these important isuse. Patient safety should always be the number one issue we all should be involved with. Some NM hate to be put into these positions because it makes them look bad and they feel this is more important than listening in public to their nurses. I would hate to work at a hospital where I would have to look over my shoulder or watch what I said everyday. I know it is a hard situation but look out for yourself and your license because no one else will. Good luck