I'm getting written up! (Very long) - page 3

I'm getting written for an incident in which was completely misunderstood. Yesterday, I had a 20 year-old patient that was being induced for labor. On admission, she was asked what her plans were... Read More

  1. by   soulofme
    Pointing the idiot dart at the Doc and S/O....
  2. by   travduck
    "you can also include your written defense, and get those who interviewed the girl, as well as get the girl herself to write a letter of support for you. Then the whole packet may be in your file, but it will be quite clear that you did nothing wrong." "You should write all of this up very objectively, make yourself a copy, give one to the DON, and one to your charge nurse. "
    Don't wait for the "doctor?" to take the offensive. Do the above NOW. Then go home and sleep well. In the writie up you are free to state that you understand the Dr (?) Soandso is upset, displeased whatever and that you feel that you did no wrong. Get this into your file in advnce of any nasties that he wants to play at. You might also attach a copy of the epidural consent. This would place the anesthesiologist squarely in your corner in the event of future retaliation by this dr(?), as to have done an epidural against the wishes of (at that time) his patient would not only be assault but battery; both with very legal consequences. Keep a copy of all documents for yourself in an off campus safe spot. If necessary delete patient name but retain their id number.
    Bad doc are everywhere trying to cover their posteriors with the bodies of nurses, and too often getting away with it.
    Hang in and be extra glad that you have a sane nurse management team.
  3. by   southernbeegirl
    yet another example of family members dictating medical care. im so sorry you are going thru this!
  4. by   wooh
    I have to agree that the anesthesia provider needs to be written up right along with you. If not, then this is being done just to appease the OB. Did anyone other than the OB hear the family's complaints? Wonder if the OB made them up?
  5. by   nerdtonurse?
    That's the first thing I thought -- write up the OB for "fostering a hostile work environement."
  6. by   Batman24
    Quote from wooh
    I have to agree that the anesthesia provider needs to be written up right along with you. If not, then this is being done just to appease the OB. Did anyone other than the OB hear the family's complaints? Wonder if the OB made them up?
    And even if the family did complain why would they ever be able to dictate what the patient does and doesn't receive in this situation as the patient is of sound mind?! It's ridiculous. If families dictated patient care and we listened half my patients would be dead by now. No joke.

    I do wonder if the OB riled this whole thing up. And it is a hostile working environment if he pits families and patients against one another, families and nurses against one another, and nurses are being put into a position where they will be retaliated against for advocating for their patient and assisting with a patient request. The nurses can't win in this situation and it needs to stop. Perhaps this OB needs a write up too.
  7. by   Batman24
    Quote from nerdtonurse?
    That's the first thing I thought -- write up the OB for "fostering a hostile work environement."
    I actually meant to quote you on this part. It is a hostile working environment if he pits families and patients against one another, families and nurses against one another, and nurses are being put into a position where they will be retaliated against for advocating for their patient and assisting with a patient request. The nurses can't win in this situation and it needs to stop. Perhaps this OB needs a write up too.

    Can anyone tell I'm worked up over this?! :angryfire
  8. by   Batman24
    Can you imagine if OP gets written up?!

    "Doc mad patient had mind of her own and had epi done. Blames nurse. SO also mad patient decided on pain meds. Blames nurse. Bad nurse helped their patient, provided great care, was an excellent patient advocate, terrific eductator, patient praises nurse, we know nurse did nothing wrong but we'll write nurse up anyway because it's much more important that doc and SO are happy. I mean who really cares about patient rights anyway?! The patient wanted epi and gave consent for it but we should ignore patient in future to appease doc and SO. Patient can then say nurse ignored their request and we can blame nurse for that too." Yeesh.
  9. by   arelle68
    Please forgive me, dear male nurses, for my comment regarding men, which was deemed to be belittling by jm394. It was rude and wrong. I am sorry. It won't happen again.
  10. by   Silkiebyrd
    I am sorry you are going through this...but you were in the right. The doctor probably knows it too. This is an example of admin. allowing him to persist in educating his pts. and their families with BS about medical procedures. You are probably one of the first nurses to go against what he tells them and he finds that he doesnt like it. Sounds like a power issue with him. You are right and like they have said...dont sign the write up....and add an addendum telling your side of the problem.
  11. by   ghillbert
    I would definitely write down your recollection of events, down to quotes if you remember. Then either get the mother to sign it, or get her to write a brief letter. Keep copies and get one put on file if a complaint is written up.

    This is ridiculous and you didn't do anything wrong. I would not worry about it.
  12. by   Purple_Scrubs
    If it is written up, I would NOT sign it, and instead write a rebuttal stating that part of your obligation as a nurse, per your state's nurse practice act (if true, from what I understand it is in most), is to be a patient advocate. You were acting in that capacity when you did what you did. A family member should not be allowed to dictate the kind of pain relief that a laboring woman recieves, that is just ridiculous! A complaint that the family member was not allowed to dictate this is just not a valid complaint! If the PATIENT said she was coerced or given misleading information, that would be different, but that is clearly not the case. Good luck to you!
  13. by   Karen1984
    You did absolutely nothing wrong and should make certain you get statements from everyone involved in case the doc decides to be an a**. I had natural *shudders* childbirth with my first child and an epidural with my other two.

    The first time I was only twenty and my family and mother in law wanted me to do natural. Luckily it went fast but I did get in a lucky shot at my mother-in-law's face when I was yelling at her to leave. They were the ones that shoved me into natural labor. Sounds the same way with the family you were describing.

    And let me guess...the doc is male and over fifty?

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