I'm *really* worried about my job... Need advice (long)

Nurses General Nursing

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I've worked at my facility for 7 years. Prior to the last month or so, I have only ever been written up once, and it was from way back when I first started. I was supposed to work a night shift but didn't realize it. As it turns out, the copy of the schedule I had was only the "preliminary." Bad mistake, but forgivable, and never repeated. After that, I was rarely ever called into any manager's office for something I had done, or possibly done wrong. I was never again written up, and I have always been highly praised on my performance evaluations.

Fast forward to now...

About a month ago, I was written up for "gossiping" about a former co-worker. I believed that she was a terrible nurse and I honestly feared for the patients she "cared" for during the day. I had voiced my concerns to others (leads, etc), but they were not taken seriously. I had to fill out incident reports on this nurse on several occasions for med errors--serious med errors. In any case, said nurse quit our hospital and moved. I said some very derogatory comments about her. I was called into the manager's office and written up for speaking poorly about her.

When called into my manager's office, I completely agreed that what I had said about this nurse was unprofessional and inappropriate... however true the comments were, they weren't appropriate for work, and it made me look like a tool for saying them. I got my first written warning for this incident. I agreed with my manager that the comments were horrid and unbecoming of a professional. I have been very careful with everything since then, as I have a tendency to blurt things out. I certainly have not been "gossiping" since this incident. I told my manager that something like this would never happen again, and it hasn't. It was a very poor decision on my behalf to speak of someone in this fashion.

Today I was called into the manager's office. I knew it was bad when the director (my boss's boss) was in the room. They questioned me about a patient (not mine), that I helped admit last week. To put it nicely, the patient was withdrawing, and it required elephant amounts of meds to keep him sedated. There were several comments made in the room by all staff involved that could be perceived as inappropriate. I actually left the room at one point because I became so frustrated with the situation, and I didn't want to do or say something myself that could be deemed inappropriate.

Apparently, someone said that I called the patient a derogatory name in his room (in passing) to other staff. I absolutely did not do this, and I am appalled that someone claimed I did. Unfortunately, I do know who made a comment in the room (a friend of mine). They railed me and essentially gave me the option of telling them who said the comment, or taking the blame myself. I told my manager truth, but I feel terrible for doing so. They believed me and I did not get written up for it. I did not know it at the time, but the "warning" I would have gotten was a 1-week suspension, without pay :cry:.

Not only am I scared that I am on the fast track to get fired, but I now feel terrible knowing that my friend, and co-worker may have the same happen to him. The management did believe me that I didn't make this comment--I'm sure the look of udder shock on my face helped! I explained to them that I had been in the room, and that I had been frustrated, but that I stepped out when it came to my breaking point. I did tell them that my friend made the comment, but I didn't know that he could possibly be suspened or fired for it! Now I feel like a worthless rat!

I am fairly sure I know who reported me. This person is a tech and a neighbor of said patient, and I could tell that she was upset by the way things were going in the room that night. At one point I told her that the patient would probably not remember the whole event due to his DTs and the fact that he was given so much sedation. I feel that she was overly sensitive in the situation and not impartial with regards to his cares since she personally knew him. I still don't understand how I became a culprit.

I don't know what to do now. I feel like I am walking on eggshells. I feel like a rat for telling on my friend. I am scared for my job and for his. I came home and cried this morning. I really like my job, and I like caring for my patients. I have never had a patient or family complain about the care I have given them, and I'm shocked that I have been singled out for something I didn't do. I'm at a loss for what to do... I think that once I have calmed down that I should request to meet with my manager one-on-one to ask her what I can do better in the future.

There are some signs I perceive as positive in this situation 1) they believed me when I said that I did not make the derogatory comment; 2) I did not get written up or suspended today; 3) my manager asked me which over time days I can work this next month... obviously I still have some credibility. I have been honest and forthcoming with her before, and I feel that she believed me.

Do you guys think I am on the fast track to get fired? I'm so scared. I'm scared that this will ruin my friendship with my co-worker. They assured me that he would not know that I "told" on him. I feel that I was put in a very bad situation. Was his comment inappropriate? Absolutely. Should the culprit be reprimanded for it? Yes. Fired? No, I don't think so. It's not my job to decide, but it's of concern since I was implicated in the whole mess.

I'm so worried about losing my job, or losing a friendship. Does anyone have any suggestions about what to say when I speak to my manager? Should I speak to my manager? I feel like I'm trapped between a rock and a hard spot, and I could really use some advice.

Of course, I am not allowed to speak to any of my co-workers about being called into the office this morning. I was told that my co-worker will not know it was me who "ratted" on him. I can't even talk to him about the situation, or I face suspension or worse if the management finds out.

Any advice or constructive criticism is appreciated in this situation. Thanks to those of you who bothered to read this long thread.

juvenile, and innapropriate.....management that is......the aide should not have been withing hearing distance to begin with.....and if i could be sure that it was she.....well, she wouldnt be happy

I feel sorry for your situation.It's kinda dicey.I was going to comment on your gossiping ways, but you have so obviously seen the damage that can be done and changed, so I'll keep my mouth shut on that.

As to your situation, if you can find another job, it won't be bad for you because now you know that you're walking a fine line.You're under the greatest scrutiny now and it might just take a little thing to tip the pot over.Be watchful

Okay, in the tech's defense i see her side to the story too.

NOTHING derogatory should ever ever be said infront of a patient, no matter if they are sedated, dead, confused or whatever. You just shouldnt do it...

If you see other nurses doing it and you dont say anything to them, that is just as bad as participating in it.

One time we had a patient was what everyone thought terribly confused...which he was!!! but someone made a comment about his weight, while in his room. I told her that was not appropriate, im not afraid to!!

it was like 2 hours later....he thanked me.

confused...yes! but he rememberd me.

so honestly like i see her side to the situation. how you became the culprit of saying things...who knows??? Sometimes people over exagerate things to make them seem worse than they really are. I don't think you should discuss anything with your manager. just show her what your capable of....

Our hospital sends everyone a survey about their stay in the hospital and i've had 2 patients write my name on their survey telling me they enjoyed having me. they've said other things...and my manager DOES see these, and she has called me into my office before telling me this.

This gets me on my managers good side.

as for the gossip....alright we ALL know alot of gossip goes on. I am aware of it, its hard not to get caught in it. If you're in the middle of something where gossiping is going on...just get up and leave stating you see a call light or something? i dnt know!...you need to check on your patient that needed a glass of water??...just get up and leave! best thing to do is walk away from it and not be involved.

If you tell them thats inapporpiate for work, chances are they are going to talk about you....or if they get reported they are going to put the blame on you....so just stay away from it! Gossip goes on, thats something that is always going to go on...sad but true!!!

best of luck.

Jayda

Specializes in Operating Room Nursing.

I've had a similar experience recently with gossiping. My friend and I recently had this new nurse to the area. He could hardly speak English at all despite working in another English speaking country for about a decade. He was very incompetent in his skills and I felt that patient were put at risk because he was unable to circulate properly and we were missing out on proper breaks because we couldn't leave him without someone 'carrying' him. If there was an emergency he would definately put the patient at risk because I don't believe he would understand enough to call the emergency button and know what to do. He heard us having a vent to each other and went straight to management. We were spoken to and reprimanded over it, but I had my say to them about how irresponsible they were putting a new nurse in this position in the first place. What I learned from this is to keep my mouth shut at work, any whinging will be done outside of work and in my own time.

Anyway back to your friend. Well quite frankly I wouldn't lose any sleep over it. You should NEVER make horrid comments about patients like this at work. If you choose to act unprofessional about a helpless patient then you have to expect consequences to your actions.

Specializes in ICU, Research, Corrections.

I think I would start exploring other options at other facilities. Good CVICU nurses don't just grow on trees....despite the bad economy, you are in demand.

Your management sounds toxic to me. Start applying and interviewing. Who knows? Maybe you could get a raise!

Wow you got written up for gossiping? I wish my managers could get written up for that.

hahaha...me too!!!

I'm sorry that you have to go through this! It seems totally unfair. I can't believe that you got written up for gossiping about a nurse who no longer works on your unit.

I also agree that it is degrading and unprofessional to talk about a patient in his room. I know you mentioned you didn't do this...but I can't believe that your DON told you that if you didn't reveal who did that you were going to take the blame. Your management sounds horrible and unjust.

A side note: as previous posters mentioned, I think you will for sure be under close observation. I probably would just lay low and do my job. I wouldn't go to management and ask them how I could improve. I would, however; look for another job!

I think you did the right thing by telling the truth. I know it hurts because it's a close friend but if the tables were turned, what do you think your friend would do?

First of all a patient should never be called a derogatory name no matter if it is a friend or not, and I think that if you worked at this facility for 7 years now they should learn to respect you knowing you have been with them for that long and if they don't then it's not very good management to begin with..i don't think you will get fired i think they r just trying to keep you on your toes but scaring you to believe you are gona get fired is not a good thing to do..i really hope that everything works out for you!!!

Specializes in Peds/outpatient FP,derm,allergy/private duty.
QUOTE=Jay2daq;3971744]Okay, in the tech's defense i see her side to the story too.

NOTHING derogatory should ever ever be said infront of a patient, no matter if they are sedated, dead, confused or whatever. You just shouldnt do it...

If you see other nurses doing it and you dont say anything to them, that is just as bad as participating in it.

One time we had a patient was what everyone thought terribly confused...which he was!!! but someone made a comment about his weight, while in his room. I told her that was not appropriate, im not afraid to!!

it was like 2 hours later....he thanked me.confused...yes! but he remembered me.:

:yeahthat:
Specializes in CVICU.

As it turns out, my friend did get suspended from work. However, he did not get suspended for the comment! He was suspended for asking if this patient was an appropriate admission since this was the last ICU bed in the hospital. Mind you, our lead nurse (and others) also asked the same question that night!

Like some of you have said, this makes me think that they were trying to get to him by questioning me... there is definitely something toxic brewing in my unit. The fact that he was suspended for such an innocent and pertinent question is abhorrent. However, a couple of weeks before he made this comment, we got an e-mail stating that "you may see admissions that we don't normally take in the ICU...yada yada, please respect the management's position to admit these patients."

I think they would like us to be like drones. Something along the lines of a mix of a Stepford Wife and a scripted telemarketer. I feel that we are being discouraged from asking questions, pointing out errors or possible errors, and advocating for patients. I could type a book on some of the strangest things we've been asked to let fly recently. My boss even sent a snippy e-mail to a co-worker when she questioned her about a patient safety issue a few of us wanted to discuss at UBC.

I guess I'm just so worried that any little thing I do or say can be perceived as negative. I was afraid to even answer someone's question about why I was so quiet at work last night. In a way, it's a lot like being in middle school where there is a lot of "he said, she said" going on in the guidance counselor's office.

Unfortunately, there are essentially no full-time ICU positions open in my city, I'm in the middle of attempting to apply for graduate school, and I'm stuck in a lease. I'm essentially wedged in my current position, attempting to please my manager, because I will eventually need her recommendation for some graduate schools. I need ICU experience for graduate school, so other types of nursing are not an option for me at this time. I'm just trying to hang on long enough to get into school.

The whole situation is upsetting in more ways than one. I really like the idea of my unit, the way it used to be. There are no other similar units with the capabilities of my hospital in my area. I would have to move to find a comparable hospital. I just don't have that option right now, so my only choice is to lay low, keep to myself, and keep providing quality care to my patients.

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