Nurses rat on nurses - page 5
I have noticed a disturbing trend amoung nurses. I am new to nursing so maybe I am wrong. Nurses seem not to have any loyality to each other. I have seen many nurses sell out, tell on, rat out, or... Read More
Feb 25, '03Hello everyone this is my first post..so cut me some slack..hehe ~smiles~
We ALL are human...period...not one of us is beyond making a human error or oversight.Hopefully, if and when we do it causes no harm to a patient.Guess my point is, we should all stick together for the benefit of the patients and each other.Helping each other is a major part of nursing to me. I work nights , and we are "IT"..if we can't count on each other we are 'screwed'..I thank the good Lord I work with a really great crew. Many of the other shifts have problems with 'backstabbing' nurses.As mentioned by many prior posts..no nurse can ever condone patient neglect or abuse, but don't sweat the minor things-fix it,tell the nurse who made the oversite(in private), and go on. We all live and learn every day .........................Mandy
Feb 25, '03I agree with Mandy and find my night shift coworkers tend to be a more cohesive group...which is why I luv my night shift!
Gotta say again I've worked with some way bytchy guys...they overadapt to the group mentality...and can be the worst of the worst. We are all individuals and shouldn't generalize.
Very often nurses from 'the other shift' seem cliquish and it can be hard to gain a camaraderie. I try to make a point of working an occasional off shift so we can get to know one another and gain some trust in our working relationship. Also try to attend functions, parties, after work get togethers with them so I'm not a stranger.
And I let them know things like "I found your shift change dose of Claforan in the fridge, saw it hadn't been given, and hung it"... so they know I'm a team player and didn't just go 'write it up' to get the other shift in trouble. Once shift to shift antagonism gets ahold it can be hard to change, sadly.
Generally I have found over the years that MOST nurses will reciprocate genuine team work attitudes, and it makes for a better atmosphere for all.
I tend to treat gossipers and those who love write ups the same way I treat everyone else.....unless it is a major they get one warning that if I see it again it will be taken to write up stage.
Majors like malpractice and dangerous negligence, or habitual bad practice must be documented and corrected...even though we dislike 'writing up ' another nurse, we must do it for everyone's sake. Ignoring bad practice helps nobody.
The pizzy stuff I tried to ignore unless it effects unit morale...then as charge I might need to address it. This stuff took a lot of my time and energy as charge nurse, sadly. Now that I'm NOT in charge, and just do agency, I can ignore the pizzyness and do my job...a nice change...LOL!:rollLast edit by mattsmom81 on Feb 25, '03
Feb 26, '03This is really great dialog. How can we build a spirit of comraderie in nursing. I try to infuse a spirit of fraternity with the nurses that I work with. In South Florida we have many foreign born nurses. The Island nurses seem to have a strong bond. Sometimes I feel left out. I wish that all nurses had that strong a bond. I do feel that the system has placed nurses under a great deal of pressure which is increasing our error rates. The only way we are going to survive is to have greater loyality to each other than we have to the system. Of course I am not questioning the holy cow of patient safety but its time we start to think about the safety of each other also. I have only been a nurse for about a year but have already lost a coworker to her own hand. We watched her performance deteriorate and nobody did anything but complain about it and write her up. I was too new to question it. I worked her last shift with her. The supervisor sent her home because their was obviously a problem.
She was found dead three days later when she failed to show up for work.
She had been a nurse for 25 years.
Feb 26, '03Wow! (I mean that in awe and disbelief) No wonder this thread started as it did. And it certianly is another reality check for all of us.
I wonder if she had any other health/stress issues in her life? Nonetheless, she was nodoubt overworked with whatever condition she may have had.
My prayers find you and the staff that work with her.
Feb 26, '03There is a huge difference between covering for a co-worker, and covering up for a co-worker. Helping and supporting our fellow staff increases patient safety, IMO. I would never let another nurse flounder, but I would also never let another nurse compromise patient safety. I don't mind calling labs that the previous shift forgot to call, or changing a dressing that was missed. But if something critical is missed, or a serious error is made, I will document the error. For instance, a few months ago I floated to another unit. A patient with renal failure and a high potassium was ordered Kayexalate. A new nurse took KCl out of another patient's drawer, and gave that instead. Had she come to me, I would have happily explained the difference between the two meds. Instead she gave a med she was unsure of, and jeapordized a patient. This is the kind of thing that cannot be overlooked, and I did write it up.
Mar 2, '03I think this is a good example of what I am talking about.
Why not just teach the nurse the difference of the two meds and leave it at that. The patient was not harmed so why hurt the nurse by documenting the error. Do you believe punishment is a better teacher than encouragement? That is an outdated and discredited style of teaching that went out years ago yet the attitude still persists in nursing. Lets get over the past.
Mar 2, '03How was I supposed to know she didn't know what she was giving if she didn't ask? Had she asked, I would have explained the difference. And as far as the patient not being harmed, he had to undergo an extra dialysis treatment to remove the excess potassium. A mistake like this could have been fatal. I don't believe in being harsh with new nurses, but just like any other profession, there are some people who do not belong there. I have had my hair ruined by a bad stylist, and my meals ruined by a waitress who did not know what she was doing. A mistake made by a healthcare provider can have devastating effects. Part of my responsibility is to be a patient advocate. If anyone thinks that covering up a mistake like this is OK, then I am afraid for our profession, and our patients.
By the way, I would write up a physician, a respiratory therapist, or a housekeeper if they did something to endanger a patient. I have written up a physician in fact.
I don't write people up frequently. In twenty years, I have probably not written more than 5 or 6 people up. Each time there was a blatant error that jeopardized a patient.Last edit by RNinICU on Mar 2, '03
Mar 3, '03of course, patient safety comes first. If I see another nurse making a mistake, I try to help them. If they are merely using a different technique than what I am used to, but the outcome is the same. I keep my mouth shut.
IMHO, nursing is a very territorial profession and I have seen nurses spend so much energy backstabbing and degrading others that is just nauseates me.
unfortunately, my dept manager encourages a "tattletale" mindset, that if people run to him and tattle, then he will take care of the "problem". He has caused so much animosity in our dept that it is almost too much to bear at times.
Mar 3, '03RNinICU, double your statement and well said. With you 100%. I think that the difference may be those that search out and look for every and any reason to complete the paper trail.... and we all know they are out there....
vrs. the nurse that calls you at home and says "you didn't sign off the vancomycin, did you give it?".. having forgotten to give it recently, I appreciated the phone call, and her rescheduling after talking to pharmacy to determine if levels should be drawn.
No paperwork, just teamwork, because patient outcomes were not affected. Herein lies the difference.
It also boils down to a simple...hey, I' ve been following you for three days, the rooms and the patient have really been a mess..... has your assignment been so bad that we needed to readjust it, is the other staff helping you enough, is something going on??? HOW CAN I HELP???
Goes alot farther than backstabbing or nasty remarks or write ups.... you never know what kind of day a person had, or whats going on at home, that with kindness can get a person to see they need a break or need to shape up.
Mar 3, '03In the LTC where I work- I am a floater. I work a particular unit when the "regular" nurse has the day off. So- needless to say- it may be a week or two before I'm back on any certain unit, and usually need a bit of catching up at first. I have often times come up with a question re: a certain med being given or an order that was written. I choice to 1.) hunt down the answer or 2.) call the regular nurse if it's important. I will not run to the DON with every little thing. If something was not done- and was suppose to be- I will do it. And I don't b**ch about it. It's teamwork. And it's all for the good of the patients I'm assigned to care for. I have encountered many situations-and I have done my best to sort them out.
Unfortunitly- I have also encountered several nurses, one in particular-who will run to the DON with everything she can come up with, verses going straight to the nurse when she's 30 feet away. To me- this is really pathetic and over the top. All it serves to accomplish is bitterness and frustration- and backbitting all around. What's the point?
Mar 3, '03Originally posted by rscarlatti
...The patient was not harmed so why hurt the nurse by documenting the error...
Why document it?
First off, that poor patient!
Secondly, I can't think of a single clinical institution without rules for documenting med errors.
And last - but not least - what happens in three days when it all comes out and your hospital administrator comes to you to ask what happened? Are you going to lie then? Where does the "I got your back" stuff end on something like this?
Like everyone else, I am not advocating the eating of the young...especially since I am the young. LOL But the example given was a pretty big mistake. I can't see myself "covering" for that. In all honesty? I wouldn't want someone to risk his or her license to do it for me, either.