Nurses rat on nurses - page 6
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
Mar 3, '03Occupation: RN Joined: Oct '01; Posts: 163; Likes: 69Good thread. Lots of common sense.
Police and paramedics have been mentioned as sticking up for each other. Have you ever known a doc to rat on another doc even if they're really wrong? You just don't hear about the petty nitpicking nonsense between docs. They stick up for each other.
Mar 3, '03Occupation: RN Joined: Oct '00; Posts: 337; Likes: 5quote:
Originally posted by rscarlatti
...The patient was not harmed so why hurt the nurse by documenting the error...
Originally posted by dianthe1013
.....Eeeeeee. Urm. This statement scared the snot out of me....
I have to agree with dianthe1013 here. To give KCl instead of Kayexalate is a HUGE error. The patient could have been killed and in fact did suffer increased risk and discomfort with an extra dialysis, not to mention the cost. But even if the patient didn't need the extra dialysis, and the hyperkalemia could be managed with giving the ordered kayexalate, how can you cover this up? There is a missing dose of KCl to account for and the patient's K+ level will now be even higher than when the doc ordered the Kayexalate. How do you know what to give? Perhaps the patient will now need 60gms as opposed to 30 grams, for example. If the doc doesn't have all the info, it is impossible to correctly treat. This is EXACTLY the kind of error I WOULD write up-after first telling the other nurse that it had to be done, if she was present, and encouraging her to do it herself. If not, I inform the doc and the manager, and write an incident report. I have to play CYA for myself here as well-I don't want anyone to think that I attempted to cover this up.
2 good rules for reporting:
1) Was the patient harmed-or is there a potential for patient harm-with an error?
2) Even if I can fix this, is it obvious to someone reviewing the chart that I had to be aware of the error and did nothing? If so I report.
I am all for sticking together and in 15 years can only think of about 10 incidents I reported that directly affected another nurse. But we always have to put the patients before sticking together. And if a firefighter made a grave mistake that hurt people, I would like to think that others would understand the need to report it.
Mar 3, '03Occupation: Between positions on medical leave Joined: Jan '00; Posts: 71; Likes: 1You certainly picked a bad place to post an issue of brotherhood. Health care in general and nursing in particular will never attain the camaraderie & brotherhood you elude too. There is no one with benevolent intentions watching your back but you.
Mar 3, '03Occupation: PEDIATRICS Joined: Feb '03; Posts: 45i don't know what you men by ratting out. i agree if you see a fellow nurse doing something to harm a patient then you need to go to that nurse and confront her. if she continues to place the patients in harms way then it is your duty to go to the manager.
if only md's would do the same when they see their fellow physicians make big mistakes instead of covering up for them--maybe we wouldn't have so many scary doc to watch out for--for our patients' sake.
Mar 26, '03Occupation: RN / Firefighter Joined: Oct '02; Posts: 7The patients have lots of advocates. We as nurses are taught and most of do advocate for our patients. The hospital usually for economic reasons also advocates for the patient. The regulators JACHO et al also advocate for the patients.....
Who advocates for the nurses ?????
Mar 27, '03Occupation: RN Specialty: CV-ICU ; Joined: Oct '00; Posts: 2,343; Likes: 52Rscarlatti, NURSES advocate for nurses; BUT only after they advocate for their patients first. Join your professional nursing organization (I noted that your profile does not say what type of nurse you are, whether RN or LPN) and get involved in your professional organizations.
The nurse who substituted the KCl for the Kayexelate could have KILLED that patient! Would YOU have let it go if that patient was killed? How does one account for the missing dose of KCl; how does the nurse chart what she did; there are so many questions that are "what ifs" here. What if it was YOUR family member?? How would you feel if it was, and some nurse covered up for the other nurse?
I do not condone any nurse eating their young; but I put my patients' lives above my co-workers' back any day.
I have also found that it is necessary to expect 110% of myself when I am at work. I expect my co-workers to do at least 75% of their peak performance. When I have someone who doesn't give that much towards their patients, I will talk to them on a one to one basis, then if their is no improvement, I will talk to our manager.
I do happen to work with a bunch of nurses who are willing to go the extra mile for our patients. We also are there for each other, and also help each other out as needed.
The one thing that is so important though, is that we also have to learn to ASK for help when we are overwhelmed. Maybe if we would all do this, we would be more supportive of each other.
Mar 27, '03Occupation: LPN Joined: Mar '03; Posts: 20; Likes: 1FLYNURSE-WELCOME TO THE REAL WORLD! there are usually two types ofnurses ones that will do everything to help you out,and ones that are looking for any tiny thing they can to get you wrote up basically to make themselves look better. CLUE the nurses doing the most talking about other co-workers will be talking about you too.
Mar 27, '03Occupation: RN in a nursing home Joined: Feb '03; Posts: 13; Likes: 22I have worked in a couple of hospitals and I have to say that as a relatively new grad (3years ago) I have been appalled at the lack of solidarity nurses show each other. I am disillusioned beyond belief. Everyone is so busy watching their backs that patient care suffers. No one trusts their co-workers and with good reason. In a profession where we need to support each other with the political work climate what it is, I find this extremely disheartening.
Mar 27, '03Occupation: Retired Specialty: 15 year(s) of experience in Corrections, Psych, Med-Surg ; From: US ; Joined: Aug '02; Posts: 2,246; Likes: 48JLoo shouts: "MALE NURSES ARE THE BOMB!"
But what's the target? (Or is this some kind of youth slang I'm not familiar with?)
Norbert writes: "Health care in general and nursing in particular will never attain the camaraderie & brotherhood you elude too. There is no one with benevolent intentions watching your back but you."
Sad to say, all too true in most cases. There ARE small, isolated, functional pockets here and there, scattered thinly across the country. Of course, nobody quits jobs in these pockets, so there are rarely any openings there for the rest of us! And, of course, when these places are bought out by larger concerns whose managers quickly take note that people are loathe to leave, you can bet that cuts in pay and benefits and increases in workload will be soon to follow.
Nadine writes: "No one trusts their co-workers and with good reason. In a profession where we need to support each other with the political work climate what it is, I find this extremely disheartening."
I agree, and I reiterate--This is a MANAGEMENT problem! Where are the competent managers and supervisors, let alone leaders? Where are the training programs for those promoted to these positions who do not have the skills or training (99%+)? THIS is what is wrong with nursing, IMHO.Last edit by sjoe on Mar 27, '03
Mar 27, '03Joined: May '01; Posts: 365; Likes: 1My concern regarding ratting on "each other"....I worked on 4 different units.
2 units I worked you never seen nurses "ratting" on one another. They worked together. It was a relaxed environment. We worked as a group. We were there for each other. We felt comfortable asking questions to one another. If there was a concern regarding another nurse we'd discuss it one-on-one...if need be discuss it with supervision and see if we could work out the situation.
The other 2 units there were nurses out to get your neck. It was not a relaxed unit. You had to watch your own back. One time I got in trouble for asking a question...it was regarding policy...and the manager came to me the following day...and said..."I should not be asking questions...I should know that" Come on I'm a new R.N.
Mar 30, '03Joined: Jun '01; Posts: 430Somewhere ,from someone,I was once told that some of us need to put down others so they can feel good about themseves,self esteem issue.
Do fire men have a healthy self esteem and do nurses have a low self esteem,hence the put downs?
Mar 30, '03Occupation: Disabled Joined: Feb '03; Posts: 697; Likes: 7Reminds me of where I used to work, instead of helping each other, everybody was so intent on reporting everything to get each other in trouble. Never could get people to work together and not "tell on" each other. Just like a group of first graders with the "I'm gonna tell" attitude.