How to handle a coworker who is giving poor care

Nurses Relations

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So I have been at a new job for a year and a half. I am at the same hospital I have always been at. I love my new job. However, I work with a nurse that has been in this current unit for 20 years. She is having some issues at home. Has been for a few years. she had always been a bully from what I have heard.

Well in my opinion her nursing care is atrocious. I have never experienced someone who gives bad care intently. She knows how to do better and doesn't.

We work with babies and they can't ask for help. Parents trust us to care for their children. I would never let her touch my child.

She is completely unapproachable. A bully. Mean. I have already been to the nurse manager who said she spoke to her about her attitude. There has been no improvement. My coworkers agree that she is slack and gives poor care but everyone is pretty much afraid of her.

What is my next step? Should I go directly to the director of nursing? Should I try to approach her? We only run with 2 nurses staffed at night so avoiding her is impossible. Should I make a list of things she does that is unsafe, slack, poor care?? I don't know what to do.

Specializes in SICU, trauma, neuro.

If she is actually "slamming babies' faces into the bed," (or even just holding their faces into the bed), that is abuse and needs to be reported to CPS yesterday. Just like we'd make a vulnerable adult report in LTC. You and every nurse on that unit is a mandated reporter, I might add...so that should eliminate the need to decide what to do

Specializes in NICU.

So how do you draw the line from being rough and not nice to being abusive?

Specializes in Psych, Addictions, SOL (Student of Life).

I don't think being rough with a baby is subjective. I left details out. But leaving bruises from tying tourniquets so tight and slamming babies face down into the bed is rough.

it. We don't gossip about it.

If this statement is true then you are not talking about rough you are talking about out right abuse. Not the bruising with the tourniquet but certainly, babies bruise easily, especially sick ones. But "Slamming a baby's face down into a bed". My question then is as a mandated reporter what are you doing? Never mind your hospital administration - call the police, Ombudsman. If one of these babies is seriously injured and you did not report to the proper authorities you may be seen as an accomplice and could face legal action against your license or even jail time. Your facility should have a posted system to report abuse. Use it especially if you facility is doing nothing.

Hppy

Specializes in NICU.

Well that is why I made this post. I'm concerned about the babies in her care and I am concerned that something will happen when I am there with her. Or when I am not there. How do you have proof of such care? Wouldn't it all be he said she said?

You've witnessed her "slamming babies faces"?

Why wasn't that in your first post?

Specializes in Psych, Addictions, SOL (Student of Life).
Well that is why I made this post. I'm concerned about the babies in her care and I am concerned that something will happen when I am there with her. Or when I am not there. How do you have proof of such care? Wouldn't it all be he said she said?

But if you are truly concerned about the babies and your license then you report to legal authorities not sit around discussing it on a Forum. Report it. They will send in investigators to look at the whole situation from the management down, they will examine any bruising on the babies. Talk to all nurses and management get copies of any complaints in writing etc. Then you have met your burden. If ultimately nothing is done at least your conscience is clear. PS if nothing is being done and things are as you say look for another job - this is not an organization you want to work for.

Hppy

Specializes in NICU.

I was trying originally to find out how to handle the situation without having to give many details. Then I got accused of trying to get someone in trouble for not liking their personality. So I offered more details. And I have seen her be rough handed with babies. Jerking them around and flipping them over onto their face with great force.

Slamming. Great force. These are subjective descriptions but in my mind you are being neglectful if you haven't acted as a mandated reporter.

How did you not just act right there as it happened and placed yourself between her and baby while yelling for help? At the very minimum, freaking out seeing a baby slammed with great force.

That you didn't tells me you're using those terms in exaggeration.

Specializes in ORTHO, PCU, ED.

I understand you TigerGalLe. If you want to really see something done, you have to fill out incident reports. Start there. I learned this regarding an issue at my workplace. Oftentimes we see things that are unacceptable and wonder, "What do I do about this? I am tired of it!!" FILL OUT AN INCIDENT/SAFETY REPORT. This is a real paper trail. There is no other way to truly get down to the nitty gritty with behavioral issues (it seems) without the actual report. You watch, you fill out one of those with the details of what you personally saw and risk management has no choice but to address it. Report it this way from now on.

Specializes in NICU.

Thank you CBlover for your advice. I don't need anymore rude comments from any other members. I will take the advice I have received and go from there. This nurses behavior is not my fault and I am not responsible. I am trying to help. I have been to my manager. I was trying to see what other options I have. I will not be made to feel like crap by a bunch of people on the Internet. I now remember why I quit coming to allnurses.

How do you have proof of such care? Wouldn't it all be he said she said?

Let the proper authorities worry about that. It's their job. If you're actually witnessing abuse you have a legal and moral obligation to report it. In my opinion you should also step in/say something to the nurse to attempt to stop it in real time when you witness it.

I have no way of knowing what you consider slamming with great force, but if you're accurately describing events it is abuse.

Specializes in SICU, trauma, neuro.

Re: reply #15--on my phone so can't quote.

Like macawke said, let the authorities worry about it. You are not a mandated investigator. You *are* a mandated reporter.

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