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I'm getting written up! (Very long)

Nurses   (6,781 Views 53 Comments)
by rn4babies63 rn4babies63 (New Member) New Member

rn4babies63 has 12 years experience and specializes in L&D, PP, Nursery.

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You are reading page 4 of I'm getting written up! (Very long). If you want to start from the beginning Go to First Page.

ghillbert has 20 years experience and specializes in CTICU.

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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.

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Purple_Scrubs has 8 years experience as a BSN, RN and specializes in School Nursing.

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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!

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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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azhiker96 has 10 years experience and specializes in PACU.

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If it has to be written, just make sure it's written accurately. It may be on a "complaint" form or whatever they call it but it should read like a commendation. For example:

List the error: RN educated pt on pain relief options. RN monitored pt's pain and treated with IV medication per orders. Pt. requested epidural for pain relief. When pt. reached 5cm contacted anesthesiologist for epidural per doctor's orders.

List Adverse outcome: Pt's pain maintained less than 5/10. Pt. delivered a healthy baby with no complications. Pt. thanked me for my care during her labor and delivery.

Just make sure it's factual and complete. The doctor may not be happy with the epidural but he can't argue with the facts.

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5,543 Visitors; 517 Posts

Is the family complaining about your care or complaining she got an epidural? I guess I'm confused about the amount of choice you had in this matter since the patient requested the epidural and the doctor wrote for her to get one (and if he doesn't like it, he shouldn't write for it). Family complaint or no, what choice did you have here? Unless she wasn't capable of making her own decisions it wasn't up to her family any more than it was up to you.

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FireStarterRN has 15 years experience and specializes in LTC, Med/Surg, Peds, ICU, Tele.

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That is the most ridiculous thing I've read in awhile! These people are a bunch of control freaks. It sounds like you did an excellent job with this young woman, informing her and respecting her individual autonomy. Meanwhile, she's surrounded by a bunch of controlling family members and a husband who sounds like a total male chauvinistic pig who is too insecure to marry a woman his own age, but needs a young girl to boss around.

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FireStarterRN has 15 years experience and specializes in LTC, Med/Surg, Peds, ICU, Tele.

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The physician is bleeping with your excellent work record.

Turnabout is fair play.

Call the State Board of Medicine and let them know how he "educates" young, vulnerable women in need of prenatal and delivery care..

Good advise! This young woman is an adult, and even if she isn't an adult she deserves the pain relief she wants during labor!

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FireStarterRN has 15 years experience and specializes in LTC, Med/Surg, Peds, ICU, Tele.

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The irony in all this is, even if this woman had been 14 years of age, if she were seeking out an abortion, she would have easily been provided one, free of cost, no parental consent required, no need to notify the father of the baby. :rolleyes:

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Wicked Wahine has 6 years experience and specializes in Woundcare.

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The physician is having a hissy fit, but he is not your boss. You need to hold your head high because you know you gave good care to your patient and you were an excellent patient advocate. Dr. Whiny Pants can stomp his feet and make a complaint but I would definitely not sign it because you clearly did nothing wrong.

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2,763 Visitors; 190 Posts

I feel horrible for you. I cannot imagine working on a unit that requires every single complaint by anyone to go into your employee record. I would check with administration to make sure that this is correct. I would understand that the dept wants to address all complaints but they should not go into your employee file.

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GadgetRN71 has 10 years experience as a ASN, RN and specializes in Operating Room.

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This whole situation is bogus..If they write you up for this, I wouldn't sign it, plain and simple.

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David13 has 20 years experience as a MSN, RN.

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This is yet another example of hospitals allowing physicians to dictate their own personal policy in regard to how nurses are managed. There are policies and procedures in place in all hospitals, and as long as you did not violate them, you should not be "written up". This physician does not get to dictate policy and procedure per his whim, and any nurse manager who rolls over and allows it is doing ALL nurses a great disservice. Fight this injustice with all you are worth. Document, document, document. And save a copy of everything.

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