So let me start with last shift. One of the assistant managers told me she had to speak to me regarding my ''documentation'' so now I'm thinking what now? Over the last few months I've made it a habit to have excellent documentation and even in my last evaluation which was 2 weeks ago they said my documentation was good.
So getting right to it. She wanted to give me a verbal warning because during her ''chart review'' she found that a second set of cardiac enzymes was not drawn on a patient. Ok understandable. So I asked did the patient decompensate? No she said, the patient was fine, but she still needed to basically write me up about this. And might I add I had this patient a week ago. I had to stop and think and comb through the chart to remember who this patient was and what she was here for.
Then the second complaint was that I did not do my double charting. Yes they want us to double chart. They want us to chart in one computer system, then re-chart in another computer software system after the patient is admitted, and although I did two complete and spot on assessments of the patient within 10 hours (patient was completely stable) I still deserved to be reprimanded because I did not do my ''double charting" as I call it.
Now I already received a ''verbal warning'' because once again during a ''chart review'' the manager said I had no focused assessment of the patient, which was wrong. She failed to read the entire chart and looked over where I documented my focused assessment, but she was still able to ''get me'' on the write up because the patient was under ICU evaluation. Mind you the patient (who was to be an ICU eval because she vomited a small amount of blood twice at home, none on my time, completely hemo stable, and A&O) This occured during shift change and the patient had become an ICU eval literally 45-60 minutes prior to shift change and I was scrambling around trying to make sure she was on fluids, med drips etc.. but I had stopped to give report, therefore I was not able to placed the patient of the monitor, BUT a full report was endorsed to the evening nurse.
So on this second write up I'd just had enough. This time I had to have my delegate present. The delegate was peeved. She said do you know how many times this happens? You might as well write everyone up! She said she knew plenty of nurses that committed the same mistake and where was their write up, why weren't they sitting in the office as well?
It seems as though they love ''reviewing my charts'' and finding anything to bring up to me.
Now I understand being warned for something, but both patients NEVER decompensated, both were actually completely stable.
To be honest I just feel so terrible. I work in a crazy busy level 1 ER, where we get up to 14 patients sometimes, some of them being critical, intubated, hypotensive. Literally every shift I give 110%. I can understand if the patients decompensated, I'd take fully responsibility,but honestly I feel as though since I'm not a favorite of theirs, they try to ''get me'' you know?
This is the same place who gave new grad nurses (myself being one) only 2 weeks of unit training before throwing us on our own. I NEVER had anything major happen to a patient that was directly my fault, I've never suffered from the big mistakes a new grad can make working in a high pressure area, but yet it's as if they can still find something to slap in my face.
I am appauled at the way management treats there own nurses here. You get no credit, no respect, but if you do anything wrong, BAAM, like lightning they catch you. What kind of environment is this to work in?
I'm seeing more and more who they want to succeed and who they are trying to tear down. Nurses come and go here often.
I just cannot believe they are really picking at straws. No other of the new grads I started with have had verbal warnings for this type of stuff. Favoritism is big there.
The managers literally snoop around and pick on nurses, what is wrong, was wasn't done, etc...
I am more floored than anything, I cannot believe this.
