Nervous About Requesting a Transfer

Nurses General Nursing

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I work for a health center organization in a specialty program. I was hired 2.5 years ago, and my program changed directors 2 years ago. I like the work I do and I like the site I work at, but it's been difficult working for the new director, and after an incident I had Friday, I'm planning to request a transfer. 

Short version: my director provided dishonest clinical supervision to me for a patient experiencing a BH crisis.

Long version: On Friday I spoke with a patient by phone and found her to still be in a BH crisis less than 24 hours after her hospital discharge. By crisis I mean delusional thinking, paranoia...it was a lot to have to handle on a Friday afternoon. I reported this to my director, she spoke with another staff person who knows this patient well, then told me what this staff person said. Based on this info, I decided not to call 911 or other emergency BH services, and opted to have the patient come in Monday for follow up as was already scheduled. On Monday, I spoke with the other staff person and found out that everything my director told me was a lie, and the staff person had said something completely different about this patient. 

I cannot continue to work under a director who breaks basic professional standards and does not maintain safety for patients. But I don't want to leave my organization. There's a new location opening in September that I'd like to transfer to, but I'm not sure how to go about this. I feel bad leaving my current coworkers and the patients I work with. I don't want to tell my director I'm requesting a transfer, but I'm wondering if I'm obligated to. I'm worried my director could have my transfer denied, or my organization could pick other people instead of me. I don't want to report my director for what she did- she's known in the organization for being unprofessional but was promoted to director anyways- but if I can't be transferred to a new role, then I'm going to leave my job. 

I tried to keep my post on the short side, but I can provide more details if they would be helpful! I appreciate any advice you have to share. I've never been in a situation like this before, and I'm stumped. 

Specializes in Community and Public Health, Addictions Nursing.

Just wanted to share an update and say thank you to everyone who replied! I took the feedback to heart and decided to make myself and my family the number 1 priority.

I put in the transfer request last week and let my immediate supervisors know (I technically have more than one, yup it's confusing!). I kept the conversation focused on the changes I see happening in my personal life (moving, starting a family) and how a transfer would be a better fit for me in the long run.

My supervisors were supportive of this and appreciated the early notice- if I'm approved for the transfer, they'll have plenty of time to get another nurse trained for my role. If I'm not approved for the transfer, then I'll be looking for a new job outside of my agency (my supervisors don't know that part).

More has unfolded with management since I originally posted, and I don't have the energy to keep up with the baloney anymore. After what happened last week, I'm just glad that this group helped me to stay focused on what's best for me. It's sad that healthcare doesn't care about the people who work in it, but it's true! 

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