New Grad, disciplinary woes

Nurses General Nursing

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I am a new grad on a busy M/S floor on day 16 of my floor orientation. I have two more weeks under a preceptor, though I have been caring for my patients independently for the past several shifts with supervision over my charting. I work in a hospital that has no formal residency or training program, you essentially get paired with a preceptor and are expected to take on 4-5 patients independently by the end of 6 weeks on the floor if not sooner. People are very helpful, but of course it is very scary as a new nurse on this type of floor especially, as every patient is a different set of problems never encountered before as an inexperienced nurse. I worked last night, and everything seemed to go just great with my patients overall. I did my hourly rounding and made frequent checks. I got called in this afternoon to meet with my manager. I was terrified I had made a medical error...but instead, I received a verbal warning based on a complaint regarding my interpersonal interaction with a parent and the care of their child last night. I am not going to go into specifics, but there was no indication through the night of dissatisfaction, and the patient was sleeping most of the time except during an episode of acute pain, which I attended to promptly. However, the parent's perception of my service was very negative (no med errors or unsafe practices...essentially a negative interpersonal impression). Of course, with all the emphasis on the patient experience and ratings, they take this complaint very seriously. My preceptor was never notified of any issues through the night. Now I have a verbal warning that I have to sign, and am feeling like a failure. How do I regroup? Maybe this sounds silly to everyone else, but I feel I have a target on my back, though my clinical skills are not in question and up until now, I have gotten really good feedback. The thing is, I get along with almost everyone really well, and my patients...up until this one, have always loved me. The patient's parent complained loudly, and took it up the administrative chain. Now I have to sign a verbal warning because this complaint will take our patient satisfaction ratings down significantly. Of course I can reflect back and understand misperceptions and miscommunications and will learn from it. I just feel like this will have a very negative impact on my success and am doubting myself and my career. I guess I am looking for support. Being disciplined is not something I am used to. I am a third career new nurse and now am questioning everything.

Specializes in Allergy/ENT, Occ Health, LTC/Skilled.

Oh and WTH would you had to sign a verbal? If you are signing it, then it's a written warning. I have received verbal "talking to" 's that never required a signature.

Pick yourself up, dust yourself off, and keep putting one foot in front of the other.

Sorry to be so cliche, but sometimes it's appropriate.

You think you have problems? I was a new nurse 3 weeks on the floor working with a preceptor. This is a second career for me. I was a teacher & had a few other very professional positions in my life. Nursing is my calling and I was never happier than to be putting all my hard work to practice....when they called me in with no feedback, no warning and let me go. The manager half-heartedly threw out a few excuses that really meant nothing, but in the end said it wasn't a good fit. They barely gave me a shot. I'm not just some young kid. I worked my butt off and took pride in my patient care. How's that for showing how completely unfair nursing can be. Now I'm scrambling! Terrible.

Specializes in HH, Peds, Rehab, Clinical.

You don't have to sign a verbal warning, shame on them for making you think you do

It is so hard not to take this kind of thing personally! Everyone says "grow a thicker skin." I've been trying to do that for 20+ years. Some of us are just more tenderhearted I guess. Like others have said, everyone can't like you. Some people are just not very nice, and they look for opportunities to put other people down. Sadly, this happens to nurses in general throughout their careers. And now that patients (or their families) are "customers" and we only care about "satisfaction" scores, management ends to not back the staff in a conflict situation. It's all about the scores, right ? Sorry this happened to you so soon in your career! Just keep in mind, it has happened to almost all of us at one time or another. Good luck to you!

Specializes in 15 years in ICU, 22 years in PACU.

You're still on orientation? So sorry your orientation is being mismanaged. Do not let this one incident derail your budding career. Only you can decide if you are a failure so decide right now that you are not!

Your manager made a mistake. Her inexperience in working with new grads shows. If there was a complaint by the family that goes to the manager she should have notified your preceptor to bring it to your attention and use as a learning experience. This falls on your preceptor. Other people make mistakes too.

With everything else that you said I wouldn't think you have a target on your back. Don't get paranoid and start making mistakes from over thinking. Try to keep this a little blip on the radar. Learn something new tomorrow.

It's hard getting corrected if you're accustomed to being competent. It will happen again and again, though, if you ever change areas of nursing, get a new job or promotion. Say "thank you for the information" and move on.

Specializes in 15 years in ICU, 22 years in PACU.
You think you have problems? I was a new nurse 3 weeks on the floor working with a preceptor. This is a second career for me. I was a teacher & had a few other very professional positions in my life. Nursing is my calling and I was never happier than to be putting all my hard work to practice....when they called me in with no feedback, no warning and let me go. The manager half-heartedly threw out a few excuses that really meant nothing, but in the end said it wasn't a good fit. They barely gave me a shot. I'm not just some young kid. I worked my butt off and took pride in my patient care. How's that for showing how completely unfair nursing can be. Now I'm scrambling! Terrible.

Doesn't sound like you learned anything from your experience. You were perfect and they were all meanies.

Excuse me, but you have to show potential for competence even if nursing is your "calling". I suppose your story is helpful to the OP by showing what can happen when you don't take any responsibility for your failure because she was trying to take too much.

Specializes in med-surg, IMC, school nursing, NICU.
I am dreading going in tonight. I am sure they were all talking about me all day.

I can 100% guarantee that nobody was talking about you. 1) Nobody cares about trivial patient complaints, especially other nurses who no doubt have been on the receiving ends of them before

2) Everyone was busy. You were the last thing on anyone's minds. Trust me. And even if they were talking about you? Don't let it bother you. There can be cattiness in any workplace. You just have to learn to ignore it.

Your orientation is definitely being mismanaged and for that, I feel very bad for you. Your preceptor should have definitely tossed you a life ring in all of this. Furthermore, your manager should have handled this completely differently.

Try not to sweat it. Easier said than done, just keep telling yourself that this will not last forever. Being new is hard, no matter how much experience you have. It will pass!!

Nobody really cares about these complaints. Patients complain constantly, there is nothing you can do about it. Just do your best; go to work, do your job correctly, and go home.

Specializes in SICU, trauma, neuro.

I would not sign the warning, first of all -- by definition, verbal warning cannot be signed. They're verbal. I think it's beyond stupid to give you a warning over that, anyway.

I am *typically* the one who the difficult ones like--and I don't bend over backwards for high-rise-hotel-in-Dubai worthy customer service, either. I don't know if it's my personality or something about how I speak, or because I smile a lot when appropriate, or what... but I usually don't have trouble, or even get compliments from the "difficult" pts/families.

I have even been fired by pts, or gotten complaints to my charge nurse. There are some people who you will never be able to please.

I'd be curious to know exactly what you "did wrong." You don't strike me as the snippy type. I have a hunch that you might have come across too "clinical" in your efforts to concentrate in a new situation. And if my hunch is correct, that's okay!! Take comfort in the fact that you care enough to do a good job.

And don't worry about everyone talking about you. First of all, nobody should know about it, other than those who actually received the complaint, and your manager. Second, anybody who has been a nurse for any length of time has been through the same thing.

It stings, but try to remember that if a difficult family "fires" you, they cease to be your problem. :laugh:

The training is so short, not everyone learns at the same pace. Many programs should be at-least 6 months long.

Maverick, you're exactly the type of person who gives nurses a bad name. You have no idea what her situation was...I've seen new nurses treated in ways I wouldn't treat my dog. From what I can see nobody was calling anyone "meanies." That is your rude, immature response...the typical one from an older nurse who is happy to accuse rather than explain.

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