We have an RN who is a pet of management because she is a good nurse who is good with the patients. On top of that, she is in graduate school to be a nurse practitioner so they really think she is highly intelligent and all that and a bag of chips, too. She actually is a very nice person, but has a little problem dealing with confrontation and stress, though. When she feels overwhelmed she kind of acts nutty. Today, an employee was arguing with her about how she scheduled them to work and she went in the DON's office, threw a pen on the floor, stomped her feet, turned red, then started ranting about how she hates her shoes and she kicked them off and threw them in the break room and was running around in her socks... She has had tantrums before when frustrated with something in management and always apologizes afterward, but, what gives? What can be done with her? She also sits out in the smoking area puffing on cigars and laughing to herself. Sometimes, she has laughing spells in the middle of inservice and will have to get up and leave the room because she can't stop...weird.
There is a point where one has a responsibility to take their valid concerns and documented observations to one who can do something about the situation. Coming to a public bulletin board to talk about it, without action, might not be the appropriate thing to do, after a point. I would certainly hope that no one who reads this thread can identify the persons and facility being discussed. My best wishes to the nurse whose behavior is the topic for discussion here.
Soliciting advice from one's peers concering a questionable scenario that has ethical dimmensions is valid.
Just the fact that there are Nurses here debating whether this scenario is valid or not validates the fact that this is not a cut and dry issue and it is a valid ethical issue that one should take to one's peers.
Huhh? I see gossip and even joking (on my part), not ethical discussion. The ethical discussion was handled in the first handful of posts. Now the point is being belabored and the OP is bringing more and more examples that were not there originally. I hope the nurse, who is quite identifiable by descriptions here, has not read this. Or maybe she should be made aware of it so that she can confront her detractors.
Huhh? I see gossip and even joking (on my part), not ethical discussion. The ethical discussion was handled in the first handful of posts. Now the point is being belabored and the OP is bringing more and more examples that were not there originally. I hope the nurse, who is quite identifiable by descriptions here, has not read this. Or maybe she should be made aware of it so that she can confront her detractors.
agreed...that there is nothing unethical going on.
Huhh? I see gossip and even joking (on my part), not ethical discussion. The ethical discussion was handled in the first handful of posts. Now the point is being belabored and the OP is bringing more and more examples that were not there originally. I hope the nurse, who is quite identifiable by descriptions here, has not read this. Or maybe she should be made aware of it so that she can confront her detractors.
I will agree that this thread has diverted, or more likely expanded, from the original intention but my contention is the outright attack on the OP due to the fact she observed a bizarre situation and decided to review it with her peers.
Do you really think she was wrong for asking advice from her peers on an unusual situation?
Nothing wrong with adding details later to clarify questions or expand upon murky details. No one likes reading a book on a forum and very few of us can be Tom Clancy, hence why we are Nurses and not millionaire authors.
bug out, mgmt is aware of this nurse's behavior and haven't done anything, so what would you suggest?
report this nurse to the BON?
the only time we are mandated reporters is when we observe dangerous behaviors...
not eccentric, quirky or other unusual behaviors.
i don't agree with your perspective at all.
to me, this is another version of 'nurses eating their young' or more appropriately, nurses eating ea other.
so we'll agree to disagree.
leslie:)
No, no, your not getting away that easily. I will agree to discuss this with you further until we understand each other's viewpoints lol.
The question was is what she was observing a sign or symptom of dangerous behavior? Hence the discussion of possible diagnosis...I think the concession from the group is this is most likely benign behavior that will not impact her Nursing role or patient safety but it was a valid discussion. So no it should not be reported to the BON.
Eccentric, quirky or other unusual behaviors can be signs or symptoms of dangerous behavior, the discussion was were these particular eccentric, quirky or unusual behaviors signs or symptoms of potentially dangerous behaviors.
Don't knock down someone for seeking advice from her peers on something that she may not be fully experienced with or educated in.Not all of us are super duper psych Nurses with 87 years of experience.
What is the saying..."There are no stupid questions but there are questions that were stupidly not asked"
Why doesn't the OP take my posts in consideration? Is it because I suggested an uninteresting condition, even though it is one that would explain probably all of these behaviors, good and bad? I think it's taking the tone of a witch hunt. They won't consider ADHD, but they will consider histrionic personality disorder? What is up with that?
(Disclaimer-I am no psych nurse. I just am an ADHD person with many of the good and bad symptoms and traits associated with such a brain in a world not accustomed to women with it. I could be totally off my rocker.)
I worked with a mental health NP who did that, was on meds but also wouldn't recall verbal or phone orders so I told her I could no longer take orders from her and dealt with the doc. I let the doc know her recall was poor....but she was a magician with the meds. Just keep yourself safe, stay away. Report to the board if it becomes a safety or licensing issue and they'll have her evaluated.
i'm not certain her dx is even relevant, but just for the fact that op is presenting further examples of her behavior, leads me to believe that she wants this nurse out, in trouble or some other unfavorable motive.
op, if you are truly that bothered, why not talk about it with her??
I will agree that this thread has diverted, or more likely expanded, from the original intention but my contention is the outright attack on the OP due to the fact she observed a bizarre situation and decided to review it with her peers.
Do you really think she was wrong for asking advice from her peers on an unusual situation?
ehhh...she described the discussions more as gossiping and joking about selecting the best personality disorder diagnosis. just sounds plain catty and mean.
Maybe there is just a little bit of the green eyed monster at play here. The nurse is said to be very pretty, has a nice figure, is thought of as highly intelligent, working on her graduate degree to be a NP, well liked by patients, respected by management, a great nurse, catches things others don't catch on a professional level, great dancer, thought to be kind and caring, good sense of humor, etc. After this whole list quirky is thrown in for lack of better word. Maybe people resent her a bit on the job. It happens and this is taking a nasty turn at work with the gossip mill at play. Sometimes it's best we concentrate more on ourselves and our job than others.
Specializes in Peds/outpatient FP,derm,allergy/private duty.
Bug Out;4077125]No, no, your not getting away that easily. I will agree to discuss this with you further until we understand each other's viewpoints lol.
This is very disturbing! Did you know that a veiled threat couched in lighthearted humor can be a sign of borderline personality disorder? Or, no. . maybe it's histrionic personality disorder because you wore those funny socks the other day. . my nursing intervention will be to get together with my peers at Starbucks and figure this out.
I think if you read the thread up until the one about Kirstie Alley and the possibly sexually inappropriate dance you'll see a very different tone than from those after. . .
She has had tantrums before when frustrated with something in management and always apologizes afterward, but, what gives? What can be done with her? She also sits out in the smoking area puffing on cigars and laughing to herself. Sometimes, she has laughing spells in the middle of inservice and will have to get up and leave the room because she can't stop...weird.
Bug Out, BSN
344 Posts
Soliciting advice from one's peers concering a questionable scenario that has ethical dimmensions is valid.
Just the fact that there are Nurses here debating whether this scenario is valid or not validates the fact that this is not a cut and dry issue and it is a valid ethical issue that one should take to one's peers.