"Fired for NO Reason"

Nurses Professionalism

Published

we often see threads with the title "fired for no reason," or "new grad harassed and fired" or something to that effect. and i always feel at least a little sympathy for the individual involved, if only because i can clearly see by reading between the lines of their self-justifying post that there was a reason for their termination, even if they just don't get it. (there are always a few posts every year from a new grad who is convinced that the reason she's not getting along with her co-workers is that she's just so beautiful they're all jealous, that crowds of mean people are following her around, that she's so wonderful she's going to rock the er or icu or nicu or or and no one sees her wonderfulness clearly, or that some mean, tired, old nurse who ought to retire and get out of the way is targeting her for no good reason.)

i worked with a new grad who was recently terminated for, as she puts it, totally bogus reasons. evidently seeing mine as a sympathetic ear, she went on and on and on about how unfair it was that management expected her to get her act together and actually understand what was going on with her patients. "i've got the time management thing down pat," she said. "i don't know what else they want. they're just picking on me for no good reason." i liked sal, i really did. she was interesting and entertaining and really, really nice. she was also smart, hard-working (when she was at work) and well-educated. but she didn't study outside of work, and really didn't understand what was going on with her patients. i participated in several meetings with her in which it was pointed out that it's not enough to do the tasks, you have to understand why you're doing them. it's not enough to draw the labs. you have to understand what the results mean and then address them. for instance, if the inr is 9, it might explain the nosebleed, the cherry red urine and the fact that the hemoglobin is now 6. giving the coumadin at 6pm as scheduled is not a good thing, even if you gave it right on time and were able to explain to the patient that "it's a blood thinner." i could go on and on.

i got a call from sal today, complaining that she knows she's blackballed for no good reason because she just can't get another job. she wanted me to give her a reference. did she just not get it?

all you new grads out there who are convinced that you're being picked on for no reason, that your more experienced colleagues are just out to get you, and that you're being unfairly targeting, harassed, or picked on, hear this: it may be something you're doing (or not doing) and all those "mean people" are trying to explain it to you so you catch on, learn your job and succeed. we all tried over and over with sal, and she still doesn't get it. are you guilty of the same thing? if your preceptor says you lack critical thinking skills, do you take it to heart, think about it and learn from it? or are you convinced that the entire issue is that she's jealous of your extreme good looks? if your charge nurse charges you with a deficit in your time management skills do you spend time figuring out where you could speed things up a bit? or do you dismiss her as a tired old dog who can't learn a new trick and ought to retire anyway? are you taking to heart and benefitting from any negative feedback you're getting, however poorly given it is? or are you obsessing about how "mean" that nurse was to you and totally overlooking the message?

i wish sal would have "gotten it." she would have been delightful to work with if she had. but right now she's focused on badmouthing her preceptors and the charge nurse, and she still doesn't understand what she did wrong. don't make the same mistakes.

That reply was meant for her posting earlier to......I think it was eriksoln. Sorry if anyone misunderstand what I was replying to.

Well, then.

[emily litella]

Never mind.

[/emily litella]

:)

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
well, i certainly understand where the op is coming from. however, the op mentioned this nurse was a new grad. this is part of the reason why nursing has very few nurses that stick around - so much criticism goes on. she is new... i think more education should have been pushed her way instead of just dumping her. what a nurse knows and can piece together because she has been a nurse for 10 years can not/should not be compared to a brand spanking new nurse. i'm not implying that new grads should be immuned from the consequences of their mistakes, but that aspect should definitely be in the back of any manager's mind when evaluating the new grad nurse. maybe i am just too nice... i'd probably make a horrible manager! :) i've made mistakes as a new nurse and my manager and co-workers were so wonderful with me - they explained things thorougly and helped me to understand what was going on and why.

believe me, we tried over and over to educate sal. she got to repeat the hemodynamics class, the rhythm class, the drip titration class . . . when she failed to progress, they dumped her preceptors and started over with two new preceptors. we had 17 orientees at the time, and even the other orientees were noticing that sal wasn't progressing. the only person who didn't get it was sal.

Specializes in Peds Cardiology,Peds Neuro,Pedi ER,PICU, IV Jedi.

As usual, Ruby, your post is full of insight and a painful truth..some people truly just don't get it.

Specializes in Psych.

sorry, mistake

Specializes in Psych.

I have never been told I was a bad nurse, but I have had bad days and done stupid things. I used to wonder about my critical thinking skills (for the longest time I didn't understand critical thinking, period). It is hard to think critically when the basics are still overwhelming. I remember my first job in my first year I had a patient who was increasingly agitated and was taking so much of my time. I was trying so hard to sort her out and then she started spitting out pink, frothy liquid. I had no idea what was happening, but I knew it was bad and got help. I was amazed when I said little more than "pink and frothy" and the experience nurse said "pulmonary edema."

In those days, I worked with so many nurses who had years and years of varied experience. I learned from CNAs, LPNs and some of the older nurses were were crusty, but everyone was supportive most of the time. We were always busy and I was usually spinning and just trying to stay afloat. After three years, I completed an ICU program. Again, I felt overwhelmed, but also knew enough about most things to feel somewhat safe. I hated that place because I could never get the support I needed and was usually running around with two "stable" patients where my neighbor nurse had two "stable" patients and was busy too. In the meantime, other senior nurses had one "sick" patient and their neighbor had one "sick" patient and they would chat, sit and read and take their breaks.

After a year that unit hired a group of new grads (the most they had ever had), and they required massive support and I was expected to provide that and did. Most of them made quick plans to move on (as I had by then) and were quick to notice they were not well supported. Mistakes started increasing and some of them were deemed stupid. However, I started to notice clusters of similar mistakes and remarked on the skill mix, assignments and the fact that what little help we did have available was often monopolized by senior nurses who were very good at "delegation."

I also then began to hear many of these senior nurses complain that they were growing tired of investing so much into new grads who had no plans to stay and no sense of loyalty. I have since worked in another ICU and then moved on. In recent years, I have had to endure preceptors that are half my age, have absolutely no idea what the big picture is and have no intention of being a nurse when they are my age. They have no concept of why somebody would care to subject themselves to a lifetime of the BS that is nursing.

The OP is a great topic and well written. I fully understand the points made and it is surely true that some people are just clueless. Back in the day, new grads were not hired into the ICU: I could not imagine it now. However, I would have done it if I could because when I was a new nurse, I had no clue and was not able to think critically. I did not know the dangers or the stress I would face. I was not dangerous as a new grad, but I was confident and perhaps a bit cocky. Again, what you don't know won't hurt you.

After years in nursing, I realize that there is really nowhere for me to go. I realize that I may be the best nurse in the world, but if I am not "in" I face a dead end. While the money is much better than it used to be, I could have done so much better by choosing another career (and still can). Also, I am not a woman and don't believe I will ever understand their ways. To behave in a way that facilitates success in this female dominated profession appears to be out of the question.

I think that many who choose nursing these days do so knowing it is not their career, but a stepping stone in their career. Where does he fault lie?

Anyhow, I have seen beautiful unit secretary got picked on because all the male doctors, housekeeping guys and other male workers could not keep their eyes off of her....She was not fired...Fortunately!

I understand what you mean, but why the reference about new grads thinking they are singled out b/c they are so beautiful, or extremely good looking? Do you know for a fact that is what they thought? If not, then you dont get it either.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
i understand what you mean, but why the reference about new grads thinking they are singled out b/c they are so beautiful, or extremely good looking? do you know for a fact that is what they thought? if not, then you dont get it either.

awhile back, there were numerous posts here by new grads who couldn't get along with their colleagues because (and i'm quoting rather loosely here) "they were picking on me because they were just jealous because i'm beautiful and they're old and dried up." and yes, some of those posters really did believe that their only problem was that their extreme pulchritude made them targets for us "nasty old dinosauers who ought to retire anyway." at least, that's what they insisted they believed.

Specializes in Operating Room Nursing.

I agree that there are some nurses who just don't get it and may never get it at all.

I really feel bad for some of them (the ones who honestly want to be nurses) because they have invested time and money to become a nurse only to find they are unsuited to nursing. I understand that their incompetence can cause stress to other staff members, may even place patients in danger etc but yelling, being rude and abrupt to them, gossiping about them really isn't constructive at all. I try and imagine how they must feel to be told they are useless, unable to do nursing, to be treated like an idiot. This would be so damaging to their self-esteem.

I think these issues really need to be picked up in nursing school to give these people an opportunity to pursue another career and save them years in a career they are unsuited for.

Specializes in M/S, Travel Nursing, Pulmonary.

I dont think this is.......young vs. mature nurse either. Thats not the point at all. Refer to my first post in here about how you can take a different lesson from the same thing.

My point is, there is more to precepting than knowing your job and being the nurse with the most years on your unit.

Teaching skills are not something we can just will ourselves to have. They have to be worked on and mastered. Not a lot of people have them. We are too bussy making sure people are alive to concentrate on teaching skills.

With a heavier focus on helping preceptors be more prepared for difficult GNs (difficult in the......needs extra time way.......not in the laziness/snappy attitude way) hospitlas would improve employee retention by miles. But, despite all their degrees and huge salaries.........administration continues to just fluff precepting onto the senior nurses.......some of whom want nothing to do with it.

Thats my point, thats the part that bothers me.

That coumadin thing is scary though. Thats all I'm going to say. Scary. This girl would have taken a very long time to be brought up to speed.

OP, despite people rushing to defend you, I hope you are not left with the impression that my goal was to attack you. I've had it pointed out by another traveler nurse in here that I tend to be too blunt and need to word things differently.

See, I need the same lesson bad preceptors do.:p

Specializes in ICU/Critical Care.
believe me, we tried over and over to educate sal. she got to repeat the hemodynamics class, the rhythm class, the drip titration class . . . when she failed to progress, they dumped her preceptors and started over with two new preceptors. we had 17 orientees at the time, and even the other orientees were noticing that sal wasn't progressing. the only person who didn't get it was sal.

they did make her take tests in order to pass those classes right? i remember my icu orientation, you got three tries and then you were out. if an orientee wasn't progressing, even clinically, they dropped you. if you can't handle a busy double (two patients), then management wouldn't keep you...that's at least how my management is. by the last two weeks of your orientation, you should be progressing to the point where you need minimal help from your preceptor.

That's unfortunate. It is unfornunate that young people are being indoctrinated by our society to value youth and looks above all else.

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