As a male nurse I always thought I was immune to this. I am starting to feel it and become a gossiper myself. My goal is to stop this habit I am developing. Especially since I am now at a new facility and as always I am constantly reassessing my own nursing practice.
I know people aren't perfect.. But when a few nurses are totally missing pages of forms and not signing it ticks me off because Information I need it totally missing.
Because my job encompasses updating
things (Kardexs, etc.). And I'm not writing a med or treatment
without seeing the order. I don't care if you said you called the
Doctor.. I need to see it in writing. This problem is starting to go
Unless its standard admission or protocol order (example Epipen or Tylenol).. I need the written order...
No writing it in the MAR or in your Nurses Note or verbally telling me doesn't count. Because if its not written so the doctor can sign it if something goes wrong every nurse who gave that med or treatment will get blamed for that error.
You better believe in a higher power too if you don't have a written order and you do a med or treatment and the patient has a reaction to the treatment. Since you never wrote out the order. The Doctor who is much more likely to get sued
and have a long drawn out medical malpractice trial will quickly deny
he or she gave such order. I've been on 2 medical malpractice juries.
One case took TEN years to go to trial! The Nurse will always be the
first kicked out the door if it came down to a Doctor being fired and
you being fired. They will always chose you.
I no longer can get mad at these nurses anymore and bash their practice openly anymore..this leads to gossip (its so hard not to sometimes..) I have to
figure a way to say no comment. I know I can't hire a spokesperson to
be with me 24/7.
Horizontal Violence exists in Nursing big time. I can see why they have done studies on this. A lot may have to do with the fact that its a bunch of women (sorry but its true go to any Scrub Store and looks in the mens section). and men of various cultures and backgrounds who deal and view with things differently
under stressful circumstances that can be literally life or death.
Also in some cases Doctors. Doctors sometimes get Doctor Rage when things aren't working out with their patient. I have never seen it happen but read about it and its similar to road rage. Its in some of the Suzanne Gordon books.
I have done better at keeping my private affairs private. But I am sick and tired of this... I do my job the best I can for 8 hours and I go home. I don't care if I get a
compliment or not. I don't care if you don't like working with me.
I saved the same nurses who put me down behind my back quite a few
times while they were asleep (I work nights always have and always
will). Yellowing out a Med Order that if it was given would have
probably ended your career. Or calling the insurance company waiting
for hours for them to call back because you either forgot or were to
busy fiddling around online and mismanaging your time. If I didn't get that auth we
wouldn't have gotten paid losing the company $$$ and NO COMPANY likes
when they lose $$ because someone didn't do a simple task to prevent
this. I order all of your supplies. Filing your paperwork in the
right chart. Find allergies you miss that are life threatening. I
make your job easier. On top of this I do the same Nursing Duties you
do. I come to work to work. They don't pay me to gossip or sit online
all night. Just because I work 11-7 doesn't make me any less of a
This is the solution to the problem I
have been having with gossip. I try to ignore it and as long as it
doesn't involve danger to my patients or lose of my job or my license
I try not to care:
-My goal is to provide the safest nursing care I can provide reasonably in 8 hours while protecting my nursing license at all costs.
-To NOT gossip I need to stop. It isn't who is screwing who kind of gossip it mostly involves me bashing other nurses poor practices and it needs to stop. But I need to stop unless it involves a pertinent patient care issues (example Nurse A didn't get or do this then fine so I will tell Nurse A when they come back in the AM or try to rectify the problem on my own or with the oncoming 7-3 shift). Other then that I don't care how I was treated by another nurse. I need to learn ways to SHUT IT DOWN and prevent it from happening and snowballing.
On a scale of Low-High I rate this a medium threat. I'm going to start going no comment mode
and start saying so and so isn't here and it didn't happen on our
time. I am just amazed at the lack of oversight and horizontal
violence that occurs in Nursing. Its like I don't really care. No
one can be trusted... Its like I'm a police officer at times and I
have to worry if a suspect is going to try to do me harm (to my
-Remember the 3 rules.
1. Does it affect patient safety?
2. Is my license on the line?
3. Is my job on the line/discliplinary action going to happen? If I answer no to all
3 questions then there is no reason to discuss it. Unless that other
nurse did something that will affect patient safety on my time/into
next shift I don't care. Lets talk about anything else except other
people, politics, religion and sex.
-I need to learn that I am no longer in administration/planning position like I was in my past job. I need to do my 8 hours tie up any lose ends before I leave and
go home. I wasn't hired to be Miss America (or Mr.) and be everyone's
friend. I will treat you with respect but I am tired of these games.
I'm no longer sending out the Calvary to defend anyone via gossip
Its always misconstrued and I'm tired of it all. So I
need a Patriot Missile way to avoid gossiping a way to detect it
coming towards me and redirect it and make it inert. Also go into no
comment mode when it involves an issue that doesn't involve me. I
don't really care that so and so nurse got eves instead of days. I
have often wondered how Military Nurses handle things and I bet
there is gossip. But they have a core mission saving lives of
service members. Plain and simple. Plus pride people lack pride in
their job with the exception of one older nurse no one has pride at
I never really cared that certain people don't like working with me. If you don't like working with me then well tough. I really don't care. My goal is to avoid drama and
do goal # 1. I know I will always take flak as a Nurse or in any job.
That being said there is no other job on earth I'd rather do. If I
think of all the little things I have done for my patients just the
last week alone that have produced positive results it far outweighs
the gossip which I need to avoid. It needs to become a habit like
exercising or meditation.