Quiting without Notice Due to Poor Relationship with Physician

[mallethead]

Basically, 3 months ago I performed an order given to me by an NP that was given verbally. Later, during a survey, there was a question as to if an NP can give that specific order. At that time the MD stated that they had given the order and that I put it in wrong. When specifically asked about that I stated that I had received the order from the NP. Additionally, I was in so many words asked to falsify other information during the survey. Fast forward 3 months, I have been trying to mend the relationship and keep my job. On Friday I was told by my superior that the MD is attempting to obtaining information about me via facebook in an attempt to get me written up. I was told I wouldn't be written up for some posts (one was asking FB friends for staffing, one was letting my FB friends know that I would be working late and unable to keep up with social commitments, and ones was a post about a stressful day, but nothing directly in violation of policy) so not something I can be written up for.

I say all that to say, that it seems as though I am the only one trying to mend this relationship. I'm considering terminating my employment without notice, because I feel like the license is on the line when this MD can say at any moment he didn't give me an order. Furthermore, I feel like there is a patient safety issues as we no longer can have open communication which may effect the patients.

Am I wrong? Should I keep trying? If I given notice, my companies policy is 1 month notice. I'm really sure I can not do one month. I also do not have anything lined up.

[JKL33]

1. You can do the one month. Or more.

2. Aside from everything else, do not take verbal orders from this j.a. or their service and that problem will be solved.

3. Don't ever falsify any information.

4. [This is what I would do but due to not knowing others' situations I'm not recommending it] - I'd go to the physician and have a conversation about how I've been made aware that there are hard feelings and state that I'd prefer a decent working relationship. I'd let him/her know that I haven't understood why documenting accurately has landed me on his/her bad side, and that my intent would never have been to create trouble and no one could have foreseen this when I simply documented the order as received.

[Accolay]

That really chaps my (insert nether region here). On one hand, I'd be looking for another job too because, who wants to stress about that kind of work stuff?

On the other hand, who does this MD think they are? I get trying to mend a work relationship, but why shouldn't they be the ones doing that? Why should you be the one looking for a new job? I'm with JKL and would never take a verbal order again from those guys. We're supposed to be getting away from verbal orders in non-emergency situations anyway.

If you don't want to deal with it, I understand and good luck with your job search.

If you're looking for a fight, I'd start by going to HR then maybe a lawyer.

[elkpark]

Work the notice per company policy, and use that time to find another job. I wouldn't leave without something else lined up, and I wouldn't leave without appropriate notice. Don't take any more verbal orders. :) Best wishes.

[inthecosmos, BSN, MSN, RN, APRN]

Definitely take NO verbal orders. Do you have an HR department that you can escalate this problem to? Maybe someone who can mediate a conversation between the two of you.

[Oldmahubbard]

The only thing I can offer here is for nurses to be very mindful of orders that NPs are not authorized to give in that state. NP practice is different in every single state, making for an easy source of confusion.

In my state, physical restraint can only be ordered by physicians. In other states, NPs cannot order certain narcotics.

If the NP did in fact give such an off limits order, the onus is really on them. The MD is obviously covering up for him or her.

Absolutely do not quit without another job and giving appropriate notice.

[Jedrnurse, BSN, RN]

Also, consider keeping work as a verboten topic for FB, and vent about those things (if you need to, and within HIPAA limitations) in actual conversations.

[Neats, BSN]

I think all the submitted responses are spot on. I just want to follow up with the FB or media communication as I call it.

Just make it a habit NOT to place anything about work. Again make it a habit NOT to place anything about work on your media accounts.

Many years of hiring medical staff have taught me a thing or two...the last 20 years we have instant access to your life as a human and when I have applicants I search the name and see what kind of person you really are. If you have negative comments I will more than likely think to my self this is what you will do to us and skip over your name. I can get 20 more applicants that have neutral comments to your negative comment, I will choose the neutral comments over your negative one, for when it comes down to hiring, I want the best fit and positive thoughts out weigh negative thoughts any day.

For the life of me I will never understand the media love and the need to write about your work...you need to be above reproach when it comes to HIPAA.

[VivaLasViejas, ASN, RN]

Do not, I repeat, do NOT quit without notice. You never know if/when you'll need these people again. The nursing world is smaller than you think, and nurses who walk away from their jobs without proper notice are often blackballed from not only that healthcare facility or system, but others as well. Also, you should never quit without having another job offer in your hand, for obvious reasons. Instead, I hope you can resolve your issues before you leave, so as not to have a bad taste in your mouth when you do. Wishing you luck.

[canoehead, BSN, RN]

I would go on the offensive. His actively looking through your Facebook to get you in trouble is harassment. Have a talk with HR/your manager that his behavior is unacceptable, and note all the issues you've noted where his behavior was intentionally provocative, or could harm patients. Document each time, of course, and be meticulous about your charting. Frankly, I would NOT quit for this idiot. Do your job, and hold your head up. Your manager should have your back.

[Decitabinequeen]

The biggest red flag I see is your many uses of "facebook". Keep ANYTHING that might come back to bite you in the azz at work OFF of social media. That said, what MD would tell a nursing manager that he's cruising facebook looking for firable offenses being committed by staff?!