"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.

Specializes in Operating Room Nursing.

I think Eriksoln makes a fair point about how preceptors can sometimes not do the right thing by new grads.

Yes a lot of new nurses/staff cannot handle negative feedback, see the areas they need to improve upon and think that it's everyone elses fault. You get that everywhere in life, some people are never wrong, the world is against them. In my grad year we had a girl who couldn't care less about anyone, didn't want to do nursing anyway but had to because she couldn't get into accounting.

But it's important than when a new grad needs to improve that they are supported and given constructive criticism. Preceptors need to remember how overwhelming it was being new to nursing and to show empathy. If someone lacks critical thinking skills then of course they need to be told but as a preceptor you also need to be able to show them HOW they can improve in this area and be very careful how you approach the issue. Remember you may be dealing with someone who has a very steep learning curve, they may feel hopeless enough already, they may not have much life experience so it's best not to kick someone when they are down.

Speaking of throwing in the towel, the crazy nurse I work with that's already alienating staff has had FIVE preceptors, that should have been a HUGE indicator right there. Yet, they keep her. I don't think she will last.

I was given six preceptors in two weeks. And then given poop when I couldn't find my butt in the dark with a map and a flashlight.

There are three sides to every story: yours, mine, and the truth.

It doesn't matter how long a person has been a nurse, there are some people who are just not teachers. I have seen excellent nurses who can not precept. There are some new nurses who are lost on the job and on the other there are some preceptors who forgot that they did not learn everything that know today in nursing school. Sometimes the outcome of the GN depends on the preceptor. This new nurse might not have the slightest clue of what went wrong because no one took the time out to show her and tell her what she was doing wrong..... I am not saying that is what happen as I was not there.....I have seen this happen on several occasion where a new nurse will make mistake and most of the experience nurses will just talk about her behind her back, bad mouth her and ridicule her but no one will correct her and if you try to have sympathy on her and try to take over her training then they try to bad mouth you also. All I am saying is that we all need to remember where we are coming from and where we are going......And also none of us was born a nurse...... we all had to learn how to be a nurse............

I was given six preceptors in two weeks. And then given poop when I couldn't find my butt in the dark with a map and a flashlight.

There are three sides to every story: yours, mine, and the truth.

It doesn't matter how long a person has been a nurse, there are some people who are just not teachers. I have seen excellent nurses who can not precept. There are some new nurses who are lost on the job and on the other there are some preceptors who forgot that they did not learn everything that know today in nursing school. Sometimes the outcome of the GN depends on the preceptor. This new nurse might not have the slightest clue of what went wrong because no one took the time out to show her and tell her what she was doing wrong..... I am not saying that is what happen as I was not there.....I have seen this happen on several occasion where a new nurse will make mistake and most of the experience nurses will just talk about her behind her back, bad mouth her and ridicule her but no one will correct her and if you try to have sympathy on her and try to take over her training then they try to bad mouth you also. All I am saying is that we all need to remember where we are coming from and where we are going......And also none of us was born a nurse...... we all had to learn how to be a nurse............

...which does bring up a point:

the self-fulfilling prophecy, that we tend to become what others expect of us.

and so, if we're treated like we're failures, that is what we inevitably become.

not always.

but clearly it happens, as nsg students and new grads (specific to our profession, although it happens in all areas of life).

leslie

I think you are a little too aggressive. This is not personal people are just voicing their opinions..... No offense but please take it down notch.

I think you are a little too aggressive. This is not personal people are just voicing their opinions..... No offense but please take it down notch.

Beerim, respectfully, I think that you are misinterpreting Earle's remarks. She was supporting and expanding on what you said.

:)

To Toxicshock:

Pick apart the physicians and the NPs brain. Read books on nursing scenario try to ans. the questions, then check your answers then have a discussion with your co-workers. As long as you need answers ask questions. why? why? why? why? why?

I think you are a little too aggressive. This is not personal people are just voicing their opinions..... No offense but please take it down notch.

excuse me???:confused::confused::confused:

you lost me beer, but no offense taken.:)

leslie

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

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
where to start?

as i read on, i noticed a trend in your thought process. notice the part afterward that i bolded. these statements do not convey to me a supportive preceptor who promotes learning. as experienced nurses, we must be mindfull of giving out constructive criticism that encourages learning from mistakes. "negative feedback", "charges you with a defecit" dont fall into this category.

being a preceptor is not an easy task. hospitals give this responsibility to the wrong people for the wrong reasons. a good preceptor nurtures learning by being a leader and a teacher, not by failing or passing their gns. it is important to point out the mistake, but at the same time helping the gn realize.........yes, this is stressfull and mistakes will be made, but the bridge that we must cross to go from "nurse" to "good nurse" is not impossible to cross. make the changes we are suggesting, and you will have crossed said bridge.

see, you tell your story and, the lesson some may take from it is that the quality of gns coming out of schools needs to improve, or that gns just need to buckle up and get with the program. me, i see gns like the one you describe failing and i take it as a loss, a missed opportunity for us experienced rns. yes, you are right, there are gns who "just dont get it". from my point of view, there are just as many preceptors who "just dont get it".

my whole point is that sometimes people who lose their jobs or are in danger of losing them just don't "get it" no matter how many times you've tried to explain it to them. they believe that you "have it in for them" or are unfairly targeting them, or that you're just a mean, nasty person when you try to tell them that giving coumadin to a bleeding patient is a bad thing, or that maybe the 16 units of novalog insulin wasn't the thing to give someone who keeps throwing up his dinner or that maybe if you suctioned mr. smith his o2 sats would improve. even after sal had several meetings with her preceptors and the unit educator and the nurse manager, she still didn't understand that her job was in jeopardy. even when she was given a list of her shortcomings (and they were her shortcomings, not everyone else's) to sign, she didn't get it.

i wasn't sal's preceptor, although i did work with her a few times. i precept another new grad from her class. i was in the preceptor meetings when her preceptors vented about their frustration with trying to explain the same things to her over and over and over again, and nothing ever seemed to "click." after two preceptors couldn't help her out, they bowed out and she got two new preceptors who had the exact same issues with her. nice as she was, she just didn't get it. the inr story is a true one (although i don't remember the exact inr (was it 8.8 or 9.2?) or the exact hemoglobin, they were well outside the normal range. after 12 weeks in the icu, and an 8 hour class on hemodynamics, she still didn't understand the swan-ganz -- what it is, where it sits or the kind of information it gives you. she admitted to my orientee that she never studied at home, and my orientee suggested to her that she might want to start doing so.

i agree with you that precepting is difficult and that not everyone who does precept should. however, there are times when it's not the preceptor, it's the orientee. and sometimes, that orientee just doesn't get it no matter what hoops you jump through to try to help her get it, or to make her understand what the problem is. sal had every chance to make it, and she didn't. she just never understood that she was failing, and it wasn't just bad preceptors or targeting ow whatever. i think there are probably a lot of "sals" out there . . . and i hope maybe i've convinced one or two of them to take a look at what they're doing or not doing to contribute to their problems before it's too late for them.

Just like Trauma said, we all know that nurse that, despite the constant mistakes, complaining, reminders etc, continues working in whatever manner they choose, and STILL manages to stay aboard..SCARY! So while I agree that we should always try to educate, I took OP point to mean those that have done SOO poorly that they have HAD to be let go (like even more poorly than the scary ones that get to stay!). And despite the reminders, and teaching etc of other more experienced nurses as to where she/he was going wrong in practice, they just DO NOT GET (got denial?) that it was THEIR practice that got them canned..look, statistically there are probably a few that were singled out--maybe even because they were too hot and all us old nurses were jealous:icon_roll.. But in reality, usually (not always, but usually) when you get canned from a job, it's because of your OWN actions. It's just a fact.

my whole point is that sometimes people who lose their jobs or are in danger of losing them just don't "get it" no matter how many times you've tried to explain it to them. they believe that you "have it in for them" or are unfairly targeting them, or that you're just a mean, nasty person when you try to tell them that giving coumadin to a bleeding patient is a bad thing, or that maybe the 16 units of novalog insulin wasn't the thing to give someone who keeps throwing up his dinner or that maybe if you suctioned mr. smith his o2 sats would improve. even after sal had several meetings with her preceptors and the unit educator and the nurse manager, she still didn't understand that her job was in jeopardy. even when she was given a list of her shortcomings (and they were her shortcomings, not everyone else's) to sign, she didn't get it.

i wasn't sal's preceptor, although i did work with her a few times. i precept another new grad from her class. i was in the preceptor meetings when her preceptors vented about their frustration with trying to explain the same things to her over and over and over again, and nothing ever seemed to "click." after two preceptors couldn't help her out, they bowed out and she got two new preceptors who had the exact same issues with her. nice as she was, she just didn't get it. the inr story is a true one (although i don't remember the exact inr (was it 8.8 or 9.2?) or the exact hemoglobin, they were well outside the normal range. after 12 weeks in the icu, and an 8 hour class on hemodynamics, she still didn't understand the swan-ganz -- what it is, where it sits or the kind of information it gives you. she admitted to my orientee that she never studied at home, and my orientee suggested to her that she might want to start doing so.

i agree with you that precepting is difficult and that not everyone who does precept should. however, there are times when it's not the preceptor, it's the orientee. and sometimes, that orientee just doesn't get it no matter what hoops you jump through to try to help her get it, or to make her understand what the problem is. sal had every chance to make it, and she didn't. she just never understood that she was failing, and it wasn't just bad preceptors or targeting ow whatever. i think there are probably a lot of "sals" out there . . . and i hope maybe i've convinced one or two of them to take a look at what they're doing or not doing to contribute to their problems before it's too late for them.

thank you for the further clarification. maybe icu was a bit too much for, she should have been started on a med-surg floor.

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