"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 Medical.
In our ICU, those that aren't cutting it, are allowed to transfer to med-surg.

I get that the wards are less intense than ICU but we also need skilled, competent, intelligent, nurses who can time manage, communicate and cope with challenges. They do not always cut it on the ward floor, either.

And yes, kudos to you, Ruby :)

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
okay, granted i haven't read this entire tread. going off the original op's post, however, i have a few comments:

i agree that new grads don't always "know it all" but do we have to fire everyone who is having difficulty adjusting to a new job? especially with nursing there is a steep learning curve.....mentoring might be a better answer than giving them the boot!!

you haven't read the entire thread, so you have no idea what has been said and what hasn't been said. this thread isn't about someone who's having difficulty adjusting to a new job. this is about someone who, despite multiple "second chances" just isn't getting it and doesn't even get that they don't get it. this is about someone who has had multiple mentors who all end up saying exactly the same thing. "she's so clueless she doesn't even know she's clueless." someone who re-took the critical care test three times and still flunked it.

but why am i wasting my time? if you'd read the thread, you'd know that.

Personally, and I've been a nurse longer than I'd like to admit, um, most of the nurses new to a position can be more effectively precepted and mentored--the openness and attitude in general from staff and preceptors and even at times, nurse educators, isn't there.

Mostly success for the new nurse comes down to this: It really comes down to likeability and whether or not the new guy/girl plays the games, kisses the butts, acts like a dumb-eyed fawn in order to help the preceptors and those on "the inside" feel good about themselves. Honest to God, I've seen this way too many times. It's really a terrible shame.

The answer to dealing with this nonsense is the processes of creating and maintaing more consistently used OBJECTIVE standards of evaluation.

If you think for one minute there are NOT some real, major gunners in nursing, you IMHO are living in a fantasy world, or are in some very remote, isolated place, or you are a gunner and want to rationalize gunner-type behaviors.

Most folks can get it--what they need to do well in nursing. They need three things mostly--grace, truth, and time. YOu do not have to be an Einstein to be a good nurse, even in the most intense and critical areas. I'm pretty bright, but I would not dream of calling myself a total Einstein--and listen, I've worked in many of such areas.

The truth is there are just too many snippy, insecure (yea, even backstabbing) gunners in nursing--and especially in certain "high intensity" areas.

And it's a shame when units have nurse educators that really take on this mentality as well. Sure they play it down when they have to, but behind the scenes they are major gunners. I honestly can count more of such kinds of hospital nurse educators than the more balanced, objective, and supportive kinds. I think that is horrible. It's a shame when hospitals into administration and education promote gunner behaviors.

And for this I say to all the newer nurses, watch out big time! The gunning is a big part of your reality shock, I hate to say. T

Yes. There are good and even great preceptors and true mentors out there that will invest in your success as a nurse. But be advised that there are many cut-throat gunners as well. I wish to God this was not the reality. Sadly most of us have been around long enough and have worked in enough very busy centers to know exactly what I mean. It is NOT demeaning to nursing to expose this truth. it must be looked at in the real light of day, else how can it ever change??????

Dear hospitals and other hc institutions,

Please save money and build unity and commitment to an institution by using objective standards consistently on a daily, weekly, monthly, etc basis.

Hold people to those standards on both ends and table the subjective nonsense.

Listen, just b/c someone has a different personalilty type than some of the dominates in the group, or just b/c a nurse is excited or has a different perspective or is perhaps even a bit tentative does not mean you should throw the baby out with the bathwater.

****Invest in people. Some will let you down, but many will be even more committed when they see that you are truly committed to their success and are not interested in gunning them down!

Specializes in Hospice, Palliative Care, Public Health.

It makes me sad to hear about these nurses that dont get it that manage to have jobs where there are some of us who are hard working, self-directed and teachable who aren't finding any jobs, much less jobs where we get the support and instruction invested into some of the examples I have read here.

WOW samadams8 you wrote a powerful passage. The hardest thing for me has always been to play the game, but the new person must play it and play it well. They say they want you to be confident, but they don't. If you are confident or even know enough to function without help the "wise ones" become offended and threatened. Suddenly you are the enemy. Why must we play these games?

Find the true leader of the group and get on her good side. It is always who you know that saves you. If there is a strong one in the bunch that everyone fears and defers to, she is the leader. You have to think like an animal. Nothing in nursing school ever prepared me for any of this. I was prepared to take care of patients and take a leadership role myself. You have to ignore your urges to be a leader until you have been there forever and are secure in your position.

I have been in nursing for - well a long time. I am still learning about group dynamics. I have made some mistakes and had some successes but every time I get a new job or transfer I have to work my way out of the pit again. It really is horrible. Even if you have a thousand years experience you are still the newbie when you start in a new job, and you have to play the game again. I cannot wait to retire if I live long enough to do so!

Specializes in OB, HH, ADMIN, IC, ED, QI.

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play the game as eric berne, phd (psychology) wrote it in his book "games people play". it's much better than the more recent publication of "how to work with difficult people".

getting players to communicate in their "adult" part of their personality is key. to do that, you need to stick to the facts, ma'am, nothing but the facts! that's by saying what everyone knows is true, like "the sky is blue". when someone criticizes your work or how you do it, say "the equipment is unavailable" (if that's so) or "patients aren't always ready to do that", in a non whiny way, as an adult.

read his book, which may only be available by special order. it's worth the wait and reading, slowly and practising adult to adult communication as a "mantra". then you won't have to wait until retirement to have a good time. you'll have the upper hand! best wishes for 2010, when you'll have better work experiences using the techniques that work. :bell:

Critical thinking can be learned just like everything else. I fault this gal's teachers, instructors and preceptors. And in what job are you expected to go home and do homework?!?!?!?

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
critical thinking can be learned just like everything else. i fault this gal's teachers, instructors and preceptors. and in what job are you expected to go home and do homework?!?!?!?

really? it's everyone's fault except sal's? you don't believe in any personal responsibility?

at this job are you expected to go home and do homework!

Uncompensated homework? Just another reason why this is a crappy job that no one wants to do.

I know about personal responsibility. Whatever happens, it's the nurse's fault. End of story. (Don't you love nursing?)

The thing I hate most about nursing is the culture of blame.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

Lamazeteacher-- I remember that book! It is a classic. I always remember that chapter, "Let's You and Him Fight". I also recommend to people the book "How to Win Friends and Influence People" by Dale Carnegie. That phrase has become a corny cliche, but the book is actually very good!!

Firstyearstudent-- you sound more like a very burned out nurse than a student. Far from being a "crappy job that no one wants to do", nursing is a job that a lot of people want to do. Because of the economy, they can't. Also, if you consider lifelong learning "uncompensated homework" you probably won't stay skilled for very long. One of the things I like about nursing is that it's constantly evolving and requires us to be equal to that process. And of course, at my age I might be delaying the onset of Alzheimer's disease! Win for me- win for my patients!! :up:

Specializes in Peds/Neo CCT,Flight, ER, Hem/Onc.
Critical thinking can be learned just like everything else. I fault this gal's teachers, instructors and preceptors. And in what job are you expected to go home and do homework?!?!?!?

I've never had a new job that didn't require homework. In fact I've never had a job period that didn't require me to work, on my own time, to learn new things and better myself as a nurse.

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