"Writing up" use or abuse

zuzi · Feb 19, 2009

Writing up is PUNITIVE disciplinary action applied ONLY when any other methods wasn't work, or if the employee behavior put in danger a patient. Writing up for nay others reasons, before to aplly other corective measure IS AN ABUSE OF POWER! Writing up someone without any other previously documented corrective measure failed, IS AN ABUSE OF POWER. Writing up could be in facility policy. Writing up and issues could be monitored by HR department at one point. Lack of consistent disciplene... but in the same time MUTIPLE "writing up" by the same persons, could an alarm sign for management. An employer lawyer could tell you so many about where the writing up is for REAL and when a writing up is a constructive writing up.

How to writing up and employee and terminating an employee is a issue implemented from the top to bottom, is a managerial issue.

"By using employee disciplinary forms.... writing up many times...., you can more easily solve problems with unacceptable work behavior and substandard work productivity "

When work force is cheap and easy to be found it... is just a managerial issue how to terminate with an employee.

A usefull link :

http://www.terminatingaemployee.com/info/How-To-Write-Up-An-Employee.html

WalkieTalkie, RN · Feb 19, 2009

Contagion...I think I would have handled all of those situations differently. I would have had the doc write to d/c dobuta and start dopa. I would have called the doc and got a one time order for morphine (I am pretty sure most docs would agree to this). And in the last situation I would have called the surgery team and told them to reorder the antibiotics.

Situation 1: doc was mad about dobutamine running instead of dopamine, in addition, no order was ever written to start it.

2: middle of night, unreasonable private practice type, why bother?

3: Um, yeah, lady had gone over 48 hours without abx, was febrile and had increase in consolidation on CXR. That was an incident, and I did call and get abx reordered, but since she had been without them for over 48 hours, her outcome is potentially affected.

I think these are all reasonable situations in which incident reports should have been filled out. It's not like I fill them out everday over dinky things. In fact, in situation 3, the PA who wrote the order to d/c abx on accident agreed with me that an incident report should be filled out.

Keep in mind, the incident reports at my facility are not like pink slips or whatever. They are simply there to identify ways in which we can avoid dangerous situations in the future. I've filled one out (per policy) every time I've had an IV infiltrate with pressors running in it, regardless of if the patient was actually harmed (i.e. sucessful antidote treatment or not). This is our policy at my facility.

wooh, BSN, RN · Feb 19, 2009

At my hospital, the housekeeping staff has been writing up the nursing staff if they make it into the room to start cleaning it after discharge before the nurse gets the IV tubing off the pump. In other words, if I discharge my patient and walk them out and go take care of another patient's need before I pull some tubing off a pump, I get written up. There's using the write up process for patient safety, and there's using it to be petty and feel like you have power.

Batman24 · Feb 19, 2009

At my hospital, the housekeeping staff has been writing up the nursing staff if they make it into the room to start cleaning it after discharge before the nurse gets the IV tubing off the pump. In other words, if I discharge my patient and walk them out and go take care of another patient's need before I pull some tubing off a pump, I get written up. There's using the write up process for patient safety, and there's using it to be petty and feel like you have power.

That's absurd. Whoever supervises them should instruct them to knock it off.