Scary co-worker. What to do?

Specialties NP

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I have a new co-worker who is a new grad NP. She is endangering patients because of her lack of clinical competence. She is writing inappropriate prescriptions, overdosing people on meds, not getting weights on peds patients for dosing, and is not sending really ill patients to higher levels of care.

I have alerted my superior to the issue and the co-workers has apparently been counseled on numerous occasions but the mistakes keep coming. My superior told me I could speak to this co-workers because I have been the one to have to clean up all her errors. I have refrained from saying anything because I thought my superior would take care of it.

Now, I don't know what to do. I feel for my co-worker because she is new but she doesn't know the most basic things. I also am concerned that if she gets involved in a lawsuit, I'm going to get fried because I am well aware of her subpar skills/dangerous behaviors. Am I doing enough since I passed it along to my superior?

Specializes in burn ICU, SICU, ER, Trauma Rapid Response.

This type is situation is very common and is one of the many proofs that NP school is too easy and our boards are laughable. Just had to throw that in there.

I work with some very fine NPs. People who I would absolutely trust with the care of my family. The primary care provider for my whole family is a wonderful NP who was a local ER nurse for more than 20 years and then went to the state U for her MSN and FNP. She is the only provider in our small rural town and she does a wonderful job managing the chronic and primary health care needs of our town.

That said as an RN I have often observed truly awful nurses go on to NP school. In a way it's disappointing to me that such deadbeats can so easily get accepted and graduate. I shudder to think of these people in clinical practice.

Specializes in Critical Care and ED.

I'll play devil's advocate for a moment. She's a new grad? Did she have any nursing experience prior to graduating? Maybe she's overwhelmed and not getting good guidance from her coworkers. Maybe she'd appreciate some assistance. Didn't we all need help when we were new? It's more focused with her because she's the NP. Have a chat with her and see if she's willing to get input and pointers. She might end up taking the advice and blossom into a confident NP. If not, then maybe take further action. I'd be sad to see her not given a chance. If you give her advice and she still doesn't take it, then that's another thing entirely.

Specializes in Adult Internal Medicine.

The best thing you can do for her is to speak with her and hopefully either remove her from practice or get her structured support; if you don't she will find herself out of a license and a career. Something needs to be done yesterday before she hurts herself and/or her patients.

You our will be helping her whether she knows it or not.

Specializes in Psychiatry, Community, Nurse Manager, hospice.

Please choose to be a mentor and help her.

Specializes in Hospice.

Since your manager is unwilling to address the problem, I suggest finding a way to alert your company's risk manager(s).

Offering yourself as a mentor is a good idea, but it will take time to show an improvement in your colleague's performance.

Meanwhile, her patients are still at some risk. Only you know just how dangerous she is or what the real risks are for her clients. If risk management gets involved, it might goose your supervisors to do their jobs.

Specializes in Family Nurse Practitioner.
I'll play devil's advocate for a moment. She's a new grad? Did she have any nursing experience prior to graduating? Maybe she's overwhelmed and not getting good guidance from her coworkers. Maybe she'd appreciate some assistance. Didn't we all need help when we were new? It's more focused with her because she's the NP. Have a chat with her and see if she's willing to get input and pointers. She might end up taking the advice and blossom into a confident NP. If not, then maybe take further action. I'd be sad to see her not given a chance. If you give her advice and she still doesn't take it, then that's another thing entirely.

I agree that we all needed help when we were new but if this NP is as incompetent and lacking in insight as the initial post sounded to me I don't see this eradicating the problem very quickly if ever. My concern would be that she is going to hurt someone while the OP is trying to get her up to speed as well as the OP becoming involved and therefore responsible also.

I'm all for collegiality but no way am I taking on someone who has no business practicing. Unfortunately I have a feeling this will become more common as the numbers of new grad NPs continues to increase.

Yes, we do have one but my supervisor is going to know it's me. Myself, the new grad's preceptor, and my supervisor are the only people who are aware this is going on. I don't want to jeopardize myself in that type of way. I guess I should just bite the bullet and talk to the other NP.

If you are her preceptor, I think it is on you to speak to her directly, not go to the other NP (whose role in this scenario I do not know).

Why not just tell her, in a formal counseling setting, what she is doing wrong and why her actions frighten you? If you don't correct her and I do mean now, you would certainly be liable for any harm she causes, it seems to me. At the very least, you have a responsibility to make sure the pts are not harmed and that the new NP is learning.

You need to involve the supervisor and supervisor's boss in this matter, too. Kid gloves are off now and your neck is in the noose, seems to me.

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