Thank you to you all!

Nurses General Nursing

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It's so easy to sit behind this computer and read of all your struggles and the advice about unsafe staffing and disrespectful behavior towards a nurse. I've read about some of you filing lawsuits against your abusers, even against doctors. I've read how some of you have agonized over providing quality patient care when you weren't given the tools or staff to do it. Each time, I've given my own advice when I felt moved to do so. And, each time, I wondered if standing up for yourself was really a possibility for me, for each of us, for our profession.

Then, late last night, I was hit with a disciplinary action because care wasn't provided appropriately when I was given one NA (not even certified) on her second day of employment, and me . . . to take care of 34 patients. I was further reprimanded for not documenting followup on an Ativan I had given (nevermind that I didn't have staff and that my patient's need for an antianxiety med was the result of multiple screwups by Social Services and day shift (details aren't important except to say that I was in trouble for cleaning up a mess on night shift caused by another shift). I was further reprimanded for "questionable judgement" whatever that means. And, to top it off, another nurse had reamed me after report yesterday after I confronted him about abusing a resident. Sure enough, I was somehow wrong about reporting abuse and the male nurse hadn't even been counseled or reprimanded.

Now, I'm not a bad nurse. I'm the nurse who quietly goes about doing what everyone else didn't get done (being dumped on), being a patient advocate, and, in fact, this is the first time anyone in has ever complained about my care or nursing skills!

So, here's the thank you. Much to my surprized, what was coming out of my mouth was anger. If you knew me, you'd know that I would usually feel guilty and take the blame, believing that somehow I didn't do enough or else this wouldn't be happening. I'd agonize over what I "should have done" better. With all your words echoing in my ears, I blasted administration. It went something along the lines that when they give me an unsafe staffing situation, they have the choice of whether I refuse to take the assignment and go back home or they can take the blame and the responsibility for the consequences of a situation that was caused by that kind of unsafe staffing! I further blasted them for daring to reprimand me when another nurse had abused a resident. I said, "Let's get this into some perspective, shall we?" (I was a little sarcastic there).

When I was done, I stood up and picked up my purse and stethoscope and informed them I was going home (my shift was done). Then, I told them I didn't know if I'd be back; I'd let them know in time to cover my shift if I decided to quit. I also told them I was taking 5 days off, and to deal with it, because I needed time to calmly decide if I wanted to continue working there.

Then, I marched right up and filed 5 grievances ranging from failure to reprimand the abuser, unequal and unfair discipline, failure of XYZ nurse to provide appropriate care for the resident who got the Ativan, disrespect in the workplace, and hostile working environment.

Thank you. Thank you, everyone of you, who have posted these kinds of struggles and how you dealt with them. Today? I'm gonna read a mystery novel, just because I feel like it. Then, tomorrow, I'm going to start applying for other jobs. C'est le vie!

Thank you. You all taught me that I didn't have to put up with this. :) :) :)

Do check with your BON about what they consider abandonment. It may be a bit different than what the hospital considers it to be.

Isn't it grand to have a dog? You can behave quite strangely and they still think you're wonderful, strange but wonderful.

Hang in there, Youda!!! It is scarey, but there is a place that will appreciate you. Let us know what happens next!! I am proud of you!!:)

Specializes in CV-ICU.

I was on a panel for a CE class this past winter, concerning patient abandoment. In doing research for this class, I did look up info for different states concerning patient abandonment. No state BON will charge you for pt. abandonment for not giving a 30 day notice to the employer.

As a matter of fact, in many states the BON will not charge you with pt. abandonment if you would even quit a job just before a shift because of unsafe staffing or putting your license in jeopardy, or concerns for patient safety. (I don't remember which states those were right now, so check with your own BON). There are even a few states that seem to implicate and/or sanction the facility for short staffing!

You might want to check at the National Council of State Boards of Nursing at http://www.NCSBN.org for more info. There is lots of good info here, just type in key words or phrases into the search box and you should find out about the pt. abuse, short staffing, and all of the rest of the problems you had with that facility.

Actually, here is a sight at NCSBN that gives even more info (broken down into a state by state index) to you for pt. abandonment: http://www.ncsbn.org/public/news/state_shortage.htm

I hope this helps you. There are many facilities that threaten that if you don't work mandatory overtime, etc. they will "report you to the BON for pt. abandonment" or they will "take your license away for..." and this is just an intimidation technic.

I believe every nurse should get a copy of their own Nurse Practice Act and read it and know what it says. This in itself may give us all courage to stand up to threatening bosses and supervisors and also speak out against pt. abuse and mistreatment.

I'm proud of you for standing up for yourself and doing what i've wished I could do. Hope all works well. Somewhere, there is another workplace that deserves you more!

Youda - this is so great to read. I hear about rising health care costs, and shortages of staf and equipment, and know what your talking about. I can only behold at all the nurses have to keep track of. Recently, after working 12on/12off for 2 times my additude and energy level changed. It took two days being off to recover.

With you, you don't want to play around, and I envy your power to do this. Think of what you will learn, and the great events yule imagine in reading a cool novel. Don't go incommuticato too long :-) Ask them to admitt they are trying to make you the fall guy and let you legidamately take a week off as "basket" leave.

We all make mistakes, and that includes mistakes in: staffing, planning and throwing around blame when a situation gets buzzed. You know what I mean. Sounds like this is happening with you, and don't let it get out of control mentally. You know :-) More power to you! 138600209 41546555 172777204 258895830 :kiss

Update. I called my BON and told them in detail the situation. My fear of going back when they already put my license at risk with unsafe staffing, then blamed it all on me when all the patient's needs weren't met. I told them a bunch of other stuff that has concerned me, too. Also told them about their 30 day rule of "abandonment" if you don't work out a 30-day notice. They looked up the names of nurses who had quit without notice, and sure enough, the complaints were filed against them, some of the outcomes still pending.

In Missouri, the BON's policy is to consider the employer responsible for staffing and employment issues, not the nurse or the BON. However, they investigate every complaint on and individual basis. So, the chance is there for penalties, still. Also, even if you don't get any kind of action by the BON, the complaint still shows up on your license forever more.

So, their recommendation was to walk back in the door. Hand them a 30-day notice as they require. BUT, if I feel the slightest hint that my license is at risk, or they are going after me, nitpicking and looking for an excuse to nail me, the BON said to take the risk and GET OUTTA THERE! If I am going to be reported, for one thing or another, they said the lesser of two evils was what I should consider. "Abandonment" by not giving notice that would be iffy and not a big deal in this situation vs. some med error or forgetting to sign a MAR or something which the BON will take more seriously.

Bottom line. I'm going in to work today, with my 30 day's notice. A copy sent to the BON and a copy to my attorney. With a nice big cc at the bottom of the page so this idiot outfit knows exactly who knows I'm quitting and why.

Wow, Youda!

I am SO impressed with your professionalism! You have done yourself and, hopefully, your patients a BIG favor!

The bit about the CC: to the State BON and to your lawyer on your resignation would take an ignoramus to ignore!

Good luck on your job search!

Please keep us posted on this.:nurse: :idea:

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