Verbal, Written Warnings and Termination

Health care employees are worried or concerned they may be on the ladder of warnings, from verbal warning to written warnings with termination not far up. For many this is not an unrealistic fear, it is something which is affecting their daily working life and erodes into their home life. This is the nurse's guide to warnings and what to do when you get them. Nurses General Nursing Article

I know a lot of healthcare employees are worried or concerned they may be on the ladder from a verbal warning to written warnings and then fired. For many, this is not an unrealistic fear it is something which is affecting their daily working life and erodes into their home life.

For some employees, it is something which occurs out of the blue and was totally unexpected, for some they are expecting it to happen because of an incident which has to happen either by human error or an unfortunate series of events, but for most it is a devastating situation when it occurs.

Warnings, verbal or written, are usually part of the employer's policy and are not written into law in your state. Most states have "at will" employment where you can quit for any reason at any time, or your employer can fire you for any reason at any time.

So what are verbal warnings? They tend to be the initial step in the progressive discipline process. A verbal warning is an oral notice to an employee that he or she is not meeting expectations or that his or her behavior is inappropriate in the workplace.

A verbal warning may be an appropriate response to situations including:

  • inappropriate behavior that if repeated could lead to a written warning
  • use of derogatory language
  • tardiness
  • failure to follow hospital practices/policies

The next step is a written warning if poor work performance or a behavioral problem continues after an employee receives a verbal warning, a supervisor may need to employ a more serious measure.

A written warning might be an appropriate response to situations such as:

  • failure to comply with a verbal warning
  • insubordination
  • frequent absenteeism
  • in some instances, a written warning may be appropriate without a prior warning or a record of a prior offense.

Wikipedia quotes termination as

Involuntary termination is the employee's departure at the hands of the employer. There are two basic types of involuntary termination, known often as being "fired" and "laid off." To be fired, as opposed to being laid off, is generally thought of to be the employee's fault, and therefore is considered in most cases to be dishonorable and a sign of failure. Often, it may hinder the now job-seeker's chances of finding new employment, particularly if he/she has been fired from earlier jobs. Job-seekers sometimes do not mention jobs which they were fired from on their resumes; accordingly, unexplained gaps in employment, and refusal to contact previous employers are often regarded as red flags.

Termination of employment - Wikipedia

So what should we do if faced with a verbal warning?

We should see it as an opportunity to change whatever behavior is deemed inappropriate in our work environment. We might not always agree with what we are being accused of but at least you are being given a chance to change. You should take notes and not commit the meeting to memory, you can review them later when you are alone with time to think. If nothing else they can be the "before" point as you start a process of personal growth.

If your boss doesn't suggest a feedback appointment, ask for an appointment to discuss your progress at a reasonable interval. See this as a continuing dialogue, not just a one-time slap on the wrist.

Not all warnings are fair or appropriate. If the above steps have been taken and you were treated unfairly, you might want to talk to your boss or HR about the warning. Although it is just the first stage of discipline, it does go on your record so you shouldn't blow it off. If the situation persists unfairly, make sure your resume is up-to-date.

If you are given a written warning then you will have an opportunity to read then write your own comments, you are expected to sign a written warning and this is an area of concern for most people, are you signing to say you agree with what is written or are you signing to say you are acknowledging receipt of the written warning?

You are actually signing receipt of the written warning and not that you agree with what is written, many employees do refuse to sign written warnings. Hopefully, your manager would explain this to you.

During the course of my research, I found it interesting that there were more articles advising the employer how to discipline their employees than useful articles to help the employee work through their issues and what to do if they receive verbal or written warnings.

If you do find yourself in one of the above positions it is worthwhile to do a search on stress and how to manage stress, these articles do offer useful advice which will help you improve your working life and in turn will help you change which will in turn probably meet the work disciplinary requirements.

If you are reading my blog because it is something which is affecting your life at this time, the document, document, form a positive action plan implement an action plan and see it as a positive allowing you to change and improve.

Good luck

verbal-written-warnings-and-termination.pdf

Specializes in women/children, pacu, or.

Since many (too many) of us are/have experienced such abuse, maybe we need to find our voice and direct our boards of nursing to our problems in this matter? If everyone of us sent a letter or called, maybe they would be forced to listen? When I was going thru my ordeal, I did want to dare my supervisor to report me if she thought I was so bad. I really wasn't feeling emotionally strong enough to call such a bluff (not sure I could even if I was stronger) but the thought crossed my mind a few times. I certainly wanted to call them myself regarding some of the tactics my fellow nurses were using to build a case to force me out. Again, I didn't feel strong enough to subject myself thru an investigation.

However, after a few months of unemployment I filed for unemployment benefits and chronicled everything to the state. After their investigation, I was granted unemployment benefits. I had taken steps to report my situation to HR and verification by my personal physician (I had numerous dr visits r/t physical & emotional symptoms r/t job stress) which validated my case. Document everything & take steps to try to improve your performance at work. If you are forced out, then you will have a leg to stand on if another job doesn't roll around in a timely manner. Use your extended sick leave/FMLA to get some emotional downtime to get well. A person going thru bullying has a legit reason to take sick leave.

Specializes in women/children, pacu, or.

The joint commission issued a sentinel warning in Nov '08 (I think the date is close. Ck. their web site) on behaviors that threaten pt. safety. It addresses bullying. Not all hospitals are involved w/ JCOAOH, tho. The one I worked at changed to a different accrediting organization.

Ahhhh, yes, the life of a nurse. And..... the good news folks.... it's only going to get worse. Why - because the media (fed by the hospitals) flooded the market with nurses for the past 10 years. There are still years-long waiting lists to get in to nursing school. How come they aren't doing news stories about all the nurses who can't find jobs???? When the supply is so much larger than the demand, it creates a poor working environment. You are easily disposable. And for the icing on the cake - there is nothing you can do about it.

Specializes in med/surg, PACU, Hospice, Pulmonary, ED a.

Wow Losbozos. It sounds like your pain was extenive, I mean, it reached long after you were a goner. Gone are the good ole JCHO days when administrators actually had their toes to the fire once every 2 years. They used to suck up to staff for their compliance. I think the administrators now see floor staff as the enemy who can mess it all up for them. I have said it before, if they could run the place without nurses (or complaining patients and family members) they would!!!!

This atmosphere has little to do with healing. Are you satisfied with the results you got when you followed the chain of command?

My advice to those who are considering stepping out of the zoo is to look around and get some names of new references before you're a vague memory.

Specializes in Med Surg,.
Since many (too many) of us are/have experienced such abuse, maybe we need to find our voice and direct our boards of nursing to our problems in this matter? If everyone of us sent a letter or called, maybe they would be forced to listen? When I was going thru my ordeal, I did want to dare my supervisor to report me if she thought I was so bad. I really wasn't feeling emotionally strong enough to call such a bluff (not sure I could even if I was stronger) but the thought crossed my mind a few times. I certainly wanted to call them myself regarding some of the tactics my fellow nurses were using to build a case to force me out. Again, I didn't feel strong enough to subject myself thru an investigation.

However, after a few months of unemployment I filed for unemployment benefits and chronicled everything to the state. After their investigation, I was granted unemployment benefits. I had taken steps to report my situation to HR and verification by my personal physician (I had numerous dr visits r/t physical & emotional symptoms r/t job stress) which validated my case. Document everything & take steps to try to improve your performance at work. If you are forced out, then you will have a leg to stand on if another job doesn't roll around in a timely manner. Use your extended sick leave/FMLA to get some emotional downtime to get well. A person going thru bullying has a legit reason to take sick leave.

I believe we have a case for a supportive, spokes person, an advocate to speak for nurses who believe they were disenfranchised. It happens often enough. Administrators are cleaver enough to know nurse individually have nothing in place (policies) to fight this monster. The boards are not accountable and will not have administrators take responsibility for this behavior. We should brain storm and come up with a solution or some ideas to begin an organization for handling our concerns. It can be done. We are not imagining this stink, harassment, bulling, write-ups, forced to resign.

These threads should be sent to the media. We have new nursing classes coming through our unit ever few weeks wanting our jobs. Some of them are going to get them because they are cheap labor. The cheaper ones are treated well for awhile because the hospitals want to keep them (for awhile). After a few years and they get their .25 cent raises (if any raise at all), the new nurses begin to get dissatisfied and start to show some attitude. Then they are also replaced with the newer cheap new grads. I know the stink has been going on forever, there are always bullies, but overall, it was a little more pleasant when there actually was a nursing shortage and :bowingpurnot a nursing abundance.

I share your thoughts, I too have been in this forced resignation and termination spot in my 32 yrs. Just reading some of the posts. Look at how many pages there are to this complaint of bullying, bamboozling in a job that is supposed to be a profession. One thing I have come to realize is Watch out for those coworkers who "bait" you- those who deliberately ruffle your feathers, deliberately say something in the hopes of provoking you- this is another game that is played. They will say something just to see what your response is or just to get your opinnion. And go merrily off the the nurse manager. I understand that as nurse we have "eaten our young" but never like this. I remember as a new nurse and have seen over the yrs new nurses given a hard time- but it never involved or ended up in the termination or professional character assination, the threats of BON action as it has now a days. Nursing management was different. Today these managers are not Nurses. I wouldn't trust them to give me a band aid!! This is a bizzare, sick trend we are seeing today. Hospital's are not hospitals anymore. I believe they are guilty of greater crimes, With the fox(corporate america MBA's) running the hen house(the hospital) people have been made more acutely ill. The come in for chest pain, chest pain is only addressed, they are discharged and readmitted because one of their many other chronic health problems are now dominoeing. Readmissions bring more revenue( whether it be insurance company or state funds/charity care) - they are corporate america, no different than Walmart. How many CEO, CNO have taken salary reductions in the past 2-3 yrs with this "Health care crisis" Answer= 0, Zero, none, !!! How many nursing staff have been lost-resignations, terminations,(CONSENTUAL DISCHARGE) burn-out,forced retirement( here's your retirement package take it and leave quietly or stay and be fired and loose it- by law no one can be forced to retire? or can they?) AND we still have these institutions of nursing pushing for BSN?? I find too many perplexing, conflicting questions going on in this world of nursing. I really am hoping the "doo doo hits the fan" big time. I would like to see administration_ including HR rounded up and prosecuted and convicted for the criminals they really are.!!

Putting nurses out of work in this economy! Then intimidating them into not going to unemployment. I'm glad to see there are nurse willing to stand up to this and not be ashamed to go to unemployment. Tell your story to the Dept of Labor. I darn well told mine!!(I also kept notes- Pages and pages of photocopy documentation). If enough of us make complaints, some one has got to listen on the state level. Unemployment is an insurance premium that the employer( the hospital) pays to the state. If the hospital can have very few nurses to no nurses filing unemployment claims, then the hospital's unemployment premiums stay LOW. If nurses file unemployment claims then the hospital's unemployment insurance rates rise- just like if you have too many speeding tickets, your car insurance rates rise. The HR dept is the hangman for the hospital- they do the brow beating, the intimidation"if you don't resign and we terminate you, this will follow you everywhere!!"This is consentual discharge. This is forced resignation. This is why the general public doesn't know nurses have been put out of work. If you don't go to unemployment- how do our(nursing) unemployment numbers get included into the state and federal unemployment statistics- they don't!! So the true count of the unemployed is NOT correct. Isn't that fraud to the Dept of Labor. The state can't include/ report what it has been deliberately kept from them. Then these hospitals have the nerve to cry poor/charity care- we need more government funding- boo hooo!! Get rid of staffnurses positions, CEO keep their extravagant salaries with out one penny lost, and patient's don't get care. Who is the benefactor?? Good way for little johnnie who wasn't smart enough to conquer the sciences needed for Medical or Nursing school to make as good as the doctors and nurses in his/her fluffy business courses. Healthcare the " silent profitable frontier"- Johnnie didn't have what it took to compete against the Donald Trumps or Bill Gates either. So Johnnie got his /her MBA and started to scalp and gouge healthcare- cutting corner, cutting staff, turning a profit-- (on our licenses both Doctors and Nurses) And the fool nurse managers following right along like a bunch of dumb wanabees. JMHO

Wow, that was a thoughtful post. I appreciate your insights as the same kind of thing happened to me except I was fired. I did go to unemployment and did collect my measly nothing for about 12 weeks. It was better than nothing though, and I did feel it meant my 'wannabe nurse' manager/administrator knew they didn't have a leg to stand on if it actually went to court. I actually had proof there was a witch hunt when a pharmacist at the very large medical center I worked told me that my manager had come to him seeking complaints about me being 'rude and unprofessional'. He refused telling her that he didn't," play those kind of games." Little did she know we had worked together in the hospital area and he knew I was neither of those. If they were ever short staffed in pharmacy as far as having drugs delivered I would voluntarily walk down to pick up my own patient meds when able. He knew I was helpful and not what the bully manager was trying to make me out as. You know she was actually a nurse but her superiors were not and they stood behind her. Talk about a back stabber. I am in a will to work state so when trying to find a lawyer they all said wrongful termination really didn't exist legally unless it was racial, or sexual discrimination, etc. I guess just plain ole workplace bullying is okay in our state of Tennessee.

My last manager used verbal/written warnings as a vendetta. She basically picked and choosed who she would/wouldn't write up. Nurses and techs who would just go with the flow could spend hours on the internet, be late for work, talk rude to patients, be on cell phones. Those of us who tried to make it a better place to work (needle safety, patient privacy, making it so ALL workers pulled their weight) were targeted.

In the 4 years I was there, 9 nurses fled the unit because of how the nurses were treated..and the unit itself only has 6 nurse positions. I stayed, brought unit problems to the attention of my boss' boss as well as human resources. My boss got ticked off, managed to use the write ups as her weapon against me. In the end, she used three different write ups to justify firing me.

Our ancillary staff was the laziest group of workers I have ever worked with. They were thisclose to management so they could get away with murder if they wanted. I was seen as a threat to their laziness so they would go to management to say "she was rude to me". Of course, how convenient for them, they always made sure it was a she-said she said situation. Management would side with them, write me up as if I was the instigator. Another write up: miscounting the number of vials of a non-narcotic drug in the med machine. It was caught right away and fixed. And, gee, then another one of the management pets saying I was "rude" to them.

In the end, she ended up getting the facility to let me go. First time in 25 yrs for that to happen to me. I went and got copies of my employee file. Amazing how the last three employee evals had her praising my nursing skills, saying how much better I was at paying attention to details than my peers, labeled me as "fully successful" in my role as a nurse. All signed by her. I also printed off emails written a month before I was let go congratulating me on my assessment skills on a patient, saying that my immediate intervention got him into the system quickly and had he waited any longer, he would have died.

Sure as heck didn't look like the file of someone who would be let go. I figure if I have to put down "yes" on any future applications about if I have ever been terminated, I will have paperwork to show how despite letting me go, my former boss sure had high praises for me in my last 3 evals. I don't know if it will do any good or not. I have managed to find per diem work for right now. Ideally I want to be contract somewhere so the hours are guaranteed.

I feel for nurses who are targets of retaliation write ups. But in the end, I am a strong believer in karma and know the ones involved in letting me go will have to answer to their hateful ways sooner or later

Ah, yes, workplace bullying. 2 yrs ago I was assaulted by a fellow nurse. We were in a room alone, she had asked me to come in and talk to her. She had tried to divert all the work to me at the end of our shift and I wouldn't fall for it. So while we were in the room, she used her torso to push me up against a wall, raised her fist to me, and when I tried to get out of the room, she blocked my way. I yelled, people came running, she denied everything. She made up a totally different scenario, and nothing happened to her at all. They said I had no proof. Ever since then, she has had her knives out for me. She has had muliple verbal sparring episodes with different nurses in the past but she never has any consequences. It is always the victims of this bully that just finally end up transferring to other units. It is if management is scared of the bully. She even made threatening comments to me in front of management and nothing was done. Imagine being have management witness a co worker say that she gets enraged at your mere presence in a room, not that you are doing anything, just you being in a room, is causing her to feel rageful. And this was said right in front of management. Nothing was done to her about the comments. Nothing. The woman is a pyscho. Which is probably why management lets her get away with stuff. Meanwhile, all the nurses who who could have made that unit a success, have left or been let go. One nurse who was the victim of her verbal bullying even went into managements office and said "this happens again, I go to YOUR boss to get this to stop". But in the end, that victim also transferred out. This was probably bad of me, but when I found out the bully was about to lose her house to foreclosure and was looking into whether she should declare bankruptcy, I kept thinking "karma, karma, karma". She hadn't told me directly about that stuff, I found out elsewhere.

My Goodness!This sounds just like the 'magnet' medical center I worked for for close to 20 years. I should've never transferred to that clinic from the hospital. I should've transferred out, like my manager suggested after multiple uncalled for write ups, or resigned and come back within 90 days elsewhere if possible so as not to lose all my seniority, benefits, etc. Not that it really mattered much to me anymore with the constant write ups for supposed 'rude and unprofessional' behavior.

MomRN123, I am just now seeing your posts. How long has it been since you've worked? Sorry for your suffering because that's what it was. I'm glad we're both free from that hostility. I see the first on this thread is from a few weeks ago. I missed it until now or I would've responded quicker. You explained that whole 'gang up' phenomena so clearly. Thank you. I think it takes a lot of bravery to come on here and expose how you were bullied. It is one of the hardest things for an excellent and conscientious nurse to hear herself being labeled as "rude and unprofessional." These bullies take advantage of using this write-up along with their enabling managers, nurse and non-nurse alike, and in coordination. I just wasn't able to put it all in words as clearly as you did. I get so angry just thinking about it all. I let it affect my whole life by not just leaving the hostile work environment. What's really ridiculous is it's been 5 years since my termination. I don't want to play those games anymore. I haven't gone back to nursing. I wish I could sue the blankety blank out of them for defamation and loss of wages. However, I am in a will to work state which protects the employer more than the employee as far as I can tell. That's why I wonder how a union may have helped and stopped this 'gang up' phenomena from happening in a supposed professional workplace where you really need to concentrate on providing patient care not survival day to day! Why couldn't administration just 'get it'! The patients end up suffering in the long run. Who wants a nurse who hasn't slept all night worrying about being labeled and written up as "rude and unprofessional", or about being cussed out at work that day, or told by their manager in a sarcastic manner to double up on their anti-depressant they only started for the first time ever in their life to deal with the grief given by their manager? :mad: That's what she said,"...maybe you should take two..." Shouldn't that be against the law? That's what I thought. Silly me. She can live with those kinds of morals but that's not how we nurses roll. We have compassion and respect for where we all came from as nurses, and more importantly as human beings.

Sorry, I got going on my own very old mess again. Sorry you went through the same sort of thing it sounds like. You work too hard to earn the privelege to work as a nurse to let someone who doesn't understand that a chance to blow it. It should be illegal. It's not worth your health or your family seeing you hurt. When you hurt, the ones that love you hurt, too. God love my Momma, she listened so much as did my hubby and kids, too. Why did I keep getting written up? Oh yes, I finally went out of the chain because the chain was doing nothing to stop the bullying. My asst. managers were nurses but their mangers were not. I went to all of them.

When the whole situation really worsened was when my new and last asst. manager, new masters trained from a bridge program where you didn't need previous nursing, just a BSN in something, told the ancillary staff in a meeting where we were all in attendance that they didn't need to report to me before leaving the floor when I was in charge. Hmmm...I went above her. I had too. I had no help or knew where anyone was?! It was finally retracted, very nonchalantly, like oh, you do need to tell someone when you leave. It was really a moot point by then. It was like a non-stop smoke break for some after that. I then got written up for saying something to the tech about that, too. The internet was their favorite pastime. When I mentioned it to her, she came over and shopped for online with the other nurse and techs while I worked. I guess maybe I should've just stopped and shopped if I wanted to fit in. What a backstabber she was! I would've loved to help the new asst. manager but she made it very clear she didn't need my help she already had her buds, the same as her predecessors! I thought she was my last hope there.

This board has been very therapeutic. You can vent and vent and vent, and once in a while you actually get a pat on the back and another nurse will say, hey, I can tell, and I'm telling you now, you are not rude and unprofessional, you are a nurse, a nice nurse that was being bullied by a bunch of ole billygoats! Heehee, that sounded like my dear ole Nanny! :redpinkhe She knew way better. It was always her dream to 'make a nurse'. I think she was, really, just before licensing. Maybe I should just go find some volunteer work with no strings to warm back in to it. Then again, maybe, I've had enough. I've had so many rewarding experiences as well. Nursing is an art you keep in your heart. No one can take it from you.

I'm just kind of resting for now. They didn't take it from me. Nursing is hard enough work without bullying abuse! I just have to put a name to it. Thanks for the support in your speaking up, too, MomRN123! Just knowing you're not alone is comforting. You rock!!! :bow::hug::redbeathe

Wow my employer already does the verbal warnings and all of the above. My employer is a bully she has never been fired all though she has had over 50 complaints to the corporate office. Karma