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

It makes me wonder why some people decide to be nurses in the first place when theyhave a cruel streak:mad:

Specializes in nurse consultant; adult/peds medicaid.

I remember the day when we would all walk off the hospital or rehab floor together. We truly worked as a team. We were not done until everyone was done.

Nursing has become hostile and abusive, it seems to be a national trend..

Those of you who chose nursing for the money or the job security and don't like being a nurse. Go Away. You do not belong here.

Is that why nursing had changed so much in the past 5 years? Because of all those people who flooded the market and who are not cut out to be a nurse?

All you new grads... all of you who became a nurse because it is your passion, if you are not given the proper orientation, DEMAND IT..!! It is not your fault when you make a mistake without a good orientation. And find a nurse who will take you under their wing. Find that nurse if you want to survive.

Retention is a thing of the past, now they just fire you when you hit the pay ceiling. Just about everyone I know has been fired in the past 5 years. It is so common that employers expect it these days. At my present job, I told the truth and was hired the next day. I learned my lesson though..

where I live, it has become common practice to hold two jobs now. It is a way to protect oneself from unemployment. One job is your regular job, the other is causal, pool, contingent or whatever your region calls it.

I just finished my BSN, time for me to start looking for that 2nd job now : )

Specializes in Telemetry, Case Management.

"I have a clinical instructor who is trying to get rid of me by saying I do med errors. She succeeded today. Why are clinical instructors allowed to single out one person and ride their backs? "

When I was in nursing school 26 years ago, we had a particular instructor and she said OUT LOUD, in front of the whole class, that one student, one of 3 males in our class, was "going to pass if it killed her because the school had never had a male (of her race) graduate." She also said, OUT LOUD, in front of the whole class, and other instructors, that three of us females (of a different race than her) were NOT going to make it if she could help it."

What happened to her? Not one blessed thing. Although she left to go to another position (more prestigious in her eyes, I'm sure) near the time of our graduation. The class under us gave her a going away party. I did not attend. And sad to say, I was the ONLY of the three girls she 'had it out for' that did graduate. (And that male she wanted to pass so badly, nope, he flunked out.)

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

When people falsify accusations and get away with that, they gain confidence to do it again, and again, and again......

Stop them before the umpteenth time they do it (maybe at their first attempt?), by asking for proof. Then file a report that they falsely accused you, with other signatures verifying that if you can get them.

I just want to thank all the nurses who were brave enough to speak out about being unjustly fired on this thread. It is humiliating and embarassing, period.

When you've provided exemplary care for your patients, even helping save lives, and too numerous orientations of new employees to mention, held new resident MD's by the hand, and supported the system everyway you knew how for 17 years, but were run off by a gang of bullies aftering transferring to the clinic.

Watch out for managers who aren't nurses themselves, folks!!! They can't fully understand what we've been through, the very hard specialized work and testing, to get where we are as nurses therefore they don't all give nurses the respect they deserve in their positions! I think my manager may have been jealous she didn't have a license, or maybe just disrespectful. She allowed techs to call themselves nurses to patients in person and on the phone, wear their badges turned around or not at all. She, and HR, always wondered what was wrong with the nursing morale, at least actedlike they did as the dept. was holding weekly meetings with HR when I arrived re:morale issues. We were asked in a meeting what we felt was wrong with the morale. I replied as nice as I knew how that nurses work so hard for their license and post op info is being given out supposedly by the traned nurse and really should not to be given by unlicensed personnel accountable under our licenses many times. At this meeting I pointed out these facts and she, our manager, spoke up and said, "Well, I'm not a nurse.". My response to myself was,'' And, your point???" They asked. I just pointed out folks need to identify themselves properly to patients, thanks for the support. Shortly thereafter folks were required to wear their badges at all times by law, or be fined by JC. Ha!!!

BTW, it wasn't long and I was bullied right out of that fine teaching medical center I'd devoted a good portion of my life and career to. I would've loved for things to work out. I would've done most anything to 'improve' but one person can only take so much bullying! 17 years at one place! Don't transfer to the clinic if your manager is not a nurse in my case, really. She was a bully enabler! She would probably love to replace us all with minimum wage workers, like actors paid to play nurses. I mean really it's the patients who are hurt in the long run not to mention the real nurses as a whole.

cosmicsun and lamazeteacher, all your advice and support to nurses on this thread is awesome! Thank you from the bottom of my nursey, human heart! It's been 5 years since my termination. It still hurts. Due to both the trauma of all the bullying and also less of a need to work thanks to my husband of 30 years, I have not returned to my beloved profession. At times I tell myself I let it all affect me too much. It does take a certain passion. Maybe if we could bottle all this passion and form a nursing union for our profession to protect us from bullies, including one another.

Maybe I think too much but here goes... I don't think any nurse should be allowed to work who screams at another nurse in front of staff and anxious preop patients waiting for surgery that day, "If you don't like it here then get the **** out!" when simply asked for some support, namely in the form of some staff, which I did not mention but she's enabled to not help anyone but herself in her position for the head surgeon of the dept., even when the other surgeon operates more! I was thinking this was it that day, surely she'll get canned for this bully behavior or at least sent home~ nothing like that. I have always been able to control the F bomb at work. How about you? Well out loud that is, and especially screaming! Isn't that part of being professional? We're all human but have you ever screamed the F bomb at work out loud in the hospital? In front of patients? How about at a coworker? What would happen if you did? Would your manager cheer you on or send you home? Is your manager a nurse? Just curious...is there a trend here??? Non nurse managers and bullies especially nurse bullies...they hold awesome girl click power in a bad way if you know what I'm saying, they can burn your career good if they want just for the joy it brings their wicked minds. It ain't right! Can I get a witness???

The worst experience I ever had with a manager was also a non-nurse manager. Hmmm. There might be something to what you suggest. My heart goes out to you. I hope and pray that one day these people who devastate others by taking away their livelihood, their self-confidence, and their self-respect have to answer for it. It has also been 5 years for me since I was bullied out of a position. I would give anything to go back in time and never have picked up the phone to talk to that headhunter. It completely changed my life taking that job. I cried every day in my car on the way to work. I wished for an accident, anything so I would not have to go. It was unbelieveable. So we learn and move on, but we are always scarred by the experience. I still feel so afraid and limited by what happened. I am glad that you don't have to be in the fray anymore but I am sad to hear that you left nursing because of people like that.

Thanks for your kind reply, cxg174. :redpinkhe

Sorry you experienced the same kind of targeting, bullying trauma as me. It felt like being hunted daily. Somehow, knowing I'm not alone, is sad for the profession, but at the same time helps me feel understood by another nurse in similar shoes. It's embarassing to even admit that they succeeded in running me off. I think of myself as a strong woman, one who spoke upI thought the adminisrtators at this fine teaching trauma center could see through the bully manager and her crew but they couldn't. I fought for my rights and what I thought was right until the end. Thanks for your kind response, support and blessing, my nurse friend. :cool: :nurse::igtsyt: :tku::lttang:

PS-I was listening to Joel Olsteen this morning and he was talking about the power of our words, and how our kind words to others are like blessings to them. You never know how just much you can lift someone with your words.

The normal path of discpline is verbal, written, and the termination but don't be fooled by this becasue companies can do whatever they want to. I was given one verbal warning, sent to Boston for a National conference then fired when I got home. Because I "over communicated with my care center". A DON called stating I was communicating to much with her staff about our patients. This company completely skipped the written warning stage and terminated my position. I have never been late, in trouble or caused any problems for this hospice I simply did my job and cared for the patients I had in my census. Yet the company felt the need to terminate me after one verbal warning. The worst thing was I could not say good bye to my patients and families. Plus the director of this hospice could not even look me in the eye as her supervisor the CFO of the company was doing the termination. I could not believe it after 5 years of working for the company to be treated like a rag doll. Should I contact a lawyer?

Sorry this happened to you.:redpinkhe How does one 'over communicate' anyhow? That just sounds like a bunch of hooey! Was your ultimate manager a non-nurse? I don't know if you can find a lawyer or if it would even be worth the emotional time and energy, esp. in 'will to work' states. I did collect unemployment. I figured I paid in to it for 17 years at this fine institution of medicine, a supposed 'magnet' facilility, huh, why not? It was minimal but deserved. I figured then the burden of proof would be on the manager to prove what I did so wrong after that long! She didn't fight it. Try it. Yes, it's a little humiliating but you've already been humiliated, right? We need a union to protect our profession.

You only have a chance to fight an unjust firing if:

A. You were discriminated against for some reason- age, race, etc.

B. You have a contract or a union agreement that requires the employer to follow the steps of the discipline process.

Otherwise, join the club of disillusioned, hardworking, caring nurses who have lost a job unfairly. No point in getting a lawyer. Maybe someday there will be a law to protect people but at-will employment is the bottom line. I never thought things like that would happen in hospice, but I have seen as it became more of a money-maker that things have changed drastically. It can be dog-eat-dog like anything else now.

Specializes in women/children, pacu, or.

I was just bullied out of my job of 6 years. Shouldn't have stayed two weeks let alone as long as I did. I was down to my last written warning, hypertensive, cardiac dysrrhythmia, watched every minute, accused of lying, leaving work in the middle of the day and then coming back at quitting time, being rude, judgmental, and an all around bad nurse and person. I have never had any problems with previous employment but I had red flags going off within my first two weeks. Now, I am out of a job and can't find one. I was in a very specialized area of practice and now I'm being told that since I have not worked outside my speciality, I'm not considered competent for other areas (even tho I've worked in them in the past).

How can this happen? How can bullies and their troll enablers get away with this? I am so sad and living off my retirement.

I don't know why they get away with it. I guess we keep thinking things will get better, but I think I have learned that if I ever get a written warning for any reason I will leave as soon as possible. I think it must be a sign that you are soon to be fired. In an unhappy situation 6 years is a long time to hang in there. You must have liked the work. Is there a similar job somewhere else?