written up

[Ms.RN]

I've worked in the hospital a little over 3 month now. Previously my nurse manager told me that nurses are complaining that I am not giving a good report. Then yesterday she wrote me up for not giving a detailed and accurate report. She said I am suppose to be giving a head to toe report to the next shift. I told her that when I was orientating with preceptor she didnt show me to give head to toe report but only pertinent informaiton and that's how other nurses are giving reports. Now i'm fearing that i'm about to be terminated from my job. I feel like my nurse manager have made a decision and its going to be only a matter of time before she terminate me. If she write me up one more time then I'm out right? with only 3 month of working I am not going to be able to find another job. Should I start looking for other job?

[pilotnurse]

not a lot of advice for you, except don't let them make you doubt that you a good person with a purpose and that you will find that. I don't know why nurses do this kind of crap to each other. We're supposed to be healers and supposed to be better than that. Makes me sad. This kind of crap has been going on a lot where I work and I've made it my mission to be kind to everyone and to write as many kudos and compliments as I can, trying to balance out the ugly with good. Try to be an agent for good, even as people target you. It will all be ok. :hug:

[MsBlissful]

Thank you everybody. I have this gut feeling that she wants to get rid of me. I cant find other job at this point becuase i've worked only 3 month at the hospital and I dont think i can transfer because of my wirte up. I dont really have anybody at work who i can talk to and thats probably why i cant sleep at night

I was in your shoes once. Please know, that no matter what, sometimes your superior justs wants rid of certain people. I had a Charge RN who wrote me up for everything under the great sky. For gods sake, I was a new transfer to the unit, had no GYN ONC experience and was being "picked" on while my old lady cougar Charge RN was too busy making as orifice out of herself in front of the younger MD"s.. flirting ect. NOT Kidding.

I took to her superior and asked what can I do about her embarrassing behavior vs. her acting and supporting the new staff? I didn't get much support there. But, I did leave and move to something else.

Look for a different job. YOu can tell them that the distance is too far, or that you are being asked to go on night, or days or whatever. You don't need to disclose you were written up.. Pick up and move on. You are being focused on at this point.

[Ms.RN]

My problem is that this is my first job at the hospital and I"ve worked here about over 3 monthes and I know most of the hospitals require at least a year of experience. Its going to be difficult to find another job. I doubt that I'm going to last a year long at this job either.. I'm feeling so helpless right now.

[hope3456, ASN, RN]

So on your 'write up' were you given a chance to present your side of the issue - or write a statement? Have you checked your facility policy on disciplinary action? Maybe you could ask HR about it and where you stand with your employment?

it sounds nitpicky to me - unit managers are not always in the right. I've seen them get fired before too.

Check into clinics, homehealth ect. I know hospital is ideal but it sounds like you need a plan B. since you have only been employed such a short time you are probably still on probation and don't have much recourse.

[turnforthenurse, MSN, NP]

head-to-toe my butt! We only report off the most pertinent information.

* patient's name

* age

* diagnosis

* physician (and consulting physicians...if so-and-so saw them yesterday, I tell the on-coming nurse that)

* code status

* histories (mainly the pertinent ones, like HTN, CAD, high cholesterol, DM (and include their last blood sugar), MI, CABG, heart cath, if the patient has a pacemaker or any metal rods/screws or anything in them, etc)

* activity level - walkie talkie, BRP, up with assist to the BSC, BR, if they have a foley or if they are incontinent (and please, do a courtesy check BEFORE your shift is over!)

* IV site (gauge, # of days it has been in, and if there are any IVF's running)

* heart rhythm during the shift

* O2 if they are on any

* lab values

* any tests/procedures that the patient may be going for that day

* any pertinent assessment information

* what happened during the past 12 hours

* I always ask the on-coming nurse if they have any questions for me. That helps in case I accidentally miss something.

I was TERRIBLE at report when I first started. It gets better, I promise!

[Meliss214]

I just resigned as a psych nurse after 4 mons because the NM suspended me for failing to call the attending regarding a patient's bp that was not responding to the meds that the medical dr was ordering. I had mentioned the pt's bp problem to the attending the week before and she she quickly retorted, "Tell the medical doctor. I don't deal with blood pressure." So I know the NM was not getting any heat from the attending. Also my charge nurse was fully aware of this situation since he was sitting next to me in the nursing station each time I called the medical dr for new orders and the charge nurse in the psych hospital is responsible for giving report to the next shift. So I now the NM was targeting me. I had to resign because my license was at stake. I had an interview yesterday for a LTC position, so I'm hoping I hear something by tomorrow. Btw, I was never written up prior to my suspension.

[That Guy, BSN, RN, EMT-B]

Bite me if you please but if I was the NM I wouldn't have written you up for that. I mean if she told you once, "Hey you know I'm hearing from other nurses that your report could use some improvement. Why don't you try organizing your information this way.... "

That is assuming the NM is worth anything. They are so quick to write people up and reprimand people that they dont sit back and offer help in situations anymore. It is rather discouraging to know that instead of helping to fix issues, it is, here is your write up.

[carolmaccas66, BSN, RN]

Schedule a meeting with her. Ask her EXACTLY what she wants you to report. Giving head to toe reports takes too long. Usually the oncoming staff know the patients & you just skip over the info already printed & expand on it.

But I'd crawl 2 her a bit myself - ask her to write down exactly what she wants u to report.

You would be there all day listening to a head - toe report & you'd never get ur work done. Why don't u tell her that? (subtly though)

[pockunit, ADN, RN]

I went back there about a year later to do some PRN work for them and was pleased to find out that they had implemented the use of my report sheet hospital wide!!!

You still haz? Please to be sharing! I love seeing what other people put on their brains, report sheets, etc.

[That Guy, BSN, RN, EMT-B]

You still haz? Please to be sharing! I love seeing what other people put on their brains, report sheets, etc.

Ill get a scan of mine. Its two sided and works really really well for me. I "borrowed" it from one of the other nurses on our floor.