Your thoughts on being "written up".

Nurses General Nursing

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I'd like others thoughts on being "written-up" at work. Before becoming an RN, I spent 6yrs in the Navy & 10yrs in Business. In all those yrs, not once was I written-up for anything. I've been working on the same floor for quite a few yrs & have never seen anything like the write-ups people get, for the most ridiculous reasons. I only know a few people who rec'd warnings for med-errors or patient care (it's rare). Most of the what you're written up for, are minor clerical errors, things that could & should be handled with a quick discussion with Mgmt, if at all.

These are actual notes: You were observed on the video tape with a drink at the Nurses Station - this is not permitted, please make an appt. to discuss this. (The Mgr. walks around the floor all day guzzling coffee, go figure). You clocked in 1 minute late last week, please see me to be re-educated about the importance of being on time. Really? That was the 1 time I was late in all these yrs & I get drug into the office about it. I was late because a lost old man in the lobby, asked me to show him where the ICU was, so he could see his Wife. They didn't care - I got a write-up, that'll teach me not to be nice again.

We recently had a pt that should have been in the ICU, not on our floor. She needed constant care, left little time for our other patients. I work nights & my co-worker who works days, had this same group of pt's all weekend. It was such a heavy load, she ended up having to stay late each night, to get all her charting done. What does she get for staying late to get it all done? A nasty-gram in her box - See the Mgr. about unapproved overtime. If she hadn't done all her charting, she would have been written up for that - you can't win.

It's just so insulting, to be constantly treated like a bunch of Toddlers who need constant supervision. We're a group of conscientious Professionals, that take patient care seriously. My group on nights, keeps the floor running & handles any problem that comes our way, just fine, without the help of any Manager breathing down our necks - but would they ever say Thanks, you did a great job - NEVER!!! All you hear is negative - you forgot to cross a T or dot an i - from someone who hasn't touched a patient in years, if ever.

Recently had a talk with my Brother, a long-time Trauma Nurse in another State. He said he's never heard of so much ridiculous, nit-picking and there were too many hospitals out there that appreciate and value their Nurses, to keep putting up with this. He works for a Union, so I'm wondering if that's why him & his fellow Nurses are treated decently or is it just my place?

Specializes in ICU.

The things we get written up for are silly, too. I can understand it ~ if it compromises patient care, such as a med error. But we get written up and verbally assaulted for stuff that is ridiculous. I worked for over 20 years without any problem, actually never got "wrote up" for anything, except the occassional commendation for doing an exceptional job. Now I work at a place that writes you up for anything and everything. One problem I have noticed is that they don't bother to investigate first, read your notes, see the doctor's orders, etc. They just immediately write something up, then you have to spend your time trying to prove yourself. It is hard to be a professional when people are bent on bringing you down. A lot of the stuff we get in trouble for has to do with "patient satisfaction." If a patient perceives that you said or did something, you are in trouble, even if you are following the doctor's orders. Like I said, we spend a lot of time investigating write-ups that could have easily been prevented if the managers would simply look at the orders and read the nurse's notes first.

Specializes in MDS/Office.

Personally, I think "write-ups" are childish....just further proof that Nursing needs to be revamped. :twocents:

Specializes in Mixed Level-1 ICU.

Nursing will be "revamped" when nurses regularly, and firmly, learn to say "no."

Specializes in kids.
The food and drink at the nurses station is an OSHA rule.

When I went to look it up to cite it for you, I found this funny article by a doctor who was ticked off by it:

Why Is Food and Drink Prohibited At The Nurse's Station And Other Hospital Work Areas?[/quote

Well I guess I am screwed! I am a school nurse and I am lucky if I get to finish my AM coffee and the only way I get to eat lunch is if I do it at my desk...God forbid someone wait the whole 22 mins we (teaching staff and faculty) are alloted for lunch, for the bandaid they needed two hours ago!!!!! or for the ibuprohon they needed at 8 am.....maybe schools are different but we have OSHA regs as well :(

Specializes in Emergency/Cath Lab.

I guess I was a lucky one. I was only ever verbally reprimanded for bonehead mistakes. I think the write up thing is way over done and a cop out for spineless managers not willing to address situations in a better light. Or maybe I have it wrong and their hands are tied in what they can/cant do.

I know this is definitely not the popular opinion, but coming from an HR background, I think valid write-ups can actually be really valuable. I think the important thing to remember is that any time you get written up, you should have the chance to write a rebuttal to the write up should you not agree with something or have something to add. That way, your rebuttal is included in your file in writing, and should the situation ever come back to haunt you it's not just a "s/he said, s/he said" verbal conversation. It can actually become something that protects you as well.

Additionally, you certainly do come off as professional, but not everyone out there is and sometimes the only way to get someone out cleanly is to have multiple write-ups citing the same issue. Although I think most employees try their best, I'm guessing during the course of your work life, you've come across one or two people who you know aren't doing their job well, make your life a bit harder, whom you'd like to see gone and you know deserve to be gone. Write-ups help get those people out cleanly.

All that said....this train of thought is all based on valid write-ups. Your write-ups seem completely unnecessary and bogus! Next time you get a write up for something as stupid as being 1 minute late, make sure you write down your side of the story and let them know you were simply giving great service to an individual. If your boss doesn't believe you, well, perhaps you can just tell her to check the security cameras since she seems to like to do that. ;) Good luck with your situation, I hope it gets better. :specs:

Specializes in Emergency, ICU.
Hydrating oneself at the nurse's station? That negatively affects patient care 'how', again?

Please.

NOT that I am in any way agreeing with this policy, but I had the exact same question for the Infection Control RN that saw me taking a clean cup, filling it up with water and drinking it. She told me that I cannot do that. I explained that I know I can't bring my own food or cup of coffee on the floor, but that I didn't realize drinking from the water fountain was "against the law". She explained that it is meant to be a protection for the nurses based on OSHA regulations. Basically, the idea is that the floor is filled with patients who have all sorts of bugs and that if we consume anything while on the floor, we are exposing ourselves to all those bugs.

I know, it is not a logical or rational explanation. I don't believe that preventing me from hydrating myself during my 12 hour shift is a sane interpretation of this OSHA recommendation. But, that's the reason for that rule in case anyone was wondering.

Specializes in Emergency, ICU.
Whenever I hear things like this I suggest that the person quietly start looking for a new job because management is probably starting a paper trail. If you're being written up for things like that, it's because they want to escort you to the door. You probably don't want to be on that floor, anyway, it sounds like.

This was exactly my first thought as well. Be careful and find yourself another position.

Specializes in Oncology.

I got written up for doing something incorrectly where I last worked (on an admission that wasn't my responsibility, when I'd asked for more orientation and training to do it properly because I was unsure and they said no) and then for using my cell phone (I brought my phone records in for that day, not a single call was made or received, so whoever said I was using my cell phone was lying) and then for keeping my purse at the nurse's station when they said we had to use lockers, yet, there are no empty lockers to use, so what am I supposed to do? Screw the stupid rules, I just wanna take care of patients. We get written up for unapproved overtime to finish charting. Sorry I took care of patients rather than charting all day with your crappy slow system. We never get overtime approved for that stuff. Sorry there was a fall and 2 admissions. We get written up if it's not done, written up if we stay to do it, you can't win! If we had safe ratios and enough staff for all the needy patients they bring us plus the train wreck ones... wooo.....We're not allowed to have water at the nurse's station to drink, meanwhile we're supposed to get water for patients every 2 hours to prevent dehydration while we're parched. No time for breaks either. What are we, less human?

Specializes in critical care, Med-Surg.

Many years ago, when I was an LPN on med-surg floor, I was written up by the temporary manager while regular manager was out of the country for extended period tending to very ill mother.

I was a very young, very conscientious nurse. She called me into the office and told me "Your patient care has deteriorated, and it needs to improve." That was all she said! I repleid, Can you please tell me HOW? Because I walk my pts., I turn my pts, I bathe my pts., I give all my meds on time." Can you believe she had NOTHING to support her assertion?

She had this sheet she wanted me to sign acknowledging the "conference". I flat out told her I completely disagreed with what she was saying, and unless she count point to something specific I was NOT going to sign anything.

She gave me the paper, I walked out, and later TORE it up and threw it in the garbage. Never heard another word about it!

This was over 20 yrs ago and I am certainly not suggesting anyone do what I did in today's climate; I'm just sharing it b/c it was utterly ridiculous and I considered it harassment.

I agree w the OP; start quietly looking for another position if this is the culture of your unit. I have had some great managers through the years, and they make ALL the difference.

When you have your exit interview, you ever so politely and ever so professionally explain the reasons for your "exit". And based on what you say, you will not be the only one looking for greater professional respect and better management.

Good luck!

Many years ago, when I was an LPN on med-surg floor, I was written up by the temporary manager while regular manager was out of the country for extended period tending to very ill mother.

I was a very young, very conscientious nurse. She called me into the office and told me "Your patient care has deteriorated, and it needs to improve." That was all she said! I repleid, Can you please tell me HOW? Because I walk my pts., I turn my pts, I bathe my pts., I give all my meds on time." Can you believe she had NOTHING to support her assertion?

She had this sheet she wanted me to sign acknowledging the "conference". I flat out told her I completely disagreed with what she was saying, and unless she count point to something specific I was NOT going to sign anything.

She gave me the paper, I walked out, and later TORE it up and threw it in the garbage. Never heard another word about it!

This was over 20 yrs ago and I am certainly not suggesting anyone do what I did in today's climate; I'm just sharing it b/c it was utterly ridiculous and I considered it harassment.

I agree w the OP; start quietly looking for another position if this is the culture of your unit. I have had some great managers through the years, and they make ALL the difference.

When you have your exit interview, you ever so politely and ever so professionally explain the reasons for your "exit". And based on what you say, you will not be the only one looking for greater professional respect and better management.

Good luck!

I agree. Never sign something that you do not agree with. In addition, I would check your facilities P & P or your HR rules and regs on what your signature on a discipline action infers. Do not just relay on what your manger, director, or the HR director says in infers, always check. In reality, they may not know.

If you are being told that you need to improve or if you are being told you committed an error that should be listed out and very clear as to what, when, where, and what the event caused. Red flags should also come up if you are never offered to be re-educate, or if your manager does not want to support you in improving the process change if indeed you did mess up or need to improve. These plans should be very clear with due dates, and who will be responsible for what.

A good manager/director will want to spend time investing in staff to improve outcomes and get to the matters at hand. A good manager/Director will not just look for write up opportunities.

Specializes in Emergency, Haematology/Oncology.

I think I need to give my boss a great big cuddle tomorrow. I am gobsmacked that anybody could work under the kind of conditions described in some of the posts in this thread. Not all workplaces function this way and as suggested by other posters, quietly look for work elsewhere. Few people perform well under constant threat of punitive reporting over pathetic issues and spending 50% of your waking hours under an atmosphere of dread is not good for the soul, or the patients. We have an incident reporting system and there has been a big push to change the language and process of the documentation so that clinicians do not feel like they are being slapped on the wrist. Rarely would someone be "written up" for something that didn't directly affect patient care and the process directly involves the nurse and a senior member of staff to brainstorm ideas to prevent similar incidences occurring again.

The idea is that all the factors contributing to any incident are considered and that policies can be put in place to maximise patient and staff safety. For example, ward nurses were filing numerous incident reports regarding patients that arrived from ED with monitoring / ECG dots still attached. Patients with poor skin integrity were getting pressure spots, some developed wounds. Solution: Less sticky dots were ordered and inservice provided to ED nurses asking that dots be removed as soon as they are no longer necessary. It is also policy that Chemotherapy changes or commencements are not attended on night shift if at all possible, after it was discovered that most chemo errors occurred on night shift, when nurses were generally more fatigued. By taking away the negative style of incident reporting, significant improvements in patient care have been achieved.

I used to do a lot of agency work and picked up shifts all over my city, it was a great way to get to know different hospitals, wards, working environments and the best fit for me. It's how I ended up working where I am now, with a great team with excellent management. I knew from the few shifts I worked that the staff were happy, clinical standards were very high, and the workload / staffing was reasonable. This may be a good way for you to find the right spot. Stay positive and don't let the turkeys get you down.

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