Healthcare's Code Of Silence and What Happens To Those Who Challenge It
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- เผยแพร่เมื่อ 2 มี.ค. 2023
- Healthcare has long had a code of silence, where employees are expected to fall in line and not discuss what happens within its walls with the general public. But What happens if you do speak out? Recently Katie Duke, a Nurse Practitioner with an impressive social media following wrote an article that highlighted just how difficult it can be to remain employed in healthcare if you dare speak out about the systems currently in place. Today we share our own stories of what happens when you speak out as a healthcare workers, how it can lead to problems with not only your job as a nurse, but with your nursing license as well. We'll also share tips for navigating the system if you DO want to speak up about the ongoing problems that are present in our healthcare system.
Resources:
Katie Duke's Article "Why are nurses quitting? Ask the nurse no hospital will hire" : www.yahoo.com/now/why-nurses-...
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Nurse Scott
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Lorie Brown RN, MN, JD
empowerednurses.org/
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Mr Midwife
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Nurse Adriane
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www.nurseadrianern.com/
pulsecenterforpatientsafety.org/
Brigette NP
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OBNurseChelsey
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I’m in nursing school and I’m so thankful for your platform ! It’s opened my eyes to what the nursing professional truly is
Thanks for stopping by. Please subscribe to the panelists & see you next Friday
The NextGen nclex is coming up soon🥺and I just fail the exam on my second attempt🥺🥺🤦♂️💔,I cannot begin to articulate the level of embarrassment and heartache I'm feeling right now 🤕😣,I'm confident that I will be a good nurse too. I just need to get past this too and move on. 🥺
Just say "I haven't passed yet." Don't
take it as a failure but see it as a learning opportunity. There is a lot of power in "Yet"; you are telling yourself that you will get there and that your eyes and heart are still fixed on your goal.
I failed 3 times, i lost money to reviews that never helped but the major thing is that l've not lost hope.
Nclex test is really frustrating, I can't believe I failed again after studying so much. 🤦♂️💔😭
Nurse for 35 years. Immediately realized that advocating and speaking up for my patients will get you black balled. Colleagues attitudes changed for the worse over the decades, ( accelerated especially since the cell phone) and bringing up concerns for patient centred carewith solutions were completely blanked, blocked, negated and eventually futile. I realized that being a patient advocate is absolutely an unattainable role. Poor managers with " yes people" and favoritism with nurse friendships with absolutely no intention or ability to put into place change and good practice became clear to me from about the mid 90's. Patient centred care absolutely morphed into task orientated efficiency and unsafe nurse/ patient ratio work assignments became the norm. This nurse is close to retirement and I am going out heartbroken. Also scared for maybe my own healthcare needs in the future. I know my needs will not be a primary focus, the nurse being allowed to sit and text on S.M. and not work to help your fellow colleagues who are struggling is most definately the norm now. So much unprofessionalism and lack of vocational nursing attitude is the way now. Heartbreaking.
This is so true, I think it definitely depends on where you are, The cell phone issue is a major problem for patient care and getting people to be on a team, It definitely is related to the management and what they allow.
Breath of fresh air. This needs to keep being discussed and brought up. I also believe that unions are the answer. Men dominated union industries do NOT get taken advantage of in the workplace. There needs to be a unified front against the healthcare industry in order for change to happen. Please keep talking about this. I would love to hear more solutions to these problems.
In my first year of nursing, I learned the hard way. I dealt with nurse bullying, hospital politics, and everything under the sun. I also worked in different maternal/infant areas. I worked in NICU for 6 months and then transitioned to an LDRP unit. I liked doing couplet care but realized quickly that labor and delivery was not for me. I can tell you that all of these areas are nothing like how it was described in nursing school and what I was exposed to during my mom/baby clinical rotation. In my second year of nursing, I did pubic health home visitation where I focus on educating pregnant women and found my passion and love for nursing away from bed-side and the politics and back-stabbing behavior that comes with working as a staff nurse. I am looking to transitioning to an OB/GYN clinic but have decided after my first year of nursing, bed-side is not for me and I am fine with that. This is coming from a fairly new and younger nurse in my second year of nursing moving towards third.
I meant to say public not pubic lol
Lol
Thank you for sharing. We have the same issues in social work. You can’t let others know you are struggling, are on meds or are considering going inpatient because it could affect your license. You also have to be cautious about advocating about the mental health system.
I had a Chinese ICU new nurse and he thanked me for everything and I think it was like thank you for trusting me and thanks for the experience. I will never forget him. All the nurses loved him. I told him my back hurt and he came back in 2.5 second for me. He was littlerally running back and forth doing things and working on me and he was the best and the nurses that have been working for years took forever HOURS...
That was awesome of him !
As a peri-operative RN, I totally agree.Over & over again nurses were assigned too many jobs. We had to clean, empty suction bottles, remind anesthesia to give antibiotics (their job), find equipment, run to the basement for instrument sets because CS did not deliver!
The harsh reality of what Lorie referred to hit me in 2019. I had 42 years seniority, maxed at highest pay level. I was let go because I was over my allotted number of sick days. I live in an At Will State, so no warning or disciplinary action first, no chance to respond or resolve what should have been an easily resolved issue. Just called into HR out of the blue, and was told to turn in my badge. I even called them on the age/seniority/wage thing, but of course they denied it. This was done to at least 4 other coworkers that I knew of, over time. Same deal….some lame, trumped up deal that they could use to justify firing.. and they knew just how to walk the fine line between legal and illegal firings. We had no union either.. Bon Secours Mercy Health of NWOhio is a ruthless, corrupt organization.
Thank you for your service. I hate that this happened to you.
I’m so incredibly sorry
The exact same thing happened to my friend's mom who was loyal to her company and worked the jobs of two people with no extra compensation (she was in the office a lot but also did hospice). They fired her maybe a year before retirement for some bs reason. She ended up getting a diagnosis of cancer a few months later so it really screwed her being uninsured
@@stephaniel.3799 yes, it was a real hardship for me too, because I was only 62, and too young to start taking Social Security or my Pension. I needed to be at least 65 in order to not take a big hit in the amount I would receive monthly. By the grace of God, I was a good saver, and had a couple of modest sized annuities, that with careful budgeting, allowed me to pay my bills, and with the help of Medicaid and SNAP benefits, I made to 65 without incurring any debt. Fortunately, also, I didn’t have debt to speak of, other than a mortgage. I’m so sorry your friend had to deal with cancer on top of everything else. It just wasn’t fair or right.
Centura Health pits too
"Every facility has a duty to safely staff their facility for safe patient care". In reality, we wish they did, but they have zero real world consequences for not doing so.
I am an Rn-BSN. When my son is in the hospital, I have to b an out spoken advocate.
Some people’s hygiene is absolutely disgusting. I call bs if a nurse says they have never been grossed out. A few weeks ago a pt’s bowels let go. It was so much I didn’t realize it was even possible for human bowels to contain that much. As a last resort a nurse starts suctioning it between the smell and the sounds I had to step out. I got super lightheaded and was on the verge of throwing up. Because I understood it’s part of the job and I wasn’t a bad person for being grossed out I had no hesitation to keep going.
Yes it happens - we aren’t immune
I begged them take a shower on Ambien once and the girl said sure girl and didn't even seem bothered me
@@nurseadrianern by me she was thrilled I wanted put my insulin pump back on and sleep all day
omg this was one of the most fun videos yet, it was engaging, informative and hilarious. LOVE the panel discussions, I always look forward to them :)
So happy to here you get value from our ramblings. Please subscribe to all the panelist’s channels ❤❤❤
Tech’s in Florida are allowed too do vitals it is part of the training in school and hospital on boarding. It’s crazy to find out a hospital doesn’t allow it!
Wow it's so unfortunate nurses cannot talk about what they go through. I think if hospitals etc don't want people to talk about or complain about what they go through maybe they should treat their nurses better... I think it's important for nurses etc to talk about what happens and what they go through so people getting into the industry are hopefully prepared so they can last longer in it you know?
We experience a lot
@@nurseadrianern I imagine you do! I can't imagine... Thank you for all you in the healthcare industry do for us!
I think if we witnessed suspicious death or malpractice, we should report it.
No, I had no idea what nursing was really like when I entered. I was 20 at licensure, entered my program at 18, and entered pre-requisites at 17. I was a child!
this is such a good point. So many people go into it so young, and at least for me, I know I didn't have the life skills to cope with what I was seeing or doing
I agree totally.
Supposedly you have legal protections, but every organization will find a way to get back at you eventually. Don't trust whistleblower laws.
thats very much the vibe I got as well.
Where was OSHA during COVID when there's not enough PPE...?
we were told no N95's go out there anyway
I went to a great nsg school. Lots of clinical time. Lots of experience! Awesome teachers. Graduated in 1979. My issue was personalities, abusive and lazy staff and visitors!
Absolutely!
In terms of delegating duties... house keeping etc... its fine, BUT it is important to support those services too. For example having only 1 house keeper assigned to 2 or 3 busy departments is the problem, then by all means complain about the work not getting done, but ALSO compliment the one house keeper working her butt off trying to do the impossible work load... and address the complaint to all of the departments involved...
I'm almost a week late but I really enjoyed this stream. As a nurse who had only 6 months experience when COVID hit, what we saw/ the idea we were SOLD during nursing school was not the reality, even during that 6 months before COVID. But when you vent and talk about these things it comes back on you as a nurse which is frustrating. As a PATIENT, I think there is a fine line between talking about the general situation and how complicated nurses really have it and talking down about your patients. For example, the ICK videos, commenting nasty things on patients complaining about their care, and downplaying the patient experience. I've found that some nurses have really made this Us against EVERYONE narrative that hurts other healthcare professionals, patients, families, and the general public. There's definitely a balancing act to advocacy and bringing about change.
Definitely a fine line. And not one I always get right. Thanks for the perspective from both sides
I'm clinicals right now but I just took 20 minutes with an old lady cleaning her up and I was scolded how slow I was and how there are many things to do.
Lol. As a dad I almost passed out one of my wife's deliveries. Other than the few minutes of the actual birth, it's no fun, but I just have to remind myself the excruciating pain and effort the woman has to go through.
That's great that you realize and remind yourself of what women go through a lot of times to give birth! So many seem to not realize it and think it's a easy thing to do
Yes 💯
1:17:50 yeah Lorie that's what I worry about with some of these doctor and nurses TH-cam channels etc. I hope they don't get into trouble when they did nothing wrong whether it's with what they post or people being crazy and finding out where they work and false reporting them
Same. I know I've probably shared stuff that could have landed me in trouble looking back on it. Will definitely be doing it different if I return to clinical practice thats for sure.
I adore nurse Scott !
I love this channel!
❤❤❤
Thank you!
Once again I am so grateful that I am not in american nursing schoo (Europe says hello). You don't seem to be okay over there and it makes me so sad and angry sometimes. Having a platform like this to share important experiences and information is truly so important and you are a blessing to the nursing profession.
Thanks for stopping by. We are not ok
Hmmm…interesting comment.
I hope you don’t ever approach your patients in this same judgy; scoffing, “I’m better than you” tone like you’ve done here in your comment.
Nurses should be there to uplift & support one another, rather than be judgmental & say things to the effect of
“Oh thank G-d MY nursing school isn’t like that” (which obviously demonstrates your naïveté & lack of real world experience/understanding when it comes to the “business of healthcare”)
The “business of healthcare” is Everywhere (Pls check your own backyard)…I ask you to please answer this:
What experience, innovative insight, positive, forward thinking ideas do you bring to the table?
“Once again I’m so grateful that I am not in American nursing schoo”L”?
Why are you even posting here? Was your comment positive? Creative? Solution driven? The answer is NO; My question is “why this post”?
I feel the issue is not within the “American” nursing schools, but rather, a result of the business of healthcare”
Like so many, I, too, feel the world’s healthcare systems are broken.
Not meant in a negative way, though perhaps your time might be better spent focusing on solutions to your own healthcare systems rather than sharing insight with such a limited scope?
42+ years ago I was told, "You'll grow your nurse skin soon", by the battle-axe nurses. LOL
Sad but true facts
One time, I was working with a toxic boss in the ICU. I don't "toxic" lightly - she was so toxic that eventually she was forced to leave.
She didn't listen to her nurses about severe concerns. After multiple meetings with her (10-15 meets, whether I was on or off duty), I eventually went to HR to speak up about my concerns.
After HR read the text messages and listened to the voicemails that Nurse Director left on my phone - plus looking at my credentials and prior (positive) reviews, I was internally transferred to another unit, as they investigated things. That ICU Nurse Director was put on the radar.
The CNO came to see me and ask me questions a few times as well.
Over time, things got worse in that particular ICU I was transferred out of and with that Nurse Director.
The Nurse Director dismissed any concerns or complaints from her staff, had a tendency to blame others for any "mishaps". It looked like she was just trying to "buddy up" with well known MDs and was focused on "climbing up the nurse latter." A few months after my visit with HR & internal transfer, a patient from the ICU stated that he wanted to die. Again, nurse concerns were ignored from that same ICU Nurse Director. I don't know the whole story but I do know that the patient expressed that he wanted to die, ICU Nurse Director ignored it, and the suicidal patient was transferred out of the ICU. After the transfer out, somehow he got a hold of a gun, shot at a nurse (missed, thankfully...), and then shot himself and died.
That would have been prevented if she had just listened to her nurses.
Thankfully that Nurse Director is not working at the facility anymore.
Same problems here North of the 49th.
Each hospitalist told me and then laughed bc we have a old hospital and I could tell the one who enjoyed taking care of ICU patient and one who take forever and don't love it. I had some great nurses that would remember to not wake me to check my blood sugar bc they said I looked so peaceful and it was the only time I was not upset . ❤ They were the best. I only had one ICU nurse that I hated bc I waited for hours for an insulin shot so I gave my own and told her I didn't want hers
California RN here. The ratios are a joke. Can’t staff a shift? No registry? No travelers? Offered a $1000 bonus? No takers. Then you work short and out of compliance. File a union form. Assignment despite objections.
I could work with all of you!
Got canned for n0t wiping someone's butt as a traveller. Didn't even take her to the bathroom, but name was on the board. Crazy ratios ans Staffing, but I think they were afraid I would tell State.
That’s terrible- I’m so sorry
dang. That really sucks. I'm sorry
35:40 I'm so sorry that is/was happening Liz... People are crazy! And yes Adrianne just cuz you worked at a Catholic hospital shouldn't mean you can have religion forced on you and doesn't mean you have to be that religion/any religion
Yes TY- it was a knee jerk dumb error my Mgr made & she ended up being let go.
Back in early 2000s our OB mgr harassed me and I went to our MNA union.. long story short, I walked out of meeting crying with mgmt and MNA rep. The federal mediator was called in. Interviewed each staff. She was out.
I wish I coulda picked my nurses! I woulda picked a few!
Rub there backs...lol. I remember when they taught that when I was in nursing school in early 2000s. But it's never actually been done since then. Now with nurses on their phones 24/7. I'm not sure how anything is actually being done. I work for the DOD so there's a lot to unpack there. Hard to fire anyone but still issues with speaking up, After covid it's all been downhill as far as nurses being competent and or willing to just do their jobs.
Funny. Carpenter. I like unions.
I mean- it worked
38:59 I think employers might be able to take your phone if you’ve been using their WiFi network…?
I don't typically comment, but I'm sorry, I find that attacking the manager's licensure to be morally abhorrent. Short staffing is obviously terrible, but generally speaking, how is forcing a manager to resign going to help staffing?
A manager chooses to ignore obvious patient safety issues, they are responsible as nurses to protect patients. It's not attacking their license, it's holding them accountable to take action.
I can’t do lice/scabies. Or ill babies, children. Everything else. Ok.
Thx I’m already itching 😂
Even if you speak up with "solutions" you speaking up in the first place is still going to be viewed as a complaint!!!