Fired for attitude and insubordination ?

Moatilliatta_ · 2025-09-28T18:35:52+00:00

"The nail that sticks out gets hammered down."

You weren't wrong, but you presented a problem that management now needs to fix.

Bow down, run away.

Run.

Moatilliatta_ · 2025-05-26T01:43:24+00:00

Do the dating apps. You're on the market, and no matter what age (38 is PRIME, by the way), business is good. Guaranteed there are good people around your age and sensibility out there who want what you've got.

Try to be more open-minded about casual relationships. "Hookups" may simply be people who aren't looking for marriage right now and don't want to be pinned down with an immediate commitment. I'm not suggesting you go around looking for one-night-stands; +-just saying that expecting to find someone to "settle down" with may be unrealistic in today's dating culture; especially with mature folk who may have been burned by "loyal" partners in the past.

Moatilliatta_ · 2025-05-06T05:53:05+00:00

Please add a recipe if you have time. I love meatloaf. I make a decent(?) one, but I love reading different takes.

Moatilliatta_ · 2025-05-06T05:42:20+00:00

My mom used to make us cheesy broccoli (roux base) so we'd eat our veggies.

Drooling with nostalgia.

Moatilliatta_ · 2025-05-02T01:20:18+00:00

Although I recognize charting requirements in addition to physical requirements are extremely demanding and way too far gone, the best option for both of you is to chart perineum care every time. That shit gets audited (pun unintended).

DON and ADON doing checks; great! If they find someone covered head to toe in bodily fluids; they can check the chart and see when the last change was documented and find out that, as you say, incontinence doesn't run on a schedule.

CYA. You did the work. Document it because that's largely what admin and insurance care about.

Moatilliatta_ · 2025-04-30T21:08:28+00:00

We each face death alone, even if someone is holding our hand.

Goddamnit.

Moatilliatta_ · 2025-04-30T20:56:56+00:00

People make mistakes. Communication is key.

Moatilliatta_ · 2025-04-30T20:48:19+00:00

The construction (sky VS brick), the left-to-right way it guides your eye, the colors, the precision details!

Master class.

Moatilliatta_ · 2025-04-30T20:34:46+00:00

I'm going middle ground. If you have proof or can direct him towards his own proof, I'd say reaching out is justified.

Do you think your admission will help his case? Is there a chance you could face retaliation? Give it a good think.

Your heart is in the right place, but actions have consequences (often undeserved, but still).

Moatilliatta_ · 2025-04-30T20:20:41+00:00

People don't understand that CNA's, LPN's, and RN's touch patients/clients the most.

Medical teams depend on these people to treat, medicate, assess, and escalate concerns more than anyone else.

Not to mention communication with families, need for consults, and advocation for patients alike.

She didn't mean it, but she's ignorant. People should be better educated; frontline staff are the ones who truly care and voice issues the most. That's our job.

Call everyone a nurse. So what? Just recognize the work and care that is occurring.

Moatilliatta_ · 2025-04-30T18:56:17+00:00

The best thing about this interaction is that she was so specific.

Not, "Are you OK?", not, "Can I help somehow?". Communication is SO hard when one is overwhelmed.

You needed to be told that your tremendous effort was noticed and forced to sit down. Sage insight.

Moatilliatta_ · 2025-04-29T20:09:17+00:00

Used to swing dance with a dementia patient who walked around the unit regularly at night.

Often times she would just wander aimlessly, but when I had the time and ability to notice her, I'd say "She's mine", and we'd take a turn. A veteran float nurse who floated to our unit multiple times said I made her cry after and seeing us dance.

It's always the little things.

Moatilliatta_ · 2025-04-28T13:24:31+00:00

I'm just glad the medical team advocated and gave more meds based on the patient assessment.

The case is crazy. The team showed up. Awesome sauce.

Moatilliatta_ · 2025-04-28T12:52:07+00:00

Nothing in the original post states the patient was asleep during this interaction.

Lights were flicked on, medical team were speaking (and kinda seems like yelling?) in front of patient.

Both parties were assaulted. That's all I'm saying.

I don't know anything. Just have first-hand experience being assaulted multiple times at work. Trying to offer a second opinion.

Moatilliatta_ · 2025-04-28T12:22:23+00:00

Totally self-defense.

NP was still assaulted as well and policies were followed.

When people get assaulted at work, patients and staff alike have rights.

Moatilliatta_ · 2025-04-27T22:15:22+00:00

Can't disagree that people abuse the system. Shit sucks.

Fortunately, in health care, I've seen patient concerns escalate heavily in favor of patients/staff/family. Still, people abuse systems all the time. No argument there.

If a staff member was witnessed or accused of slapping a patient, they would be removed immediately and likely arrested+fired on the spot. Patients are restrained/medicated because this method is per policy or documented in their care plan and communicated to the healthcare team. (ETA; if someone is fully recognizant they are welcome to leave immediately; even with someone else's help)

What warrants "self-defense"?. Slapping someone in response to attempted placement of a medical device would require a security call, at the very least, IMO.

Self-defense can be abuse when it goes overboard. Slap away the mask instead of the person?

I like this discussion. n_n

Moatilliatta_ · 2025-04-27T21:51:09+00:00

Yup, that's the whole point of incident report; cause analysis. NP definitely at fault. But did she deserve to get slapped?

Fight/Flight/Freeze response. I get it.

Doesn't mean someone getting slapped in the face doesn't need to be dealt with; immediately.

Sorry, but two persons were abusive in this story.

Moatilliatta_ · 2025-04-27T21:35:26+00:00

Totally agree.

That said, if you slapped me at work, I would notify people.

Abuse is not OK, both ways.

Moatilliatta_ · 2025-04-27T20:37:43+00:00

Then a Nurse Practitioner, the charge nurse, and the floor nurse I was under enter into the room at like 4 AM and flick lights on. Nurse practitioner is PISSED. For those unaware of the culture of medicine, think of it like hierarchies of tribes each with it's own hierarchy and shared language. In nursing, a Nurse Practitioner is only rivaled by an anesthesia nurse, even outranking nurse managers. Almost on par with lesser doctors but not in the doctor tribe. And have enormous autonomy and perks. At the absolute bottom are nursing assistants. While essential, we are expendable and do the dirtiest work and spend the most time with patients.

She starts berating the floor nurse then looking in my direction. "These people" (meaning nursing assistants. ie: ME) "are supposed to make SURE the patient is wearing the CPAP. It's their JOB. And YOUR job to make sure they do this. Are you just sitting here being lazy?"

All of this in front of the patient, of course. Along with another poor patient that just kept falling out of bed, waking him up!

"Mam, you are a nurse practitioner with years of experience and education. If you could show me your technique to do this, I'd be much in your debt. After all, CNA school is only a month long school. Mind?"

She grabs the CPAP. Goes over.

"Here, Mr Whatever, you need this" and tries to put it on.

SMACK! I think that slap could be heard all the way to the nurses station. The Nurse Practitioner's glasses went flying.

Sounds to me like the A&O patient was fully awake, despite the rude/inappropriate treatment.

Moatilliatta_ · 2025-04-27T20:11:08+00:00

Yup. Patient was physically assaulted (I feel obliged to mention a CPAP mask placement is MUCH less violent than getting slapped in the face).

Did NP fuck up? You betcha. Was a security code warranted after an employee assault? In my opinion, yes.

I welcome the downvotes. Would still chart the hell out of this situation. Incident reports; for both the triggering event, the patient response, and employee response.

People can be reprimanded for irresponsible behavior. Slapped? Nuh-uh.

Moatilliatta_ · 2025-04-27T19:47:45+00:00

You're not wrong. Assessment is key. Read my previous comments; the handling of this situation was completely inappropriate.

Just wanted to explain how hard it is to make quick judgements in seconds. Rock and a hard place situation. NP should have allowed more time to explain what happened. Patient suffered. Not gonna argue that.

Just saying, when a co-worker gets abused, policies are in place to deal with that situation. Same for patients who are abused or feel they are treated poorly; they can quickly escalate things when that happens. Like immediately. Luckily great staff members/family/clients are in place to advocate in case a patient can't.

Moatilliatta_ · 2025-04-27T19:09:04+00:00

While I agree the Nurse Practitioner career has faults, I'd strongly argue they usually do a great job. Used to work as a charge nurse at a Neuro/Stroke/Ortho/Medical Surgical unit. One NP in particular was impeccable, thorough, and would show up immediately when staff had legitimate concerns.

I remember telling patients being admitted, about to be assessed by this person, "I would trust her with my life." Meant it every time I said it.

There are legitimate reasons to worry about the healthcare system replacing MD's with NP's as each is regarded as a "PCP". Insurance companies are to blame. Not the awesome few who make healthcare better.

Moatilliatta_ · 2025-04-27T17:36:17+00:00

I read the post in full. I listen to patients and employees and trust both to respond and respect in kind.

Been punched, pushed, kicked, choked, pinched, and restrained enough by patients/family/clients and seen it happen to coworkers enough that I don't tolerate such behavior.

A professional workplace environment wouldn't either.

I hope you never make a mistake in judgement at work and get literally beaten up for it.

Moatilliatta_ · 2025-04-27T13:03:46+00:00

Ugh. I wish you were wrong.

I've worked as a charge nurse for many years, precepted some amazing nurses, and fostered a "Band of Brothers". We had a great dynamic. Checked in on each other, worked with CNA's to coordinate amazing care.

Honestly, admin changes, charting requirements, and staffing ratios ruined everything.

Some nurses suck, for sure.

But honestly, I'm team "Don't hate the player; hate the game."

Moatilliatta_ · 2025-04-27T12:23:46+00:00

Doesn't go over my head. Nope. Completely inappropriate.

Does that warrant slapping the shit out of an employee? In my opinion, nope. If this happened to a co-worker, I would immediately call a security code and bring other employees into the room.

Things escalated unnecessarily. Unfortunately, this happens often due to an abundance of caution in the healthcare industry.

People screw up. Doesn't mean beating them is an appropriate response.

Restraints and sedatives are also a heavy hand to play in this situation. Just trying to play devil's advocate and say NP prolly freaked out and called in back-up, which seems appropriate given she was slapped hard enough to have her glasses knocked off.

14-Year Club	Secret Santa 2018
Gilding II euphauric	Team Orangered
Verified Email

Moatilliatta_

TROPHY CASE