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reflections

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Do you think Ron’s behavior counts as bullying? If not, why not? Identifying bullying can sometimes be difficult—and can feel like drawing an arbitrary line in the sand. Where do you draw that line in your unit? What do you do when a behavior might be right on the line, but not clearly over it?

As a nurse manager, what strategies can you use to work with Ron?

3.2 Passing Judgment

scenario

The nurses on the Labor and Delivery floor know that Tessa is openly critical of the ER and calls the nurses who work there “lazy and sloppy.” One day, an emergency admission arrives on L&D just as Tessa is returning from lunch. As everyone hustles around the patient, Tessa grabs the chart and begins flipping through it.

“Just what I expected,” she says to the patient’s husband, who is standing near the room where his wife is being treated. “The ER nurses didn’t get most of the information we need. Now I’ll have to go through it all over again with you.”

Tessa makes sure to tell the nurse manager what happened, along with complaining to the other L&D nurses about the ER’s “crappy” patient care. The next time there is a transfer, the ER nurse makes sure to be as rude as possible to Tessa, and a unit-to-unit “feud” develops between the ER and L&D.

Toxic Nursing, 2nd Ed

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