Nursing Admission Essay

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Nursing Admission Essay Sample

It is hard, even for a boss in an office, to fire someone, and even harder for the caregiver, who may well be a woman who has never fired anyone. Still, there will be times when, for your patient's and your own welfare, you have to. Since nurses from an agency are generally employed on a day-to-day basis, there is no problem of giving two weeks' notice with termination pay, as may be customary with other employees.

My most difficult experience with discharging a nurse involved a critical, antagonistic R.N. who felt very superior to our family. The technical aspects of her care were excellent, but we were rapidly getting demoralized. Our doctor, seeing my weariness and the damage to the atmosphere of our home hospital, persuaded a cheerful, creative, warm R.N. to come. I said to the troublesome nurse, "Our doctor has arranged for one of his nurses to take over, so we won't need you any more."

With a very young R.N. who made a succession of serious errors, I felt that it was important for her growth for me to be direct: "There have been too many mistakes. This isn't fair to the patient. We have to make a change at the end of the week." When the substitute nurse sent by a nurses' registry turned out to be inadequate, I thanked her "for helping out in this emergency," and did not say that I would call her again. I reported to the secretary at the registry and explained why we could not keep her. Another time I commented to a nurse, who had been precipitate in handling Gardner and seemed temperamentally hasty and even aggressive, that he felt insecure with her. She accepted this excuse, and left.

The degree of tact, frankness, explanation, or criticism used in discharging a nurse will depend on many factors: her personality and experience; the particular failures in caring for the patient; and your mutual relationship. A couple of our nurses discharged themselves. One skillful but tiny nurse said truthfully that she was not physically strong enough to give adequate care to Gardner. Another nurse felt too inexperienced to "handle such a complicated case." In such instances, termination of the nurse's relationship with the family can be agreed upon in a friendly way. These are a few examples of how to approach the problem of letting a nurse go. If you are timid, remember that your patient's welfare, and your own feelings, are paramount. Be firm but pleasant.