for a few days, trying to decide what to do or not do.
The work that we do at the Center that I manage is important work. We are taking on Alzheimer’s disease and the havoc it wreaks in patients and their families. I try very hard to instill in each person who works at the Center that every action we take contributes to this cause. I try to do this while also creating a loving and supportive environment for all the faculty and staff.
Now I’ve reached the conclusion that I need to discipline one of the employees. Some time ago, I asked her to prepare a report letting the medical director & I know when health care providers were behind on the patient chart dictations. This is a very important thing that we need to know about.
After a time, I learned that she was deciding not to send the reports because she “didn’t want to get people in trouble.” So, instead of giving us the information, she would give a faculty member time to get caught up, that sort of thing. I talked to her and explained to her the reasons why it is so important for the medical director and I to know at all times when the providers are behind on their patient dictations. Then I told her that, rather than her alerting us when someone was behind, she was to simply provide a report each and every Friday. I made it clear to her that I’d decided on this time schedule so she didn’t have to feel guilt about making the decision to “turn someone in.”
I realized last week that she has not provided the report in a few weeks, so I asked her about it. She told me she was waiting because one of the providers had been out of town, and it wasn’t fair to him to send out the report until he had a chance to catch up.
So, there it is. She didn’t forget or get too busy. She deliberately chose to disregard what she had been directed to do. The information I requested is very important. Now I don’t trust her to provide it, and I worry that, even if I can get her to send weekly reports, perhaps she will take it on herself to falsify the information.
This is a 56 year old woman who is very insecure. She is always asking, “Am I in trouble?” “What did I do wrong?” I know that she was raised by an abusive, alcoholic mother. My strategy for the past two years with her has been to very patiently work to build her confidence. Now I question that whole approach.
For the good of our program, I will be remiss if I do not take the next step, which is to give her a formal warning. It is hard for me to do this type of thing without first hardening my heart. Especially in situations such as this woman, as I feel she has taken advantage of my good nature, and I feel that her lack of respect for me is my own doing, because I was too nice to her in the first place.
It doesn’t feel as if this is a peaceful action. It’s clearly confrontational. But in the long wrong it is peaceful, because, while it may upset this one person, the mission of our Center is much bigger than any one person. I need to keep reminding myself of that.