27/11/2024
👉 Why I Detest Unions in Healthcare 👈
This might ruffle some feathers, but hear me out 👇
💡 Picture this:
I was admitting a term patient at a Level 2 hospital.
Meconium-stained fluid? ✅
External fetal monitoring? ✅
A 2-3 minute prolonged late deceleration? ✅
🩺 I acted quickly, performed intrauterine resuscitation (IUR), and stabilized the fetal heart rate (FHR).
From there, I:
✔️ Consulted with on call MD at the nurses station & transferred care to RN staff & MD
✔️ Delegated tasks to the RNs assisting me, who responded to my call bell
✔️ Began documenting to ensure nothing was forgotten.
🤝 Here’s the thing about this hospital (and many others like it):
Registered Midwives (RMs) and Registered Nurses (RNs) are siloed.
There was no collaboration, no teamwork, no integration.
RNs are responsible/assigned to GP and OB patients, not RMs. “Midwife patients are DIFFERENT.”
🛑 Then IT happened.
A senior RN, who did not respond to the situation, walked down the hall, stopped at the door way, yelling at me for momentarily having my back to the patient. This happened in front of the patient, their partner, and two RNs. Get this, she was charge that night.
I didn’t let it slide.
I calmly pulled her aside to address her reaction—not once, but twice.
I asked to speak with her privately to address the outburst. She seemed shocked by my ability to confront her directly and attempt to have an honest conversation.
Her response?
🗣️ "I’ve been a nurse for 25 years, and I DO NOT plan to change NOW!"
🤯 WOW. Just WOW.
💬 Keep in mind:
I was in my thirties, 3-4 years in my career, while she was likely twice my age.
She didn’t ask about the situation, didn’t seek context, didn’t help—just judged and acted. She was also the charge nurse that day.
🔥 This is why I dislike unions.
They often shield people resistant to change—those who are comfortable in their status quo—at the expense of teamwork, progress, and patient safety.
Can you relate? Have you experienced something similar? A teacher or boss?
💡 Looking back:
Here’s the twist. The colleague who eventually ended my contract praised me at the time for my courage in confronting this RN. She acknowledged that this woman was a well-known, “old-school” bully, and others had been intimidated by her behaviour for YEARS.
It’s bittersweet. On one hand, it felt validating to hear that even my critics recognized my strength. On the other, it’s a harsh reminder of how systemic issues like silos and protection through unions enable these patterns to persist.
🏢 Accountability? She kept her position employed at this hospital and continues to earning a livelihood until her desired retirement date.
But I’ll admit, unions also show us polarity:
🌗 Yin and yang.
👩⚕️ They protect, but they also perpetuate harm.
Without that contrast, I wouldn’t have this story.
🤔 Now, I want to hear from you:
Have you experienced situations like this in healthcare or toxic workplaces?
How did they shape your perspective? 👇