How do I deal with a co-worker who made a defamatory comment about me in front of a patient and another nurse?

a co-worker and I had a verbal disagreement over her behavior, in my office. As we entered the treatment room, this worker complained (untruthfully) that she will not tolerate my bullying ways. I replied that I was not the bully, she was. Out of the blue, but in front of 2 other people, she said 'don't hit me". My comeback was, don't lie. I am trying not to be paranoid, but I feel like I am being set up. This woman has the reputation of carrying a chip on her shoulder, everyone walks around her on tiptoes. She loves to gossip. I try to make the least possible interference in her job. But sometimes I must discuss situations where her behavior is not appropriate. She plays the victim. How can I protect myself?

Answer:
Document all instances of behaviour such as this. Write it down as soon as it happens. What was said, by who. Who was there to witness the confrontation. Time and date it. Better if you can produce these incident reports with a date and time stamp on it, like the office on your ward should have anyway.

If it comes before your bosses, then you have full documentation of all incidents, and if she doesn't have corroborative evidence such as yours, she's screwed.

You can also get statements in writing from the other people that witness the behaviour and time stamp those as well. The more evidence you have, the more your bosses will be able to stand behind you.

Of course, you must keep all of this evidence locked away from prying eyes as well, in a place where she would not be able to gain access. Even going so far as to take everything home every night, and add it to a folder there (that is also kept under lock and key).
Stay calm and be the bigger person.

Since she already has a reputation, you apparently don't have to say anything. I would keep a physical distance though so it is completely clear to evrybody that you aren't trying to hit her.

Talk to the manager, and make sure s/he knows your side of the story.
Easy. Never talk to her alone.

She will try to get you alone and get people to SEE you talking to her, do not let her, turn and walk fast away. Then, call someone to witness it, ask them to bring her to your off (see, your never alone with her) and this way, your always covered. This will make her crazy and will possibly make her even more angry, but its her problem, NOT YOURS.

Just document all instances of perceived approaches and who was "around and aware of it when it happened and the date and time." THIS WILL BE YOUR ONLY PROTECTION when you go to say you never spoke to her alone, and you can then remember not only EXACTLY WHO WAS THERE, BUT EXACTLY WHEN IT WAS and this will match up to her time cards.
I say just walk away from her she is a gloppier a trouble maker if i was you I put into writing and go an see the DON tell them what is going on and give them a copy of the letter and keep a copy for yourself and if she is still making unacceptable comments then take it to the Nurse union and let them deal with it take care and all the best

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