Fired AGAIN!! HELP!!

  1. 0
    Well, I just got terminated again!! According to the DON, I made too many med errors and charting mistakes. Nothing serious, just putting a pain patch on the wrong day, holding insulin [because another nurse told me she did, on this one pt]Charting midnight and earlier instead of the actual time. Basically, she said I have a good heart for nursing but that she felt I was overwhelmed by having 28 pts.


    My first NM told me to go to a NH, now this one is telling me to go to a hospital or do home health care.

    I need some serious advice here. I'm 44 y/o newly licensed [Oct. 4, 2005] Worked at the NH from the 18th of Oct to today. I don't know how to read the dr's orders and compare them to the MAR. I have problems seeing the actual times on the mAR. I am slow. I liked to talk to my pts instead of just going in and setting their meds down and leaving. I found out today that 2 of my pts were sick. [I did this on my own]. The female sounded like she has asperation pnuenomia and the male had a temp of 100.8.

    In all fairness to the NH, I could have worked until the 16th of this month, but not as a nurse. I had lists of the pt meds. I had accu check lists. I even had my own charting page with the name, reason for the charting, and all vitals.

    I feel like a failure and know that I have let my kids and husband down! I don't know what to do or where to go. How many RN's have been fired TWICE in less than 6 months?

    Please give me some advice on what to do and where to go from here!!

    Thanks!!


    ______________________________

    In His Grace,

    Karen
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  4. 39 Comments so far...

  5. 0
    Good luck. Those "nothing serious" med errors were enough to get you fired and could lead to serious consequences or future errors if not nipped in the bud now.

    Maybe they're right that medicating that many patients is a bit much for you. I can certainly understand how it would be.

    Good luck to you.
  6. 0
    Have you considered working at a clinic such as dialysis or ob office..maybe you need a steady pace with not a whole lot of patients at one time
    don't give up!!
  7. 0
    Quote from kwagner_51
    Well, I just got terminated again!! According to the DON, I made too many med errors and charting mistakes. Nothing serious, just putting a pain patch on the wrong day, holding insulin [because another nurse told me she did, on this one pt]Charting midnight and earlier instead of the actual time. Basically, she said I have a good heart for nursing but that she felt I was overwhelmed by having 28 pts.


    My first NM told me to go to a NH, now this one is telling me to go to a hospital or do home health care.

    I need some serious advice here. I'm 44 y/o newly licensed [Oct. 4, 2005] Worked at the NH from the 18th of Oct to today. I don't know how to read the dr's orders and compare them to the MAR. I have problems seeing the actual times on the mAR. I am slow. I liked to talk to my pts instead of just going in and setting their meds down and leaving. I found out today that 2 of my pts were sick. [I did this on my own]. The female sounded like she has asperation pnuenomia and the male had a temp of 100.8.

    In all fairness to the NH, I could have worked until the 16th of this month, but not as a nurse. I had lists of the pt meds. I had accu check lists. I even had my own charting page with the name, reason for the charting, and all vitals.

    I feel like a failure and know that I have let my kids and husband down! I don't know what to do or where to go. How many RN's have been fired TWICE in less than 6 months?

    Please give me some advice on what to do and where to go from here!!

    Thanks!!


    ______________________________

    In His Grace,

    Karen
    Karen,

    I am sorry to hear about your jobs. I think maybe you should attend a refresher course that will allow you to do some more supervised clinical time. You could address the issues of comparing MARs with orders and documentation. As a rule of thumb, you should chart to time--don't chart a med if it wasn't given at that time. Although these errors seem minor to you, they could blow up into a big mess. Maybe you should consider an environment with fewer patients--like homecare. I did homecare for several years and loved the luxury of caring for 1 patient.
    Good luck!
  8. 0
    Very sorry for you. Sounds to me like your strengths are really in the patient contact arena and spending time. I agree with the other poster that suggested an office nursing position. My GYN has the most amazing office nurse - she's very smart and I love going there for my annual because she spends so much time seeing how I'm doing. Something like that might be ideal for you - and the world is wide open in terms of specialties.
    Good luck,
    Amanda
  9. 0
    What happened with your first job?
  10. 0
    I'm so, so sorry. I know that your confidence has taken a huge blow. Not to mention your self-esteem.

    Remember that song "My Place in this World"? It sometimes takes time to find your "niche." Where were you most comfortable in school? What was your favorite clinical? Your favorite subject?

    Have you considered psych nursing? School nurse? Doctor's office?

    The wonderful thing about being a nurse is the diversity of the positions you can choose from. You are not the first to go through this pain. You won't be the last. Try to relax for the next couple of days. Eat ice cream, watch chick flicks. Let yourself have a pity party if that is what you need to feel better (works for me). Sunday, buy a paper and go through it. See what types of nurse positions are available. Be honest in interviews. Let them know that you are looking for something slower paced than 40+ patients. That you are very thorough and because of that your last jobs were poor fits. As a new nurse, that is perfectly acceptable.

    Don't beat yourself up and don't give up on your dream. You are going to find your place in this world, and when you do, you are going to be fantastic.
  11. 0
    You already know one of your good points. . .which is talking with patients, so something where you are either teaching or advising would probably be a good fit for you. I think an eye exam and getting glasses, or a change in the prescription for your glasses if you already have them, should be something for you to consider as well. You didn't mention anything more specific about why you couldn't read the times on the MARs, but I would be very worried if I was consistently having trouble seeing what is written on MARs.

    But, honestly, I think you've made some real serious errors of judgment even though you don't think they are serious. I am saying that they were serious. Think about their affect on the patients. I think an important concern to cogitate on is how do I correct myself from making these errors again. This self-analysis is how a nurse improves her practice. In changing jobs, especially if going to another clinical area, these same issues are most likely going to come up again because they are very basic nursing tasks. Something that hit me right away when reading this post is that in a couple of cases you followed what others did rather than check doctor's orders and rationalize out for yourself what to do. Do you now know how you should have handled those two situations?
  12. 0
    Quote from kwagner_51
    Well, I just got terminated again!! According to the DON, I made too many med errors and charting mistakes. Nothing serious, just putting a pain patch on the wrong day, holding insulin [because another nurse told me she did, on this one pt]Charting midnight and earlier instead of the actual time. Basically, she said I have a good heart for nursing but that she felt I was overwhelmed by having 28 pts.


    My first NM told me to go to a NH, now this one is telling me to go to a hospital or do home health care.

    I need some serious advice here. I'm 44 y/o newly licensed [Oct. 4, 2005] Worked at the NH from the 18th of Oct to today. I don't know how to read the dr's orders and compare them to the MAR. I have problems seeing the actual times on the mAR. I am slow. I liked to talk to my pts instead of just going in and setting their meds down and leaving. I found out today that 2 of my pts were sick. [I did this on my own]. The female sounded like she has asperation pnuenomia and the male had a temp of 100.8.

    In all fairness to the NH, I could have worked until the 16th of this month, but not as a nurse. I had lists of the pt meds. I had accu check lists. I even had my own charting page with the name, reason for the charting, and all vitals.

    I feel like a failure and know that I have let my kids and husband down! I don't know what to do or where to go. How many RN's have been fired TWICE in less than 6 months?

    Please give me some advice on what to do and where to go from here!!

    Thanks!!


    ______________________________

    In His Grace,

    Karen

    Hello, Karen
    I know been fired is a horrible thing for anyone, specially when you feel you have let others down. In order to prevent future failures, one has to look at their mistakes and make corrections. We all make mistakes, no one is perfect, but when we make them over and over we must acknowledge the errors, so we wont make the same mistakes in the future. You should thank God, that no one died has a result of your mistakes. The supervisor had a right to fire you because of liability. It was easier to let you go, than to face a lawsuit of million of dollars. Rightnow, you have to think about the future. If I were you, I would consider other areas of nursing or take a refreshment course asking your previous instructor to help you. Also, maybe that particular floor in the hospital was too much for you. You are not a failure, you just need more training in the area you are weak. We all have weaknesses. Just try to improve yourself, for the sake of the patients. Put yourself in the patients shoes, would you want a nurse who is constantly making mistakes, taking care of you?
    Once you can do that, you are on your way of improving.
    Also, next job, pray before you start working, so God can guide you throughout your shift.
    Last edit by NaomieRN on Dec 7, '05
  13. 0
    .
    Last edit by Marie_LPN, RN on Dec 7, '05


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