I got fired today... - page 2

I'm officially fired from my first RN job today. My manager suspended me starting from last Thursday due to my medication error, which happened on Sunday, 25th. I made two errors during my... Read More

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    But every management is different I guess
    IowaKaren likes this.

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    I can't imagine what it's like to be let go so on early on in your first RN job. I feel for you. There will be another job and you will improve! I am working in an RN Residency program (unpaid, temp & no potential for a job offer, sigh...) on a telemetry unit. I ask a ton of questions. I sometimes ask the same question of different RNs because I appreciate different nurses judgement and approach. And it helps me develop mine. And I take the time to share that that is why I ask questions. It sounds like what may have been the most concerning aspect of your error is the way in which you communicated. We have to be accountable for our actions, even as new grads, even with preceptors training us. It sounds as though you didn't give your preceptor RN an accurate, full picture of the solumedrol order change. And that wasn't fair. That put your preceptor in an unfair position, especially when you say "but I told my nurse". That's kind of passing the buck to someone else. I have moments (sometimes a lot of them in one shift) where I feel my critical thinking could have been stronger or I missed an opportunity in terms of thinking ahead/anticipating potential complications, none of us are perfect. But if I were a manager, a lack of accountability & poor communication skills would worry me. You're patients were okay. And you will be, too. Keep your head up & communicate clearly!
    bdinga, sandyfeet, joanna73, and 5 others like this.
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    Quote from delawaremalenurse
    Oxygen is considered a medication. In fact, it's the most common medication administered in hospitals.Eventhough you want to blame the school for not teaching you this...I have no doubt you learned the concept of oxygenation throughout your nursing program (medsurg, peds, fundamentals, you name it). What you didn't develop was the ability to critically think and apply your base-line knowledge learned in theory to practical applications such as this one. There's no one to blame in this scenario except yourself.
    You are preaching to the choir. Most of my pts are on and have been on vents. I've been in critical care for over 20 years. It's just that what she describes initially is not referred to as a med error issue.
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    The whole thing sounds screwy. Betcha somehow you weren't liked or they found someone they liked better for some reason, or there is some kind of game going on. Your mistakes were not Fire-worthy in the bigger scheme of things, especially for being a new nurse.There's a game afoot. I've seen this at other places.This sounds like a potentially toxic environment. Seriously. The whole thing is asinine, and I wouldn't want to work there....and I'm a very good nurse. Something is wrong there.Considered yourself blessed. Write a strong letter to admin and appropriate people w/i this place, and then don't look back.I'm not saying you were right, but I have seen much worse mistakes, and nurses and doctors that have made them grew to be great in their roles. This is a bad environment. The way it sounds, they would have just continued to make your life there miserable. You can do much better..seriously...I'm not talking sour grapes, sweet lemons.
    RNFiona, gummi bear, and NyteshiftLVN like this.
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    "I find that incredibly harsh for a new nurse. You made a mistake. Learn from it and move on. I'm sorry you didn't think of bringing the 02 with the patient.. I would've been cautious and asked another nurse but you live and you learn. "

    To Belle1005: that's because you don't understand the reply and choose to project your own interpretation. The OP said ". I made two errors during my orientation period, and those two errors are something that didn't teach in nursing school."

    The OP is not taking responsibility or learning from the mistake and moving on as you put it.

    Please don't reply to my postings unless you grasp the concept of the message
    anotherone likes this.
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    Quote from samadams8
    You are preaching to the choir. Most of my pts are on and have been on vents. I've been in critical care for over 20 years. It's just that what she describes initially is not referred to as a med error issue.
    what are you talking about...you're replying to a message that's not even meant for you!!
    RNFiona likes this.
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    "Delaware is right, it's harsh but true.. I don't blame anyone but myself. Yet.. hm, I don't know what to say seriously. I just want to share this to someone. We all make mistakes; you learn from it and move on. Just don't do it again in the future. I guess this will be the most memorable experience I will ever learn as an RN."

    To OP: Introspection and self-reflection on your practice strengths and challenges is one of the first steps towards becoming a true professional...you've taken that step with your acknowledgment now you just need to keep up the good effort. Good job!
    roughmatch, patrickh_rn, and bbuerke like this.
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    Maybe they are right and that level of care was too difficult for you as a new nurse. Try to find something not as intense where you can build your ability to think critically. Not everyone can handle every type of nursing. It has nothing to do with your worth as a person. Just means you need to learn from it and work on that stuff and find something else that suits you better.
    patrickh_rn, bbuerke, and tewdles like this.
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    OP, both incidents weren't tooo bad but the o2 showed a lack of judgement and the solumedrol one is a dime a dozen on any unit. Didnt you remember giving it just 2 hours before? always look to see last time if ever med was given even if it is a new med. look in one time doses, prn and scheduled. I wouldnt be so quick to blame the preceptor only . I am not suprised you got fired because you are new and because some dont make any errors while on orientation. If you had been there longer , I doubt you would have been fired
    nightnurse28 likes this.
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    I have heard of these unpaid residency jobs, I can't believe hospitals can get away with this....
    flyingchange, gcupid, anotherone, and 4 others like this.

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