I got fired today... - page 3

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 orientation period, and those two errors... Read More

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    Clinical and nursing unit managers are charged with hiring and maintaining professional staff that are competent in provision of that care. We do try to nurture our new staff into success, however, it sometimes becomes apparent that a particular person is not a good fit in a role. Fortunately, decisions to move staff out of positions are rarely made because someone has made a terrible or life threatening mistake. More commonly, it has become evident to the manager, over time, that a change would be best for everyone and the process for termination is begun.

    Many of us are terminated from positions over the course of our careers. Please do not let it dampen your enthusiasm for your new profession. Keep your chin up and continue with the positive self reflection and personal/professional growth.

    I suspect you will be fine.
    NRSKarenRN, anotherone, patrickh_rn, and 2 others like this.

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    It sounds like your preceptor wasn't around much or in retrospect were you a bit of a bronco bill charging ahead without knowing what you were doing?

    Either way,learn from it. You may have been trying to hard to "show " you are a good nurse but the truth is perhaps you didn't know and were winging it? You are on orientation you are not meant to know everything. New nurses frequently lack judgement because experience is our greatest teacher.

    I feel very badly for new nurses. In the yrs of nursing shortage we gave people a chance,allowed for a learning curve and even extended orientations so a nurse could gain confidence. Now, it sounds like new nurses are turfed with the attitude of there is someone right behind you ready for your spot.

    I have precepted for 20 +yrs and in my experience what you did, didn't merit firing. My sense is your willingness to jump ahead (because perhaps you wanted to be seen as team player) made you a risky nurse to take on. The nurse who is unsure but continues to act can kill people. The nurse who doesn't know may get some flax for not knowing but stays employed because they won't put pt safety in jeporardy.

    I applaud your enthusiasm, now work on judgement. Ask questions. If you are a natural leader you may find being led very difficult. You may even send cues like "Please, I know that already " or "I can do it myself " so the preceptor gets annoyed or just backs off as you are already an "expert". If this resonates, back up, make a decision next time to be more open to learning. Be kind to yourself and give yourself a chance to learn. This is said not as a judgement but to help you examine rather than getting stuck in either poor me or I am such a terrible person.

    EVERY nurse makes errors and usually far worse than you did,even the ones pointing their fingers self righteously at you. Nursing is a team effort,not an arsenal of one, (remember that when you think you are expected to go it alone). Try not to focus on I made a mistake but rather what can I learn from this and how can I do better. It's a painful lesson. Rise above it, aim to be the preceptor you wish you had and this experience will just be part of the education you needed to be the best type of teacher. Be kind, gentle with yourself, you will get there.

    PM me if you need assistance on your next orientation
    Last edit by NRSKarenRN on Dec 8, '12 : Reason: spacing
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    @EchoRNC711.

    Just read your response to the OP. I was moved by your wisdom and compassion. If everyone was like you in the global scheme of things ,the whole world would be a better place. God bless you.( My apologies if my spiritual leaning don't sit well with you)
    patrickh_rn, ExPharmaGirl, bbuerke, and 1 other like this.
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    Quote from delawaremalenurse

    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..
    This is the problem. As long as we keep looking at nursing school as a series of tasks, (like passing meds accurately), we will continue to graduate robots, who perform skills properly, and not learning to critically think.

    Example: every single one of my students can robotically recite the steps of passing meds. "My first check: right pt, med, dose, time, expiration date, name, date of brith". But if the med is not there, or the patient's IV doesn't flush, or the patient cannot swallow pills, they don't know what to do.

    Yes, I am generalizing. Not all are like this. But there is this feeling (by students) that nurses only "do skills", and pass meds.

    What the OP did was a med error, as well as a critical judgment error. Many hospitals are more inclined to cut their losses sooner, rather than later. The sad reality is, There is no shortage. There is a virtual pile of resumes waiting to replace the ones who aren't cut out for the job. There are many other professions out there who will fire you for doing a lot less, and theses are non-life saving careers (retail, hospitality, etc). No one will die in these jobs if someone makes a little mistake.
    bdinga and anotherone like this.
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    Thank you so much funkmarv , I really appreciate it. I was feeling kind of drained today and your comment felt like an instant tonic,Thanks!
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    I agree but I also think some of the fault lies with the preceptor who was not paying attention when the original poster asked if they should give the solumedrol with the med change/new orders. I can't completely faoult the new nurse for this one. The preceptor is there to help mold these critical thinking skills and should have given this as a learning opportunity- discussing the order change, and what the new nurse would do and why it was wrong or right- that would have been a more meaningful interaction. But I think the preceptor had something else on their mind and blew this new nurse off and when push came to shove in the manager's office, didn't even remeber the new nurse asking what they should do. Unless I'm reading the transpiring of events wrong.

    It just seems like no one is willing to take the time with any new employees anymore. Whether they be new nurse or old experienced nurses new to the facility. It just seems these money wasting facilites could save alot of money in recruiting and the laughable brief orienting they do, if they would just invest alittle time into keeping the new person they have infront of them. But NO- hurry through the shotty orientation with the shotty preceptor, don't pass the new orientee, new orientee just made a screw up,, out you go and on to the next- that's not saving any money, That is spending it faster than anyone can catch on to. Isn't that called"the big hussle" Spend the money once, and do it right. If it's done that way, they just might find out it's not the nursing staff that's over budget but the HR staff and all those worthless talks about fire regulations, electrical safety and the trays of danish and cookies. it's busiy work to keep these people on the payroll by having them do lesson plans for " general orientation" each month or every 2 weeks. Have the HR director lady come to give their benefit speel before the general orientation group while the other 3 dozen HR flunkies are in the office throwing resumes in the trash, shredding paper and blowing their snotty noses. I say cut the desk worker positions and use their salaries to put nurses back on these floors and then they can stop spending all that money they are allocating/wasting for visitor drinks, extra"tool box" junk/bribes, and movie tickets. That ought to pay a few more staff nursing salaries. Maybe it's time to build a new multi billion dollar new hospital- it must be the old building's fault- not contemporary enough looking!!!
    pmax57, JB2007, cp1024, and 3 others like this.
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    Prayers for you, this is extremely harsh. Welcome to nursing, sad but true. I know several new nurses this has happened too, what a rough way to start. Believe when I say you will find something else better, could be tough to find another position for awhile. Look in LTC, psych. Best wishes and prayers for you. Rough profession it really is, there are places that are kind and truly teach. Again I am sorry for this incident.
    anotherone, patrickh_rn, and echoRNC711 like this.
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    Quote from kcmylorn
    I agree but I also think some of the fault lies with the preceptor who was not paying attention when the original poster asked if they should give the solumedrol with the med change/new orders. I can't completely faoult the new nurse for this one. The preceptor is there to help mold these critical thinking skills and should have given this as a learning opportunity- discussing the order change, and what the new nurse would do and why it was wrong or right- that would have been a more meaningful interaction. But I think the preceptor had something else on their mind and blew this new nurse off and when push came to shove in the manager's office, didn't even remeber the new nurse asking what they should do. Unless I'm reading the transpiring of events wrong.
    I have to respectfully disagree here. While the preceptor is there to guide the oriented, there comes a point where there needs to be some ownness on the part of the new nurse... That RN (we are not talking about a student here). Yes, continued ,old ing of critical thinking should be happening here, but this seems like more of a common sense thing. The patient went from TID to BID. Common sense should dictate that the patient will get the med less frequently, not more. Going from every 8 to every 12, then gives it 2 hours after the last dose? This is a concept that we encounter frequently in clinical (2nd semester). In Peds, almost every asthmatic kid on nebulizers get 'advanced', from Q2 to Q3, or q3 to q4. It is not at all a foreign concept.

    It just seems like no one is willing to take the time with any new employees anymore. Whether they be new nurse or old experienced nurses new to the facility. It just seems these money wasting facilites could save alot of money in recruiting and the laughable brief orienting they do, if they would just invest alittle time into keeping the new person they have infront of them.
    But NO- hurry through the shotty orientation with the shotty preceptor, don't pass the new orientee, new orientee just made a screw up,, out you go and on to the next- that's not saving any money, That is spending it faster than anyone can catch on to. Isn't that called"the big hussle" Spend the money once, and do it right. If it's done that way, they just might find out it's not the nursing staff that's over budget but the HR staff and all those worthless talks about fire regulations, electrical safety and the trays of danish and cookies. it's busiy work to keep these people on the payroll by having them do lesson plans for " general orientation" each month or every 2 weeks. Have the HR director lady come to give their benefit speel before the general orientation group while the other 3 dozen HR flunkies are in the office throwing resumes in the trash, shredding paper and blowing their snotty noses. I say cut the desk worker positions and use their salaries to put nurses back on these floors and then they can stop spending all that money they are allocating/wasting for visitor drinks, extra"tool box" junk/bribes, and movie tickets. That ought to pay a few more staff nursing salaries. Maybe it's time to build a new multi billion dollar new hospital- it must be the old building's fault- not contemporary enough looking!!!
    This point, I do agree with. There needs to be a better transition from student to graduate nurse. Not all preceptorship are shoddy. And they are not necessarily educators either.
  9. 0
    Quote from delawaremalenurse
    Oxygen is considered a medication. In fact, it's the most common medication administered in hospitals.
    It's off-topic but parenthetically, I'd venture to say that NS is administered more frequently than is oxygen...
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    ProfRN4- I respectfully disagree with you. The title of this thread is "I got fired from my first RN job today". The poster stated in their second post, they asked their preceptor if it was alright to give the next dose of solumedrol( the first dose of the new orders at 12 ) after giving the first dose at 0900 and th preceptor "said it was ok" per the poster. The original poster goes on to say that in the nurse manager's office the precptor "didn't remember" that the poster asked if it was ok. This says to me that this is a new RN with no critical thinking skills other than that of a student was left unattended by their preceptor and that the preceptor was not paying attention to this new RN giving out meds. precepting a new RN is a big job and should be done by someone who relly wants to put the time forth into doing it. Not some one who want a pay increase and a brag point on their resume.
    That's the problem with lot of these facilities, they dont have the experienced RN's/ the talent pool they used to years ago. Now a days it is the inexperienced teaching the no experienced, close your eyes and hope for the best or no one get's killed. i have seen these preceptors in action- they sit at the desk and let the newbie out on their own to hang and do the team assignment alone. It's don't call me, I'll call you. I have also seen many a new RN quit over this also. No direction.
    PorfRN4- with rspect to the robot comment and all students and new nurses think all nurses do is "tasks" I think that they do that because that is where they are i their professional role developement- "From Novice to Expert" Pat Benner. the novice nurse IS focused on tasks, it isn't until they get a few years of experience under their belts that they "let go" of that task oriented thinking and start intergrating the other factors in patient care. That preceptor is more responsible for what happend than that new RN. That Nurse manager is also responsible- the deignation of a preceptor who can't pay attention to their appointed newbie's.
    Last edit by kcmylorn on Dec 7, '12
    Sandradee0303, pmax57, JB2007, and 4 others like this.


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