Well I was placed on 3 days admin leave today. I guess I should have listened to some of you guys about looking for another job....let me refresh memories.....
1st. got a final warning for giving out my password and some other employees signed on to look at records of an employee that died(I only gave it out because we were slammed, only charge for 28 pts and were getting 4-5 admits so the other nurses could help cause they hadn't gotten there passwords yet. we had a new manager and she just hadn't done it)
2 had a new nurse who apparently had had previously problems since getting her lvn license and finished orientation, but still should have been on orientation so anyhow I missed a unit of blood(the order was from the day before and stated transfuse one today and one tomorrow and I missed the tomorrow one) it was found at 8pm that nite.(sorry to me it is still that day they should have just hung it. I didn't get written up just a verbal...
3. this new lvn had 2 pts, one post op turp that was a transfer and had gotten there about 230 with an order written that morning to transfuse 2 units. The other floor had done the first one and still needed the second one. At 3pm we have no unit rep. we get a new pts(this lvn's making total of 3) and at 6pm she still hasn't seen him. We call and get orders writtin at 530 for blood and albumin. in the meantime this nurse hasn't seen her pt and the turp pt is clotted off. She is freaking out so I go with her to show her what to do. She does while i am in there. States she understands how to do it. I spend most of my time trying to unclot him (every 10minutes) plus charge plus unit rep plus this new pt that I am the only one who has seen him.
4. next time we work this same nurse gets an admit at 730 and at 330 calls staffing to see if they can send another nurse cause she just really doesn't feel good. no of course they can't (like always) and I end up taking her pts plus charge. she doesn't leave until 530 cause she is afraid people will be mad. that just made my day harder. I found the admit not done from that morning so then i had to stay late to finish. that same day on one of her pts I found an order at 330 for lasix ivp that was written at 730. I had looked for that chart all day and never found it.
So I finally went to my manager and basically told her something had to be done i felt like my license was on the line and I couldn't really help anyone else because she was using all my resources. she ended up getting admin leave and terminated.
another day on a weekend the house supervisor came to the floor to tell me that because i hadn't taken all the discharges out of the computer that staffing was messed up for the nite shift. We had four people dc home and another pt that i was dealing with who had another new nurse that had not treated a bp of 218/105 and the family came in and said that she was responsive when she came in to the hospital and now shes not. so i was dealing with that so no taking pts out of the computer so staffing could be correct was not my priority. I basically told her to "tell the manager that was so upset about it that she could come work the floor after 3pm without a unit rep and see how good a job they do" well she wrote that down and i haven't heard anything else. In my defense as I was telling her why i didn't take them out she kept sayign " thats no excuse." that really ****** me off.
Sooooooo, sorry this is so long.....I got called to the director of medsurg today at 5pm. apparently during rounds they made the comments and complaints from 3 nurses were that i didn't help them and was always at the desk.....that is bs.
should I quit before the 3 days are up or see if they fire me...oh yeah I forgot that the rounds we are supposed to do on the pts to see how there stay was did not get documented. I honestly didn't do them. I always ask my pts how there stay is and if the nurses are good to them i just don't document. its that press ganey crap. I have worked there 10 yrs. the last 4 have been on a 28 bed unit with not enough staffing yet expected to perform like we have full stafff.......
