welcome to AN! The largest online nursing community!
Wow....six months out of school and you are at the top of your game. While you may feel that way....nothing is further from the truth. Mightynurse is your user ID....Okay.....
Confidence is a good thing. Arrogance will get you into trouble. Being floated was not because of your skills...it was most likely because you were low man on the totem pole. Being an EMT/paramedic will not increase your chances of getting into an ED as your are just a new grad. IN the ED we are smart and competent but humble enough to be afraid and cautious.
As a new grad out of school and deciding that you will now head the pain management team is a bold move and one that was not received well....as I am sure you already know. Using scissors (yuck what is on those scissors that is now on the pill...how were you sure they were cut in half accurately?) to cut a pill shows your inexperience as a new nurse when it is clear that you have no remorse is a warning bell to administration/manager that you might have behaviors that will make you a liability. Regardless of what is going on...there are certain short cuts that you just can't take...using scissors to cut a pill is one of them.
While you saved a patient harm by discovering the drug error....you didn't save the hospital millions of dollars. It is your JOB to prevent errors as you, the nurse, are the last line of defense. Instead of viewing yourself as savior of the facility you are the reasonable and prudent nurse who thankfully saved yourself from a med error.
Confronting someone in a hallway about a disciplinary action is not an appropriate means of communication about this situation. It can be viewed as aggressive, intimidation, and hostile.Especially if you are male and the other nurse female. Never a good thing. You were suspended. Lesson learned (?).
While it sounds like a busy day......
a heavy patient load. It was complete with a patient that had been discharged 3 times (during the same hospitalization) before the head M.D. of internal medicine asked me to call security to have her escorted out of the room, three discharges, two admissions, and a training on insulin pumps. They even tried to give me a direct admit (which is much more involved than a regular one or a transfer).
it is not an unreasonable assignment on a busy floor. A cake walk by ED standards.
Leaving an IV port in set the facility up for litigation and if that got infected and the patient suffered and amputation due to massive infection...it would be your license and not your job you wold be worrying about....hopefully you carry malpractice insurance
to assist you in your defense and legal fees. If not...you need to get some.
This is about ownership.....responsibility. Caution and respect. Even after being a Critical care/ED/Trauma flight nurse for 35 years.... it is a healthy dose of caution and fear that keeps me humble and safe.
Being fired is never fun. Take this time to reflect on how to better your practice as a nurse and stop placing blame. Even after 35 years of being a nurse I never stop learning and while I consider myself extremely competent, and have those moment of "damn I'm good" I never forget that I am human and errors are the enemy.
I wish you the best.