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"Fired for NO Reason"



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No. 100
from CrunchRN
Old Feb 10, 2009, 12:47 PM

Default Re: "Fired for NO Reason"
I am just chickling at this whole thread.

Remembering all the times here that I have been absolutely pummeled, kicked, and beaten for saying that not everyone is cut out to be a nurse.

It is nice to finally have someone agree!
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No. 101
from Ruby Vee
Old Feb 10, 2009, 01:08 PM

Default Re: "Fired for NO Reason"
Originally Posted by Valerie Salva View Post
As the op stated, the coumadin/inr thing was just one incident among many for this nurse.

In my experience, these type of nurses go into mgmt.
You're absolutely right! And in a few years, when she's in management, she's going to counsel some poor nurse for making the exact mistakes (the INR incident was only one of the many) she made! It's a frightening thought, isn't it?!
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No. 102
Old Feb 10, 2009, 01:16 PM

Default Re: "Fired for NO Reason"
There's an old saying that "those who can, do; those who can’t, teach".

Obviously, not always the case, but sadly sometimes it is...
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No. 103
from Freedom42
Old Feb 10, 2009, 01:25 PM

Default Re: "Fired for NO Reason"
I don't think it's any more fair to stereotype managers than it is it stereotype new grads. Those who can do cannot necessarily teach; those who teach often can do as well, and do so very well. I've been fortunate to work for and learn from excellent managers who could in fact do the jobs of many who worked for them -- and do it better, at that.
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No. 104
from eriksoln
Old Feb 10, 2009, 01:37 PM
Updated Feb 11, 2009 at 02:31 PM by eriksoln

Default Re: "Fired for NO Reason"
Originally Posted by CrunchRN View Post
I am just chickling at this whole thread.

Remembering all the times here that I have been absolutely pummeled, kicked, and beaten for saying that not everyone is cut out to be a nurse.

It is nice to finally have someone agree!
Where do you draw the line between "cant do" and "can".

Dont tell me you think the process of training a nurse, from school to our first experience..........is accurate and efficient. I dont think so. Like I said before, the gap between where school leaves off (they are only concerned with you passing boards first time) and where hospital administration expects you to be on your first job is HUGE.

It is vital to have preceptors who can help bridge the gap. Simply pass/failing people just wont get the job done.

I agree, not everyone is made for nursing. I've known people in it who are very intelligent and fast workers, but they have a temper or are short with everyone. They dont make it. Then there are the ones who just are not at all motivated. You see the posts about people doing homework while on the clock, taking long breaks and expecting their pt's to be looked after (usually at the expense of other people getting no break at all). The nurse who just doesnt understand its no good being extra nice to pt. A and fetching that sprite while pt. B is having a stroke wont make it either. I get that.

The part I dont get is, it seems there is almost a hurry to see people fail so we who have made it can say "See, cant do it, I told you so." Whats that all about?
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No. 105
from eriksoln
Old Feb 10, 2009, 01:48 PM

Default Re: "Fired for NO Reason"
Another thought has occured to me too. I dont want to come off as a "see all know all". I'm relatively new too. I've been nursing for 3 years and........was always told you had to be in the field 5 years before you would really start to see yourself as "a nurse".

I've never precepted. So, maybe I'm being like the people with no kids who think they know whats best for raiseing kids.

So, experienced nurses.........go ahead. Educate me a little.

Is it that bad really? Are the GNs coming out of school really that difficult to move along? Is Sal the exception, or the rule?
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No. 106
Old Feb 10, 2009, 02:05 PM

Default Re: "Fired for NO Reason"
Originally Posted by shah View Post
Because she was not being trained right. Hospitals are all about making money. They want to start milking the cow before she is ready. If this girl had gaps in her learning they should have been filled. That is what preceptorship should be all about "experience."

The new nurse should have been explained the process of preceptorship from day one, and given support in transitioning into a functioning nurse. I guess we wanted her to start earning her keep from the 7th, 8th, 12th week onward. She did what she could. Was on time. She did not do what she could not. Use experience.
It is not enough to tell someone they don't have critical thinking skills. We should know those skills don't come in 6/8 weeks. But we are in a hurry to make money.


Err.. this new nurse did go to nursing school, right? We should not have to teach a new nurse what coumadin is, what an INR is and what those two things have to do with each other. New nurses MUST come prepared with SOME basic knowledge.

And to work in an ICU means HOME STUDY! I'm, quite frankly, over new grads thinking that they don't have to study at home!

Originally Posted by eriksoln View Post

The error with the coumadin was so...........just.........not acceptable, I find it hard to believe she didnt know better. My first impression is that something happened. Something that didnt come out.
My guess is that she didn't even "think" to look up what the INR was (in the ICU she should "know" it) prior to her administration of the med.

That's the whole problem. Some people are: looking at the MAR--> Coumadin due at 1600, get coumadin, pass coumadin, mark off the MAR...

But, they didn't stop to think....
What's the INR?
Why is the INR elevated?
What's going on with this person's liver, is something else going on here?
What is the side effect of this med?
etc, etc


I teach newbies and students all the time, "look at each med and question why we are giving it, is it indicated, is it appropriate for the pts condiditon, etc.'"

Soooo many people are just interested in marking the med off the MAR.
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No. 107
from CrunchRN
Old Feb 10, 2009, 02:48 PM

Default Re: "Fired for NO Reason"
Hi Erik,

To clarify I mean that there are people (not less intelligent at all) who are simply unable to think critically. It just does not work for them. This makes it very hard for them to ever be a good nurse. Also, there are some people whose personality is simply unsuited to nursing.

I am not a hospital nurse because although I think critically just fine I absolutely hate being around sick people and blood and guts!

Seriously, I have meant some student nurses and some experienced nurses who simply are not cut out for the unique blend of skills and qualities that are required to be a good nurse. I think no one does them any favors by not telling them that. There are some things that cannot be learned no matter how hard you amy try and wish to do something. That applies to many fields, but in nursing or medicine it can be life or death.
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No. 108
from leslie :-D
Old Feb 10, 2009, 02:56 PM

Default Re: "Fired for NO Reason"
i would like to see entrance exams to nsg school, be modified where critical thinking could be tested...
as well as other areas, to ensure that students are indeed, the right cut.
raise that bar.
i honestly don't understand how some even made it.

leslie
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No. 109
from eriksoln
Old Feb 10, 2009, 03:02 PM

Default Re: "Fired for NO Reason"
Originally Posted by earle58 View Post
i would like to see entrance exams to nsg school, be modified where critical thinking could be tested...
as well as other areas, to ensure that students are indeed, the right cut.
raise that bar.
i honestly don't understand how some even made it.

leslie
My school began this after I left. Tough test too. Lots of applicants not getting in because of it. I worked with a CNA who couldnt get into the school I was from because of it. I dont disagree with that. It would help school administration decide who gets in and who doesnt at least.

Maybe we are talking about completely different things. I think OP and others are simply talking about the few who.........truly cant do it. I dont have my head in the Disney Clouds to the point where I dont believe they they exist.

Me, I'm talking about the masses who can, but need a little more that what school gives.
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