Re: "Fired for NO Reason" Originally Posted by shah
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
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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