"Fired for NO Reason"

I think you are a little too aggressive. This is not personal people are just voicing their opinions..... No offense but please take it down notch.

My whole point is that sometimes people who lose their jobs or are in danger of losing them just don't "get it" no matter how many times you've tried to explain it to them. They believe that you "have it in for them" or are unfairly targeting them, or that you're just a mean, nasty person when you try to tell them that giving Coumadin to a bleeding patient is a bad thing, or that maybe the 16 units of Novalog insulin wasn't the thing to give someone who keeps throwing up his dinner or that maybe if you suctioned Mr. Smith his O2 sats would improve. Even after Sal had several meetings with her preceptors and the unit educator and the nurse manager, she still didn't understand that her job was in jeopardy. Even when she was given a list of her shortcomings (and they were HER shortcomings, not everyone else's) to sign, she didn't get it.

I wasn't Sal's preceptor, although I did work with her a few times. I precept another new grad from her class. I was in the preceptor meetings when her preceptors vented about their frustration with trying to explain the same things to her over and over and over again, and nothing ever seemed to "click." After two preceptors couldn't help her out, they bowed out and she got two new preceptors who had the exact same issues with her. Nice as she was, she just didn't get it. The INR story is a true one (although I don't remember the exact INR (was it 8.8 or 9.2?) or the exact hemoglobin, they were well outside the normal range. After 12 weeks in the ICU, and an 8 hour class on hemodynamics, she still didn't understand the Swan-Ganz -- what it is, where it sits or the kind of information it gives you. She admitted to my orientee that she never studied at home, and my orientee suggested to her that she might want to start doing so.

I agree with you that precepting is difficult and that not everyone who does precept should. However, there are times when it's not the preceptor, it's the orientee. And sometimes, that orientee just doesn't get it no matter what hoops you jump through to try to help her get it, or to make her understand what the problem is. Sal had every chance to make it, and she didn't. She just never understood that SHE was failing, and it wasn't just bad preceptors or targeting ow whatever. I think there are probably a lot of "Sals" out there . . . and I hope maybe I've convinced one or two of them to take a look at what they're doing or not doing to contribute to their problems before it's too late for them.

That reply was meant for her posting earlier to......I think it was eriksoln. Sorry if anyone misunderstand what I was replying to.