Got fired for changing fluid rate - page 2

I was on orientation on days and then got moved to nights which is what I was hired to do. It was my first night on orientation with a preceptor and I was not feeling the best, was very tired got an admission at 2 am and was up... Read More

  1. 6
    What setting was this, a BP that low on a general floor is a concern. I wonder why your preceptor didn't intervene ??

    OP, learn from this and move on. You did a few things right, next time and there will be a next time, call the PCP sooner. And anything you don't understand or unsure of ask..
    sapphire18, straitgirl77, pdoylern, and 3 others like this.

    Get the hottest topics every week!

    Subscribe to our free Nursing Insights newsletter.

  2. 0
    Sorry that's confusing, she was finishing up her bolus from the ED that's why it was running by gravity, and then the rate was supposed to be 100 ml/hr. I agree with you though this pt was not stable enough to be brought to a new nurse on a med surg floor
  3. 14
    It's kinda strange the pt had a bolus in the ED and 100ml/hr IVF but they were running "wide open" at arrival, sounds like a dump and run. The ED staff knew the pt was unstable but brought them up anyways. On the floor we would not have accepted such a pt and the nursing supervisor would have been called. A transfer to a higher level of care would be in order if the pressure didn't come up..

    Where was your preceptor while all this was going on?? You are still on orientation and need guidance !!
    WeepingAngel, sapphire18, Lev <3, and 11 others like this.
  4. 0
    this is a little irrelevant but I am a little anxious and being brand new I was definitely nervous. My supervisor told me that "there is something wrong with me, she knew all along and couldn't figure it out, she could tell I'm nervous and uncomfortable and she gave me a referral to a counseling service
  5. 17
    Quote from RoyalPrince
    Pt on a Med/Surg Floor comes with a BP of 70/40 and no Rapid Response is called? you should be fired.
    That's a little harsh, this is a new nurse, still learning. The OP was concerned but her preceptor was not. Also not all facilities have a rapid response team.

    OP, your gut was right, follow it. If you find yourself in a similar situation, go to your charge. For something like this, call the Doc.
    canoehead, sapphire18, SoldierNurse22, and 14 others like this.
  6. 6
    OP, I'm sorry but I went back and read some of your other posts. You are not a new nurse and seem to have past issues, I think this incident was the straw that broke the camels back as they say.. You wanted to go back to school, so here is your chance.

    I do wish you the best
    hiddencatRN, Lev <3, jtmarcy12, and 3 others like this.
  7. 8
    Quote from Sun0408
    OP, I'm sorry but I went back and read some of your other posts. You are not a new nurse and seem to have past issues, I think this incident was the straw that broke the camels back as they say.. You wanted to go back to school, so here is your chance.

    I do wish you the best
    Oh man, just went back. 2 years of ICU experience and this threw the OP for a major loop? That does put a different spin on things.
    sapphire18, hiddencatRN, Mom To 4, and 5 others like this.
  8. 8
    Quote from Sun0408
    It's kinda strange the pt had a bolus in the ED and 100ml/hr IVF but they were running "wide open" at arrival, sounds like a dump and run. The ED staff knew the pt was unstable but brought them up anyways. On the floor we would not have accepted such a pt and the nursing supervisor would have been called. A transfer to a higher level of care would be in order if the pressure didn't come up..

    Where was your preceptor while all this was going on?? You are still on orientation and need guidance !!
    I am an ER nurse and we always run our boluses "wide open" and will often bring pts to the floor with a bolus still infusing. The difference is I would never send a pt to med-surg bed with a pressure like that
  9. 0
    Im so scared, am I going to be reported to BON for this?
  10. 2
    In past posts, you have mentioned pre-med and biochemistry passions...Why does this concern you if you're trying to make a career change?
    weemsp and loriangel14 like this.


Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.

A Big Thank You To Our Sponsors
Top