Got fired for changing fluid rate - page 3
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
- 5May 7, '13 by itsnoworneverHmmm....you do have two years ICU experience. In 2012 you posted that you were a pre-med student/rn and then on March 15 talk about wanting to go pre-med?? I'm completely confused. 2yrs ICU and can't call a doc to handle a low BP?
Posting from my phone, ease forgive my fat thumbs!
- 2May 7, '13 by Lil'mama, ADN, RNI do not follow this story one bit. I have never heard of,anyone being fired over such a thing especially during orientation.
How would anyone even know you had changed the fluid rate? You should not have documented any rate change until you had an order unless there is a protocol. What was your preceptor doing? How long did the patient get fluids at the higher rate?
- 5May 7, '13 by SionainnRNI'm just confused about your work timeline. Plus you other post you were wanting to go part time and they already knew you didn't like it there. Sorry to say but you didn't get fired for a fluid change. Back to the OP did you try other things first like trendelenberg?
- 10May 7, '13 by LadyFree28Quote from meandragonbrett^...and in some previous posts as well...Something does not add up with the story we have been given.
OP I have a few questions...
Have you stayed long enough in a position to get a great base in your nursing practice??? I say this because one of your previous posts you worked in LTC and had a pt fall and several other issues happen during that position. You also state in another post that you work in ICU, another post Tele within a few months apart. I read your responses from your posts in this thread, including the "totally unrelated" post, where your NM referred you to counseling.
I'm asking these questions, because, my nursing critical thinking tingles want to know if you are having issues with your nursing practice, your desire to be a nurse vs a desire to be a biochem/pre-med student desiring to become a MD? You also said that you had "no support" in going to med school, however, if that is what you want, why are you in a profession where you are not enjoying or practicing to the standards, which could further risk your eventual licensure as a doctor because of potential failure to rescue or unsafe practice on a previous license, if your actions ever lead to that point and someone decides to report you.
I'm not saying this is going to happen or if this will happen in your practice. I'm concerned about your previous incidents and posts, and I wouldn't want you to run the risk of potential setback if you desire a career in healthcare which includes a license and, because of your "desire," your actions because you have not sought out that said desire, you actions may put a patient in harms way.
A few points I want to share with you; this is strictly my opinion, and it is strictly the best intentions for it to be positive:
1. You stated that you have "no support" in terms of having a career in medicine, or do you have "no support" at all? I don't know what you mean by this statement; I also understand that you may not want to answer my question. I hope that you have some form of a support system in your personal life-a confidant, another nurse as a mentor, etc. A former professor or clinical instructor to reach out to?
Find a healthy support system to ensure your success as a nurse, and in medicine, if you choose to go that route...
2.If you still desire medical school, you do have an opportunity to utilize your practice as a nurse if you decide to go that route. I suggest if you are having theory and practice based issues to try a nursing-refresher course, one that has simulation, a relaxed atmosphere where you are able to exercise your critical thinking skills, as well as give you opportunities to recognize, and intervene comfortably, without the risk. Utilize the refresher course as an opportunity to ask questions, gain confidence in handling situations, etc.
3. Review what areas of nursing you will feel comfortable in. What do you like in nursing??? Be honest with yourself. If it is a specialized area, I would still suggest getting a strong base in med-surg, then finding out what additional classes for that specialty. Look up important techniques on the Internet. This site has valuable stickies and even threads with ways to get valuable information in order to provide safe, effective care.
I also suggest getting this book: Critical Thinking and Clinical Judgement. I was given this book many years ago as a PN student. I continue to utilize this book as a RN. I live by this book. I have used this book for 8 years, and still enjoy refreshing my critical thinking skills, especially in a new environment.
If you are still able to utilize the referral from your management to go to counseling, I suggest you take that suggestion as well. It has the chance to provide support, as well as assist you in ensuring future success in the endeavor that you choose.
OP, wishing that you are able to find success beyond you career setbacks.
Last edit by LadyFree28 on May 7, '13