After questioning staffing concerns several times at a high level I was given a poor review. The first in all my practice. Consequently, I resigned that position realizing that I had become a target.
Of course, they began to build a file. Included was:
1) One incident. Pt. pain control. Pt. refuses pain meds on my shift with c/o of following nurse having to medicate pt. for pain.
2) One incident. Administering ordered medications while pt. family visiting. Family felt this violated their visiting time.
3) One incident. Not immediately alerting charge nurse to pt. condition change. Charge nuse alerted when she returned to floor from E.R. Pt. already stabilized.
4) One incident. Using code alarm to gain additional assistance to pt. room after pt. faints on the way to B.R.
5) One incident. Encouraging diabetic pt. to allow ordered lab draw for blood sugar resulting in insulin administration per physician orders. Pt. was teary and I asked the Dr. to discuss this with her. He did. She allowed it. I was told that pt. said I was too convincing and was never to care for her or her family members again.
6) Many incidents. Time management. Not taking a 30 minute lunch break.
To rectify these situations I was to: 1) meet several times a week with my charge nurses for their input and direction. 2) Take the first two admits on every shift I worked.
Failing to do these things with satisfaction of all having input could result in termination.
Now, on paperwork for new positions there's a question: "Within the last 5 yrs. have you resigned or retired from a position after being notified you would be disciplined or discharged, or after questions about your clinical competence was raised?"
Honestly, how do I reply? Answering "yes" I must explain in a very little space. This is what I came up with:
"I resigned a position due to receiving a poor review. This review occured after discussing floor staffing issues several times with the charge nurse, the ADON, and the DON. I am available to discuss this situation if requested."
How would you answer and reply to this question?
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