I wanted to explain what happened to me...

Nurses General Nursing

Published

Hey everyone...

I want to thank everyone for the prayers. I'm sorry I haven't been able to explain why I needed them and what I meant by saying I was in trouble, but I have recovered enough mentally to explain my last eight days of pure hell...

I work 11p-7a as the supervisor of a nursing home. Last Sunday night I worked. Monday morning after work I went to visit my grandmother in Georgia, not intending to be gone all day. She has been diagnosed with a brain tumor and has decided to refuse any treatment- she wants to let it take her course and rejoin my grandfather who died three years ago. This is devastating to me because I am very close with her. I ended up being with her all day and getting home around 9pm. I had to be at work at 11, so I decided not to sleep since it would make me more groggy to get less than an hour of sleep than it would if I just stayed up. Despite my best efforts, I fell asleep around 9:30 and when my alarm went off at 10 I was in bad shape- disoriented and nauseous. I decided to take an ephedrine tablet and set the alarm ahead 20 minutes so that when it went off the ephedrine would be in my system. I hardly ever take it but when I do I take an Atenolol with it because it makes my BP go up and my heart race. The Atenolol was prescribed to me a year ago, but since losing almost 100 pounds my BP has been normal and I haven't had to take it regularly. Anyhow, when the alarm went off again I was still really nauseous and tired but I got ready and went to work. I felt weird- sort of detached and sluggish but I figured it was because of lack of sleep. I'd gone without sleep before so I thought I'd be fine.

At about 3am, however, my DON showed up. I was surprised to see her, but she told me she just had paperwork to do. It seemed like she was observing me though, and soon the truth came out- someone had called her at home, woken her up and stated that I seemed impaired. After watching me, she declared probable cause and accused me of being on drugs. I was shocked and scared and denied it- I have prescription narcotics for my back ( i broke it 7 years ago and am trying to avoid surgery for as long and possible) but I never take them within 12 hours of work- never. I was made to feel like a criminal. I was brought to the local hospital and had to pee in a cup, crying all the while. I knew I felt odd and detached but all I could think was that maybe someone slipped me something. After the UA, she refused to believe me, took my keys from me and I was sent home in disgrace.

Three days later I found the bottle of Atenolol in a totally different location than i thought. Apparently I took an Ambien instead.

Once I figured this out, I tried to explain it to her, but since the drug test had already been sent out I still couldn't work until the results came in. It took eight days instead of three because of the positive for opiates resulting in a differentiating test. The only thing that showed up (of course) is one of my prescription narcotics (Lortab). The lady from the drug testing center called me this morning and I had to bring over my prescription bottle to confirm it. Then I had to get a letter from my doc stating that I had been his patient for four years and was still on the same strength meds and had been very responsible with my pain meds. I expect a call in the morning to go in for a meeting with my DON when she gets the report.

Here's the kicker- everyone at work apaprently thinks I was caught stealing drugs, high at work, or drunk on the job. The worst part is that I think I am going to be fired anyway, regardless of the negative drug screen for anything except what was prescribed to me.

I love my job, and i love being a nurse. I've worked at my job for over a year, with exemplary performance evaluations and reviews. I don't understand why I am being treated this way. I'm still scared about possibly losing my job, but at least I know that I will not lose my nursing license. Before I realized about the Ambien, I honestly was scared that someone had slipped me something and then called my DON so I would be tested. As a supervisor you always end up with certain enemies, people you have had to write up because of legitimate concerns who hold it against you. I was terrified because I did feel odd and if someone had slipped me something and I tested positive, I would have lost my license.

I really don't want to lose my job, I love it so much. I hate that my coworkers all are assuming the worst of me. I didn't intentionally do anything wrong. I've lost seven pounds since this happened and have not been sleeping. I've cried constantly. I'm a wreck.

I'm sorry this is so long... I just wanted to thank everyone for the support as well as warn you of what could happen... please keep me in your prayers and I will let you know if I am fired tomorrow or not...

I love you guys...

Lori

Specializes in OR.
Lori,

I have just read through your situation and all of the supportive responses. I too feel bad for you. However I am probably going to post a not so popular response. I think that the best choice that you could have made that day was to call off from work. You said multiple times that you didn't feel right. You could have made critical errors that could cost someone their life. Everyone of us feels "impaired" at times whether it is from precription drugs, lack of sleep, etc and we as professionals have to determine at that time if we are clear of mind and safe to do our job. Intentional or not, you made an error in judgment by going to work that day. It should be a lesson to all. I am sure you are a good person but I don't think that you are helping yourself by feeling like the victim. your coworkers should have maybe handled it differently by confronting you, suggesting that you go home. In any event, own up to what has happened and move forward. I wish you well.

I'm not flaming you or this post, but many times, we as nurses can't win. She could have called in sick, and been fired for calling out and leaving the unit short-staffed. This is especially true in a state where they can fire you if they don't like they way you look. If you call in sick when you need to, you're seen as "not a team player"-if you show up sick or dealing with a crisis, you're "impaired" and seen as not giving a 100%. What this all comes down to is according to administration and DONs, nurses are not supposed to have lives, health problems or family issues. They see us as robots or drones who are only supposed to worry about work and making them money. IMHO, she did nothing wrong, except maybe count on her DON and her facility to have basic human compassion. Just my 2 cents.
Specializes in OB, M/S, HH, Medical Imaging RN.

Lori, I am so sorry to hear about what you have been through. You would think the NH would just be thankful that you made the extreme effort that you did to get to work. I wouldn't have been able to, I would have called in. Besides being tired you had the trauma of your Grandma being ill.

I don't know what will happen with the DON but I don't think I could work there anymore. I would hope my co-workers would know me better than that and would take up for me and not be watching me. I feel like you'll be watched for as long as you work there. Maybe it's time to look for work elsewhere. You know God never closes a door without opening a window. He has proved it to me in my life. God Bless Hon.

(((((((Lori)))))))

congrads Lori. I just spent the past 2 hours reading this entire thread. I am going through a similar situation and was just wondering what your new employer asked you about your last job and what your response was. Also what did you put on the application. Thanks and once again Congrads!!:smiley_aa

Hi Star!

I'm sorry to hear that you are going through something similar. Please feel free to pm me anytime if you need to talk or vent.

When I applied at this job, they had a space on the application for why I left the previous position. I simply put "Professional Differences", and when I interviewed with the DON I sort of preempted her asking by stating that I was very interested in this job, that even though I loved working with the elderly I just missed working with children. She never asked for any further details as to why I left the last job.

Don't get discouraged. If you are religious, pray for the Lord to put you where He intends you to be. Dont let your previous employers break your spirit.

Let me know what happens, okay?

Oh wow, Lori!!! I am sooooo happy for you!! Thank you for sharing your story, and reminding us that God does have an ultimate plan for all of us. God is so good. Wow.

I'm hoping your husband gets this job so you can cut all ties to this other nursing home. I'm also praying for your grandmother, I hope that she's doing better as well.

((((Lori))))) I'm just so happy for you!!

Lori--You should be having your first day today or tomorrow...Will be thinking about and praying for you! Let us know how it goes!!:wink2:

Rhonda

Dallas, GA (just across the "border" from you!!)

Lori, Congrats on your new job. I also enjoyed working with the elderly in the past, but have found my new love in Peds, couldn't imagine working with any other population ever again. Hope you enjoy this new job. Let us know how your first day goes!!

Specializes in NICU, ER, OR.

I am so so happy for you Lori, that things took a turn for the better with the new job. Good Luck!!!

Reading your experience, and others like it, well, just makes me curse the day I even APPLIED to nursing school. It really is cut throat profession. Now, I just tolerate nursing, mainly because it is all I am educated formally for. The specialties I "like" are really the ones I can "tolerate" the most.

oh, and next time, take care of YOU. Stay home if you are sick/exhausted etc. The places will ALWAYS be there when we get back. And unfortunately, we all are replaceable to them. Do your best always for your patients while you are there, the rest of the time, take care of your own interests, we have to..... because the facilities we work in are taking care of theirs.

Lori,

I understand completely what it is like to take the wrong medication. About five years ago the Dr. put me on Amantadine 100 mg. I got home and took it and about 45 minutes later went through the same thing you did. It turned out 12 hours later, I managed to come to my senses only to know that the pharmacy gave me Amitryptiline 100 mg.

You did nothing wrong and the fact that your employer is treating you like a criminal is unethical. As a past person in administration and dealing with some of this, the claim can not be substatiated unless there is proof. You have a prescription for any drug that will show up in your system. We are human and make mistakes and with your work history as you told it, no one should even begin to think that you would do this intentionally. I am more concerned that some one did not check you out medically to make sure nothing else was wrong with you at the time.

Hang in there. What ever happens. Keep in mind that when God closes a door he opens another.

Stay srong.

mary:blushkiss

I just got back from my first day at work! Everything went SO well. The kids were great to work with. I even got to take part in two takedowns, mostly observing though. The male techs are huge, and so protective of the female staff that I don't feel afraid even of the older adolescents. I think I am going to like this facility much better than my old job... I want to again thank you all for being there for me when I needed you most...

I was thinking about you earlier, wondering how your first day went. I'm sooo glad to hear everything went so well for you! It's great that you have "huge" protective techs to keep you safe. See, just as many of us said, your old DON did you a favor and gave you the opportunity to find a job you liked even better. I'm sooo happy for you! Enjoy your new job. Best of luck hon. :)

proud2beanurse is so right. you had every right to call in and take care of yourself. if we go to work sick, or in a crisis there is no slack given on job performance, and, realistically, the patients needs don't change. i wish you the best, you will find another job easily because they need good nurses.

Nursing is so screwed up. I don't practice anymore. I never got fired from a job, I was never asked to leave a job, I have never never hurt anyone..but this profession is one of the scariest professions there is just because of what you just went through. It's almost like the salem witch hangings sometimes.

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