in need of advice after getting fired

Nurses General Nursing

Published

My situation is as follows:

I have only been an RN for a year; up until today I had been employed on the MR/autism floor of a large psychiatric hospital. I will make no bones about it, I am not a brain surgeon, nor was my job brain surgery; I passed meds to either 13 adults on one wing, or 11 children on the other wing -- what everyone has in common is aggression as a targeted behavior. I am also not delusional about why I was employed there; I am stronger than the patients, & I have a high tolerance to pain. I was good at what I did, however. By being a real person, I was able to successfully deescalate crisis situations on many occasions. My ancillary staff loved me because, unlike some of the other RNs, I treated them as equals with all of us striving to successfully make it through a shift; although the place was/is a cesspool, together, we truly attempted to provide quality care. And those are the reasons I enjoyed the job, regardless of the 40 mile drive. The reasons I felt like sticking the barrel of my 12 gauge in my mouth are too numerous to mention.

Here is how I got fired today. I am a bit rough around the edges, & that may be why I was able to achieve success with most of my patients. I was working an 11a to 1130p shift on the kids side today, & in the course of adminstering 1400 meds to a new (to me) patient this afternoon, I was unexpectedly attacked with an unexpected ferocity. I would have never guessed this little guy would have had the ability to hit or kick so hard. All I could do was take a butt kicking while I held the med-laced applesauce up high enough so it wouldn't become part of the crap stained carpet & I wouldn't have to wait for pharm to bring me down some more. I had good ancillary staff today & they all like me because of what I previously mentioned, & they were on this kid & took him down. I'm like "geez, let's try it on the floor, then." This kid was writhing like a ***** off aligator & he wasn't having none of it. It might not sound nice, but many times on this unit, the only way to get meds into a patient is the hard way. I wasn't even mad at the kid when I conversationally asked him to please just take the ******** meds. And honestly, that is not the first time I've conversationally used the term, & just as honestly, I'm truly cognizant that this is not an appropriate manner to speak to a patient, but equally as honestly, I gotta tell you, that is the very least of the problems on that floor. Okay, but anyway, regardless of how many times I slipped up in the past, this was the first time it happened when the PHD Behavioral Specialist was just coming through the door in the hallway where I was attempting to get this boy to take a mg of Tenex. I won't go into how ballistic she got & how apologetic I got, but the long & short of it is that I wound up getting a letter of suspension which at this place, is simply a formality prior to getting fired. They asked me if I wanted a union rep as I wrote up a staement, & I was like, nah lets just get it done, so we did, & I wrote up what happened pretty much the way I wrote it up top.

All right, it doesn't kill me to lose this job, it was hardly my dream job, 80 mile roundtrip, I was serving time in a tribe with way too many chiefs & not enough Indians -- I had no aspirations beyond throwing pills or being part of the goon-squad. But what does concern me is getting fired. I just got through submitting an online application to another psych hospital in the area, & when it got to the part about why I left my last job, well, what could I say? I wrote it like I wrote it up top. I also wrote that I felt that I learned a life changing lesson, & hopefully I have, but who knows? I've already confessed to being a tad rough around the edges, I'm possibly on the fringes of being bi-polar, & this was a mid-life career change; I spent 30 previous years in airplane hangars working with men who used the F-Bomb as a noun, verb, adjective and adverb. (It's almost comical that this is what I got fired for when I consider all the rules I used to break to get the job done.) Regardless, how should I handle this as I search for a new job? Will I even get through the front door once I write on an application what i wrote up top? I have a friend who use to do agency work; he gave me the name & assured me it wouldn't matter if I was a convicted serial killer, but the benefits aren't there....

I'm a veteran, & I'd really like to try to apply that to starting a career at a VA hospital, & I also know a girl who graduated with me who told me previously that where she was working (way closer to home) was always going through nurses, however she said she was not infatuated w/ the DON.... I mean, I honestly think I'd rather sling pills at this LTC & drive 20 or 30 minutes as opposed to the 1.5 hour drive I was making.... But assuming they even are truly hiring, once again, how do I get past the getting fired part?

Anyway, I'm open to all suggestions & advice.

Thanks/matt

Did anyone else find this particular statement as scary as I do? (And I say that having spent many years specializing in child psych -- been there, done that.)

Well, I was never crazy, myself, about the way things had to be on that particular floor in order to make things work. In a perfect world, I'd have done things a whole lot different on both wings, but I am here to tell you that this place is far from perfect.

Specializes in Family practice.

Hey Matt:

I am in school to be an RN (343 days left) and want to get into psyc nursing because of the "wildness" of it. As a teenager I was in a psyc unit for an eating disorder and severe depression. I admired what the nurses had to flippen put up with. When we heard an RN cuss we knew we better stop what we were doing and think it through. As far as a poor, gross working environment, I hear you on that one too. I was amazed at how nastly the unit was. Though when you are working with unpredictable kids, what else is going to happen. And you seem to actually care. I remember one time when I was tossing my ensure ice cream at the ceiling with my spoon during my pm snack a 5 year old went ballistic. They put him in the quiet room. 10 minutes later after I got scolded for flinging my ensure and staining the 20 some foot ceiling, the nurse went to check the window as to what the boy was doing. He let out a line of words I had never hear before. He got some other staff together, they put on gowns, masks, eye protection, big old dishwashing gloves and grabbed the lid to a garbage can. All us teens went to stare to see what was going to go down. They entered the quiet room and the kid came out naked, covered in feces and flinging it at the nurses. Needless to stay the nurses were not the only ones dropping f-bombs. They had to wrestle the slippery, wiggly, stinky,biting and dung tossing 5 year old boy to the ground and give him some "relaxation."

The cussing should be the least of the employers worries. Yes it was wrong, unprofessional and could be trumped up to patient abuse, but I have seen a heck of a lot worse in the pscyh hospital than swearing. My advice, which is minimal since I am still "in training" is... I think you already have said it. Learn from it and move on.

To make you feel better, I was a director of a reputable child care center. 200 children and 30 staff. I was just hired, found serious law violations and was questioning the higher ups. Came to work the next day to find out I was being fired due to computer usage violation. Checked my personal email at work!!!! Now every time I fill out an application I have to check that lone box with a bit of shame. But I have gotton other jobs and have succeeded. Be honest, be clear as to what you have learned and most of all move on.

Good luck to ya and I so admired the stuff you have gone through. The adolescents might not say thank you then, but I wish I could say thank you to the psych staff that have put up with me!!! Also stay real. I hated the nurses that spewed the bull crap lines. The ones that were honest were the ones I respected.

ERICA

Specializes in OR.

Yeah sounds like a crazy place to work I would not drive 40 miles to work in a enviroment like that ...consider this a blessing and look for a job that doesn't involve violent patients and unsupportive management !!!

Well thanks, Erica & Mrs Nurse.

Erica, I wish you were the employer I was going to interview with, next time!

Regardless, good luck in school; I thought it was a pretty horrible, but if I could make it, anyone can.

Got it down to the days, huh?

I used to have it down to the months. I took a piece of paper & made 20 squres on it, gave each square its month, & Xed 'em off as I went.

Anyway, I thought I'd drive into the Pittsburgh on monday & go to the fed bldg & get on the registrar so I might have veteran's preference for applying for a VA job, & then tuesday I thought I'd call or visit an agency my friend told me about & see if I can get some agency work going. I also though I'd fax a cover/intro letter to a LTC where one of my classmates got on with & see if I can start some communication there. Still not exactly sure about how to go about covering this last base where I got tagged out on -- my tendency is to want to explain that in the heat of the moment I just slipped & got caught (I do have a couple of references I can take from that place) & that I've learned from it....

There seems to be a split in the vote on how cover this, being totally honest or kind of just alluding to an issue that happened....

I've been feeling pretty tired for quite a while; I might just spend the wkend in bed, I'm not sure. Anyway, thanks again Erica & Mrs. Nurse, I kind of feel now like I'm not the world's most horrible nurse that ever practiced/Matt

When working with kids, honesty is always the best policy. They can see through crappola quicker than anyone.......funny, but a lot of adults don't see that about kids, and therein lies the trouble, sometimes.

As to breaking rules to get the job done.....I guess it depends what rules you were breaking, and if the 'breaking' caused danger for the patients. Sometimes the rules and the real world don't work together well and we have to find a way to get the job done to best serve the patient. Rules are often (not always) made by those who are farthest removed from the trenches, and they don't always work as intended. Again, depends on the rule; I'm not generalizing to all situations. Every situation is different.

Thanks, tencat. That kind of summarizes how I feel about it. There are a few people people who are out of touch, that I guess think their behavior plans actually work at that place. I think that the longer I stayed on that floor, the worse my mouth was getting, & regardless whether I practiced like a professional, I sure didn't sound like a professional, & that wasn't a good thing. Honestly, though, the vast majority of the patients liked me as did the ancillary staff, so for all the things I know I did wrong, I still must have been doing something right.

Hey, thanks again/Matt

Hmmm...If indeed you are bipolar I am going to suggest to you that you need to consider what situations you work in. In some ways, working in a psych unit, you may consider yourself uniquely qualified to be of service to patients but the reality is that highly unpredictable and stressful situations can tweak a nurse such that they cannot keep their mood stabilized.

Yes, 2BSure, that is a possibility to be considered.

I always did say that I am effed up enough without this place (this place alluding to my former employment), but then again, I always said one would have to be effed up to work there. Remember, bipolar w/ a couple of mood disorders is a self DX, but one that I feel is possibly acurate.

Anyway, regardless of where I apply to, do have any suggestions about how to cover my last 8 months?

thanks/Matt

Specializes in Emergency & Trauma/Adult ICU.

Matt, I would be as upfront as possible about the circumstances surrounding your last job. When you allude to vague "issues" people are left to use their imaginations and they may imagine all sorts of things. A succint statement like you've summarized here - you lost your composure in a high stress situation, you understand it was unprofessional, and you've learned from it - might be the best approach.

You sound level-headed, compassionate, and insightful. I wish you well in your job search here in Da Burgh. Go Pens!

Dont worry..be happy

Matt, I would be as upfront as possible about the circumstances surrounding your last job. When you allude to vague "issues" people are left to use their imaginations and they may imagine all sorts of things. A succint statement like you've summarized here - you lost your composure in a high stress situation, you understand it was unprofessional, and you've learned from it - might be the best approach.

You sound level-headed, compassionate, and insightful. I wish you well in your job search here in Da Burgh. Go Pens!

Well thank you, Altra. I don't know about being level headed all of the time, but I know that I feel true compassion (& where I was, it was for the people who couldn't wear their shoes & couldn't go home at night), & yes, I certainly have insight into my own character flaws & personality defects that are too numerous to list.

I also think I am going with the approach you suggested. Assuming I can get in a front door for an interview, I'll tell 'em what happened right up front, & then I'll try to make 'em believe I've learned from it, & I REALLY hope I have.

Thanks again/Matt

Yes, 2BSure, that is a possibility to be considered.

I always did say that I am effed up enough without this place (this place alluding to my former employment), but then again, I always said one would have to be effed up to work there. Remember, bipolar w/ a couple of mood disorders is a self DX, but one that I feel is possibly acurate.

Anyway, regardless of where I apply to, do have any suggestions about how to cover my last 8 months?

thanks/Matt

I personally would fight the termination, it is wrong to use inappropriate language but I don't know if this deserves termination.

Second you were given an unrealistic work situation, no one could have performed well. I think you have to put down on your resume, ask a co work or supervisor for a reference. And just tell your next employer the truth.

Why did you choose a position so far away, did they pay well ? Sometimes these jobs pay more since they are horrible.

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