I was 5 days from finishing my first year nursing and got bounced. i must go on record as not being the most beloved person in the class. the staff in a manner of speaking, hates my guts. i have clinical with a woman hell-bent on getting me kicked out. she has earned the name of dracula's daugher (AKA DD) from the clinical group. she is less than supportive, and when i asked for guidance regarding a straight cath (i anticipated a pt requiring one, no experience) she told me to read the book. (you get the picture, right?)
The last 5 weeks of class are med-surg in ortho. we got our first two patients the third clinical day. (i was not given a patient the first day of clinical--he never materialized from the OR) I happen to have an essental tremor. i found this out in lab first semester, when trying to draw up a meds my first semester. i sought care from my physician who placed me on lopressor. it has helped tremendously. I advised the staff.
Clinical was torture. we were required to fill out the paperwork described in the syllabus as well as additional forms introduced by DD. we recorded VS in 4 different places. If you did meds for the rotation, it was virtually impossible to finish on time (all my meds were administered late), and many of my classmates failed to accomplish this.
My first patient had alzheimers, total hip, and was combative. i fell behind schedule in performing his care. a future clinical instructor was shadowing DD and helped me with this patient. we fell behind DD's written schedule. I made the assumption that the shadow had a some authority and i took directions from her. I was later told that i was late emptying drains, and did not adhere to the schedule of care. i was told this was MY patient and I screwed up the timeframe for emptying foley and a hemovac. (i had never done either skill up to this day). The most EMBARASSING error I made (yes dear reader, i will tell you) was not telling the nurse in charge of the patient, that the wrong IV fluid was hanging (we had IV and foley training post these incidents). We had the postoperative lecture describing the tasks necessary for post op care after four patient care days. i didnt hang the fluid, which was not ordered and also incorrectly documented on the patient's flowsheet). DD found the error and told me to tell the nurse................and god, i forgot (i told the nurse 1.5 hrs later). I admitted my error in postop conference (there was never a preop conf) and got reamed (understandably). Had I kept my mouth shut, i would have escaped probation. THEN my other grievous error is reaching out of an isolation room to grab my clipboard. Ok i have dumped all the big ones. Remember the tremor? Well yesterday when they dumped me, they told me that I didnt have the motor skills to do the job. I never made an error in med admin. no problem there. i just couldnt draw up the med. without air bubbles (sigh).
it's hard to write this stuff up. i'll let this stand and wait for your comments. remember the agenda is to get rid of me......................there is no support whatsoever. i worked hard to get to this point and these creepy, unprincipled women have pushed me out.
your input most appreciated.
PS there is a guy who has been put on probation last semester for a med. error, who made a med error this session. nothing happened