Oncology RN Forced to Resign - page 3

For my second year of nursing, I was hired to become an Oncology Nurse. It was not my first choice because of the multiple cancer stricken family members I have in my life right now. Eventually, I... Read More

  1. Visit  Done profile page
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    Quote from mazy
    I really worry sometimes about whether it is a good idea to be posting such specific information about an ongoing investigation on a public forum.

    Done, it sounds like you have had a lot going on in your life, both personally and professionally. A hard road to travel for someone just coming into an already difficult profession. I hope that you can find the answers that you need and that you are able to move on from this awful experience.
    Thanks for your empathy. I hope so too. You remind me to be sure to seek some counseling as this surely can affect my disposition in the job search.

    I think it's alright to post something like this since I did not mention any specifics. Alert me if I did. Also, I'm not under investigation if that helps.

    if I were, what's the harmful thing in posting ( asking out of pure curiosity ) ? If me or the board or courts use it as evidence, wouldn't it be considered as inadmissible anyway ? Pls tell me what I'm missing thanks for replying however
  2. Visit  Done profile page
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    Quote from ruby vee
    every nurse i've ever known who was fired for drug diversion had "falsification of documentation" or something similar as their official cause of termination. it's concrete. if someone removes a narcotic from pyxis and didn't chart it as given to a patient, wasted or returned within and appropriate time frame, that is concrete. saying someone has "signs of drug use" may be descriptive, but it's subjective.
    i guess this is somethign i didn't state -- my problem was that i pulled from the pyxis but didn't scan into our electronic chart and nothing else, however, hapoened more than once. but i surely administered all of those meds (patient care first -- someone mentioned conscience in here somewhere -- my nursing conscience is very proud and clear that all my cancer patient's pain had all been managed).
  3. Visit  Done profile page
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    Quote from mazy
    I really worry sometimes about whether it is a good idea to be posting such specific information about an ongoing investigation on a public forum.

    Done, it sounds like you have had a lot going on in your life, both personally and professionally. A hard road to travel for someone just coming into an already difficult profession. I hope that you can find the answers that you need and that you are able to move on from this awful experience.
    You are kind. thank you. I remember why I solicited to this online community.
  4. Visit  Done profile page
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    Quote from pumpkinseeds
    Your post is very interesting from a statement analysis perspective. I didn't read anything in it that says "I did not take any drugs." Instead, it's a rather rambling account of how you fit the diverter profile, and how there's nothing an "investigator" will find in your "background."

    I had a similar problem a few years back. I was new to the pyxis system and I forgot to witness my narcotic wastes. Of course, my boss eventually had to talk to me, but the first words out of my mouth were "I don't take drugs, and I will take drug urine and hair test right this minute."

    If you are innocent, then tell them straight out you didn't do it, and prove it any way you can.

    If you are guilty, admitting it is the first step to getting help. We are all vunerable to diversion. It's one of nursing's dirty little secrets, how many of us fall prey to addiction.

    If you did it, please get help, because it will only get worse. Addiction thrives on secrecy and denial. If you didn't, get a lawyer and clear your name. I wish you all the best.
    Hi pumpkin: oh my god you're right, I didn't say so in this post. I was sure to say it though to my mother, my husband, manager, closest friends, and HR that I do not use.

    The post was written this way as influenced by the other allnurses narcotic diverters postings. Some warned the readers of those characteristics I mentioned/used. i guess the personality aspect is associated to drug-seekers characteristic of being manipulative ( psych nursing stuff ).

    Now I'm self-analyzing why I didn't write it right away. Perhaps I Thought it was understood that I'm not guilty of diversion since my post was about how shocked i am tha my own personal descriptions matched that of the other posts. Also, stating it up front makes me feel like I am defensive; I'm under the impression that defensiveness is also a sign of guilt.

    Anyway, i am just plainly sad that i experienced this when my mistake was pulling it from Pyxis -giving it to patient-but not scanning it into the eLectronic MAr ( reasons of distraction, interruption etc ). It feels unfair since the worse thing is the one who scans perfectly but actually diverts. Tsk
  5. Visit  Done profile page
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    Quote from applewhitern
    I hope this doesn't make oncology nurses afraid to give narcotics. My son suffered cancer for 8 years before he passed away 2 years ago. We had to beg and beg and beg for pain meds. Cancer was in his colon, liver and both lungs, then finally in his brain, but everyone looked at him like he was just a drug-seeker.
    This is terrible. I'm sorry for your loss and experience. I hope oncology nurses at my old workplace gets more support so that nobody will be placed at my unfortunate spot making all fearful. There are system errors that I presented to affect my documentation -hopefully, they get addressed after my terrible experience.

    For the past year that I worked there, most nurses didn't care to work more than our regular 24 hours/week despite opportunities, were burdened by every 2 hour pain med needs ( I think affecting the attitudes or even care ).
  6. Visit  nursel56 profile page
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    It sounds like you are saying some of your personality traits caused them to suspect you of diversion in combination with the errors in documentation?

    I would seek legal counsel. I take you at your word, so you were terminated for something you didn't do. In order to get through it emotionally, you will need to be proactive, it's very hard to bounce back just waiting for the bad news to roll in. Get some professional perspective. I wish you the best in getting through this and in your career going forward.
  7. Visit  Done profile page
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    Quote from 79Tango
    I am confused too.. I am not sure what your "outgoing, bubbly personality" has to do with documentation or lack therof. Typically if they have a suspicion, you get pulled off the floor and made to Pee in a cup on the spot. Once they determine what you are
    Hi: well,this apparently isn't the culture. There is an ethical line that I was told they consider -- having me test for drugs right away compromises my dignity, and nursing is all about preserving human dignity.

    Also, I went to a federally approved drug testing clinic. Same clinic as companies and coroorations use for background checks. I will edit my post now.
  8. Visit  Done profile page
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    Quote from nursel56
    It sounds like you are saying some of your personality traits caused them to suspect you of diversion in combination with the errors in documentation?

    I would seek legal counsel. I take you at your word, so you were terminated for something you didn't do. In order to get through it emotionally, you will need to be proactive, it's very hard to bounce back just waiting for the bad news to roll in. Get some professional perspective. I wish you the best in getting through this and in your career going forward.
    Thanks for your kind words.

    Well, surely the basis of my resignation was the lack of narcotic documentation. i brought my personality into light because the allnurses posts touching narcotic diverters mention this ( surely in lieu of drug-seekers manipulative characteristic per psychiatric nursing lessons )
  9. Visit  xtxrn profile page
    1
    EVERY nurse I saw come through drug and alcohol rehab, or who were former co-workers were outstanding nurses. Department was irrelevant. They were simply really good nurses, aside from the addiction. Access to narcs is pretty easy on post-op floors & med-surg.
    Done likes this.
  10. Visit  Done profile page
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    Quote from TheCommuter
    My workplace requires that nurses document each instance of narcotic administration in three different places: the MAR, the flow sheet, and a narrative in the nurses notes. Any person who repeatedly fails to document narcotic administration in all three places runs the risk of being investigated and/or reported.

    The bottom line is that any caregivers who work after you may sometimes depend on your accurate (or inaccurate) documentation before making their next clinical moves. Omitted documentation of giving narcotics can have gravely serious consequences.
    We use electronic MAR and the next nurse doesn't have to care.
  11. Visit  Done profile page
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    [QUOTE=merlee;5914261]I am somewhat confused - - are you saying that your forced resignation is due only to poor documentation? Weren't you made aware of the issues with your documentation prior to your resignation?

    If you aren't diverting meds then simple documentation issues can usually be resolved.

    Please get legal representation - preferably from a nurse-lawyer - to help you through this, as well as
    Of course I only know the truth ( that I do not divert )but it's not simple corrections for me because these technicalities Are part of my challenges as a new nurse. Besides, there is nothing for me to correct if my main documentation problem is not scanning it into the electronic MAR ( for system error reasons and of course, the interruptions and distractions ).

    Thanks for your reply. I Got my union involved but they weren't successful. Lawyers are not allowed in our work ( or state, not sure ) -- califorinia.
    Last edit by Done on Nov 23, '11 : Reason: I think i missed her message
  12. Visit  traumaRUs profile page
    2
    You are ALWAYS allowed a lawyer. I would still consult with an attorney who is specialized in administrative law and who has experience in dealing with board of nursing hearings.
    dishes and wintersantanaRN like this.
  13. Visit  79Tango profile page
    1
    "Also, I went to a federally approved drug testing clinic. Same clinic as companies and coroorations use for background checks"

    Unless someone from your work drove you to this place and monitored you the entire time this is irrevelvant.
    Sparrowhawk likes this.

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