I need some advice. I am very frustrated, confused and feel like a scapegoat. I am a new nurse, graduated in last yr. w/ LPN cert. I was recently term'd from a LTC facility for not having a Dr's order for insulin transcribed/copied over from the previous months orders. Another nurse had anonymously DC'd the previous months routine insulin orders due to a change in the PM insulin amount (nothing to do with her HS insulin) and she failed to copy over the bedtime insulin order. There are several other places that the bedtime insulin is recorded in the treatment book and these were not DC'd. The res. did not have a DC order in the computer or in her file hardcopy. I continued to give res. the HS insulin without the order written. Other nurses also gave the HS insulin without having it handwritten in the TAR. I feel like the TAR pages had been tampered with. There were quite a few changes to it. Are you not suppose to have some level of trust with your fellow nurses. There's too little communication. Med. changes happen and you don't always hear about it. Stuff just gets "thrown over the fence" for you to pick up the pieces. I would appreciate any advice from veteran nurses. I worked my ass off to get thru school & NCLEX. I feel like I was scapegoated/setup.
