Why are Hospitals so darn mean when someone fails the NCLEX? - page 5

My wife works at an Indianapolis facility and one of her friends (not the same one referenced in a seperate post) just failed the NCLEX. Here's how they handled the situation: 1. She was stopped... Read More

  1. by   dosamigos76
    At the hosptial where I currently work as a LPN, a GN is a GN, even if she doesn't pass the NCLEX. Until they pass, they have to have a RN sign behind them. I beleive they can work for 6 months as a GN........Makes me REALLY appreciate where I work. Loved it before, now especially grateful
  2. by   begalli
    Quote from *PICURN*
    At the hospital I work at, you can work as an "IPRN" or Interim Permit Registered Nurse"..
    You must be in CA or a state with a similar law.

    California uses Interim Permits (IP). The IP expires after six months OR immediately after pasing or failing NCLEX - whichever is comes first. This IP allows a new grad to work under the supervision of a licensed RN and is able to function fully under the RN's license. However, the new grad working under an IP is still liable for all of their actions and should carry malpractice insurance (I did). When a new grad signs official documentation, they sign IP, RN - they are no longer a SN or GN or whatever. Nobody has to co-sign an IP, RN's work.

    If NCLEX is failed, the IP is pulled immediately. Which means the new grad can no longer work in the role of RN because, 1) the IP is considered a temporary limited license, 2) it is illegal and punishable by law to practice nursing without a license, and 3) the new grad is no longer a SN and is not the responsibility of the school practicing under the license's of RN instructors.

    I would certainly think that it would be a liability to the hospital to allow a new grad to work in the role of an RN if the person was in fact not a licensed, or IP'd RN - even under another RN's license. The law just doesn't work that way, at least not in CA.

    I was hired by my hospital with an IP with the understanding that by the time my orientation was complete (3 months) that I will have taken taken NCLEX, passed it, and was able to provide a license number to be able to go into the count of the unit and work on my own. This is pretty common around here.

    The two IP nurses who I've seen NOT pass NCLEX did not take different positions within the hospital. One was back on my unit with his license in about 2 - 3 monts and the other never came back.

    I really don't think a hospital owes anyone anything but their dignity if they haven't passed the licensing exam.
    Last edit by begalli on Apr 2, '05
  3. by   begalli
    .
    Last edit by begalli on Apr 2, '05
  4. by   Roland
    What makes the situation even worse in my opinion is that they have her back out on the floor taking care of patients by herself! Yes, she is still administering medications by herself. I don't know how they are documenting her work (perhaps under the name of a different RN). So she is doing the same work for half the pay. And this is considered to be one of the best (if not the best) hospital in Indianapolis.
  5. by   humglum
    Ok, well, that's illegal. I've read all the arguments about a GN is a GN is a GN, and I know things work differently in other states, but that would never fly here. That would be the equivalent of a CNA giving medications.
  6. by   Audreyfay
    Quote from Roland
    3. The worst part is that they will put her name in the hospital newsletter as failing the NCLEX. When she asked why she was told that they do it to "help" the person since people will know they failed and can thus offer emotional support!
    I would get a lawyer. Emotional trauma. Hey, maybe she'd never have to work again. (Sure - but who knows?) I think it would be worth your while to look into it. This hospital needs to be turned on its ear!
  7. by   meownsmile
    Quote from Lawnurse
    No. Even if the basis of hiring is the idea that you will pass, GNs are not allowed to do RN-duties on "the assumption that you will pass" - that is against the law.

    If the hospital was asking a GN to do - or letting a GN - do anything more than a GN can legally do without a nursing license, on "the assumption" that he/she is about to pass, that is called "the unauthorized practice of nursing" and is illegal.

    Is, for example, "a really smart new grad who is definatly going to pass when she takes it next week" an RN? No.

    If your (3rd person you) hospital is letting new grads "practice nursing," on the assumption that he/she is about to pass, duck and CYA.

    All the failure of NCLEX signifies is that person is not licensed to be an RN. It doesn't make you not a GN anymore.
    I think you misunderstand me. GN work through orientation usually, under the direction of a RN up to the point they pass or dont pass their NCLEX. Noone works on their own until such time they PASS, they arent teminated, but return to a previous post, or classification until such time they pass.
  8. by   Roland
    Quote from meownsmile
    I think you misunderstand me. GN work through orientation usually, under the direction of a RN up to the point they pass or dont pass their NCLEX. Noone works on their own until such time they PASS, they arent teminated, but return to a previous post, or classification until such time they pass.
    Well in this situation there are at least two others who are working on their own and who haven't taken their NCLEX (I think they are scheduled for next week). I could tell my wife to complain to someone (like that State Board of Nursing), but she passed her boards! All that would likely do is ultimately get her fired and even one missed paycheck would probably might cause us to lose our house (not to mention blacklisted as a troublemaker whistle blower locally by hospitals). I'm already known as the controversial weirdo at nursing school who posts on Allnurses when he should be studying! One of us has to be employable. After that she would no doubt divorce me that is if she didn't kill me first! If it occurs at one hospital which is considered among the best in the area I'll bet it happens in many other places too.
    Last edit by Roland on Apr 2, '05

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