I feel like a FAILURE, what do I do now? - page 2

by petluvr 7,155 Views | 31 Comments

So I was terminated yesterday, completely blind sided honestly... two weeks prior my charge nurse told me she got an order for an antibiotic, she put the new order in my MAR and wrote the note regarding MD contact/ New Order...... Read More


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    SuzieVN, the order was placed into my med sheets by the charge nurse, she said do what we usually do and borrow the med from another resident, so I did what my charge nurse told me... long story short apparently everyone was borrowing from another resident because the med she said she ordered for the resident never was because she never got a doctors order
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    I certainly do not want to look incompetent or run the facility down by any means that just is not professional in my eyes. But I also don't want to look like a liar or seem like I am hiding something as well and have it come back to haunt me... I was there over a year never called out was always 15 minutes early and never even used a day of vacation time or personal time, not to mention the doubles i worked and stayed late because i knew what the next shift was in for... I know at this point its irrelevant, and I am hoping for the best. I thank everyone for their insight it's much appreciated
    theleaf likes this.
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    So you were fired for a med error (giving a med that wasn't ordered)?, or for taking med from a different patient (in effect, it's dispensing without a license).

    Point being- sadly, if you give a med that is not ordered, even if another nurse wrote the med on the med sheet- you are as guilty of a med error as the other nurse. I found this out the hard way- it's a med error also if you don't even know the order was written in the chart, and nobody noted it on the med sheet,etc. This is not right- if a licensed nurse writes a med on a med sheet, she alone should take the med error, nobody else.

    But taking one med from another patient opens you up to all kinds of trouble, as you're aware.

    I switched units in one place. First day on the new cart, I counted 40 (FORTY) meds that were not to be found for my 25 patients, and all had been signed every day all by every other nurse. I spent all day calling the pharmacy to track last delivery dates of meds, etc. Over half were not available anywhere in the building, so it wasn't even possible that they were taking the meds from other pateints/carts/E box, etc. I filled out med error after med error (per the supervisor's demand), called the pharmacy 100 times to order STAT deliveries, called the supervisor over and over, wrote the whole mess on the 24 hour report, called numerous doctors to report the med errors, etc. The reward for my superhuman effort to get the cart into compliance? Several nurses were fired, and me? I was suspended for 3 days, because I didn't call the DON at home (on a weekend) to report the missing meds. But the supervisor was there, involved, I did it all by the book. He took revenge on me, the DON, because I made him look bad- there's no way he wouldn't have been fired after a survey. You'd think he'd have been grateful. Welcome to the nightmare of LTC?

    How some of these places remain open, you have to wonder.
    pinkdustmagic28, uRNmyway, elprup, and 1 other like this.
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    I certainly own up to borrowing but the harsh reality at the facility I was at, there was never a time something wasn't borrowed, including narcs, thankfully I never had too but I seen it on a nearly daily basis
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    We're getting closer: So, you WERE fired for 'borrowing meds', yes? If that's the case, every SNF/LTC has a system of emergency/STAT/one-time only doses of meds (including narcotics that have to be counted shift to shift, and such things as insulin that need to be monitored routinely for expiration date, and the like), that's available (usually in a tool box or cupboard in the med room) to sign out for any patient that needs them, in emergencies, or for new weekend orders when the pharmacy is closed, etc.? Does that place not have that? Or, more likely, hearing how the place is managed- was the 'E-kit' empty? Also, since there may be one med room, yet 3 or more halls/med carts with access to that med room/drugs- normally there's a hassle about getting anyone to account for the contents of the 'E-kit', to include the counting of narcotics. In my experience, I can assure you that nurses who are apt to divert, take notice of such easy pickings- and when it happens? Everyone with access to that med room or 'E-kit' is suspect. So, if there is an 'E-kit', in your new job- be sure to find out how it is controlled, and if the policy is adhered to. Aside from this, if everyone was borrowing this antibiotic, what was the 'lending' patient doing to get his meds? After all, the pharmacy only sends enough doses to complete the original order.
    theleaf likes this.
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    You were the fall guy, plain and simple. You are well rid of that place on all levels. Do not let any authority figure attempt to pull the wool over your eyes, no matter how angry they get. They work for corporations, not patients.

    Stay Calm, you don't know the real story. I know of 4 LTC facilities that are going to fire the LPN's just to hire RN's so they will be reimbursed more money. It's not about you!! Take comfort in the fact you did no harm.

    GOD BLESS YOU!
    goalienrse likes this.
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    About your resume......
    Do not say that you were terminated. There is no way for any future employer to find out this information. It is illegal for your currently employer to disclose the details of your departure. When asked why you left, you can say you are looking for something better, in a different field, with different hours, or whatever. Just don't say anything negative about your former employer.

    And good luck! I hope you find a great job.
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    'Reimbursed more money'? Please explain, thanks.
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    Quote from petluvr
    Thank you for your support, I'm trying to keep my head up and have even thought about getting out of nursing, I'm currently an LPN and don't even want to further my career, sad huh? I thought about just getting out of nursing for a few months and get myself back into a positive perspective, but i fear that I feel the way I do because of the facility I was at and I don't want to just give up

    I feel the same way at my facility. It scares me everyday I have to walk thru those doors.
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    So sorry this happened (((petluvr))) You are not a failure. The job not working out is not you. I know those words may sound hollow at the moment but believe me whether we've been fired or not all of us have those "gulp" moments wondering if we have what it takes to succeed in nursing. If you leave nursing, it should not be because of this setback. It takes strength to crawl out and rise above, but you'll end up stronger on the other side. Wish you the very best!
    goalienrse and petluvr like this.


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