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Been there,done that 39,281 Views

Joined Aug 4, '09. Posts: 5,261 (73% Liked) Likes: 20,099

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  • Mar 25

    I used to send an e-mail to my unit director telling her I would not be attending the mandatory meeting if it's not made available in a time slot either right before or right after night shift. If it's not at one of those two times then it become inaccessible to night workers to attend and in my mind starts to verge on a hostile work environment. I did this for every meeting and nothing was said about it. Then again it didn't matter to me if I got fired for it. I refuse to tolerate this type of nonsense hospitals try to cram down nurse's throats.

  • Mar 25

    Well, if they write you up, does it do anything? Do you get suspended after so many write ups, or is it just another piece of paper for them to wrangle. I'd be tempted to send an email (and save it) explaining why you are unable to attend within 12 hours of your night shift, and then just don't bother going. Let them write you up. It's unsafe, and illogical, and don't they circulate minutes of those meetings? Just read the minutes.

  • Mar 23

    If I was in your shoes and handing off a comfort-measures-only patient to another nurse who felt that something needed to be done about the patient's O2 sat of 45, I would hesitate to give them that patient, instead I would suggest they not take this or any other comfort care patients until they had the proper training.

  • Mar 22

    Quote from amzyRN
    These errors were not intentional, nor did they cause harm. When I have Martinez, Lydia and Martinez Linda in the same room back to back and you give as many meds as I give during the course of a shift as most ED nurses do, these types of mistakes can happen(those are just examples, not real patient names, very similar to why I pulled the med out under the wrong name). It's different than giving a patient the wrong medication or dose. All the patients who were supposed to get their meds got them in a timely manner. I'm not not taking responsibility, I"m just not taking all the blame.

    Pharmacy needs to organize our pyxis so we can't pull narcotics out without an order. That would cause less workload for them to have to review all these charts because the errors would decrease.
    I find it very, very troubling that you don't seem to be able to take 100% accountability and instead repeatedly come up with excuses/explanations as to why that doesn't involve/blame you. Shockingly troubling.

  • Mar 22

    Quote from amzyRN
    I work in a busy ER and am constantly giving pain medications. We have an error-prone system where it's easy to pull a narcotic on the wrong patient and administer it to a different patient. This has happened numerous times to people on my unit. They are also very particular about timing of narcotic medications, if you are over 15 minutes late in giving the med, they write you up. My last ER job, narcotics couldn't be pulled without a physician order being verified and you couldn't override narcotic meds. This made it easy to avoid these stupid errors. There was one incident where I forgot to chart a narcotic. The patient was writhing in pain and I gave the med and probably forgot to scan it. I feel bad about these things and feel like an idiot. Not only that I was interrogated by my manager who in the course of the meeting the way she spoke to me made me feel like she thought I was stealing medications, which no one has ever accused me of. I have never every stolen anything in my life.

    Not only do I feel like an idiot but now feel so weird, like they think I'm a narc diverter at work and don't trust me. I also worry if I make another mistake I will be fired. I have never ever given narcs so much at this hospital and the system they have makes it easier to pull the meds on the wrong patient. I might make a mistake again because of the frequency of giving the meds. I will try very hard to be careful, but now I feel so bad about my job, nursing in general, like the hard work I do is unrecognized and the mistakes are all that stands out.
    Forgetting to chart a narcotic is a different thing from your system making it easy to pull narcs on the wrong patient. Have you made more than one error? It sounds as if the meeting with your manager was appropriate -- forgetting to chart a narcotic, especially when you're new to a job -- is a big red flag. You are now on the radar -- quite appropriately, I might add. Nothing weird about it at all.

    We all make mistakes, I'm the very first one to say that. But it sounds as if you're being dismissive of the potential for future mistakes because you don't like the system. Increase your vigilence instead of decreasing it.

  • Mar 22

    Quote from amzyRN
    I'm not nervous about it, just kind of hurt. For some reason, it hurt my feelings that my manager could actually think for a minute that I would steal from them. I would hope that the truth would prevail, as I have not been prescribed pain meds in years, only when I had my wisdom teeth removed. Of course, I would test negative for any drugs, nor have any record of taking any drugs of any drugs which can be verified. I have heard horror stories of people being targeted though which would be a nightmare for me to have to defend myself, but I would certainly do so and would also sue for defamation.

    I think that real diverters have some kind of record behind them for doing so. I doubt there would be no record of using narcotics for treatment. There was a nurse who spoke to my old unit a few years back who said that she was prescribed a med for migraines and eventually got hooked on them and started diverting narcs over time. I have never heard of someone randomly stealing narcotics from their employer. I'm not saying this can't happen, but think it's probably unusual.
    You are taking this far too personally, and it appears that you know nothing about drug diversion.

  • Mar 21

    It's a bad idea until you're done with the probationary period, let alone orientation.

  • Mar 19

    I do believe that academia is offering fluff padded coursework that brings in big dollars to their institutions. They are peddling their wares and the necessity of advanced degrees as a requirement in many fields. For example, the growing requirement for a BSN, when an ADN is really just as good. A bachelor's degree has become useless in most fields. One must get a masters in order to actually have the degree mean anything in the job market place. A physical therapist now has to get a PhD in order to practice at a job that pays less than nursing in my area. Previously a master's degree was the standard for that field.

    I think higher education has then dumbed down the curriculum in the misguided notion that everyone should go to a 4-year University no matter what their capability. I think technical and trade schools are not pushed enough in our educational system. My daughters are in University now and say that a lot of kids really don't belong there. They spend a year or two racking up debt and partying, then dropping out. The admission standards at some colleges are too low. This practice devalues a bachelor's degree. So then they have to add on the master's degree in order to sort out the wheat from the chaff. The whole thing has become a racket in my opinion

  • Mar 16

    Welcome to AN.com, BurntRN!

    It sounds like you're under quite a bit of stress at this time, overwhelmed with feelings due to an excessive number of problems. Now is not the best time to make a major career changing decision. It's difficult to tell the forest from the trees, and a decision made now could be a long term plan to that which may be a short term problem- in other words, career suicide.

    You've begun a problem-solving process by your endeavor to gain data in order to brainstorm and come up with the best solution. The solution to this problem should not be made with great temerity. Dealing with this problem should be like eating an elephant: One bite at a time.

    Nursecard was able to glean more information from you in an attempt to assist you in dealing with this problem. You're on the road to a solution and you've got resources at your disposal which will assist you in finding a long term plan your temporal progeny will be comfortable with.

    Hang in there, man.

  • Mar 15

    Suggest you speak to a lawyer who is familiar with nursing licensing issues, you can find one through TAANA. It's possible that the BON will not accept a voluntary surrender of a license from a nurse who failed to comply with their disciplinary requirements. Instead they may list your license as revoked and make the reasons why public information. A revoked license may effect your ability to obtain any type of work that involves working with vulnerable people, including working as a sitter for the elderly.

  • Mar 9
  • Mar 8

    Quote from iluvivt
    The reality is we all take personal phone calls at work because we are human,have lives and things happen.
    I don't. I don't carry a cell phone while I am working.

  • Mar 8

    Quote from jennylee321
    Disclaimer: if you become a nurse, you will still have to face those frightening diapers.
    It's not the diapers that frighten me.

    It's what inside of them.

    *shudder*

  • Mar 8

    My thought is that you blew it by answering a phone call in the middle of class. Since people are usually on their best behavior in the beginning of a job, your instructor obviously saw this as a red flag.

    I am from the time before cell phones. We managed to do very well without constant availability to our friends and family. It may seem unconceivable to the younger generation , but it is possible to survive without a cell phone on one's person at all times.

    In the future always have your cellphone off in a situation like that.

  • Mar 7

    If you were only hired per diem, then that little phone call incident was apparently enough to convince them that you were not worth pouring any more time/ money into for what is, for them, a minimal return. Of course, we only know what you are telling us- there could be much, much more to this story.

    But then you gave us this: "Please take note, only constructive comments will be accepted otherwise demeaning, ridiculing words will be flagged."so......


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