goody goody nurse gets in trouble ?? - page 2

by delphinuscat

6,960 Views | 26 Comments

Hello! I am a three year nurse. Worked in LTC And was recently fired from an ICU (working nights)for wrongful delegation. I left the unit for a break, had an aid sit and watch the call lights. This is a very small unit(5beds) and... Read More


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    It depends on the severity of your employers complaint and how much they push it. The board will most likely contact you and ask if this firing was justified and your side of the story. They may just give you a warning or actually have you come in front of the board.
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    True. And yes you can get fired for one event. Sad
    anotherone likes this.
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    Quote from delphinuscat
    Hello! I am a three year nurse. Worked in LTC And was recently fired from an ICU (working nights)for wrongful delegation. I left the unit for a break, had an aid sit and watch the call lights. This is a very small unit(5beds) and the medsurg nurses were 10 feet away watching the monitors. They have terminated me and said they are going to contact the ohio board of nursing. What should I expect? I have returned to the LTC but don't know if OBN will contact them about my case. Please help. I've never EVER been in trouble
    I am a bit confused about the staffing situation in this case - I am assuming that some of those "ICU" beds were empty, right? What was the plan for licensed coverage for your breaks? I am very familiar with small/rural hospital standards, and it is not unusual to have only 1 RN in an area, but there must always be some sort of process to provide 'coverage' by a qualified individual. If so, THAT is the person you should have notified of your break in order to make sure your patients were covered.

    FYI - every state is different but in my state (According the most literal interpretation of my our NPA) if you do not arrange qualified coverage & asked the CNA to 'hold down the fort' while you are off the floor, it would constitute 2 violations: improper delegation & patient abandonment. The employer would (at minimum) have to take this through Peer Review (employer process). If they decided to terminate, the employer is mandated to report it to the BON.

    I do agree with PPs - hard to believe that you were terminated if nothing actually happened to the patient(s) and this was a first-time issue. Seems like counseling would have been more appropriate. BUT I urge you to take the time to recall everything that happened & make your own record of it... in case you have to face a BON hearing at some point in the future. If you have malpractice insurance, and it provides legal services, you should give them a call for expert advice.
    poppycat, anotherone, and Altra like this.
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    One question. Was the med-surg nurse 10 feet away capable of handling ICU level pts?? That maybe part of the problem, not only was the tech/CNA left to hold down things, the other nurse was not qualified to care for that level of pts..

    I am not sure how hard your previous employer will push this, if they do and the board contacts you, get a lawyer.
    KelRN215, poppycat, anotherone, and 1 other like this.
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    I had 3 step down patients. And yes , the nurses on the medsurg floor were capable of handling the situation. No one got hurt. Yea I really feel scared
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    I think that anyone who has to face the BON over any issues should hire an attorney -- just to be on the safe side. I would never face an investigation by the board -- or even a termination for a cause that could jeapardize your livelihood -- without professional legal advice.

    I don't think the board is going to be very harsh (particularly as no one was hurt), but I would get proper legal advice and have an attoney represent me in all dealing with the board just the same.
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    If the med surg nurses were qualified to care for the pts and they were the ones who were supposed to be covering your breaks and you gave them report which they felt was adequate to care for those pts then how is firing you justified?
    CareQueen and anotherone like this.
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    When my supervisor asked the medsurg nurses two days ago if I told them, neither of them could remember.... I'm kinda upset about it . They both are afraid of losing their jobs too I think. I called my super to see the end result of their decision to call the BON or not
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    Quote from delphinuscat
    When my supervisor asked the medsurg nurses two days ago if I told them, neither of them could remember.... I'm kinda upset about it . They both are afraid of losing their jobs too I think. I called my super to see the end result of their decision to call the BON or not
    I'm confused. If you reported off to them, because that is the chain of command, why would they be in trouble? Who typically covers you when you need to go on a break?
    KelRN215 and anotherone like this.
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    Quote from delphinuscat
    Hello! I am a three year nurse. Worked in LTC And was recently fired from an ICU (working nights)for wrongful delegation. I left the unit for a break, had an aid sit and watch the call lights. This is a very small unit(5beds) and the medsurg nurses were 10 feet away watching the monitors. They have terminated me and said they are going to contact the ohio board of nursing. What should I expect? I have returned to the LTC but don't know if OBN will contact them about my case. Please help. I've never EVER been in trouble
    The question would be...did you follow policy and procedure and was the patient endangered. We cannot offer legal advce as per the Terms of Service.

    My personal thoughts are...do not discuss this on public forums any further and contact your malpractice insurance so they can provide legal advice. If you don't have malpractice insurance get some now...it won't help you now but it might in the future. NO NURSE should be without malpractice insurance especially in today's job climate. If yo don't have insurance...my suggestion is that you never deal with the board without a lawyer. If you can't afford a lawyer there are providers of pro-bono legal service in every state.

    ohioprobono.org
    tewdles likes this.


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