Almost Fired !

[AlmostBSN]

So...

I am a new nurse who has not been doing well at all in my new job. I am working on a Med-Surg floor with very high volume and turn around. I started working in late april and I am currently on an action plan because I had an issue with hanging blood. Long story short I know for sure I am not fit to work in such a hostile environment but I have held on this long for the experience and also because there are no job openings.

Now I am to write a statement to my nurse manager because she is going to nursing administration about a patient complaint. One of the night nurses e-mailed her stating that a patient complained of "red and swollen IV site" and also that I left an antibiotic hanging for hours without infusion. The patient failed to mention that she wanted to get up and ambulate in the halls so I couldn't infuse the antibiotic I also assessed the site before and after infusion and saw no redness or swelling. The night nurse also complained about a dressing on a mid-line of another patient being soiled and not changed. I assessed the patents mid-line initially in the AM and dressing was CDI, there were no IV infusions that day so I didn't check again. She also complained that I failed to fill out paperwork for a patients calorie count when I delegated the responsibility to the nurses aid and she assured me she would take care of this. It was never done this is the second time I've delegated and it hasn't been done. I feel sick to my core! With 6-7 patients its so hard to keep up with everything!!!

In other words I'm F-CKED !! I feel I'm always thrown under the bus and to the wolves working here no one comes and tells me when I'm not doing something wrong. Its always brought to "the higher ups" and result in write up or punitive actions. I'm currently suspended until further notice and am for sure I'm going to be let go. Nursing school and the nursing world are totally different entitites and I am having a very difficult time with the transition and support. Any thoughts or advice? I have to prepare a statement for nursing administration ....

PLEASE HELP!!

[Purplefred]

I can certainly relate. I passed boards in Feb got my first RN job at nursing home. (Wanted to start slow)Everything is done manually, from mars to charting. I have never seen so much paperwork to pass a pill. Long story short, I am being tagged as the new black wolf so to speak. The current skilled assessment are a pre printed check off. Then you narrative chart on anything that is not WNL. Well that stirred up a huge controversy. When I began charting on skin assessments, nearly every patient had something to write about, such as a bruise, ecchymosis, stasis, etc..needless to say prior to my employment the prior shift RN who has been there for years charts skin as WNL. Please, no one has skin without problems. I charted what I saw. I started the month State was due out and bingo, they facility got into trouble because obviously charting didn't match, no back up documentation. Now everyone in power is scrambling through charts, doing inservices, but the big issue was on skin. I felt I must has caused the problem. Though never directly told. I feel completely awful. I know I am new, but I was trained to be thorough. They hate my words, people got nailed, and I haven't even got through my probationary period. I can't even tell you how many inservices all of us nurses have had. I not sure if I should just quit because I feel I caused such a problem for all the powers to be though not at all my intention. I really like my coworkers, patients are great, mgmt is horrible. Can someone direct me to a better way to chart skin? Has anyone else had these new job issues. I just want to cry and I only just begun in this field. Any advice from the newbies and experienced would be greatly appreciated.