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Discussion

Disciplinary action?

Hi everyone!

i just was looking for some words of wisdom. I just got a text message from my nurse manager asking me when I could come in because she wanted to speak with me about a patient I had back in December. I'm meeting with her tomorrow after I complete a mandatory skills labs. I have so much anxiety over this. I don't get called in. The last time I was called in was to verify if another nurse had been inappropriate and to be told that I was doing a great job! They even asked me if there was anything they could do to make me happier....

now im being called in on a pt I had in December. I can't imagine for what!?! It was nearly 6 months ago. No med errors, no complaints, nothing! Now this?

this kind of stuff stresses me out. Like, just TELL ME! Call me!!! Ugh but now I have to wait. Florida is a right to work state and they can fire you for anything!! I definitely don't think I'm getting fired. But whyyyyy????

our surveys are three months out so all the surveys for that month would have been in by now. I'm at a loss. 😢

Thoughts?

she said "issue" so I know it's not good.

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    • Featured Replies

    Thoughts?? I have no thoughts since I know nothing about your situation.

    But I do know that always going to the worst-case scenario in your mind is a quick route to anxiety & panic attacks. If you allow yourself to always go to the dark side of any situation, you owe it to yourself to require that you also go to the bright side. As in, perhaps the December patient sent a glowing letter of praise.

    Think about it.

  • Quote
    Thoughts?? I have no thoughts since I know nothing about your situation.

    But I do know that always going to the worst-case scenario in your mind is a quick route to anxiety & panic attacks. If you allow yourself to always go to the dark side of any situation, you owe it to yourself to require that you also go to the bright side. As in, perhaps the December patient sent a glowing letter of praise.

    Think about it.

    Good advice above. I would probably feel the same as you are, but try to get those voices out of your head!! It may not be nearly as dire as you are visualizing. Patience..., patience....patience. The fact that you cared the patient in December 2015 makes me think it cannot be dire. The sun will come out tomorrow. :-))

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    • Author

    She called me! It was a MAR issue as in I completed the med rec and stated the pt was on Potassium chl. But the mar from the rehab facility states otherwise. The pt had a 5.2 k+ And the md that admitted her approved the mar without reviewing the labs and ultimately ordered her to start K when already hyperkalemic. The chain goes down to me and the MAR. I've never ever just put in a medication with no proof the pt was on it, and the only

    thing I can think of was me asking the pt (who had a gcs 15 and a/ox3 -LOC) if she was taking k. Which I always ask if the pt is on Lasix but doesn't show proof of taking potassium chl. the pt is ok and nothing else happened aside from that med error.

    it came about through a chart audit.

    they said not to worry but they wee just trying to figure out where it came from and what to tell the auditors.

    Phew.

  • Quote
    She called me! It was a MAR issue as in I completed the med rec and stated the pt was on Potassium chl. But the mar from the rehab facility states otherwise. The pt had a 5.2 k+ And the md that admitted her approved the mar without reviewing the labs and ultimately ordered her to start K when already hyperkalemic. The chain goes down to me and the MAR. I've never ever just put in a medication with no proof the pt was on it, and the only

    thing I can think of was me asking the pt (who had a gcs 15 and a/ox3 -LOC) if she was taking k. Which I always ask if the pt is on Lasix but doesn't show proof of taking potassium chl. the pt is ok and nothing else happened aside from that med error.

    it came about through a chart audit.

    they said not to worry but they wee just trying to figure out where it came from and what to tell the auditors.

    Phew.

    See?!

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    See?!

    Ditto, ditto, ditto. :-))

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