Failed preceptorship

[KevinLPN]

Well today I found out I failed preceptorship. I got a phone call from my clinical instructor telling me that he wanted to talk. I figured I was going to be failed because I made a stupid mistake. I gave coreg to a patient with a BP of 100/60 HR 75. I know there's no excuse but I felt like I was drowning. I had 7 patients and she said "those are your patients, tell me if you need help". She handed me her ID card for computer access so I can administer meds and I made a mistake. I know better but I was so rushed and was trying to work fast because i didn't want to look like I couldn't handle it.

When I got to the meeting they had a letter from my preceptor. Odd thing is that 90% was made up! She said she had to correct me on insulin calculation (never happened) and that I became defensive with her giving me advice. She listed about five pieces of advice that she never gave. She was never around to give me advice. She also stated I gave the coreg to a patient with a systolic of 90.

I know I deserve to fail. But I'm kind of irritated and disturbed that she making all this up.... Anyways... Sorry I needed to vent a little.

[caliotter3]

Write a well-worded rebuttal to set the record straight. Be explicit. It won't change the end results but the truth will be in your record based on your statement.

[VickyRN, MSN, DNP, RN]

I personally see nothing wrong with giving lose-dose Coreg to a patient with those vital sign parameters, especially if the client is in end-stage congestive heart failure and has a low ejection fraction. What am I missing here???

[kgh31386, BSN, MSN, RN]

Most times they set the parameter of holding Coreg at a SBP of

[Cessna172]

Did the patient have any adverse effects? What was

the dose and why was he on it (htn or heart failure).

Were there set parameters for not giving it?

I feel badly for your failing that, are you able to retake it or was that it?