Failure is an Option: A New Grad Story

Have you ever made a mistake so horrible you thought you just might not want to continue on the same path anymore? Well I have. This is a story about a big mistake I made, and about my very bumpy path towards getting the nursing job that I have today. "To err is human" means that we all make mistakes, but we must realize our fault, learn from our error, and most importantly forgive ourselves so that we can move on.

  1. Did you have a hard time finding a job after you graduated?

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On certain weekends during college I would spend the entirety of the time that the library was open studying; I would get there at 9am and not leave until 11pm, and still I thought this wasn't enough, especially if I had an exam that week. I got good grades (not great), I was no over-achiever compared to some of my classmates. That's not to say I wasn't academically competitive, I was and I still am. I honestly think it's the only thing I have ever been competitive about.

On my last day of clinicals in my last semester on the last week of college, I made a mistake A BIG ONE.

I was on the Labor and Delivery unit for my preceptorship. I was just getting over a cold so I almost got sent home that day, but I insisted that I wasn't sick anymore and it was my last day so I really wanted to stay.

I had a high risk patient with maternal Diabetes and an STD. She was already in labor but the possibility of an emergent c-section was high due to her risk factors. We had to infuse an antibiotic quickly so that the baby wouldn't get an infection on its way out of the birth canal. She was also allergic to penicillin which prompted us to use a different antibiotic than usual.

My Preceptor (RN) gave me the bag to hang, she said "just open it wide up." The antibiotic we were supposed to use was 100mg of Unasyn, the bag that the pharmacy had sent up and put the patients name on was 100units of Humilin (a fast acting insulin). I hung the bag only checking the patients name and birthdate. Neither I or my preceptor checked the name of the medication, and there was no electronic medical record at the time. This resulted in the patients' blood sugar dropping to 40 and an emergent c-section. In the end neither the mother nor the baby were injured in any way, but that's not to say this error wasn't damaging.

I was initially told that it would just be a ding on my record, nobody would even find out....

On the morning of my pinning I got a text from one of my instructors saying "hey did you check your email?" Of course I hadn't since it's the week of graduation and everything is done already. So reluctantly I opened up my email and it stated that I would not in fact be graduating, and I would have to repeat my last semester due to this one mistake. I finished reading the email, and when I had finally realized what it entailed, I screamed... I cried bloody murder so loud my roommate thought my mother had died or something. To me it was the worst thing that could have happened, and to top it off my boyfriend at the time broke up with me that same day. I felt like I hit rock bottom, things could only get better from here, right?

Despite having the worst morning ever, I did in fact walk the stage that night, and as soon as I started the next semester, things were starting to look up. During my final semester I got to precept under my idol (the president of the nursing program at my college) in a pediatric oncology unit, I participated in the California gubernatorial debates, and I presented my research at the pediatric society of nursing conference in Las Vegas. It was an exciting and challenging time in my life.

After I graduated, I spent 5-10 hours a day for a month (yes every day) studying for the NCLEX (the RN licensure exam). When I took it, the computerized exam shut off at the minimum amount of questions: 75. And two weeks later I found out I passed the test.

As a kid you are told that you should "work hard, go to college, and get a good job so you can be successful". And there I was; I had worked hard my whole life towards being a nurse, and now I was...sort of. So after getting my license I started applying for nursing jobs daily. In the mean time, I worked as a waitress at Outback Steakhouse.

I probably applied to over 200 jobs over the course of a year. The amount of applications per day that I was submitting would wax and wane depending on how I was feeling. After months of applying for nursing jobs, and not hearing back from any of them, I got really depressed. No one wanted to hire me; I was living in my parents' house, working a job I could have gotten out of high school, and realizing everything I learned as a kid was a lie.

I didn't understand why nobody wanted to hire me; I graduated cum laude, did extra projects, and even had a job working as a student aid in the nursing sim-lab. How was I not a prime candidate? What's so awful about me that you can't even give me the time of day to respond to my email?

I often glorified the past in my mind; I missed college, when everything was exciting and challenging, and now that was all gone. I was at a stand-still. I realized I was never going to get a nursing job in California; not as a new grad anyways. This was my defining "now what?" moment.

My friend, Colleen, who I went to nursing school with, was living in Hawaii, and she had just gotten a job in a new-grad nursing program at Hilo Medical Center. I saw this as my opportunity to get out, even if I couldn't get a job at the hospital right away, at least I knew they were hiring nurses in Hawaii. And on top of that I was tired of waiting around in California for "my life to start." So I dropped everything, and bought a one-way ticket.

When I first got to Hawaii, I got a job as a waitress at a local restaurant called Cronies. Even though I didn't have a nursing job yet, the change of scenery made me happy; I had minimal responsibilities, no one to call home to, and plenty of time to spend on the beach.

After about a month I got hired at a clinic, it wasn't the ideal nursing job, but beggars can't be choosers right? The job was only going to be part time, so I kept my job at Cronies. And thank the flying spaghetti monster* I did, because I actually only ended up working at the clinic for about a week. I got hired on Monday and fired on Friday. They gave me a lot of silly reasons why they fired me that mostly added up to "people don't like you." It hurt my feelings that people didn't like me, but it hurt even more to think that if I couldn't even keep a stupid clinic job, how was I gonna keep an acute care job? It was worse than if they had not hired me at all.

Once again I felt like a failure, I felt incompetent, stupid, not-worthy and I was a stranger in a strange land. I felt so bad I was paralyzed; I couldn't get myself to open a computer and look at a job application for months. When I finally did, I got hired at a long term care facility. Four months later I got hired at Hilo Medical Center in their new-grad nurse program.

I have now been living in Hawaii for over 2 years, and I just completed my first year of acute care nursing. The most important thing I learned during this time was that failure is an option, in fact it's likely, but I also learned that I have the strength to get back on the horse and try again, bruised and battered as I may be.

Specializes in Oncology; medical specialty website.
I'm pretty sure after your 3rd post stressing that, you've hammered the point home. Can we now enjoy the inspirational story? Thaaaank yoooouuu.

+1

Perhaps we should put the OP in the public stockade for her inadvertent poor choice of words. We don't tolerate people who misspeak in these here parts. :sarcastic:

Specializes in Oncology; medical specialty website.
It isn't about being judgmental but ensuring that there is approximation for the mistake and the outcome it caused.

Apparently you are unaware that a c-section is major abdominal surgery that carries risks to mom and baby...things that can be lifelong. The OP needed to acknowledge this wasn't a case of "no harm". My only concern was that "no harm". A nurse who makes a mistake is human. A nurse who acknowledges the extent of their mistake is far better than any nurse who says "all well" just because they couldn't see the harm done.

And she has acknowledged that it was indeed a serious error, and that in describing it she used a poor choice of words.

I'm not big on the whole "NETY" issue, but you could make me change my mind. She acknowledged the mistake. She acknowledged that she spoke in haste. Have you never made a mistake or spoken in haste? How long do you intend to beat up on her for this?

Sheesh! In the words of the song from "Frozen," "Let it gooooo, let it goooo..."

Specializes in Oncology; medical specialty website.
Well my preceptor (let's call her Pam) got the bag from the pharmacy in-box. It was the only thing the pharmacy had sent up for this patient. The bag that they had sent up looks exactly like any other pre-mixed antibiotic bag from the pharmacy. Pam (who has about 30 years of nursing experience) quickly looked over the bag and handed it to me, it the dark patient room. I quickly looked over it too, made sure the name and birth date of the patient were correct. I do remember glancing over the name of the medication and thought, "that's an odd name" but I didn't think anything of it as I was sure that Pam had looked it over. So I then proceeded to hang up the bag with Pam in the room. We didn't use a pump, just the roller clamp to regulate the rate. It was all hung up so I left the room for maybe about 15 min while Pam and I monitored the baby's heart rate (which never went south). When I got back into the room, I realized that it was the wrong medication. I quickly stopped it, and ran to get Pam and a syringe of D50.

Pam was written up, and the pharmacy was too. And I was also written up, and I didnt graduate on time. There was a meeting about medication administration with the big head hancho's at the hospital that I did not attend. It was a big mistake that could have happened to anyone. Never again will I administer a medication without triple checking it myself.

So while you made a serious error, as soon as you recognized it you took appropriate steps to correct it and notified the proper supervisors. That sounds like the actions of someone very responsible. Believe me, we have had threads from students and nurses who made mistakes and tried to cover their tracks. Kudos to you for doing the right thing.

I LOVED this story! I'm extremely happy for you. I pray you have a long nursing career and fulfill all you set to accomplish.

Specializes in Pediatrics, High-Risk L&D, Antepartum, L.

And she has acknowledged that it was indeed a serious error, and that in describing it she used a poor choice of words.

I'm not big on the whole "NETY" issue, but you could make me change my mind. She acknowledged the mistake. She acknowledged that she spoke in haste. Have you never made a mistake or spoken in haste? How long do you intend to beat up on her for this?

Sheesh! In the words of the song from "Frozen," "Let it gooooo, let it goooo..."

I am not beating the OP up. There was somebody questioning my position which I explained in more detail.

Yes, the OP did eventually acknowledge harm. Poor choice of words or not recognizing the gravity of the situation when originally posted...we will never really know as we were not present in the OP's mind when that post was written.

So inspiring. Glad you were able to move on and get a job for yourself!

Specializes in Oncology; medical specialty website.
I am not beating the OP up. There was somebody questioning my position which I explained in more detail.

Yes, the OP did eventually acknowledge harm. Poor choice of words or not recognizing the gravity of the situation when originally posted...we will never really know as we were not present in the OP's mind when that post was written.

I choose to give her the benefit of the doubt. I know I've made mistakes in my career, and I've worded things badly occasionally. Some of us are human.

:madface:does everyone on this forum just get off to proving each other wrong? The POINT of the story was that she overcame something that she obviously got reprimanded from.

No wonder people hate nursing environments, some people can't leave things the freak alone.

When I first read this post, it was very inspirational. I understood what the OP meant by it. I went to read the comments and *BAM* I'm shocked to see such negative posts! I could tell in the OP's writing that she regretted her mistake, and though she said "no harm", I took it to mean "they didn't die or suffer immediate life-threatening consequences." I think she realizes that even though harm may not have been noticeable at that point in time, it can still present itself days, months, or even years down the road. After a few negative posts slamming her because she didn't explain this in writing, I saw that she explained herself in more than one post afterwards stating that she knew that was probably a bad choice of words. It just shocked me that even after she did this, the negativity continued! She made a mistake and she owned up to it. I just want to thank the OP for sharing because I'm sure it was a hard post to write. I'm also impressed that she has chosen to take the high road in response to some of these comments. Best of luck in your career :)!

Regarding IrishIzRN

Wow, your harsh. The point is, mistakes happen. Any nurse who hasn't made one is lucky or a liar.

Specializes in Pediatrics, High-Risk L&D, Antepartum, L.
Regarding IrishIzRN

Wow, your harsh. The point is, mistakes happen. Any nurse who hasn't made one is lucky or a liar.

And when the nurse can't acknowledge the harm...well I guess you are okay with that. I made a mistake but that c-section wasn't harm...sure that flies. I want the nurse who can admit the mistake and see the harm caused. Harsh? Really? I wouldn't want a nurse who thinks the inability to acknowledge the harm is okay. So I'll take the harsh nurse over the nurse who says "just glad you can admit your mistake". Who cares about the patient....only pat the nurse on the back.

No, I'm not OK with mistakes. What I'm saying is that this story wasn't, in my opinion, about placing blame, it was about how making mistakes is apart of life. I agree that acknowledging the mistake and possible harm done is important. I'm just saying that this person is telling a truth a lot of us would not want to admit to our peers. There is strength in that. Acknowledge it instead of judging. She already paid for it and learned from it.