Forced to resign, new grad with only 1 year of experinece.

Nurses General Nursing

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I find myself today some how discourage and with a low spirit, I would like to know the opinion and hear experiences from either new grads or more experience nurses about my story.

I was hired exactly one year ago as a New Grad at the ER in a local hospital. We all new grads were hired with a $5000 contract for 3 years. This contract involved educational training for New Grad ER nurses, This will include a preceptors and a Regional ER course. Well at the time and as a New grad looking for a new experience and any job that came across the ER sounded great, and 3 years contract really did not felt like much.

Well my journey started, I was trying to get use to be called the orientee, because this was the way all our coworkers were referring to us.

Well one day after a couple of week of orientations and lots of CE courses online required by the hospital, our manager said to us the ER course will start next week, but we have to make an addendum to your contract, is not going to be $5000 anymore now is $7500, I was forced to sign it at that point. We all sign it . The ER regional course was 4 or 5 weeks and it was useless, poor teachers nothing ER related really broad and vague. It was like assisting to one of those fast track NCLEX courses, basic stuff but nothing that I didn't knew already from nursing school. I really felt robbed, but again I needed a job and I was still excited about ER. We were suppose to have a ONE preceptor to follow through what you were learning, not many and who ever was willing to take you that day. This is what happened, I had multiple preceptors, some good, some hate to have an orientee and some just care less about teaching you. I completed my 6 month review with clean record :-) I even call dad , I am good I passed my probation period clean with clean record. that was a huge relieve, up to that point all my managers and directors were being some how nice to me. Well things change, once you are on your own with no preceptor, I was oriented during day shift for 3 months and now I was sent to nights. That was a major change for me, keeping in mind I had never ever work a night shift in my life, but that was my agreement and I was willing to fulfill it.

I was hired in March and I managed to keep up my new grad record clean, until season started, most of the techs were either fired or left, I see many nurses leave but I really didn't get involved, I was there to earn my living not to gossip around.

December 31th I was called for the first time to my managers office, I had gave another patient papers mixed with the packet the doctor handled me to discharge this patient, and I mislabeled a blood tube. I was being written up for the first time, my manager didn't look or acted as nice as before, she was rough, mean and really not understanding. I assumed my fault, but I accept my personality is sometimes talkative and I said I am not sure I gave those papers to the patient, because this is the case many times where the charge nurses give discharges or doctors do and then you have to sign on them, and ER is really busy things like this are hard to remember. But I guess I should just assume my fault and leave that office. Well I managed to just say I am sorry I will pay more attention to detail, this was what they counsel me about, attention to detail. Well after that I felt they were watching me, I was so sad and anxious not to make any mistakes that I feel the more careful I was the more clumsy I was becoming. I was called one more time to the office, A Retired Nurse who came to my ER almost at change of shift placed a complaint that she was never place in the monitor, and also I had place a urine sample in the same bag with the tubes, this according to the lab contaminates specimen and she made me withdraw the labs again. I gained a second write up. I appeal the monitor case because it was charted, but manager said patient was a reliable source and eve though I had patient for less than 30 minutes and even if I gave bedside report and it was documented in my chart, it wasn't valid and I had to keep the write up. I did not appeal this write up not until I received the 3rd write up.

The third write up happened last week march, we are talking of 3 write ups in a matter of 3 months. The last write up that caused me a suspension was about my biggest fault, I entered the medication list of one of my patients into another patients chart. They found out when the patient went to the floor and the nurse wrote me up, I have no excuse the ER has been to explosion level and my anxiety because I knew this was going to happened, my charge nurses being of no help, no techs in the ER , many normal factors of the ER.. no Excuse I am making stupid mistakes. I was told by my managers who were very aggressive in front of the ER director in this write up appeal meeting, We are seeing a pattern here you are not having attention to detail and also you don't accept your blames. They also told me that one more error and I will be fired. What should I do? Is this a good time to resign and take a deep breath before making more mistakes? Is my manager going to give bad references about me once I start looking for a job? I really feel stupid for making all this rookie mistakes :-(, mostly because my manager has told me I don't belong in the hospital world.

I am scared of resigning, but I am more afraid of being fired, how to handle this and leave with my head up ?

Of course there are some great advices from very professional nurses, some of my replys aren't making sense because for some reason my account is not directing it to the person I am trying to refer to, is this because I'm using my iphone ?. like the person who expressed oh boy she is getting new job, poor patients. I don't believe that is appropriate for a forum of professionals. I do appreciate everyone's comments and in multiple occations I have said yes I assume I made mistakes and I know how big they can be and I am willing to correct it. But unfortunatelly I can not wait there because I am in a black list and If I do they are going me.

Specializes in Public Health.

You're doing yourself no favors by just moving on. If you had learned your lesson then you would've made sure you checked the five rights everytime after you got written up the first time.

And please use spellcheck so you can catch any errors in your posts. I couldn't understand that last sentence in your most recent post.

Specializes in Med/Surg, Ortho, ASC.
You're doing yourself no favors by just moving on. If you had learned your lesson then you would've made sure you checked the five rights everytime after you got written up the first time.

And please use spellcheck so you can catch any errors in your posts. I couldn't understand that last sentence in your most recent post.

Unfortunately, spellcheck wouldn't help. There are no misspelled words in that sentence.

Specializes in Med Surg; Critical Care.

Have you considered another specialty? The reality is, ER is very fast paced, demanding and requires attention to detail (as all specialties do). That will never change. There is nothing wrong with considering another specialty because ER is not what you thought it would be. Ultimately, everything is about the patient, and what may sound like a minor mistake can actually be a huge mistake if not caught in time (e.g labeling blood work incorrectly). Always place yourself in the patient's position to see how big of a deal something can be.

I can't say that I blame them for the write ups, but I have also worked with some mgrs that are just no nonsense for errors, especially after a year of experience. They no longer see you as a new grad.

Ultimately, it may be best to try either a Med Surg unit or something a little slower paced to get you acclimated to a hospital setting. Maybe try a smaller hospital. You should definitely look at other opportunities, because with all of the write ups I am sure they are paying much more attention to what you are doing now. The hospital setting really isn't for everyone, and I have worked with nurses that don't realize this until they are 5 or more years in. So think about that as well. As someone mentioned earlier, do not put your current manager as a reference. I would recommend a supervisor/lead or someone that you know for sure will give you a great reference. Most jobs require at least one mgr/supervisor reference so make sure you list someone that will not throw you under the bus to a potential employer.

I have always been of the thought that new grads should not be in the ER. It is high stress and requires quick thinking that comes with experience. You only have a year in the field and mistakes happen. It's what you learn from them that counts. You certainly don't want a "firing" on your record so I would begin to look for new employment. Sometimes it's just not a good fit and that's ok. Who's to say you won't go to another ER and "blow the socks off em' !!!!" At this point you don't sound happy with your job and if causes you anxiety it's time to move on. Your probably not going to get positive words as referencing goes but that is out of your control! It's better that being fired and having to explain that one. Good luck!!!!!

í ½í± Thank you.

These warnings are actually an opportunity for you. Ask yourself honestly: is the ER a good fit for you? Do you enjoy where you work? Are you feeling anxious and overwhelmed because you feel that you are being scrutinized or is it because you are working in an area that is not right for you? The ER is a fast-paced, stressful environment that can be challenging for a seasoned nurse, let alone a new one. If you choose to try to find other work, it doesn't mean that you have failed. It doesn't even that you will never be an ER nurse. It just means that after careful consideration you realized that it isn't right for you now. That can change later after you have been practicing for longer!

The great thing about nursing is that there are so many different opportunities. Analyze yourself as a nurse. What aspects of the job do you really enjoy? Which population do you have fun working with? What are your strengths and what are your weaknesses?

If you decide to stay where you are, use the feedback you have been given to improve yourself. Take the time to slow-down and double-check your work. Come up with a concrete action plan to do this. Safety should be your priority! Is there a more experienced nurse you get along with who can help mentor you? This can be a great way to enhance your sense of support. Maybe it would help with your anxiety? At the end of the day we are all human and make mistakes. Don't beat yourself up about that. But if you are demonstrating a pattern of similar mistakes, you have to reflect on why this is happening and what you can do to prevent it from happening again. Best of luck and hope this helps!

Specializes in Pediatrics, Emergency, Trauma.

OP, why don't you just transfer to another floor and go from there?

Do you really want to turn this around, or foot a 7500 bill?

Maybe you are going through a rough patch; we don't know, however, as long as you take accountability, real accountability for your actions, only then you can turn around you mistakes and can have a stellar clinical practice, which our patients expect when they come to us.

Best wishes.

Listen, you are very lucky. You get warnings. In my recent job, they terminated me and pinned me because of a mistake that can attributed to a lot of factors (like poor working environment, short staff, nurses not paying attention, unclear instruction from Computer), it just so happen that an incident fell on my shift and they pinned that mistake on me. Never counsel me nor gave me suspension. Just automatically fired me though the liability should equate to the whole team. It was about unchanged IV dressing. Though they found out it was unchanged after few weeks after my last shift and I got all the blame.Funny is that IV meds had been given to the patient like EVERYDAY. So how come full time nurses didn't caught it? I questioned that when they did the investigation. But they just doesn't care as long as they can point fingers to someone.

I was so upset they NEVER do any counselling on me since I'm new.

And the full time nurses/CNAs who I frequently observe not doing things right, are still there. Never get fired. W

hy??

Because they're either the frequent complainers or close to the management. The gossip crowd.

I never get supervisors and managers like that..

I would try another department maybe....ER may be a bit much for some new grads. Idk, just by reading your post, it sounds like a bit much for you. Personally, I look at nursing as a way for me to work towards my strengths and not my weaknesses. I'm stronger at following orders and caring out plans and I KNOW this. So I KNOW ER, critical care and cardiac are NOT areas for me. ;-) I work well with doctors and adult patients....so I gravitate towards those environments (LTC, internal medicine). While in nursing school now, I think more of my strengths are delegation and management of care. So when I pass my nclex RN I will look for maybe an ADON position or nurse manager. It's great for new grads to jump in head first if that's their desire...BUT we all must know when we began to jeopardize our patients. Because it's not about us, it's about them!

#MyOpinion Be blessed!

:roflmao:

A lot of great posts on here--please read them and realize most of the people on here are absolutely not angry with or trying to attack you, just concerned for you and your patients.

I wonder if you know how condescending that "be blessed" comes across. Did you mean it that way?

Condescending! No way! That's not my intention. I wish everyone the best and I pray blessings for all. Positivity can be taken as negativity, huh? But no, I mean well. :-)

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