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 ?

Specializes in TCU, Dementia care, nurse manager.

Quote "Quote from Ruby Vee

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

Unquote

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. :-)

This exchange is a "great" - actually quite disappointing and frightening - illustration of how people perceive and mis-perceive one another. A great deal of the thread illustrates miscommunication and its sequelae.

I truly hope everything turns out well for you! Mistakes are de by seasoned nurses everyday and they should never be taken lightly. Unfortunately, the ER is not the place to make them. I always new that I never wanted a high stress job such as ER. I like to know my patients and build relationships. It sound like you like to so the same so maybe you should try a health center. It is a very rewarding place to work.

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..

Taking this at face value, you were fired strictly for a one time IV dressing change that was missed, discovered 3 weeks later?

i really can't believe that, not meaning to be argumentative, but it seems you, and OP, must be missing something. They spend all these resources getting you up to speed and a one time miss (you didn't say the patient had an adverse event because of it) and bam you're fired? It seems more likely that your manager was looking for a reason based on overall performance or another incident preceding this one.

Specializes in OR, Nursing Professional Development.
Taking this at face value, you were fired strictly for a one time IV dressing change that was missed, discovered 3 weeks later?

i really can't believe that, not meaning to be argumentative, but it seems you, and OP, must be missing something. They spend all these resources getting you up to speed and a one time miss (you didn't say the patient had an adverse event because of it) and bam you're fired? It seems more likely that your manager was looking for a reason based on overall performance or another incident preceding this one.

There's more to the story: https://allnurses.com/nursing-and-professionalism/is-this-a-978894.html

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

..

I'm confused. In your thread about your experience, you stated that you had been counseled by your manager twice (about different issues) prior to getting fired for the incident in which you were found to have falsified documentation.

Specializes in Med/Surg/Onc, Peds, Tele, LTC, Hospice...

maybe find another job asap and work it Per Diem or PT in case you are fired. Then you may be able to go FT with new place

Specializes in CVICU, CCRN.

While I did not read all of the comments and conversation, I want to give my input as I am in a very similar situation as you, OP.

I am a new grad in a very intense, very fast paced CVICU. I'm about six months into my employment. Things have been going well, but I did have one incident regarding failure to follow up on a task that was appropriately delegated to a CNA and was left incomplete. It was regarding discontinuation of a line.

Anyways, I was written up for this one incident. After the incident, I made sure that it was going to be MY responsibility to figure out how I was going to prevent myself from making a similar mistake in the future. I decided that, overall, I need to slow down a little bit. I realized the reality of my situation:

1. I am a new grad in a fast paced environment. This means I am going to be a little bit slower than everyone else, and in time, I will speed up. However, now is not the time that I need to focus on moving as fast as possible, I need to focus on being as safe as possible. My co-workers and managers are just going to have to accept this as the reality for right now.

2. Even if it makes me a little unpopular with my co-workers for now, I am going to make sure that I have safely and accurately provided good nursing care before I leave the unit at the end of the day. If that means I need an extra 15 minutes at the end of my shift to check my charting, that is what I need to do for the sake of patient safety.

3. If I feel like I forgot something, I probably did. Try to figure it out before you move on. Can't figure it out? Maybe get another set of eyes to help guide you.

4. As a new grad, I know that I need more support than usual from my co-workers in order to be as successful as possible.

It sounds like you ARE making a lot of pretty big mistakes. On the other hand, it really sounds like your management needs to SUPPORT you as well as pointing out your mistakes. If I were you, I would request a meeting with the management team to help come up with a plan or some kind of temporary accommodations to help guide you. It sounds like you're having a hard time pulling everything together when you are transferring or discharging a patient. Maybe request that the management ask a nurse to spend a couple minutes looking everything over prior to discharging or transferring a patient for the next couple weeks to help ensure that you haven't missed anything?

Best of luck to you. Hope everything improves.

Quote "Quote from Ruby Vee

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

Unquote

This exchange is a "great" - actually quite disappointing and frightening - illustration of how people perceive and mis-perceive one another. A great deal of the thread illustrates miscommunication and its sequelae.

What was condescending, were the initial replies to the PP wanting to be an ADON.

Specializes in Critical Care, Forensic Nursing.

Part of being a new nurse is learning to manage your time in a safe, efficient manner. It's also a time of learning to take criticism, however it's offered, and suck it up and learn from it. You are not a new grad. You are a novice nurse. But your errors could have could have cost someone their life. It's not about you when you're working. It's about your patients. Sometimes criticism is tough to swallow and in the ER or critical care, time is of the essence. We don't have time to always carefully formulate our words and emotions can run high. Your toes will get stepped on and you will step on toes in return. Get your ego out of the way. It has no business in the ER. Toughen up and take your licks. Learn from the criticism and rise to the challenge. If you cannot do that, then the ER is not for you.

Trust me, it is not going to get any better for you. When you have been in nursing long enough, you can get a sense when your head might be headed to the chopping block. That is the time to start looking at Plan B.

As a new nurse, they should have counseled you for your errors. Now, if you repeated the same ones, then you should be written up (in my opinion.) We are all either capable of doing, or have done, the things you have talked about (except maybe the urine/blood in same bag thing maybe...)

My advice: LOOK FOR, AND START INTERVIEWING FOR, ANOTHER JOB NOW! You will not be working at this place 2 months from now. If you do stay, you will be a miserable nurse who is ready to burn-out quickly. Don't say anything negative about your employer to other employers. If you are able to get a better job, cut your contract bonus losses and go. You need to get a first employer that will support you, not drive over you with a bus. Don't worry about bonuses for your first job. Good luck to you.

Yes, I have been thinking about all this for a while. Yes I made some big errors gladly all my patients are alive and didn't get worse than a write up. I found a new job. Will be starting soon. I will try it out one more time with a fresh start, walking slowly and trying my best to stay away from the same mistakes. I will be positive and I'll be more humble to criticism as well. I will let you know how it goes for this second year. Thank you all for the kind responses.

congratulations on the new job!

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