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 Mental Health Nursing.

I think the problem is that you can't take constructive criticism very well. No one attacked you. The posters here offered you some very good feedback and gave you constructive criticism. Who judged you?

If you are not willing to listen then you are not willing to learn. Listen to what people are telling you and use that as a way to improve. Stop worrying about the charge nurse and whoever else and focus on improving yourself.

And please stop using the "bully" card when others are giving you direction. That's how it is in the working world. It's not bullying; your employer and supervisors are going to be firm when evaluating your performance. And firmness is needed when someone's life depends on your performance.

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!

elan good luck with your interview tomorrow, hopefully it will result in a new job and a fresh start.

is not the criticism is the Approach used, you for example approached it very well, in this post no bullying was used, I agree with you In the fact that charge nurse is not the issue, what I was trying to explain is that the few times I went to my charge nurse for help, she ignored me and sat on her desk to play with her phone. But anyways I know and understand my fails and mistakes are mine and I own them.

Specializes in Mental Health Nursing.
So when I pass my nclex RN I will look for maybe an ADON position or nurse manager.

Right after passing the NCLEX without any nursing experience? Or are you a CNA or LPN?

Specializes in OR, Nursing Professional Development.
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...

New grads do not belong in management. How can one manage if one does not know how to do the work that those one manages are expected to do?

When people come on here and give OPs feedback sometimes it's in agreement with a poster's side sometimes it is not. Just because posters don't agree with you does not mean they are bullying.

The APA says bullying: is a form of aggressive behavior in which someone intentionally and repeatedly causes another person injury or discomfort. Bullying can take the form of physical contact, words or more subtle actions.The bullied individual typically has trouble defending him or herself and does nothing to cause” the bullying.

No one here is bullying you.

I agree it can be frustrating if your co-workers or those above you are on their cell phones when you need their input or help. It seems like it happens on every unit and is a definite downside of technology. Most hospitals have policies regarding personal cell phone use but they aren't enforced very well.

I don't know where the bullying is coming from, I have not said any bullying anywhere in this article?

Around aprox 9:19 today you talk about posters's anger towards you. Then at 11:19 you commented that you liked a previous poster's approach as

" in this post no bullying was used" I inferred from some of your posts you felt you were being bullied on here. My apology if I was wrong.

Well she's right at 1yr and new grad= 1yr or less , so it's not that big of deal that she considers herself a new-grad.

@ newboy...

Elan84: I have been an RN for 10 months on a busy cardiac floor (great place to learn btw). I know I will probably make a mistake someday, but I am trying my best to avoid it. Here are my personal tips:

I always look at the lab label and ask the patient to verify name and DOB before I draw lab. I ask the pt to verify AGAIN before I put the lab label on. I do it on every single lab label. I always put the label right after I draw lab at the pt's bedside. I never take it outside the pt's room without labeling it. I also check the pt's armband.

I always verify the pt's name and DOB before I bring paperwork to them and do it again WITH the pt (discharge or other handouts).

I NEVER give medications to the pt without telling them what I am giving them. Most of the time my pts know their meds. They will tell me if they think a medication sounds new or something is not right.

I check IV meds compatibility on the hospital's website and also call to ask a pharmacist on call before I hang something together.

I check the MD's order before I do something.

I pay attention to the dosage "mcg" vs. "mg". I caught an error before and got it fixed.

Always check pt's BP before giving blood pressure medications and call the doctor when I decide to hold a med because the doctor might have his reasons to give it.

I ask experienced nurses when I am in doubt. They are important resources. I cannot survive without other nurses on my floor including the nurse techs. When I have time, I ask others if they need any help. Other nurses on my floor do the same.

I call the MD whenever I have a slightest doubt in my mind. It works well so far.

I have a "to do list" paper. I write things down and try to organize my tasks. I am not good at organization, but I am getting so much better since I become a nurse.

I pay very close attention to details, but my strongest weakness is time management. My time management skill has improved, but it is no where near my goal.

I still consider myself a new grad. I know you will be better at your job. Please keep trying. Practice makes perfect. Good luck to you.

Specializes in Mental Health Nursing.

@QuietRiot, it is a big deal. Although she is a new nurse, she is not a new grad. This is not about titles, but more about how she sees herself. Self assessment is important when it comes to improvement; and when someone places themselves in a category beneath the level of where they should be, it says a lot about how that individual views themselves.

I'm not saying she's seasoned or experienced. She's very much new, but management is expecting her to function as a novice at this point, not a new grad. And she will be expected to function as such in future jobs too.

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