I wanted to explain what happened to me...

Nurses General Nursing

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Hey everyone...

I want to thank everyone for the prayers. I'm sorry I haven't been able to explain why I needed them and what I meant by saying I was in trouble, but I have recovered enough mentally to explain my last eight days of pure hell...

I work 11p-7a as the supervisor of a nursing home. Last Sunday night I worked. Monday morning after work I went to visit my grandmother in Georgia, not intending to be gone all day. She has been diagnosed with a brain tumor and has decided to refuse any treatment- she wants to let it take her course and rejoin my grandfather who died three years ago. This is devastating to me because I am very close with her. I ended up being with her all day and getting home around 9pm. I had to be at work at 11, so I decided not to sleep since it would make me more groggy to get less than an hour of sleep than it would if I just stayed up. Despite my best efforts, I fell asleep around 9:30 and when my alarm went off at 10 I was in bad shape- disoriented and nauseous. I decided to take an ephedrine tablet and set the alarm ahead 20 minutes so that when it went off the ephedrine would be in my system. I hardly ever take it but when I do I take an Atenolol with it because it makes my BP go up and my heart race. The Atenolol was prescribed to me a year ago, but since losing almost 100 pounds my BP has been normal and I haven't had to take it regularly. Anyhow, when the alarm went off again I was still really nauseous and tired but I got ready and went to work. I felt weird- sort of detached and sluggish but I figured it was because of lack of sleep. I'd gone without sleep before so I thought I'd be fine.

At about 3am, however, my DON showed up. I was surprised to see her, but she told me she just had paperwork to do. It seemed like she was observing me though, and soon the truth came out- someone had called her at home, woken her up and stated that I seemed impaired. After watching me, she declared probable cause and accused me of being on drugs. I was shocked and scared and denied it- I have prescription narcotics for my back ( i broke it 7 years ago and am trying to avoid surgery for as long and possible) but I never take them within 12 hours of work- never. I was made to feel like a criminal. I was brought to the local hospital and had to pee in a cup, crying all the while. I knew I felt odd and detached but all I could think was that maybe someone slipped me something. After the UA, she refused to believe me, took my keys from me and I was sent home in disgrace.

Three days later I found the bottle of Atenolol in a totally different location than i thought. Apparently I took an Ambien instead.

Once I figured this out, I tried to explain it to her, but since the drug test had already been sent out I still couldn't work until the results came in. It took eight days instead of three because of the positive for opiates resulting in a differentiating test. The only thing that showed up (of course) is one of my prescription narcotics (Lortab). The lady from the drug testing center called me this morning and I had to bring over my prescription bottle to confirm it. Then I had to get a letter from my doc stating that I had been his patient for four years and was still on the same strength meds and had been very responsible with my pain meds. I expect a call in the morning to go in for a meeting with my DON when she gets the report.

Here's the kicker- everyone at work apaprently thinks I was caught stealing drugs, high at work, or drunk on the job. The worst part is that I think I am going to be fired anyway, regardless of the negative drug screen for anything except what was prescribed to me.

I love my job, and i love being a nurse. I've worked at my job for over a year, with exemplary performance evaluations and reviews. I don't understand why I am being treated this way. I'm still scared about possibly losing my job, but at least I know that I will not lose my nursing license. Before I realized about the Ambien, I honestly was scared that someone had slipped me something and then called my DON so I would be tested. As a supervisor you always end up with certain enemies, people you have had to write up because of legitimate concerns who hold it against you. I was terrified because I did feel odd and if someone had slipped me something and I tested positive, I would have lost my license.

I really don't want to lose my job, I love it so much. I hate that my coworkers all are assuming the worst of me. I didn't intentionally do anything wrong. I've lost seven pounds since this happened and have not been sleeping. I've cried constantly. I'm a wreck.

I'm sorry this is so long... I just wanted to thank everyone for the support as well as warn you of what could happen... please keep me in your prayers and I will let you know if I am fired tomorrow or not...

I love you guys...

Lori

Oh Lori, I figured something like this going on, hence why you didn't first say anything.

I have talked to you before about my back issues, and we both had the same fears. I don't work as often as you for that very reason. Most days I can't move. The days I feel good enough to work, I do. But those are very few in between. I am trying to get approved for IDET, a procedure for my back besides a fusion that may help me.

I know how humiliated you must feel. But you didn't do anything wrong, you can hold your head up because you know that you're a good nurse. If I remember right, didn't your employer know about the pain meds? Even though they know you take them on off time, I have found that when ever in the building there is a narc error, everyone thinks of me first. Why? Because I have a bad back and always hurt. Doesn't matter that I always test negative. They don't know that, they just think what they think. And it used to upset me, but I can't change they way they view me. That's why I don't work the floor anymore, I refused to touch the keys, then I don't have the suspicious eyes looking over at me when I hand out a pain pill. I just hope that those who accused me never have to be in the kind of pain I am in, cause it's horrible and you are treated like a junkie even if you have done nothing wrong.

Hugs Lori. Let us know how your meeting turns out. Your DON hasn't said anything to you yet? You had to go all those days with no word from her? I just don't know what to say. Just know that you are among friends here, and that WE care about you. I'll keep praying that things turn out good for you. Keep us informed, ok?

I don't know much about drug screens, but don't they consider it negative if you have a script for what appears on the screen? Or will the DON know you tested positive, but yet had a legit prescription? Can someone enlighten me? I thought if you had a prescription for whatever appears, that it's okay.

Thank you so much for your concern...

Yes, my employers know I have narcs for my back, and that I voluntarily do not take them within 12 hours of work. I typically go through 12 Advil a shift because of the pain (which drives my doc NUTS, he tries to convince me to take the narcs instead because I have been taking them long enough that they do not impair me, but I'm paranoid).

I won't take keys either. As a supervisor, I can request copies of all med room keys, but I choose not to because of one fear: what if a Lortab discrepancy occured, and all of us who had keys were tested, and I was the only one who was positive... even with a script, I would be under suspicion.

I've talked to my DON several times, but she has been so cold to me, keeps telling me that we'll just have to see what the drug screen shows and that she knows what she saw. This morning after talking to the lady from the testing facility, I called her to tell her that my results were clear except for the Lortab which I have prescribed and that I hoped I could come back to work soon... she STILL said "Well, we're going to have to meet at work and have a talk there." That's why I think I'm fired. The report they get shows what I tested positive for and the fact that I had a prescription.

I just feel sick, scared, and humiliated... but at least I know that I will not lose my nursing license over it.

I want to thank everyone for your support and prayers. You guys have done more than you know to help me through this. I never thought I would be in this situation. This has been without a doubt the worst experience of my life. Knowing that I had friends here has made all the difference though... it has really helped me to hang on.

sadly lori, this does not surprise me at all.

the sanctimonious b.s. is just one of our more attractive qualities.

we don't just eat our young.

we eat anyone we damn well please.

whatever the outcome, i'm not sure i'd choose to stay at a place that so readily judges and condemns its' colleagues.

please, do not feel humiliated.

do not let this don speak down to you.

i sincerely am hoping this is a sign of better days ahead.

with peace,

leslie

Specializes in MICU, SICU, CICU.

((((Lori))))

I will keep you in my prayers

Specializes in Telemetry, OR, ICU.

Lori, have you considered seeking legal advice, or retaining a lawyer? Surely, your nursing license is not in danger. However, this facility has seemed to have turned their back on you & you need some one [a lawyer] in your corner.

Good luck!

Specializes in A myriad of specialties.

Lori, I too am thinking of you and have you in my prayers. What a terribly unjust situation! Please let us know how things turn out...and I agree with CorvetteGuy, perhaps you need a lawyer in your corner. HUGS to you.

Sorry this is happening to you, especially at a time with your grandmother in a decline. How did the opiates show up in your results?

Soo sorry about what happened to you. It was an understandable error, and considering your excellent background at this job, if they fire you over something like this, it is definately their loss.

I hear you when you say how much you love your job, but many times managers unfortunately don't know how to do their job. No discussion with you about the situation, a drug test showing a med prescribed for you, and you expect to perhaps be fired!

If they fire you, I'd call it discrimination and contact the BON. Not that I would want to fight for a job back in a facility where they don't want you, and the lovely staff, without any info, suspect the worst, but just to clear your name and get the correct info on the record.

Last Jan. when I had a severe burn and was on Dilaudid, I also was job hunting. Had to take a urine test and the Dilaudid never even showed up. I was amazed. Had a script for it but just had to wonder just what drugs they test for, you know? Seems kind of skewed to me.

I hope everything works out for the best!

It would be intersesting to see what, if anything they write you up for, being "out of it"? You are pre occupied with a family members declining health, doesn't mean you are not a competant professional, bet they cannot find a single mistake during your shift.

I hope they will prove to be human and give you a few days off to spend with Grandmother and perhaps it is time to adjust your work/sleep schedule for a while. Maybe consider working day or evening shift, possibly part time?

Don't allow anyone to bully you. Your health andd that of your family has become primary at this time in your life. Sleep well and give Grandma a hug for me, she sounds like a great and courageous lady.

Specializes in Telemetry/Med Surg.

{{{Lori}}} I'm so very sorry you're going thru this BS! You'll be in my thoughts!!!

Okay, I'm probably being extreme here, but I'd call my lawyer. I would just want to explain to him what happened and document my side of the story with him for future reference.

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