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

:uhoh21: Lori,

This was a very unfortunate set of circumstances. I think you now know that you used some poor judgement and could potentially have resulted in endangering your patients. I am concerned about your casual use of Ephedrine, knowing how it affects your health. As a nurse, you know the consequences of mixing drugs.

I know this all sounds punitive, but now would be a good time to examine your life with brutal honesty & assess whether you have a problem with self-medicating in order to cope with life.

I cannot help but go back to thinking: WHAT WERE YOU THINKING?

and WHERE WAS YOUR CONCERN FOR PATIENTS?

I really do hope this all turns out for the best...

Take care,

GG

I am so sorry you have been caught up in this emotionally devastating drama. I pray that you can offer all of this at God's feet and feel his peace replacing your emotional upset. I pray you regain your composure and confidence. And most of all, I pray you can send God's love out to those you feel are judging you and criticizing you. I'm praying this settles down for you quickly and you feel safe and secure, working in the job that serves you best.

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.

Just FYI I am a nurse in Canada who drug tests for a large corp for pre access. The urine sample is split to allow one of the sample to go for further testing. If the person's sample comes up positive for a drug, one of the samples is sent to the lab for further testing to determine particulate of the drug. The DR contacts to establish relievence of the drug and to see if the drug is within prescription limits. Due to the extensive documentation Lori has on her script and history with her Dr, she shouldn't have any problems. Med errors happen, even with ourselves. We are all human. I hope that our sister will keep her chin up and remember to be proud of the role she plays in the lives of others.

Just FYI I am a nurse in Canada who drug tests for a large corp for pre access. The urine sample is split to allow one of the sample to go for further testing. If the person's sample comes up positive for a drug, one of the samples is sent to the lab for further testing to determine particulate of the drug. The DR contacts to establish relievence of the drug and to see if the drug is within prescription limits. Due to the extensive documentation Lori has on her script and history with her Dr, she shouldn't have any problems. Med errors happen, even with ourselves. We are all human. I hope that our sister will keep her chin up and remember to be proud of the role she plays in the lives of others.

Specializes in PEDS ~ PP ~ NNB & LII Nursery.

Lori, I am happy for you and think you have seen the blessing in disguise here. :innerconf I have spent 3 days reading all these posts (WOW!) and have to say, toward the end it felt like I was going back in time. :deadhorse About half way through, oh... say about page 14... I was going to tell you to apply at my hospital and relocate to the west because I would be absolutely honored to work with a nurse like you. :bowingpur

Okay, I am back to my studying now. Getting ready for round three of the NCLEX! Dang... :banghead: I think I just think too hard. I need to remember to "keep it simple stupid". :icon_roll

Here is a congratulatory hug for you and the roller coaster ride you have just taken :icon_hug:

Sorry about all the smilies, I LOVE THESE THINGS!!!

Lori, So sorry for your circumstances. Thank you for putting the rest of us on alert who suffer from chronic back pain. We suffer because it is usually job related and because we are dedicated, we continue to work rather than collect disability. Yet, if you take medication for it, you can be made to pay dearly. Talk about a double edged sword! It is easy to see how you could have mixed up the medication being under the stress you were under and the lack of sleep. If you were not such a dedicated employee, you would have called in sick. My prayers are with you.

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

very scary - i too take prescriptions for my back ( employer aware as they required all meds be listed prior to hire - i was sure id not be hired lol) anyhow - back to hand - it is scary that wed have to go through so much ( ie get docs notes etc to prove we are responsible with our meds and not drug addicts) to prove our innocence - instead of innocent until proven guilty.

on another note had a gal - a cna - that was supposedly caught dealing drugs and was tested and the same happened to her - i was off for surgery for 2 weeks and rumours still abound by the time i got back so i reported it to my supervisor who set me straight that she was cleared by drug tests etc- so now i myself have been putting a kabosh to the rumors to anyone i hear telling about it. perhaps you have someone yo can trust that can spread the word you are NOT what they say you are. just a thought.

also dont feel bad- you are not alone in having taken the wrong med accidentally - i too have done that and went damn cant believe i just did that - kinda funny if ya think about it - we triple check for our patients but for ourselves we just take it cause we are so used to where it is , what bottle etc , and if someone inadvetanly moves it uhoh. you are not alone on that aspect - at least one other ( me ) has been in your shoes. hugs.

That's an awful way to be treated. They should have to not only take you back, but pay you for the time you missed. Probably won't happen, though.

I don't take Ambien because I took it once and stayed up a while. I got drunker than the proverbial skunk! If I'd done as you did and taken it by mistake, I would probably have killed myself before I ever got to work.

You made an honest mistake and they should not hold that against you. They also should have done a bit more to discover why you acted "impaired." Medical conditions can cause symptoms, too. If it had been, say, low blood sugar, you could've ended up in a coma while they were worrying about drug abuse. I've known a diabetic nurse to act impaired when she took her insulin and forgot to eat; she made a mistake with her meds, too, but no one held it against her.

I'm really sorry all this happened, and hope that a better job is just around the corner for you!

a nurse at work ( not that we got along - we did not get along well but thats beside the point lol) was fired - i wsa told she had been on drugs - as much as i did not get along i did not believe she was doing drugs - i called her dh and now have her in my prayers - she has a brain tumour!! damn administrations for jumping to conclusions - its sckening. i told her dh he should go after our work and get them for wrongful firing - dont know if itd work but no nurse or anyone deserves the BS we get.

Hey everyone,

You all have been so wonderfully supportive of me. It means so much to me. Other than my dh of course, you're the first ones who didn't treat me like a criminal.

I called my DON today after she received the report, and she said that she will meet with me tomorrow at 11am. I am SICK of not knowing! I worked my @ss off over a year for this place, on salary yet working 10-20 hours of UNPAID overtime each pay period. At night I am on my own to handle any unforeseen circumstances involving staff or residents (all 165 residents!) and I have always done the right thing. I made a MISTAKE. She has to realize I would never work on ambien intentionally!

I just don't know what to do. I've been out of work now for nine days. I can't afford it- and dh was working PRN at the same place, for obvious reasons he hasn't been called for any days so our income is zero. I'm scared and desperate and have no money for a lawyer. I can't just go find another job until I know whether or not I've lost THIS one, and they seem determined to string me along as long as they possibly can! Thank the Lord I have been throwing spare change into an enormous bottle for the last year and a half, that $320 in change has made the difference between us squeaking by thus far and us losing our house.

I've been honest with them the whole time I've been there. When they hired me, I told them UPFRONT about my back problems and the fact that I had narcotics prescribed but chose not to take them within twelve hours of work. They hired me KNOWING this, and for over a year I have shown myself to be very responsible! I recognized problems with quality control at work and created and implemented 14 different tracking forms (including random call light audits to see how long it took for someone to answer them, compliance round checks, and total care cards which I put under helpless residents to see how long it took a CNA to find them, all of which I handled myself rather than putting paperwork on the LPNs). I haven't missed work in I don't know how long- I even worked every holiday although as salary I could have stayed home and gotten paid the same anyway. I knew they needed me. Hell, when I broke my thumb in three places AND dislocated it last year, I called in for that night only (broke it at 8pm, called in for that 11-7 shift) but was back the very next night on nothing but Advil and Aleve, and a whole lot of pain tolerance.

I'm sorry to babble like this, but I feel so betrayed. I really thought I was valued there, and everyone just turned on me without giving me a chance to prove my innocence!

If I could afford a lawyer, I would get one in a heartbeat. Right now though, I don't even know how we are going to pay our utilities. DH has been putting in applications around town, but the newly graduated summer crop of LPNs seem to have wiped out most job opportunities, and even if he was hired tomorrow the time we've gone without work just might ruin us- we've been renting to own our house and paying money each month into a seperate escrow account, if we can't pay our rent we lose our escrow account too, which is in the neighborhood of $5K, when it reached 10K we would have owned the house and paid mortgage instead. I'm terrified right now that we are going to lose it all. The reason we have been living paycheck to paycheck is because of all those bills plus dh's child support, and we have been putting every spare cent into that escrow account in hopes to get the house sooner. But even if I got a lawyer, Alabama is a "right to work" state, so they can fire you for any reason or NO reason. I don't think legally I'd have much to go by... but I have given the last year of my life to my employer, and they've spat on me in return.

I just don't know what to do. I'm so scared.

call social services ( and dont be ashamed you have added to the funds for yrs time to get some back) and tell them whats up and see what they have to offer - in our state they have emergency funds for folks in situations like you that will help pay a month on the rent and there is fuel assistance and maybe even more depending on your circumstances. also - call the lawyers and see if any will do it verbatim with payment from winnings or whatever you'd call it. some will you'd be surprised just for the challenge. or perhaps social services can gear you towards like we have - there are lawyers in our state that take cases based on income - or perhaps the DA?? dont know about that. do some calling and see what you can come up with. if nothing else perhaps just the rent and fuel assistance would get you by enough. hugs and prayers.

I'm soo sorry your having to deal with all this nonsense. You sound like a great nurse with a big heart. Working all nite, going to spend time with your loved one, and then still going into work after no sleep because you knew they needed you. Wow, I'm impressed. It's a shame whoever called your DON in didn't just come to you and ask if everything was alright. Surely things would have been different if they understood the circumstances and didn't jump to the wrong conclusion. It's even sadder that your DON didn't understand either and have your back, instead of jumping to the wrong conclusion herself.

After all the free time you've given to her facility and what sounds like some great quality control systems you've implemented. What a shame all your hard work wasn't appreciated more. And now she may not even be available for your scheduled meeting in the morning! What's wrong with this picture? Ya know, I think if I were you, even if you're not let go, I'd be looking for another job real fast! I don't think I"d want to work for someone who was so cold hearted, unappreciative and unsupportive.

Has your hubby checked with any agencies in your area? They pay pretty well even if it's something he only wanted to do temporarily for a quick buck....maybe a home care agency. I hope everything goes well for you at your meeting. Your in my thoughts and prayers. Hang in there. You don't deserve this treatment. :icon_hug:

the sad part is no matter what thread i have read in the past months - it seems the "good" places to work are far and few between. i know they are few in our area alone. its sad - and disheartening and i just keep hanging on for my residenst sake cause they are the ones caught in the middle of all that goes on.

Not in a "at will" state. She would have had to be discriminated again'st...for her color or her age for her to sue for wrongful firing. In an At Will State, they don't have to have a "good" reason to fire you. NJ is the same way, and I know a nurse who was fired over something quite minor. She called a lawyer and he said unfortionately he couldnt help her.

Sad state of affairs isn't it? I've seen too many nurses fired over either lies or small infractions. And we have a nursing shortage???? Makes ya think!!

hmm just thought of this - being made to take off can she go for unemplyment now or does she have to actually be fired - i know that it may take a while to get but they would have to pay to the back date she filed if she wins and THEY DO have the burden of having to prove they fired you for good reason ( which i know very few who have actually NOT gotten unemploymnet though most employers will try to deny it just to agravate you)

OH lori...if you have been fired File for Unemployement!! If you are told you can't because your facility has said you were impaired or they give another Phooney reason...ask to dispute it. You get a phone interview to dispute the refusal. And you can and Willl win your case to get unemployement while you look for another job. Trust me..it takes determination but it can be done.

And def. quit that facility and work Agency for a bit. More money, less hassle while you look around.

My thoughts are with you today...Jody

dont quit or you cant get unemployment at least that is my understanding - let them fire you - go for unemployment - they will likely deny it - which in turn you go to a court with a judge and they will likely make fools of themselves ( as mine did hahha) for they cant prove what they say tyou did. get copies of your labs and have them at the ready and get anyone you know who knows YOU that woul be willing to go in with you to court ofr character witness and nail thier butts for unemployment. get a note from your moms doc re her illness and you being with her - anything you can think of to back up what you know happened. still praying. hugs

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