I was let go ! - page 2
i'm a new grad, started 1 wk orientation at ltc last week. this is how it went and why i was asked to consider somewhere else: 1. the 1st preceptor i had came down on me alittle hard when i was... Read More
May 23, '07Good grief! I'm a new grad, and I was thinking of working in LTC. Thanks guys, you made my decision a no-brainer.
May 23, '07Peg tube's are directly into the stomach, ng tubes need to be checked for placement with air. The tube may slip out a way and be in the mouth or throat, or maybe in the lungs, if it is in the lungs you can feel air comming out of the end in rhythm with the persons respirations. Just what do you think you would hear with a misplaced peg tube while checking with an air bolus? Take my word for it you would hear the same thing you would hear if it were in the right place. You should be able to aspirate green fluid if no feeding is infusing. But, if there is tube feeding going, the only thing that will tell you the tube is misplaced is a fever, and a ridgid abdomen. This comes from personal experience. How can a facility judge you on misinformation?
May 23, '07You would have to be some kind of masochist to want to continue to work at a place like that.
Count your blessings. They were looking for a reason to push you out, but don't take it personally, these places can be very clique-ish.
May 23, '07Some other nursing homes have orientation lasts a month long.
I think one week is not enough for a new grad.
Hang in there....
And good luck...it is not the end.
There are so many nursing home in the city....
May 23, '07LTC med passes take a while to master. You did nothing wrong!! pull up those boot straps and look for a new job. You might consider nights for a while to get the hang of it then move to eve then days. That's how I learned. and it helped by the time I was on days i got my med pass done so quickly I was accused of not giving out my meds. I had some one follow to verify. you need to get to know the residents too(who won't take meds until they eat.. etc.. Relax
May 23, '07I was an LPN before becoming an RN.
I was working for 10 different agencies which sent me to 47 different nursing homes. It was hard to go to so many strange places. However, I gained a lot of experience by working with so many different people. Some taught me the short cuts, some did not. But I gained the experiences from both of them, and find a way that was best for me.
Believe me...one week...or only 5 days....is not enough. It is unfortunately that this happened to you, however, you will get another one soon.
May 23, '07Quote from gt4everpnif the peg tube is not in the right place, wouldn't you get water in the lungs and cause a serious problem? sounds dangerous to me. i was always taught to use air.actually not, the preceptors i had were showing me their shortcuts of giving out meds, primarily because they wanted to get it over with, even though they were orienting me, the 2nd one was nice, but she was complaining about her work load, even to me. one of the reasons i was let go is cause during a peg med adminisration i checked placement with water instead of air, but thats how the preceptor showed me how to do it! she also let me go cause she said the surveyor is coming, guess she doesn't want to take chances.
May 23, '07I am an Rn and to me a one week orientation to a unit is just not acceptable. Make sure that when you go out on interviews you ask potential employers about their orientation program. How long it lasts and if they have written job expectations they expect you to follow
May 23, '07i'm sorry to hear this...have you tried applying to any one the nyc hospitals?
Quote from gt4everpni'm a new grad, started 1 wk orientation at ltc last week. this is how it went and why i was asked to consider somewhere else:
1. the 1st preceptor i had came down on me alittle hard when i was giving out meds for the 1st time. she also got annoyed with me asking questions.
2. changed preceptors and asked for more time.
3 got more time and my 2nd preceptor wondered why i asked for more orientation time because i was giving out meds so well
4. had to do a med pass today, where someone other than the preceptor watches u give out meds - failed it, here's why:
-i put my meds on a tray and set it down on a chair next to the resident, to give it- according to the person giving the med pass this is not allowed
- she says i didnt wash my hands long enough- even though i was counting as i washed my hands, and 1 or 2 little not drastic mistakes were made- i was nervous, she said these were the problems not giving out meds themselves.
this is annoying and discouraging seeing that it took me 5 mo to find this job, cause here in nyc everyone wants pn with experience. what do you guys think, and what should i do!:trout:
i posted earlier on how i was ''let go'' on my new job. anyway, do you all think 1 week of orientation is enough for a new grad (pn) working in a nrsg home with 40 residents.
May 23, '07You were told to check a PEG placement with water? That is called a flush before you give a med, which is usual procedure. You check an NG placement with air, but not a PEG or a J-Tube. I would do some serious talking with the DON at this place, sounds like your preceptors need a bit of orientating here.
May 23, '07Quote from bleppityPEG tube, percutaneous endosicopic gastrostomy tube means the feeding tube was inserted by a small incision to your abdomen and tube is placed in your stomach. The feeding goes directly through gastointestinal tract. Aspiration of gastic contents can happen ,of course, but is generally due to pt. positioning. To check for placement you would aspirate green or yellow stomach contents or if a conti feeding ,the feeding.If the peg tube is not in the right place, wouldn't you get water in the lungs and cause a serious problem? Sounds dangerous to me. I was always taught to use air.
May 24, '07I'm so sorry to hear about your experience. What a nightmarish orientation! Sounds like the one I got when I did LTC as a brand-spanking-new grad. I think I got one week and it was implied to me that I should be grateful for that "extensive" training. Don't get discouraged. As hard as it is to believe when you are looking for work as a new grad, there is a nursing shortage. I would suggest placing your resume on Monster.com, absolutelyhealthcare.com or careerbuilder.com. There are LOTS of jobs out there but you may need to relocate (not sure if that is an option for you or not). Keep your chin up. You wouldn't have been happy at that place anyway.