Got fired.. Need support

[uniqueguy34]

It was my first nursing acute care hospital critically Ill patients. I got fired yestarday.. It feels terrible a big hit to my already lack of confidence in nursing.. So after my 2 months orientation.. My second week on my own. A patient was admitted on a critical drip. Later 4 hrs after admission they couldn't find the drip.. That the patient needed to survive. Took them 3 hrs to make up their mind.. Finally they decided to discharge the patient.. At this time I was working on admission process, paper work etc.. I finished half of it.. Still I had to do the assessment in the computer. Since the patient is being discharged. I thought that I didn't have to do it.. It was already late.. I was in the patient room comforting the patient and his wife who was crying.. Then after the ambulance came.. I went home.. I didn't complete the rest of the admission process.. It was almost 10 pm. I worked since 7 am that day. Yesterday I get a phone call from assistant manager. I explained to her the situation.. Then half hr later the hr call me.. They said this was my last warning. Btw i never had any warning.. And she said I'm terminated.. I've been down.. Stressed. Thinking about it.. I wanted to put that position on my resume.. Btw this hospital lacks good management.. Bad review.. High ratios of patients.. Unsafe.. I never felt that I was providing good care.. I was working like a robot.. I was careful to not make med errors... Should I put this on my resume.. Working for 3 months? I don't know if hospitals would hire me.. I have 2 side jobs, school nursing and Homecare.. .. Please give me your input.. My confidence is shot.. I wish they had offered me to resign.. I really appreciate ur help and support.

[NursesRmofun, ASN, RN]

I read through half the replies.

I think that they fired you for something more than not finishing that assessment documentation.

I think you can probably skip the 3 months on your resume and use the other side jobs.

I also agree with those that said the facility was wrong for taking a patient they couldn't treat.

[Marisette, BSN, RN]

I'm sorry about your difficult experience and getting fired. I think you will recover from this. The good thing is that you have two other jobs and you don't have to use this place as a reference if you choose not to. It sure sounds like there is more than enough blame to go around, but sadly you were the new guy. You mentioned that you were working since 7 AM and it was about 10 PM when you left. Those are long hours, in addition to two other jobs. This does not sound like a good idea to me. Slow down, focus and you will be less likely to make mistakes. Would you have done things differently if you were not so tired and eager to leave for the day? If your coworkers tell you to omit or do something and it feels odd, go to the manager for direction. Employers will ask you to work 16 hours, demand overtime, and praise you when things go well, but don't make mistakes. Then it will all be your fault. Learn from this and learn to protect yourself in the future.

[uniqueguy34, BSN, MSN]

again. i want to thank everyone for the replies. very supportive .. really. i am starting to feel better everyday. i was very upset first 2 days. it happened on friday. my weekend was miserable. and i want to add . i agree 100% with some of the nurses who said that the facility was at fault for admitting someone without verifying that they have the right treatment for. and whats worse than that. they kept the patient hanging. waiting, while the drip is finishing. I endorsed it to next shift. and waited till 9 30 pm, i totally admit it was my mistake. for failing to chart and finish the admission. but why deserve to be terminated. i did nothing that involves harm either directly or indirectly to the patient. i really think that what pissed them off is they might have lost reimbursement on that admission, they had nothing to submit to insurance maybe ? because the ADON mentioned that she wanted to submit the charting to insurance.

also i am a little worried. i am naturally always worried about little things.. should I worry about being reported to BON? should i call the DON and ask him if he is reporting me ? any input on this is appreciated. i am trying to relieve this stress that has been put on me. or maybe i should just go on. maybe they just want me gone..

one last note. for those who criticized me and judged my post. and said that i don't know how to chart.. that was not nice at all. first of all. i am a guy. look at my username. ( some referred to me as she) . second, english is my second language. I speak 3 languages. so please do me a favor. if you have nothing nice to say. refrain from posting. we are here to support each other. I have helped lots of people pass NCLEX. I am not dumb. even the most experienced make mistake.. thanks..

[Ginger's Mom, MSN, RN]

again. i want to thank everyone for the replies. very supportive .. really. i am starting to feel better everyday. i was very upset first 2 days. it happened on friday. my weekend was miserable. and i want to add . i agree 100% with some of the nurses who said that the facility was at fault for admitting someone without verifying that they have the right treatment for. and whats worse than that. they kept the patient hanging. waiting, while the drip is finishing. I endorsed it to next shift. and waited till 9 30 pm, i totally admit it was my mistake. for failing to chart and finish the admission. but why deserve to be terminated. i did nothing that involves harm either directly or indirectly to the patient. i really think that what pissed them off is they might have lost reimbursement on that admission, they had nothing to submit to insurance maybe ? because the ADON mentioned that she wanted to submit the charting to insurance.

also i am a little worried. i am naturally always worried about little things.. should I worry about being reported to BON? should i call the DON and ask him if he is reporting me ? any input on this is appreciated. i am trying to relieve this stress that has been put on me. or maybe i should just go on. maybe they just want me gone..

one last note. for those who criticized me and judged my post. and said that i don't know how to chart.. that was not nice at all. first of all. i am a guy. look at my username. ( some referred to me as she) . second, english is my second language. I speak 3 languages. so please do me a favor. if you have nothing nice to say. refrain from posting. we are here to support each other. I have helped lots of people pass NCLEX. I am not dumb. even the most experienced make mistake.. thanks..

I do not think you will be reported to the BON since I know they will not want their mistake brought to light to the board of nursing, I would stop worrying and definitely would not contact anyone at this place.

Second I feel bad for you, time to build your confidence I would suggest you take a few post grad courses to build up your confidence, some how I think your schooling did not address prioritization while your clinical judgement was sound, you missed the fact documentation is viewed by administration , lawyers, and board of nursing equally important. Some how your schooling did not impress this on you, a common compliant hospitals have of new nurses.

Once you

get positive reinforcement you will feel more confident. It is not your employer's role to teach you this unless you were in a new graduate program. This is a skill you are expected to have once you have RN attached. I would try to find a mentor, if you take a course you will be exposed to nurses committed to nursing excellence.

Lastly, since you were on probation they could ask you to leave at any time, just like you had the right to leave. My guess is and only a guess is that you had other issues and felt it was best to left you go. This does not mean you are a bad person or do not have the capability to be a good nurse just this job was not a good fit. Hard lesson and painful but true.

glad you are feeling better and try to move on,

[Mhsrnbsn]

I'm sorry to hear about your misfortune, if I were you I wouldn't put this job on a resume. Also... If I were you I wouldn't work in a specialty area after at least a year maybe two in medsurg... I know the specialties are fun or where all the cool kids hang out, but... I very rarely have experienced a new grad with that natural born "they've got it" abilities to be in critical care or specialty areas. I know it's crappy to hear because there's not a lot of love out there for med surg but you will learn... At a safe pace, so you can be one step ahead which is a skill you need for specialty areas.

[Ruby Vee, BSN]

I always see the 'QUOTE' icon on the first post of each thread, but it probably relates to the fact that I usually post from a desktop PC.

I'm posting on my phone with a Bluetooth keyboard using Safari. If that helps to figure out the issue.

[Ruby Vee, BSN]

again. i want to thank everyone for the replies. very supportive .. really. i am starting to feel better everyday. i was very upset first 2 days. it happened on friday. my weekend was miserable. and i want to add . i agree 100% with some of the nurses who said that the facility was at fault for admitting someone without verifying that they have the right treatment for. and whats worse than that. they kept the patient hanging. waiting, while the drip is finishing. I endorsed it to next shift. and waited till 9 30 pm, i totally admit it was my mistake. for failing to chart and finish the admission. but why deserve to be terminated. i did nothing that involves harm either directly or indirectly to the patient. i really think that what pissed them off is they might have lost reimbursement on that admission, they had nothing to submit to insurance maybe ? because the ADON mentioned that she wanted to submit the charting to insurance.

also i am a little worried. i am naturally always worried about little things.. should I worry about being reported to BON? should i call the DON and ask him if he is reporting me ? any input on this is appreciated. i am trying to relieve this stress that has been put on me. or maybe i should just go on. maybe they just want me gone..

one last note. for those who criticized me and judged my post. and said that i don't know how to chart.. that was not nice at all. first of all. i am a guy. look at my username. ( some referred to me as she) . second, english is my second language. I speak 3 languages. so please do me a favor. if you have nothing nice to say. refrain from posting. we are here to support each other. I have helped lots of people pass NCLEX. I am not dumb. even the most experienced make mistake.. thanks..

Your written communication skills in English need more work. I assume you're practicing in an English-speaking country. If not, I apologize. While speaking three languages is certainly impressive, you need to be able to write quickly and easily in English.

This is not a support group, and if you reject out of hand all the posts that you consider "not nice", you do yourself a great disservice. That is your own choice, of course. But once you post on this forum you don't get to choose who responds and what they say. Like it or don't like it, some of us spent a lot of time composing and typing thoughtful replies to your post based on what would, in our judgement, help you most in the long run. Everyone makes mistakes; we get that. But you don't seem to be owning yours, and that's a problem. Furthermore, your posts have been snarky toward anyone whose reply you didn't like. That wasn't nice; maybe you should have refrained from posting those replies.

Get used to being called "she" now and again. We women have to tolerate being called "he."

[l1234567]

again. i want to thank everyone for the replies. very supportive .. really. i am starting to feel better everyday. i was very upset first 2 days. it happened on friday. my weekend was miserable. and i want to add . i agree 100% with some of the nurses who said that the facility was at fault for admitting someone without verifying that they have the right treatment for. and whats worse than that. they kept the patient hanging. waiting, while the drip is finishing. I endorsed it to next shift. and waited till 9 30 pm, i totally admit it was my mistake. for failing to chart and finish the admission. but why deserve to be terminated. i did nothing that involves harm either directly or indirectly to the patient. i really think that what pissed them off is they might have lost reimbursement on that admission, they had nothing to submit to insurance maybe ? because the ADON mentioned that she wanted to submit the charting to insurance.

also i am a little worried. i am naturally always worried about little things.. should I worry about being reported to BON? should i call the DON and ask him if he is reporting me ? any input on this is appreciated. i am trying to relieve this stress that has been put on me. or maybe i should just go on. maybe they just want me gone..

one last note. for those who criticized me and judged my post. and said that i don't know how to chart.. that was not nice at all. first of all. i am a guy. look at my username. ( some referred to me as she) . second, english is my second language. I speak 3 languages. so please do me a favor. if you have nothing nice to say. refrain from posting. we are here to support each other. I have helped lots of people pass NCLEX. I am not dumb. even the most experienced make mistake.. thanks..

I am not sure what english as a second language has to do with it. Do you have to do ISLETs?

Also, (I know you didn't acknowledge me the first time as you have with others), but I'll repeat what I said and say that the organisation didn't seem to be very good

You dodged a bullet, from what I've seen in America it's unlikely for the BON to know you got fired and why etc. So you shouldn't be in trouble

Finally I apologise in advance if you have covered this, but how many hours were you working collectively across the three jobs?

[uniqueguy34, BSN, MSN]

The other jobs are per diem. They had no effect on my performance at all. What affects my performance is the actual work load and high level of stress that I was facing at the hospital. To the point where I felt I'm really not providing care but rushing to charting, and doing paperwork instead of attending to the needs of the patients.. For those who criticized my English.. Do you see any mistakes above?

Btw this facility has a high turn over rate. They have hard time retaining employees. People come and leave. They hire people every day. And fresh out of school because an experienced nurse wouldnt want to work there, she/he would find a better option. I knew that from the beginning but I figured it's my first acute care experience and it's a great to put on resume.. Here is what I learned from this

1. I'm going to stick to my own beliefs and principles that a quality care is necessary.. Nursing is not all about huge work load and working like a robot and being afraid to make mistakes every moment.. If I start to work at a facility where I feel I'm way too stressed and it can cause a risk to patients.. I'm going to simply have to courage to say.. No thanks.. And walk out with dignity.

2. I'm going to abandon hospitals, work as school nurse per diem, Homecare, less stress. And while I'm working. I will be looking for a job. I will only choose the right fit. And not work for the experience.. But because it would be a good fit

So the main thing is.. Lesson learned.. I'm going to strive to build my destroyed confidence slowly over time. I will leave the past in the past and focus on today and tomorrow.. Life goes on. I can't dwell on this..

[Horseshoe, BSN, RN]

The other jobs are per diem. They had no effect on my performance at all. What affects my performance is the actual work load and high level of stress that I was facing at the hospital. To the point where I felt I'm really not providing care but rushing to charting, and doing paperwork instead of attending to the needs of the patients.. For those who criticized my English.. Do you see any mistakes above?

Btw this facility has a high turn over rate. They have hard time retaining employees. People come and leave. They hire people every day. And fresh out of school because an experienced nurse wouldnt want to work there, she/he would find a better option. I knew that from the beginning but I figured it's my first acute care experience and it's a great to put on resume.. Here is what I learned from this

1. I'm going to stick to my own beliefs and principles that a quality care is necessary.. Nursing is not all about huge work load and working like a robot and being afraid to make mistakes every moment.. If I start to work at a facility where I feel I'm way too stressed and it can cause a risk to patients.. I'm going to simply have to courage to say.. No thanks.. And walk out with dignity.

2. I'm going to abandon hospitals, work as school nurse per diem, Homecare, less stress. And while I'm working. I will be looking for a job. I will only choose the right fit. And not work for the experience.. But because it would be a good fit

So the main thing is.. Lesson learned.. I'm going to strive to build my destroyed confidence slowly over time. I will leave the past in the past and focus on today and tomorrow.. Life goes on. I can't dwell on this..

I see many mistakes in your entire post above. However, for the purposes of this message board, I don't think it is a big problem. Anything you say in your nurse's notes should be as perfect as you can make it, because your documentation can sink you or save you. If you should ever be included in a lawsuit, it's imperative that your documentation be factually accurate and complete with regard to assessments and all care given.

if you have nothing nice to say. refrain from posting. we are here to support each other.

That is not how this message board works. Sometimes posters will be harsh, but truthful. As long as they do not violate the TOS, posters may say whatever they wish. You cannot dictate the content or tone of responses when you post a thread.

[Oemgee, RN]

It BLOWS MY MIND that you could possibly think that not completing an admission assessment at the absolute minimum is at all acceptable. To prioritize getting the wife juice over doing your actual job is why you no longer have one. Yes, the patient should not have come to you. There should be done review in management for why the patient ever was transferred inappropriately. But there is absolutely no excuse for not documenting in every way possible everything that happened, if nothing more than for covering your ass. I'm not sure what school you graduated from but I imagine that there, as well as during your time in orientation, that the absolute necessity of documentation was made abundantly clear. Admissions are time consuming, but they are also necessary even if, and ESPECIALLY if, the patient is transferred (not discharged) elsewhere whether in the hospital or out of it.

I can only imaging what kind of nurse you are from your rambling sentences, inability to express yourself clearly and concisely and your fondness for excessive punctuation. It sounds like even you don't know what happened and can't grasp that you were fired for a very good reason. Don't try to pass the blame onto coworkers for not doing your job, coworkers who by the way might have seen this as a way to remove a huge liability on their unit. I hope that you are not as negligent in your other and future positions as you were in this one.

[uniqueguy34, BSN, MSN]

.. This is to be deleted.. It got completely off topic.. People who instead of focusing on the core problem. They're giving me a lesson on how to document and judging me with what I write...

This post lost its purpose.. When someone like oemgee.. Wants to teach me how to practice nursing. And how to not be negligent.. When the whole post had nothing to do with that.. Please don't comment on here.. Save yourself the embarrassment.