Has anyone else been in a similar situation?

[cjp1994]

Hello, I'm having a rough go in clincal at the moment, my current instructor is not open or upfront with me and I will share the entire story. The issue with her started 2 weeks ago when, I had made a minor med error and it was to a patient that I was not assigned. The situation felt like I was rushed and not given adequate time to read the MAR as we were finishing up and the patient got 100mg of Gabapentin instead of 300mg as I only had 100 in the WOW and the order was changed that morning and I didn't know as it was not my assigned patient and I didn't have the patients info. The Nurse to whom the patient was assigned didn't "feel like giving the meds". The clincal teacher instead of saying anything at the time decided to "fix the error herself" and notify me after not in person but through email. This situation allowed me to learn and since then I have not made an error (it was my only error ever, I'm second year PN). I think this teacher is judging me as, I feel like she has made a predetermined judgment about me and I feel really outcomfortable around her as she gives me a bad vibe. Instead of telling me her critiques constructively and pulling me aside and telling me how I can approve she's passive aggressive and is critical of me in the Formative Evaluations but says nothing to me in person. The teacher keeps saying that I'm clicking on the MAR when giving my assigned patient meds without scanning which isn't the case and it doesn't help my anxiety when she's constantly over my shoulder watching me give meds. I haven't had these issues with my previous instructors they all had good things to say about me and said that did a good job reading the MAR and administering meds and the previous instructors trusted me and the nurses and staff on those floors had nothing but positive things to say. This teacher also said that I don't understand the difference between PRN hydromorphone and CR hydromorphone which is nonsense, she called it breakthrough however I didn't hear hydromorphone PRN being called that in previous placements. I have heard it been called Dilauded but not breakthrough and I know what CR means it had been 6 months since I had given meds or looked at a MAR we lost out on two clincal placements because of the pandemic. The abbreviation CR refers to controlled release and the release of the hydromorph into the blood stream is delayed but the duration lasts longer. I have also been treated like an idiot by other nurses on the floor one told me that I didn't understand what the normal range of 02 is in a patient with COPD and its 88-92%, I have had another nurse keep asking me if I researched my patients meds even though I told her the class of each and the reason for their use and this nurse also asked me my patients diet as if I didn't know what it was. I have been looking after the same Patient for three weeks and I worked as a nurses aide before nursing school so, I'm well aware of what food or fluids patients should be getting I'm not a moron. I'm so frustrated and upset this whole experience makes me not want to return to this hospital for my consolidation in February.

This teacher seems to believe that I'm not cut out to be a Nurse however that wasn't what I have been told by other Nurses I have worked with, previous instructors, my patients or my mother who is a Nurse.

[cjp1994]

I fully accept that the error was mine but I don't feel as if my instructors actions were appropriate, I think she also missed the error.

[NICU Guy, BSN, RN]

On 10/16/2020 at 12:23 AM, cjp1994 said:

the patient got 100mg of Gabapentin instead of 300mg as I only had 100 in the WOW and the order was changed that morning and I didn't know as it was not my assigned patient and I didn't have the patients info. The Nurse to whom the patient was assigned didn't "feel like giving the meds". The clincal teacher instead of saying anything at the time decided to "fix the error herself" and notify me after not in person but through email.

What do you mean she "didn't feel like giving the med"? So, the patient was in pain, but she wasn't in the mood to give the med?

On 10/16/2020 at 12:23 AM, cjp1994 said:

The clincal teacher instead of saying anything at the time decided to "fix the error herself" and notify me after not in person but through email.

Were you giving the med unsupervised or did the instructor intentionally give the wrong dose to teach you a lesson because although you "academically" had a med error, she is the one with the nursing license and had the actual med error. When you scanned the med, did you not see that it said to administer 300 mg. It doesn't matter when the order was changed, it is your responsibility (and your instructor) to verify the dose is correct with the MAR.

[cjp1994]

Yes she didn't feel like giving it so it was easier for the "students to give them".  I clearly wasn't looking carefully enough because I made the error and the instructor was with me at the time of the error.