HR wants meeting or report me to BON

[AbbeyR]

So about a month ago I came here looking for advice about being suspended for a co-sign waste discrepancy. I just got an email from HR saying they need to meet with me this is the email

i copied the email...

“As you were informed by your manager, ***** **** on Date deleted..., HR, Management and Pharmacy are conducting an investigation into your medication handling and administration practices. We need to meet with you in connection with the investigation. Please contact me at your earliest convenience. Failure to contact me or otherwise cooperate with the investigation will result in the termination of your employment. If you’re employment is terminated, we will be obligated to report you to the State of Michigan Licensing Bureau.”

this happened a month ago, I’m contingent so I started looking for work right away. I secured a job. I feel like this is a trap and I was under the impression they are required to the state anyways.
I talked to a lawyer when this all went down and he said, hospitals usually don’t let lawyers attend internal meetings.

any advice would be great appreciated

[RML, RN]

I can totally relate to your experiences; I am dealing with BON after my facility turn me on 3 month later. My story happened Nov. 7, 2018 (Friday). I was (3mo) new on the Med-Orthopedic Unit and hospital, and usually work at ER for the last (18 yrs). So I my manager, ask me to help out, I said OK. At that time they gave me most of pain seeking patients Since all the regular full time unit RN don’t want to deal any of pain seeking patients, so all night I was medicating them frequently, I was so busy the whole night. I finished my shift, and I thought no problem. 2 Days later on Monday, my manger, HR director, and Pharmacist approach me, and then took me to an internal meeting, and allegedly accused me not wasting 0.5mg dilaudid vial (it comes on 1mg vial) on Omnicel, it caught me off guard since on my knowledge and truthfully, I wasted all my medications with the other Nurses. I vividly denied the allegations, and ask them that I was willingly to comply any of their demands to prove that I was innocent. They Sent me to their third party drug testing center escorted by Pharmacist, it was brutal and embarrassing experience but I was confident that I was clean. I gave my specimen, and they administrative suspended me pending on my drug test outcome, as the facility protocol, never protested because I believed I was doing the right thing. Few days later, I got a call from my boss that I was cleared to go back to work since my drug test result was negative. Fast forward, I was reluctant to pick up more shifts from regular floor Or dispensing narcotics due to traumatic recent experience, so administrators are getting pissed on me since it’s Medical Orthopedics and Pain Hospital. Other floor Nurses were tribal since I was an outsider ER nurse by training, they don’t like to talked to me, but it’s OK.
One day they have experimental Fentanyl pain pump through intrathecal lumbar vertebrae, no floor nurses wants to volunteer take care of the patient, so due to my background as ER nurse, I was OK with it, not realizing medical floor was ill equipped to monitor this type of patient, so I improvised, as we usually do on the ER, then the 1st night went well. On the next day, they ask me to watched the patient again along with other regular medical patients (Full assignment). I was very busy, around 2300 hrs our CNA making her midnight Vitals, ask me if it’s OK for the patient to take off her pulse ox, for few minutes so she can go to the bathroom with her daughter assistance. I said it’s OK, since I couldn’t be there at moment because I was at other patient room medicating a patient. Few minutes later, I went to my patient, reassess her pain level,Reattached her pulse ox, then took Her Vitals are within normal Range. Because she’s on PCA experimental fentanyl protocol infusion Which we have to take Vitals every 2 hrs. Patient was fine, And her 20’s something daughter slept next to her on the cot. I report off to another nurse, clock out for lunch. Upon returning from lunch I was hearing alarm going off on the hallway, coming out from one patient room, I went to check, found my patient was apneic and Pulseless, without hesitation I pulled code blue button. We coded her but we were unsuccessful, and we lost the patient, I was devastated that I wished I never took a lunch break. 2 days later we have a RCA since it’s a sentinel event, I felt so bad and want to be righteous, I told everyone that I was responsible... I shouldn’t taken a lunch break during the sentinel meeting. Another week later, a Young LEO, a Pain patient Who previously have a back surgery 2 weeks ago on our hospital, he was admitted for severe back pain with fever on our hospital through our 1 bed ER then transferred to medical floor, He was not my patient but As a RN, and ER nurse, I have to checked my LVN taking care of that patient. I made my rounds to medical floor, found the LVN sleeping on the Nurse station since we have only have 1 patient only. I didn’t wake her up but continued towards her patient room, and then found out her patient was crashing... patient looking pale, cold and clammy diaphoretic With a BP 62/18, hr 145; tachyapneic.... I yelled at LVN to get the (ER) doctor upstairs, he’s a pediatrician and researcher, not a lot ER experience, they usually relied to us, or taking a cue from us most of the time. They came to the room hurriedly, but it’s too late, we were coding the patient for almost 1 hour, and we lost another patient. I was dismayed it was 2nd patients less than 7 days. I confronted the LVN why She failed to check patient, and sleeping on her shift, failed to notify the RN. On that morning, I completed the paper work, she was afraid that I might say something, but I didn’t because it’s not my job to investigate Besides I don’t know the whole story from her side.... I gave her benefit of doubt, knowingly I will be off for the next 6 days..... 3 days later, it was Friday, got a call from my HR director that I wasn’t allowed to come near the hospital, and I was terminated. I was so shocked ?, and obviously lost, didn’t know how that happened. They never ask me what Exactly happened.
1 month later, I received a noticed from BON that I am investigated for 10 charges. They threw the whole kitchen sink, and see what stick per my lawyer, I was speechless ?, most of the allegations were trivial and unwarranted. 7 of them got drop, and now down to 3. I found out who threw me under the bus on the discovery of evidence, that LVN has been detailing my work, allegedly accused me being impaired, aggressive and unprofessional, she sent internal email to CNO, and to other Staffs that I was a threatening her, which I never did. All I said was, why you were sleeping, failed to notify me, and that actions dismayed me.

The 3 remaining Charges Left are:

1. Failed to properly waste the Dialuadid 0.5mg- I honestly don’t know what happened but I know deep in my heart I wasted all my narcotics through Omnicel which I was drug tested previously, by the facility And passed it. I did hair follicle test every 3 months as per my lawyer request. I passed it.

2. unfit to practice, acting impaired and hyper- of course I am always hyper, because I drank coffee and monster energy all night long to stay sharp.

3. Patient died because Allegedly I instructed The CNA to take off pulse off from the patient while receiving pca fentanyl infusion that lead to patient demise- it didn’t make any sense, they can look over the documentation on the Notes, PCA notes, and time clock that I was able to take the vital signs (stable) prior Clocking out for lunch, and upon returning I found my patient apneic and pulseless, and why the LVN supposed watching my patient didn’t check on patient while I was on 30 minutes lunch break. Yes I was accountable because it was my patient. Recently we requested the autopsy report, the caused of death-Undetermined per Medical Examiner. My lawyer said, it could be many causes.

By the way the LVN ,she has strong clout on the hospital and only LVN, part of founding employees, very closed to the CNO, founders (doctors), We are Orthopedic Surgical, and Pain Hospital, we have 15 Medical beds, and 1 bed ER.

I am scheduled for informal conference on 3 weeks, and hoping that they will look at all the circumstancial evidence, and be fair.... I know BON are punitive, but I hope they’re human too... it’s hard to find a job, with all of this stipulation and agreed orders attached to our licenses.

.

[AbbeyR, ADN, BSN]

@RML Are you currently working? As long as you don’t have a narcotic(key) restriction you may be able to keep your job. What state are you in? You may be required to have an eval to rule out substance abuse disorder and will mostly likely be place on probation with your BON. I am so sorry you’re going through all this. Clearly, I’ve also learned the hard way that anyone will throw you under the bus to save their own a**. Stay strong. There is a lot of support here!

[RML, RN]

I just completed my informal conference, they drop those drug charges & fitness to practice due without merit,  but they sanctioned my license for 2yrs for probation because of the 3rd charges as I stated on my previous post, the first year will be supervised and the 2nd year will be unsupervised  practice.  Now the real challenge for me, to look for a job??

[AbbeyR, ADN, BSN]

Did you not seek employment during the investigation? Usually most are able to keep their current jobs they found after the termination from where the events took place. Do you have any restrictions like no narcs? If it’s just quarterly reporting I’ve found from what nurses post on this forum davita or psych is a good place to gain employment 

[RML, RN]

 No, I didn’t work and I took a break from nursing, after that incident I was shocked to my core. I don’t have any Narcotics, Shift restrictions or Drug testing except can’t work to any agencies, hospice, or home health, other States except My State, 64 hrs per month minimum work hrs, and have to take 3 classes required by the BON. My 2 years probation will be 1st year under supervision, and 2nd year unsupervised 

[AbbeyR, ADN, BSN]

I’d check out Dialysis places and LTC places

[RML, RN]

I have interviews coming up on LTC, I don’t have an Agreed Order yet, but I will be upfront during the interview . Thanks so much 

[Peterpan, CNA, LVN, RN]

On 8/19/2020 at 7:14 PM, RML said:

I can totally relate to your experiences; I am dealing with BON after my facility turn me on 3 month later. My story happened Nov. 7, 2018 (Friday). I was (3mo) new on the Med-Orthopedic Unit and hospital, and usually work at ER for the last (18 yrs). So I my manager, ask me to help out, I said OK. At that time they gave me most of pain seeking patients Since all the regular full time unit RN don’t want to deal any of pain seeking patients, so all night I was medicating them frequently, I was so busy the whole night. I finished my shift, and I thought no problem. 2 Days later on Monday, my manger, HR director, and Pharmacist approach me, and then took me to an internal meeting, and allegedly accused me not wasting 0.5mg dilaudid vial (it comes on 1mg vial) on Omnicel, it caught me off guard since on my knowledge and truthfully, I wasted all my medications with the other Nurses. I vividly denied the allegations, and ask them that I was willingly to comply any of their demands to prove that I was innocent. They Sent me to their third party drug testing center escorted by Pharmacist, it was brutal and embarrassing experience but I was confident that I was clean. I gave my specimen, and they administrative suspended me pending on my drug test outcome, as the facility protocol, never protested because I believed I was doing the right thing. Few days later, I got a call from my boss that I was cleared to go back to work since my drug test result was negative. Fast forward, I was reluctant to pick up more shifts from regular floor Or dispensing narcotics due to traumatic recent experience, so administrators are getting pissed on me since it’s Medical Orthopedics and Pain Hospital. Other floor Nurses were tribal since I was an outsider ER nurse by training, they don’t like to talked to me, but it’s OK.
One day they have experimental Fentanyl pain pump through intrathecal lumbar vertebrae, no floor nurses wants to volunteer take care of the patient, so due to my background as ER nurse, I was OK with it, not realizing medical floor was ill equipped to monitor this type of patient, so I improvised, as we usually do on the ER, then the 1st night went well. On the next day, they ask me to watched the patient again along with other regular medical patients (Full assignment). I was very busy, around 2300 hrs our CNA making her midnight Vitals, ask me if it’s OK for the patient to take off her pulse ox, for few minutes so she can go to the bathroom with her daughter assistance. I said it’s OK, since I couldn’t be there at moment because I was at other patient room medicating a patient. Few minutes later, I went to my patient, reassess her pain level,Reattached her pulse ox, then took Her Vitals are within normal Range. Because she’s on PCA experimental fentanyl protocol infusion Which we have to take Vitals every 2 hrs. Patient was fine, And her 20’s something daughter slept next to her on the cot. I report off to another nurse, clock out for lunch. Upon returning from lunch I was hearing alarm going off on the hallway, coming out from one patient room, I went to check, found my patient was apneic and Pulseless, without hesitation I pulled code blue button. We coded her but we were unsuccessful, and we lost the patient, I was devastated that I wished I never took a lunch break. 2 days later we have a RCA since it’s a sentinel event, I felt so bad and want to be righteous, I told everyone that I was responsible... I shouldn’t taken a lunch break during the sentinel meeting. Another week later, a Young LEO, a Pain patient Who previously have a back surgery 2 weeks ago on our hospital, he was admitted for severe back pain with fever on our hospital through our 1 bed ER then transferred to medical floor, He was not my patient but As a RN, and ER nurse, I have to checked my LVN taking care of that patient. I made my rounds to medical floor, found the LVN sleeping on the Nurse station since we have only have 1 patient only. I didn’t wake her up but continued towards her patient room, and then found out her patient was crashing... patient looking pale, cold and clammy diaphoretic With a BP 62/18, hr 145; tachyapneic.... I yelled at LVN to get the (ER) doctor upstairs, he’s a pediatrician and researcher, not a lot ER experience, they usually relied to us, or taking a cue from us most of the time. They came to the room hurriedly, but it’s too late, we were coding the patient for almost 1 hour, and we lost another patient. I was dismayed it was 2nd patients less than 7 days. I confronted the LVN why She failed to check patient, and sleeping on her shift, failed to notify the RN. On that morning, I completed the paper work, she was afraid that I might say something, but I didn’t because it’s not my job to investigate Besides I don’t know the whole story from her side.... I gave her benefit of doubt, knowingly I will be off for the next 6 days..... 3 days later, it was Friday, got a call from my HR director that I wasn’t allowed to come near the hospital, and I was terminated. I was so shocked ?, and obviously lost, didn’t know how that happened. They never ask me what Exactly happened.
1 month later, I received a noticed from BON that I am investigated for 10 charges. They threw the whole kitchen sink, and see what stick per my lawyer, I was speechless ?, most of the allegations were trivial and unwarranted. 7 of them got drop, and now down to 3. I found out who threw me under the bus on the discovery of evidence, that LVN has been detailing my work, allegedly accused me being impaired, aggressive and unprofessional, she sent internal email to CNO, and to other Staffs that I was a threatening her, which I never did. All I said was, why you were sleeping, failed to notify me, and that actions dismayed me.

The 3 remaining Charges Left are:

1. Failed to properly waste the Dialuadid 0.5mg- I honestly don’t know what happened but I know deep in my heart I wasted all my narcotics through Omnicel which I was drug tested previously, by the facility And passed it. I did hair follicle test every 3 months as per my lawyer request. I passed it.

2. unfit to practice, acting impaired and hyper- of course I am always hyper, because I drank coffee and monster energy all night long to stay sharp.

3. Patient died because Allegedly I instructed The CNA to take off pulse off from the patient while receiving pca fentanyl infusion that lead to patient demise- it didn’t make any sense, they can look over the documentation on the Notes, PCA notes, and time clock that I was able to take the vital signs (stable) prior Clocking out for lunch, and upon returning I found my patient apneic and pulseless, and why the LVN supposed watching my patient didn’t check on patient while I was on 30 minutes lunch break. Yes I was accountable because it was my patient. Recently we requested the autopsy report, the caused of death-Undetermined per Medical Examiner. My lawyer said, it could be many causes.

By the way the LVN ,she has strong clout on the hospital and only LVN, part of founding employees, very closed to the CNO, founders (doctors), We are Orthopedic Surgical, and Pain Hospital, we have 15 Medical beds, and 1 bed ER.

I am scheduled for informal conference on 3 weeks, and hoping that they will look at all the circumstancial evidence, and be fair.... I know BON are punitive, but I hope they’re human too... it’s hard to find a job, with all of this stipulation and agreed orders attached to our licenses.

.

Wow!

I hope everything goes well for you.

keep us posted. 

[TheoneRN]

Error

[Stillcrazyafteralltheseyears]

So I got reported to the state board of nursing after I gave a honeybun to a paranoid schizophrenic that hadn't bathed for 66 days. Security was called to restrain him so they could put him in the shower. He was screaming and combative trying to assault all staff. The social worker offered him to go to the canteen and pick out an item if he showered. It worked and we finally got the clothes off him he had been wearing on the street and while hospitalized. It took 6 washings to clean his clothes. The social worker asked me to take him to the canteen for his reward. When I got there the patient didn't have enough in his account so I bought him a honeybun. Staff on the register that day reported me to the ethics commitee and I admitted what I did. Admin told me that they were going to report me to the state board of nursing for conduct disorder. I callled the state board of nursing and told  them what my situation was. And that I was being reported by my employer. All I heard on the other end of the phone was laughter. She said that if they wanted to proceed with any further inquiry they would notify me in 30 days. I felt so relieved. My employer made me out as some kind of terrible human being. If u r innocent fight for your rights. 

 

[amoLucia]

stillcrazy - that episode WAS some time ago, right? I'd hate for it to be something still recent enough for some BON activity to occur.

I think I'll be thinking of you whenever I grab a honeybun from now on!!