I am not proud of my track record.

[STARL]

Where do begin? I have been an LPN for 1 year in 2 months and unfortunately during this period I have had 5! nursing jobs. yes 5.

(1) I started off in a nursing home, just to find my niche I didn't like it but I needed a form of income and I needed some experience in the field. Two months in the DON called me and said, he thinks that its best that he let me go. He didn't give me a specific reason, but during my orientation the nurses that trained me had to evaluate how I was doing, so I assumed that did not do well during orientation. Like I said, I did not like the nursing home, I had 30-32 patients to care for and I just did not feel safe nor happy.

(2) My second job was in a pediatric home health, I was working for a family and one of the orders called for me to put cotton ball in the little boy's ears as he had surgery 2 days before. Well, I did put cotton ball in my patient ear but I had soaked and drained it with H.Peroxide. Well, the next day the family called the agency and said I put a wet cotton ball in the boys ears. The order stated for me to cleaned around the boy's ear with a cotton tip and H.peroxide and then placed a cotton ball in his ear. My mistake was I misunderstood what the outgoing nurse was telling me before she left about the patient new orders. My fault. It was a med error and the agency said I cannot work for them unless I complete a med error CEU. I never completed it, so never went back to work for them. Although, 6 months later they were still calling me to come work for them because they need nurses so bad. I didn't the patients they assign me usually live 45-50 minutes away and I just couldn't put myself through that again.

(3) My third job was a nursing home again. This lasted a month and a few weeks. I mentioned that I do not like the nursing home. I don't. But my mom work in this particular nursing home and she gave told the DON about me. Well, since my mom has been there for 5 years and a good worker they hired me. Well, I had so much patient work load that I did not do my treatments, although I charted that I did. This led to me having a meeting with the DON and 4 other people in administration. I was so nervous at that meeting that I told myself that I never want to be in such a position again. I felt humiliated, embarrassed, and just incompetent as a nurse. I was first suspended, but then let go. They informed me that they would report me to the BON. well it's been 8 months, have not gotten anything from the BON and I've checked my license online and it says I'm in good standing no complaints.

(4) My fourth job was at a pediatric clinic. i did not like it much as I felt I was losing many of my skills. I mostly gave immunizations to babies and worked on the doctor's schedule for the week. I worked there for 4 months but then i had to leave due to the fact that I started an RN program and the schedule would conflict with my work schedule. The manager loved me, got great reviews from them. I still felt bad though due to my recent firing. My self esteem just plummeted and Im still feeling like somethings wrong with me. Anyways, I did not get fired from this job, I left due to school.

(5) I am currently working for 2 agencies. one is a pediatric agency and the other is a pediatric and adult agency. Well, yesterday I got fired from the pediatric agency. The reason is I document that I left at my scheduled time when in reality I left 30 minutes early three time. Did I think they would find out? yeah. Did I think it was an issue. I did. I literally cannot figure out any reason as to why I charted that I left at 0700 when in reality I left at 0630. At the other agency I work for, one of the parents always let me leave early and she said I can still write down the time I left as the time I was scheduled. in my head, I started to think it was no longer a big deal so i did it with this agency. I know in nursing school they teach us not to do this, I hate that I'm not abiding by the things that I was taught in school and letting others influence my judgement. I knew it was a big deal and I did it anyway. I'm sure the other nurses that work with the pediatric/adult agency leave early but chart their scheduled time cause the guardian (mom) said its ok. Anyways, got called into the office today and I was let go. It is considered insurance fraud. in total I lied and said I worked 1 hour and 30 minutes. The DON were saying that the insurance company might not think its a big deal they might just say "oh, its only 1 hour and let it go. they do not think that I was trying to be malicious. but they have to report it to the BON. Two of the times I left, the patient had an appointment in the morning so he had to leave at 0530 but I charted that I left at 0600. the other time I left early is when I emailed the agency saying that I can now work 12 hours form 7pm-7am. well it wasn't suppose to start that particular week, but the following cause I have nursing clinical in the morning. Hence I left at 0630 but charted i left at 7. The DON was saying it all depends on how the BON choose to handle it.

I do not know what's wrong with me. I've never been fired before until I started nursing. I'm a few months from graduating an RN program and I still cannot get my act together. I want to treat this as a lesson learned. I'm feeling stupid cause I've been fired so many times. I'm still working for the pediatric/adult agency but I am going to chart the correct time that I leave, at the end of the day the I have to protect my license no one else. Does anyone know how long it will take for the BON to contact me? will they make a big deal over 1 hour and 30 minutes? My first year of nursing was rough. I take full responsibility. I am so embarrassed that I created another account to write this although my other account is not even lay real name. I need to remember all the handwork I put in into obtaining my license and not let it go so easily. What's wrong with me? I just do not think that I am learning from my mistakes as a normal human being would.

[Caroline123]

Well what do YOU think you should do?

You don't know how to retain a lawyer ? Really?

[kakamegamama]

That I am under investigation and has to submit a written response or schedule an interview.

I should have better phrased my question. Did the BON recommend that you might want to obtain a lawyer? There are attorneys who specialize in things such as this. Don't delay in doing what the BON says you need to.

[OrganizedChaos, LVN]

I asked a simple question about how to go about getting a lawyer and you still continue on about how I am unfit for nursing or just how I am a bad person overall. If you couldn't offer a suggestion to my question, I don't understand why you commented. How do you know that I did not take any of the suggestions offered here to heart? Are you able to read my heart. Boy! am I glad that at the end of the day GOD is the ultimate judge of our transgressions and not humans. You literally keep carrying on ana on about the same thing.

You started a thread & anyone can comment as long as they abide by the TOS. I don't know why you would be surprised we are all in shock over your transgressions. I think when it comes to patient care (& your lackthereof) we all need to judge so the good nurses can protect the patient.

Well considering all you've talked about is yourself, I can tell you don't really care. Never once were you remorseful to the patients you harmed or the companies you stole from. And obviously God is not the judge when the BON has sent you a letter about your errors. They will most likely judge you, as the BON is there to protect the patient & you weren't.

You'd think after 17 pages of the general consensus saying the same thing, maybe you would listen. But I shouldn't be surprised since you don't listen to anyone or learn from your mistakes.

[STARL]

I should have better phrased my question. Did the BON recommend that you might want to obtain a lawyer? There are attorneys who specialize in things such as this. Don't delay in doing what the BON says you need to.

Yes. They state that I have the right to be represented by an attorney. However, I search the TANNA website and there does not seem to be any for the state of Fl. Maybe I can try calling on monday.

[STARL]

You started a thread & anyone can comment as long as they abide by the TOS. I don't know why you would be surprised we are all in shock over your transgressions. I think when it comes to patient care (& your lackthereof) we all need to judge so the good nurses can protect the patient.

Well considering all you've talked about is yourself, I can tell you don't really care. Never once were you remorseful to the patients you harmed or the companies you stole from. And obviously God is not the judge when the BON has sent you a letter about your errors. They will most likely judge you, as the BON is there to protect the patient & you weren't.

You'd think after 17 pages of the general consensus saying the same thing, maybe you would listen. But I shouldn't be surprised since you don't listen to anyone or learn from your mistakes.

Just because I don't comment on every single post does not mean that I have not learned from this. And obviously, you are free to comment as you please. It's the redundancy that I feel is not needed. I get it. You think that I should not be a nurse! You think that I am a bad person and unethical! You think that I only think/care about myself! You've said that over and over again. I don't have to comment or prove to you that I've learned a lesson from this. At the end of the day, it only matters on how I apply the things that I have learned from here on out.

[OrganizedChaos, LVN]

Just because I don't comment on every single post does not mean that I have not learned from this. And obviously, you are free to comment as you please. It's the redundancy that I feel is not needed. I get it. You think that I should not be a nurse! You think that I am a bad person and unethical! You think that I only think/care about myself! You've said that over and over again. I don't have to comment or prove that I've learned from this. Ultimately, I have to live and learn from this.

I am just so sickened by your actions & lack of empathy for anyone but yourself. You clearly have not learned from

this. If it takes punishment from the BON to open your eyes, I have no words. So if you didn't get reported

to the BON you would just keep doing what you've been doing then? Because that's what was happening.

By the way, I'm not the only one who thinks you should choose another career path. Once again, that was the general consensus.

[LadyFree28, BSN, LPN, RN]

Do you have malpractice insurance?

Now that you have to submit a response; you need to do so within the time frame; you need to state the facts ONLY-no emotions on how you feel, and what you "didn't know"; because the reality is that you are supposed to know your state's nurse practice act, along with the fact many posters have touched on about lying and fraudulent behavior.

I also suggest looking up what happens to those who commit fraud; and if you think the BON is only coming after you, you are sadly mistaken; CMS will be giving you a call as well; I suggest you look up what happens when you commit fraud against a government regulatory agency as well.

[LadyFree28, BSN, LPN, RN]

This information was readily available at my fingertips:

[QUOTE]

It's estimated that as much as 10 percent of all the money spent on health care every year is paid out on fraudulent claims. Health care fraud is a crime in which someone uses lies, deceptions, or falsehoods when filing a health care claim in an effort to make a profit or to gain some type of benefit. There is no single type of health care fraud, and health care providers, patients, and even health insurers can commit this crime. Health care fraud is a crime addressed by both state and federal laws, and one that has significant potential penalties.

Fraud vs. Mistake

It's important to distinguish health care fraud from mere mistakes, omissions, or improper payments. To commit fraud, a person must knowingly engage in a plan, scheme, or activity to provide falsehoods, with the intent to achieve some financial gain. Fraud is not the same as, for example, making a mistake that results in a patient being billed for treatment he or she did not receive. By contrast, when a health care provider knowingly provides treatments or procedures that the provider knows patients do not need, and then bills an insurer for those procedures in order to make a profit, such conduct is health care fraud.

Fraud Schemes

Although anyone involved in the health care process can commit health care fraud, it is most commonly committed by providers in an attempt to obtain more money from insurers. Common fraud schemes involve double-billing or filing duplicate claims for the same service, filing claims for services never provided, billing for services not covered by an insurer's policy, and even providing kickbacks for referrals.

Common fraud schemes perpetrated by patients include faking a medical condition in order to receive medications that the patient then sells, falsifying medical claim information, or using someone else's insurance information to receive health care services.

State and Federal Laws

State laws on healthcare fraud differ considerably. State healthcare fraud laws typically fall into one of three types; false claims laws, self-referral laws, and anti-kickback laws. Some states have laws that address all three types of activity, while others may have only one or two, and some may have none at all.

In addition to any state prohibitions against health care fraud, federal health fraud law will apply in most situations. This law is very broad, applying when anyone makes an attempt to defraud any health care benefits program with the intent to gain control of money or property. The federal law applies in all states regardless of whether state law punishes health care fraud as a crime.

(18 U.S.C. section1347)

Medicare and Medicaid Fraud

The health care system has both private and public health insurers, and healthcare fraud can involve either of them.The two public health care insurers, Medicaid and Medicare, have long been targets of fraudulent claims, and there are a number of federal laws which apply to such situations. Specific federal laws criminalize making false claims in a Medicaid or Medicareclaim (18U.S.C. section 287), making false statements (18U.S.C. section 1001), as well as related activity.

Penalties

Federal law provides for both civil and criminal penalties for health care fraud. The difference between a civil penalty and a criminal one is that criminal penalties allow for fines, prison, and an order to pay restitution (compensate the victim for any money lost as a result of the fraud). Civil penalties only result in an order to pay restitution (no jail time or fine). Criminal health care fraud charges, both at the state and federal level, can lead to serious consequences for anyone convicted.

• Prison.Health care fraud is a serious offense, and can lead to lengthy prison sentences. Making a false claim or false statement in relation to a Medicaid or Medicare claim can result in a 5 year prison sentence per offense, while a conviction for federal health care fraud can result in a 10 year sentence for each offense. If the health care fraud results in serious bodily injury to someone there is a potential sentence of up to 20 years in prison, while an act of health care fraud that results in someone's death has a potential life sentence.
  
• Fines.Anyone convicted of health care fraud also faces significant fines. For example, an individual making a false statement in a Medicaid or Medicare claim faces a fine of up to $250,000 per offense, while organizations which make false claims face up to $500,000 per offense. Organizations that engage in ongoing schemes which involve multiple counts of health care fraud violations can face millions, or even billions of dollars in fines.
  
• Restitution. As part of a criminal fraud sentence, the judge can order defendants to pay back the amount of money they improperly obtained as a result of their fraudulent acts. For example, a doctor who improperly billed an insurance company for tests not performed, and who received payment for these tests, can be ordered to pay this money back to the insurance company. Restitution is in addition to a fine, which is paid to the government.
  

• Probation.An individual convicted of a health care fraud crime can also face a potential probation sentence. Probation limits the freedoms a person has instead of sending the person to serve their sentence in prison. Probation usually lasts as least 12 months, though sentences of three years or more are possible. Those on probation must comply with specific conditions, such as regularly meeting with a probation officer, maintaining employment, not associating with known felons, and not committing more crimes.
  

Speak to an Attorney

Health care fraud can seem like a minor crime, especially when an individual commits an act that seems like it has little impact and doesn't really "hurt anyone." But a conviction for health care fraud, especially when the defendant is a professional who depends on a license to practice, can irreparably change the course of that professional's life. Even being investigated for health care fraud can ruin one's professional reputation and make life incredibly difficult.

The moment you are approached by investigators about a potential fraud case, you need to contact a criminal defense attorney. You can unknowingly incriminate yourself anytime you speak to an investigator if you don't have legal advice. Local criminal defense attorneys are the only people capable of providing you with legal advice in light of their knowledge of the law, as well as their experience with local prosecutors, courts, and criminal investigations.

If you're being investigated for breaking a federal law, your case will be handled in the federal court system. Be sure that the lawyer you choose has experience handling federal cases.

source: http://www.criminaldefenselawyer.com/crime-penalties/federal/Healthcare-Fraud.htm

In summation: you may be investigated for Medicare fraud in the near future-so not only the possibility of not having a license is in the future, it may be your freedom, as well.

Medicare fraud is such an egregious act that even the BON can forward this information, if your employer hasn't done so.

[Ruby Vee, BSN]

Yes. They state that I have the right to be represented by an attorney. However, I search the TANNA website and there does not seem to be any for the state of Fl. Maybe I can try calling on monday.

You should definitely try calling on Monday.

[danggirl16]

STARL: First, you absolutely need an attorney for both license defense before the BON and for any forthcoming additional criminal charges. The TAANA in fact lists 5 that are nurse attorneys (hold dual degrees) and 17 that are attorneys specializing in medical/nursing legal issues.

Second, for clarification, one of the reasons people are saying that you haven't seemed to listen to any advice etc is because you are asking about still working as a nurse while under investigation and that you are concerned about graduating. The point of the majority of the 17 pages of comments was not to degrade you but to strongly emphasize that you are in REAL trouble and it would be in your best interest to abstain from ANYTHING in the nursing profession until you get things straightened out. No one is making comments just to be mean or snarky....we all have a genuine concern for the path you've been traveling and for the welfare of your patients. That includes both your job and your school clinicals.

[Marshall1]

I am not sure the OP is for real..sounds very immature, lazy, self centered, almost middle school/teenager age who lives with a parent who is in healthcare and has heard stories...if the OP is for real - I don't think he/she will be licensed very long and most likely will end up facing legal ramifications from the behavior at some point. It's scary on a lot of levels actually what is written by the OP and his/her responses to others on here. Just...wow.

[STARL]

I am not sure the OP is for real..sounds very immature, lazy, self centered, almost middle school/teenager age who lives with a parent who is in healthcare and has heard stories...if the OP is for real - I don't think he/she will be licensed very long and most likely will end up facing legal ramifications from the behavior at some point. It's scary on a lot of levels actually what is written by the OP and his/her responses to others on here. Just...wow.

If you must know, early 20's (yes), still living with parents (yes), new nurse (yes). Just trying to better my life and learn from this.