I don't think it's going to work out...you're fired.

[Rodcet]

I graduated last December, and got my license in March, and began the job hunt. I found a job relatively quickly at an ALF/SNF/Independent, and began training in the end of May, begging of June. It was 7p-7a Fri, Sat, Sun. After two weeks of training I was all ready to be on my own. About two-three weeks ago on a morning med pass, I missed a narc. I never received disciplinary action for it but I was informed by other nurses that it had been noted. Friday I worked in the SNF and three separate A&O pt reported to the morning nurse that they hadn't received their 6am meds though I had signed for them...I look over the MAR for holes before I leave. It's perfectly possible that I forgot to flag it and signed for it, no narcs this time but still... Either way it looks fishy on my part. This past weekend I was called to the Independent Living side, its the ALF person's job to answer such calls, for vital checks so I had to do reports for those. No big deal, but in my haste to complete them I forgot to pull a medicare chart to do the Qshift on it. So many grievous missteps in so short a time I can see why they let me go, today I got the call. I am insanely worried about what this means for future employment, about going back to school for RN, about what this termination means for my license. I'm signed up for the rest of my RN prereqs today, that's been the only thing keeping me "sane" today. The thought that I can keep going and learn from this.

[azilliRN]

We are all human and we all make mistakes! Chuck this experience up as a learning curve - easily said than done, I know. Hang in there and go for your RN. Being let go will have no impact on your license. You may have to explain the situation if you apply in the future at another job. Otherwise, if it was a short time - you could always leave it off your resume. Just a thought.

Complete your prerequisites and let go. This will soon pass :)

[regnurse2bea]

First let me say that usually a new nurse out of school gets more than 2 weeks orientation to start with. God bless you for even trying. Of course I am in Virginia and when I started my first job I got 4 I think. School is way different than being out in the big bad world. I am 51 and have been a nurse for 7 1/2 years but only in practice for the last 3 1/2 because I was supposed to go back for my RN anyway that's another long story. I got fired today from a job I just started June 12th . because on my shift last nite (3-11) I did not get report from the 7-3 nurse until 5 pm because she was still passing meds from 2pm med pass, and was advised by unit manager to"make" her give me report. How i'm not quite sure. I have not received report from her before 4pm and most nights 5 pm any night I followed her which is 90% of the time. I had previously complained to the unit manager and DON about this and how it was effecting my performance in starting 2 hours late. Last night I had 27 patients on a skilled unit and a multitude of issues occuring from 5pm including Flagyl IV I couldn't hang because she had just hung her antibiotic however many hours late, trying to do TPN by PICC line when the pump wasn't priming and once I got the tube filled wouldn't work at the bedside, to her doing a BS at 4 pm that was due at 1130 and fully expecting to treat it under her med pass which I stopped and told her she had to document she did not obtain it and I used that reading to treat the patient at 5pm. Then I had a patient fall so I had to stop to assess her and go back to another patient with colostomy bag about to explode again from her shift. Then I find out that the reason I was answering so many call bells and bed/chair alarms was because they took both my aides to the DR and left 2 on the other side, when it should have been 1 from each side. Maybe that resident wouldn't have fallen. Try as I might I can't be in 6 places at one time. Finally the 7-7 supervisor showed up and I told her about the fall and that I hadn't had time to notify the MD or Family could she please handle that. Then my CNA tells me the family of the lady that fell was there so I went and talked to them. Back at my med cart the supervisor comes to help me and takes 1 of my med carts yes I said 1 I was working out of 2 different carts. I finished the cart I was working on and the supervisor came around the corner (hadn't done any meds yet) and starts helping me on that cart and the Unit Manager shows up and wants to see me in the office. Apparently the family of the lady that fell called and complained that I hadn't called them. Explained what had transpired that night and she told me at 9 pm to go ahead home and calm down and call the administrator in the morning. I was told to come in and meet with her and DON. I was then fired because I had a bad attitude and was not giving good resident care. Me who will work with 1 patient for 20-30 minutes trying to get her to take her ABT because of bad UTI. I had been asking for help since I started on the floor b/c they use an electronic mAR which I had never used before and received no training on it prior to being sent out after 3 days of orientation to the unit. Only 6 four hour days of classroom orientation prior to that. The nurse on 7-3 was in my orientation class too. Sorry didn't mean to get into all that just empathize with the other young lady. I like to think that my case is an exception but I fear this happens to many of us and unless the state or government steps in to regulate the burden put on 1 nurse the "Corporations" ie nursing homes will continue to understaff and over work their staff while pocketing bunches. I have worked between 50-56 hours a week since I started there and my 3-11 shift turns into 11 hours 5 days a week because I don't have time to document anything prior to "shift end"

[xoemmylouox, ASN, RN]

It is very hard when you first start working. You have to learn time management. It will takes months before you have that down. Also it doesn't help when you are short staffed, lack support, or have to wait on others to complete their tasks. Take this as a lesson learned. You will find other work. I would ask what they offer training wise, before you accept any futher positions.