I wanted to explain what happened to me...

Nurses General Nursing

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Hey everyone...

I want to thank everyone for the prayers. I'm sorry I haven't been able to explain why I needed them and what I meant by saying I was in trouble, but I have recovered enough mentally to explain my last eight days of pure hell...

I work 11p-7a as the supervisor of a nursing home. Last Sunday night I worked. Monday morning after work I went to visit my grandmother in Georgia, not intending to be gone all day. She has been diagnosed with a brain tumor and has decided to refuse any treatment- she wants to let it take her course and rejoin my grandfather who died three years ago. This is devastating to me because I am very close with her. I ended up being with her all day and getting home around 9pm. I had to be at work at 11, so I decided not to sleep since it would make me more groggy to get less than an hour of sleep than it would if I just stayed up. Despite my best efforts, I fell asleep around 9:30 and when my alarm went off at 10 I was in bad shape- disoriented and nauseous. I decided to take an ephedrine tablet and set the alarm ahead 20 minutes so that when it went off the ephedrine would be in my system. I hardly ever take it but when I do I take an Atenolol with it because it makes my BP go up and my heart race. The Atenolol was prescribed to me a year ago, but since losing almost 100 pounds my BP has been normal and I haven't had to take it regularly. Anyhow, when the alarm went off again I was still really nauseous and tired but I got ready and went to work. I felt weird- sort of detached and sluggish but I figured it was because of lack of sleep. I'd gone without sleep before so I thought I'd be fine.

At about 3am, however, my DON showed up. I was surprised to see her, but she told me she just had paperwork to do. It seemed like she was observing me though, and soon the truth came out- someone had called her at home, woken her up and stated that I seemed impaired. After watching me, she declared probable cause and accused me of being on drugs. I was shocked and scared and denied it- I have prescription narcotics for my back ( i broke it 7 years ago and am trying to avoid surgery for as long and possible) but I never take them within 12 hours of work- never. I was made to feel like a criminal. I was brought to the local hospital and had to pee in a cup, crying all the while. I knew I felt odd and detached but all I could think was that maybe someone slipped me something. After the UA, she refused to believe me, took my keys from me and I was sent home in disgrace.

Three days later I found the bottle of Atenolol in a totally different location than i thought. Apparently I took an Ambien instead.

Once I figured this out, I tried to explain it to her, but since the drug test had already been sent out I still couldn't work until the results came in. It took eight days instead of three because of the positive for opiates resulting in a differentiating test. The only thing that showed up (of course) is one of my prescription narcotics (Lortab). The lady from the drug testing center called me this morning and I had to bring over my prescription bottle to confirm it. Then I had to get a letter from my doc stating that I had been his patient for four years and was still on the same strength meds and had been very responsible with my pain meds. I expect a call in the morning to go in for a meeting with my DON when she gets the report.

Here's the kicker- everyone at work apaprently thinks I was caught stealing drugs, high at work, or drunk on the job. The worst part is that I think I am going to be fired anyway, regardless of the negative drug screen for anything except what was prescribed to me.

I love my job, and i love being a nurse. I've worked at my job for over a year, with exemplary performance evaluations and reviews. I don't understand why I am being treated this way. I'm still scared about possibly losing my job, but at least I know that I will not lose my nursing license. Before I realized about the Ambien, I honestly was scared that someone had slipped me something and then called my DON so I would be tested. As a supervisor you always end up with certain enemies, people you have had to write up because of legitimate concerns who hold it against you. I was terrified because I did feel odd and if someone had slipped me something and I tested positive, I would have lost my license.

I really don't want to lose my job, I love it so much. I hate that my coworkers all are assuming the worst of me. I didn't intentionally do anything wrong. I've lost seven pounds since this happened and have not been sleeping. I've cried constantly. I'm a wreck.

I'm sorry this is so long... I just wanted to thank everyone for the support as well as warn you of what could happen... please keep me in your prayers and I will let you know if I am fired tomorrow or not...

I love you guys...

Lori

I really hope I can find another job...

I appreciate the support, but I DID do something wrong. I made a stupid mistake and I admitted to it (even though I didn't have to since they don't test for Ambien). What makes me feel worse is knowing that there will be residents who expect me to be there and I won't be. That breaks my heart. I have always felt honored to be able to take care of our elderly population. I have learned so much from them, and I have been so happy to know that I am improving their lives. I just hope to find another job where I can make a difference again.

Wow... how long does a crying jag last before it becomes a nervous breakdown... I can't stop beating myself up over this...

Specializes in ICU, ED, Transport, Home Care, Mgmnt.
I HAVE owned up to what I did. I have taken responsibility for it. At the time I had no reason to suspect ANYTHING other than fatigue. I've been a good nurse for over two years now. I work hard and genuinely care about both my residents and my staff. Do you think I'm not scared thinking that I could have made a mistake? When you are an RN supervisor, you do not have the luxury of being able to call in and say "Hey, I'm sleepy so I'm not coming in." At the time, that is ALL that I thought it was. I even picked up Red Bull and drank it trying to become more alert. I would never have stayed at work if I had known that I had taken an Ambien. It was a mistake, NOT a lapse in judgement.

I have to agree with swanganz you should not have gone to work. I too work a job where it is hard on everyone if one of us calls in, but sometimes you do what you must because you are a professional. I don't think the response from your DON was very professional either. You made an error in judgement and it sounds like you deserved a chance to show you wouldn't make that mistake again. You may be right about them looking for an opportunity to get rid of you. I trust you have reevaluated your behaviors that lead you to take stimulants in order to make it through a shift and on top of that have to take a med to mediate the side effects. You need to start taking care of yourself and give yourself high priority in your own life, I think you give all you have to others. Good luck with your job search.

What part of Lori's post was not understood? She KNOWS what she did was wrong. It was a mistake of her taking the wrong medication when she was upset. Geeze.....

Specializes in Med-Surg so far.
OH lori...if you have been fired File for Unemployement!! If you are told you can't because your facility has said you were impaired or they give another Phooney reason...ask to dispute it. You get a phone interview to dispute the refusal. And you can and Willl win your case to get unemployement while you look for another job. Trust me..it takes determination but it can be done.

And def. quit that facility and work Agency for a bit. More money, less hassle while you look around.

My thoughts are with you today...Jody

If you go that route, it is in your best interests to hire a lawyer. I just went through that process with a vindictive former boss (and former friend). He had a lawyer and I didn't, and that made the difference.

Good luck, Lori.

I forgot to ask, what do I say when I am asked why I left my last job?? I can't say "because I was impaired on duty"...

Does anyone have any experience with title loans?

I owe Lori a debt of gratitude. I am returning to nursing soon after a 10 year absence. There was a time when I would have done exactly what Lori did - I would have felt responsible to go to work no matter what. I have a huge sense of responsibility to my work. However, Lori's situation has shown me that we have an even larger obligation: to say no when we aren't feeling well or up to the task. I will risk getting fired for calling in as opposed to going through the hell Lori has been through. I would rather tell a future employer that I was fired for calling in sick that having to say that I was fired for being impaired.

Thank you for sharing, Lori. I know this has been painful and difficult for you and I wish you all the best. At least I hope you can take comfort in knowing that you may have helped a lot of other nurses.

Specializes in Case Management, Home Health, UM.
I forgot to ask, what do I say when I am asked why I left my last job?? I can't say "because I was impaired on duty"...

Does anyone have any experience with title loans?

Just tell them you were terminated. You don't have to go into the gory details, unless they ask. All the NH is going to do is tell your prospective employer your dates of employment and whether or not you are eligible for rehire.

Unfortunately I do have experience with Title Loans. I have had one on my car for over a year, now, and the interest is OUTRAGEOUS. If you need money, get it from another source. If something happens and you are a day late with a payment they will come and get your property, sell it at auction, pocket the change...and it's all legal. Stay AWAY from them! :madface:

Specializes in Case Management, Home Health, UM.
I really hope I can find another job...

I appreciate the support, but I DID do something wrong. I made a stupid mistake and I admitted to it (even though I didn't have to since they don't test for Ambien). What makes me feel worse is knowing that there will be residents who expect me to be there and I won't be. That breaks my heart. I have always felt honored to be able to take care of our elderly population. I have learned so much from them, and I have been so happy to know that I am improving their lives. I just hope to find another job where I can make a difference again.

Wow... how long does a crying jag last before it becomes a nervous breakdown... I can't stop beating myself up over this...

Maybe you did, but I still don't think it justified them in terminating you outright. I've seen nurses do much worse things than you were fired for with no repercussions at all. I think what makes me so angry about this is that I was fired four weeks ago today from my job, too, and it hurts. I cried for days, and it put my already bad financial situation right smack down in the toilet.

Just allow yourself to grieve. You've lost something which meant a great deal to you. We all love and care for you. :kiss

Pam

I forgot to ask, what do I say when I am asked why I left my last job?? I can't say "because I was impaired on duty"...

Does anyone have any experience with title loans?

Gee, I dunno, impaired on duty due to self medication, I don't know how to put a positive spin on that one.

lori,

are you going to use them as a reference?

i seriously wouldn't, just in case you were going to, hoping for something neutral.

try and find others to use as a reference, i.e., doctors, or other staff perhaps?

i personally would not disclose the real reasons.

if possible, don't even tell anyone you were fired.

you do not want to incriminate yourself or have anyone judge you.

i'm sure you'll be able to think of a legitimate reason for 'quitting'.

who gives a damn if you're not being completely honest?

that would be shooting yourself in the foot.

and you need to protect your honor as well as your livelihood.

so brainstorm and see who you can come up with.

if i think of anything genius, i'll pm you. :)

leslie

lori,

are you going to use them as a reference?

i seriously wouldn't, just in case you were going to, hoping for something neutral.

try and find others to use as a reference, i.e., doctors, or other staff perhaps?

i personally would not disclose the real reasons.

if possible, don't even tell anyone you were fired.

you do not want to incriminate yourself or have anyone judge you.

i'm sure you'll be able to think of a legitimate reason for 'quitting'.

who gives a damn if you're not being completely honest?

that would be shooting yourself in the foot.

and you need to protect your honor as well as your livelihood.

so brainstorm and see who you can come up with.

if i think of anything genius, i'll pm you. :)

leslie

Even if she doesn't use them for a reference, she's going to have to list her last few places of employment. I don't think you can leave that out.

This is exactly why I would have hired a lawyer. I know that money is an issue but this is your career and your ability to make future monies. I would have him demand a full accounting of the facilities decision making process, all their paperwork, notes, how they have handled other employees in the same similar cirumstances. THEN I could tell potential future employers that I was terminated but that the legitimacy of my termination was under review by my attorney. While no employer may want to hear that, it's still more positive than being let go for being under the influence of a drug while on duty.

If they do a background check on her, (and they most likely will, since she will have access to meds), then her employment history will show up! It actually shows up on credit bureau reports! So, she pretty well is going to have to use them.

But, before she decides what to put down as her reason for leaving, she needs to find out what her former employer is going to say. (Yes, I know it is illegal to give anything but the dates of employment, but you would be astonished at how often people say more!!) So, the only way Lori will find this out is to have a friend call and pretend to be a potential employer and question the former employer. Have the friend ask the Formeremployer why Lori left and see what they say. Then, when Lori finds out, she can tell us, and we can think of how to put the right spin in it. With all of the educated minds here and so many caring folk, we will come up with something!!!!

By the way, Lori, when you have the friend call, you can also have your friend use 3 way calling so that you can hear EXACTLY what they say about you. You can even record it. (Radio Shack has recording devices that attach to phones.) I would record it so if they say more than what is legally allowed, you can sue if you wish, or at the very least, call back and play it for them and scare the living daylights out of them by threatening a lawsuit if they dont give you a written letter of recomendation and adequate severence pay!!! Just a thought!!

lori,

are you going to use them as a reference?

i seriously wouldn't, just in case you were going to, hoping for something neutral.

try and find others to use as a reference, i.e., doctors, or other staff perhaps?

i personally would not disclose the real reasons.

if possible, don't even tell anyone you were fired.

you do not want to incriminate yourself or have anyone judge you.

i'm sure you'll be able to think of a legitimate reason for 'quitting'.

who gives a damn if you're not being completely honest?

that would be shooting yourself in the foot.

and you need to protect your honor as well as your livelihood.

so brainstorm and see who you can come up with.

if i think of anything genius, i'll pm you. :)

leslie

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