I have done the re-education that was ordered, and had one full day on the alzheimers unit (with no orientation to anything or anyone).
So today, I had my second day on the floor. I was determined to make things go smoother, showed up early, made a checklist of tasks. I was pumped for a good day. So the staff educator came upstairs to pass me off on insulin administration, which went fine.
Shortly after, A woman who is from the corporate office (hired to make sure we are up to state regulations before state survey) came up stating she had to watch my med pass.
So I was already a little behind since there are 17 feeds on the floor and the nurses have to help out, which I dont mind, but it throws off my day (which I am still adjusting to since ITS MY SECOND DAY)
So trying my hardest during my med pass to do well, when the lady realizes that I still have a lot more to go and I am already out of compliance for times (22 pts with most meds at 9am). So she goes down to the DON, who has the floor manager shadow me for the rest of my pass. I of course was flustered by this because she was changing the way I do things.(she thought it odd that I would take a pts bp before giving a bp med even though there were no parameters!?) So I got done at a reasonable time for my second day, an hour off of course but I'm still learning the ins and outs of the floor.
So after lunch, the floor manager says she has to take the keys to the cart, that she will be doing the pm med pass, and I have to meet with the DON and the woman from corporate at 2pm.
2pm rolls around and I go to the DON's office. At that time she was giddy since she just recieved word that we did not have any deficiency in nursing from our state survey.
that glee went away as soon as she said "she didnt know what to do with me" that my med pass did not go well.
What the corporate woman found as 'bad' was the fact that I didnt do my med pass 'like everyone else'. I dont flag the pages in my MAR if there is an afternoon med, I use my census sheet because that is what works for me. I explained that being learning disabled, I have to do things the way they work for me. No one ever told me that I Have to flag pages. They said it was an option (when I got hired), but no one said it was the law. I also was informed that it was 'bad' that I didnt take my med cart down the hall with me. The flaw with that is, I kept my med cart where all the pts were, in the dining room, I had no need to drag it down the hall.
I also reminded them that it WAS ONLY MY SECOND DAY and I was still getting a feel for the floor.
their recomendation: another suspension until further notice, she will be contacting HR and they will decide if her reccomendation for termination is a good one.
I recall a lot of people telling you to get out of there in the first post. I dont disagree at all.
Nursing home jobs are not worth fighting for. Just my opinion, but its an opinion born from first hand experience.
If you did your best, then move on knowing that and realize there are places for improvement. When you find a better environment to work in, you'll actually have the opportunity to make said improvements.
Was that even a nurse who did the 2nd med check. I would have had the policy manual out in a heart beat and asked them to show me the policy and then ask them WHEN they told me about it. Get outta that viper pit. Too bad for the patients but #1 is you and your livelihood.
you seem like a really hard working nurse trying to make it work in a bizarre environment. don’t be afraid to tell them that you don’t feel comfortable doing something and that you would rather observe for a while until you feel that it is safe to continue. especially being on a new floor! as a new grad, i have no other advice to give you than save your license and run! maybe for the future if you feel that your work environment is not safe for your patients you should submit a written letter to your manager and save a copy for your records. in that case at least you have some paperwork to show that you recognized the unsafe environment that lead you to do those errors but the management didn’t do anything to fix those conditions and would be equally guilty for your errors. i really hope you find a better job!! all the best luck!!!
I'm just curious ... not real familiar with this situation ...
Is is possilbe that this facility just hired the OP to be on list of employees for the state survey? Now that the state is gone, they have no intention of keeping her? ... and that was their plan in the first place?
I have done everything they have asked, and tried very hard to please everyone. I didnt just tell them to go screw when they tried to help me, I did what they asked, They made an unfair judgment based on a small amount of info (about 15 minutes for a med pass today, not including the other issue)
So, it sounds like you are definitely being fired. There is no reason to let that happen, just resign and find another job. It's fairly easy to find new nursing jobs in 90% of the country. That's really unfortunate. It sounds like you just rubbed the surveyer wrong. Aside from falling behind on the med pass, I didn't hear anything detrimental here. Just move on. It's not worth the pain. One thing I've learned in nursing, is that there are enough specialties that if you don't fit into one area well, there is another area on the wings that will suit you perfectly. Nursing home nursing, those med passes are ridiculous! Trying to get meds out on time to twenty five or more patients within a two hour time frame without making mistakes IS difficult. Don't sweat it, don't internalize their negativity, just go somewhere else! Good luck to you! :icon_hug:
you know what??? this place is not worth having you there as a nurse!! :angryfire:angryfire:angryfire not passing the state survey tells you this place is not safe place to work, so better to get out of there. go find a better place where you are treated better!!!
please read it again. they did pass. the boss was giddy then got ungiddy, etc.
You were only 1 hr out of compliance on day 2? Your a goddess! My first day alone I was so out of compliance I had to come here and cry in a post. I was sure I was the worst LPN ever! I finished one med pass and went right into my 2nd! It was horrible not to mention being on a wing I never stepped foot on before. I couldn't believe they questioned you regarding the bp!
Run girl run! There has to be a better fitting place for you and everyone else that works in that facility! Good luck and please keep us posted.
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eriksoln, BSN, RN
2,636 Posts
I recall a lot of people telling you to get out of there in the first post. I dont disagree at all.
Nursing home jobs are not worth fighting for. Just my opinion, but its an opinion born from first hand experience.
If you did your best, then move on knowing that and realize there are places for improvement. When you find a better environment to work in, you'll actually have the opportunity to make said improvements.