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.
To the OP, do yourself (and your career) a favor and resign. Print up a formal resignation notice and state that you are leaving because you wish to take your career in a new direction (don't state personal reasons and don't blast the company) just say that you want to go in a new direction and that you feel its best to part ways. Ignore the flamers on these boards and find a new, healthier work environment. Good luck and let us know how it goes!
It doesn't really matter which organizational system is used as long as it helps you get the job done. People with learning disabilities process the world differently. Each one has a different way.That doesn't make them bad or diificult employees just different. Usually they are very good employees if given the needed room to do the work.
In my experience, when things strt to go badly like this it is very hard to recover self confidence under close watch. I agree with nearly everyone, go find another job that offers proper precepting. You can find a place with kind people too.
Specializes in cardiac, psychiatric emergency, rehab.
Staying in an environment that is this tacky is bad for you. If you can find another job.. it's worth it to not be treated like dirt. They will continue to find things 'wrong' with you.. believe me.. GET OUT IF YOU CAN.!
Unreal! I am so sorry to hear about this. My first job was much like this -- and something very similar happened to me. Only AFTER everything did I hear from a doctor I respect, "I'm so glad you left that crazy place! I don't practice there any more for a reason!!!"
I'd look for another job quick and get out of there asap! Keep us posted.
I have to agree, resign now before they terminate you. This way you can truthfully say you chose to leave.
LTC is a vipers nest in many ways. Their mind is made up about you and your future with them, the only thing you can do is make it your choice to leave. I know the thought of being jobless is scary, but you will find a position quickly. There are still many job postings for nurses. Look for one that has a good new grad training, most LTC's are not good at training new grads.
It doesn't really matter which organizational system is used as long as it helps you get the job done. People with learning disabilities process the world differently. Each one has a different way.That doesn't make them bad or diificult employees just different. Usually they are very good employees if given the needed room to do the work.
Amen. And I'm not so sure you need to bring up the disabilities, funsizeliv. It just seems unnecessary to mention this topic to an employer unless it renders you unable to do the job. If it means that you need to do something a little differently than someone else does, so what, as long as you get the job done safely and correctly. don't hand people ammunition to fire at you.
Specializes in cardiac, psychiatric emergency, rehab.
Vito,
thank you for bringing up 'ammunition'.. wow.. that is a key word that many wish they had known before getting into a hospital environment.. 'anything you say can and will be used against you.., twisted and become something you did not mean'...It can put the 'D' in the word dysfunction.
Specializes in Gerontology, Med surg, Home Health.
OK...I don't agree with everything that happened to you and this might be off topic, but....I agree with the consultant. You don't have to do a BP on someone just because they take a BP med. Millions of people take these meds every day at home without checking their pressure. If you get rid of some of the things you don't need to do, you'll have time to do what you do need to do. And, as far as I know, there is no regulation anywhere that would dictate that you had to flag the pages of your MAR....
Specializes in cardiac, psychiatric emergency, rehab.
In my hospital it is mandatory to do a B/P and/or HR before giving B/P medications.. They do not want people who are comprimised and monitored to bottom out.
OK...I don't agree with everything that happened to you and this might be off topic, but....I agree with the consultant. You don't have to do a BP on someone just because they take a BP med. Millions of people take these meds every day at home without checking their pressure. If you get rid of some of the things you don't need to do, you'll have time to do what you do need to do. And, as far as I know, there is no regulation anywhere that would dictate that you had to flag the pages of your MAR....
I dont know of any reg either, CCM.
i agree about the BP also. we don't teach the pt to take their BP before their meds at home usually. no need to take it if someone has been stable on their med regimen for some time. the only time we do it is if certain parameters are ordered. if so, then i put space for theBP results on the mar with the med so it's all in one spot.
it's little changes like this that will help you get a routine and do your meds quicker. concentrate on meds only, then go back and do the rest.
i agree about the BP also. we don't teach the pt to take their BP before their meds at home usually. no need to take it if someone has been stable on their med regimen for some time. the only time we do it is if certain parameters are ordered. if so, then i put space for theBP results on the mar with the med so it's all in one spot.
it's little changes like this that will help you get a routine and do your meds quicker. concentrate on meds only, then go back and do the rest.
I agree, on my old floor, I knew which people were pretty stable with their BP's and I usually didnt check it unless something was going on. But after a med error involving a cardiac med, I just wanted to be extra careful while on a new floor. Plus the person who I was checking recently coded (that was an interesting story, involving me running up a couple flights of stairs with a large 02 tank, but thats for another time).
I am still waiting for the DON to let me know whats up. I contacted regional HR and she told me she would look into things for me. But so far, nothing.
luckily, I did get a job callback yesterday, so I may not be doomed.
cjcsoon2bnp, MSN, RN, NP
7 Articles; 1,156 Posts
To the OP, do yourself (and your career) a favor and resign. Print up a formal resignation notice and state that you are leaving because you wish to take your career in a new direction (don't state personal reasons and don't blast the company) just say that you want to go in a new direction and that you feel its best to part ways. Ignore the flamers on these boards and find a new, healthier work environment. Good luck and let us know how it goes!
!Chris