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.
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.
A hospital would have different requirements that does LTC.
I say time to go too. why do we subject ourselves to this? as nurses...do we ALL have such low self esteem that we dont stick up for ourselves when crap like this happns to us???because im guilty of it too!
Specializes in Gerontology, Med surg, Home Health.
Well...hmmm..did any of you read the first post. If I'm understanding correctly, the poster has ADD and made several medication errors because she failed to read the dose on the medication card. Why is management evil for wanting to stop this potentially dangerous behavior? Certainly we've all made med errors but one that the posted admits went on for days??? It's a basic of nursing 101 to compare the label on the card with the MAR...am I missing something?
Unfortunatly this is not an uncommon thing to hear. Its not your fault. The situation doesnt sound good. I think you can tell that you cant work under this kind of pressure.
SuesquatchRN, BSN, RN
10,263 Posts
A hospital would have different requirements that does LTC.