I've been suspended

Anna Flaxis, BSN, RN · Dec 29, 2015

The original post contains so little information that it's difficult to give a meaningful response, and I'd like to avoid the trap of filling in the missing information with my imagination. If the only two words uttered by the student were "John's quiet", that is not a request for help, nor does it tell you that the patient is deteriorating. However, I'd like to think that in your shoes, I would have asked for more information.

BuckyBadgerRN, ASN, RN · Dec 29, 2015

I think op is leaving out a LOT of information, which usually means the suspension was justified

xoemmylouox, ASN, RN · Dec 29, 2015

I think op is leaving out a LOT of information, which usually means the suspension was justified

Exactly. I'll admit the student should have clarified, but since they did not I would have asked what they meant by that. It is true that we all make mistakes or get too comfortable. It happens, let this be a warning to other nurses that even if you have a student, you are responsible for that patient. Assess them just as often, and make sure student reports are complete and not two word phrases.

ProgressiveActivist, BSN, RN · Dec 29, 2015

"I've been suspended because when a student said to me John's quiet I did not respond to her request for help with a deteriorating patient. I don't understand how I could have other than to carry on with what I was doing. Are there any other nurses out there who would have reacted to those 2 words differently?"

Hard to say how I would respond without knowing what was wrong with this patient.

If the student noticed a change, and was

incapable of describing that change, other than to say "Johns quiet", then she is a moron.

That would be forgivable if she or her instructor had not accused this nurse of negligence. I would write a detailed account of this incident.

I would mention that it might have been prevented if the student had posessed basic

assessment skills and the ability to communicate her assessment and that she is unsafe to function in any clinical area until these skills improve.

Cc'd to anyone and everyone involved in this incident including the CNO.

elkpark · Dec 30, 2015

"I've been suspended because when a student said to me John's quiet I did not respond to her request for help with a deteriorating patient. I don't understand how I could have other than to carry on with what I was doing. Are there any other nurses out there who would have reacted to those 2 words differently?"
Hard to say how I would respond without knowing what was wrong with this patient.
If the student noticed a change, and was
incapable of describing that change, other than to say "Johns quiet", then she is a moron.
That would be forgivable if she or her instructor had not accused this nurse of negligence. I
would write a detailed account of this incident and mention that it might have been prevented if the student had posessed basic assessment skills
and the ability to communicate her assessment.

Regardless of whether the student is a "moron" or not, or what assessment or communication skills the student may or may not have, the client is the staff RN's responsibility. I doubt that attempting to blame the student for the incident is going to help the OP's situation.

CBlover, BSN, RN · Dec 30, 2015

It's pure ludicrous to post something so vague and even more ludicrous that so many posted a response like they knew the details. I asked for more details from op days ago and obviously she fails to see the need to post more bc she knows she's in neck high trouble and there's not a thing she can do about it.

ponymom · Dec 30, 2015

Sheila, when a cna would come up too me and say "*****'s quiet", I would ask in what context is he quiet? Especially when I was new to the unit, nh. And then I would go in and check on him. Get a set of VS. Talk to him. Check previous shift's charting. Refer back to the handoff report.

allnurses Guide · Dec 30, 2015

Sheila, when a cna would come up too me and say "*****'s quiet", I would ask in what context is he quiet? Especially when I was new to the unit, nh. And then I would go in and check on him. Get a set of VS. Talk to him. Check previous shift's charting. Refer back to the handoff report.

When someone tells me a resident is quiet, or aggressive, or agitated I immediately check on the resident to see if this is a change of condition. I once came on shift and received in report that a resident who went out for a procedure had been returned and was quiet and resting comfortably all afternoon. I walked into resident room and he was deceased, cold with rigor set in. Not saying that this was not natural or expected as resident was DNR with multiple co-morbid conditions but I was left to wonder how long the resident was resting comfortably!

Hppy

Sheila2155 · Dec 31, 2015

Ok thanks. looks like I messed up. Think it's time to retire.

JustBeachyNurse, LPN · Dec 31, 2015

A bit more info here:

https://allnurses.com/post8837247-num6.html

allnurses Guide · Dec 31, 2015

Ok thanks. looks like I messed up. Think it's time to retire.

Sheila, not necessarily time to retire - people make mistakes all the time - and nurses are not immune to this. The fact that the resident had a bad outcome does not mean that your career is over. Embrace your mistake, own it, spank your inner child and move on knowing that you will not make the same mistake again.

Hppy

Sheila2155 · Dec 31, 2015

Will let you all know what happens to me. I work in a hospital in uk by the way not a residential home. Thanks for your support everyone. Don't get any at work.