LVN new grad needs advice please!

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Hello everyone,

I've recently started reading and became a member of this site( in which I absolutely love), and i have a question because I've recently decided, as for this who know my pediatric clinic experience, I decided to look for another job because I feel like my license is in jeopardy here. Too many room for mistakes, unorganized and very very fast paced, and unfortunately some mistakes have happened in the clinic in which I was blamed for. If you guys want to know what it is I'll explain but back to my question.

If I decide to apply to other places, should I add this short term job (about 2 months) on my resume because of the experience? Or should I not add it? Since I've heard that sometimes HR has a way to look jobs up and leaving it out can consider me to be lying. I don't know what to do and i gratefully appreciate any advice I can get :)

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Specializes in Allergy/ENT, Occ Health, LTC/Skilled.

I think I have read about your experience at this particular office. The mistakes are they clerical, medication, what?

What was your job before this?

How will you explain the employment gap if you leave it off?

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I would definitely leave it on and add in that you are willing to discuss why it was so short term

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I think I have read about your experience at this particular office. The mistakes are they clerical, medication, what?

What was your job before this?

How will you explain the employment gap if you leave it off?

This is my first Nursing job and first job ever. So i wouldnt have an employment gap. Mistakes at the job where part of the fact it was so fast paced. Like you'd walk into one room triage and when you get out the doctor wants you to do other things aside from that patient so u don't finish the patient you just triaged. And medications are a huge deal because I'd prepare them (mainly vaccines) have them ready so when the doctor comes out of the room i can give it, and I'm sent of to do whatever else they wanted me too and I come back and see that they are gone, turns out a MA gives them and they told me it'd better that way so it can run much faster and i tell them time and time again that I want to prepare my vaccines and give them myself but they completely disagree with me. And I've honestly gotten in trouble for that. For not "following there procedure and for not being faster" because I take my time to make sure everything is right. They got tired of it and fired me actually.....

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Specializes in Allergy/ENT, Occ Health, LTC/Skilled.
This is my first Nursing job and first job ever. So i wouldnt have an employment gap. Mistakes at the job where part of the fact it was so fast paced. Like you'd walk into one room triage and when you get out the doctor wants you to do other things aside from that patient so u don't finish the patient you just triaged. And medications are a huge deal because I'd prepare them (mainly vaccines) have them ready so when the doctor comes out of the room i can give it, and I'm sent of to do whatever else they wanted me too and I come back and see that they are gone, turns out a MA gives them and they told me it'd better that way so it can run much faster and i tell them time and time again that I want to prepare my vaccines and give them myself but they completely disagree with me. And I've honestly gotten in trouble for that. For not "following there procedure and for not being faster" because I take my time to make sure everything is right. They got tired of it and fired me actually.....

Ok, the only thing you may run into trouble with is employers will want to know why you waited so long once you were out of school. I have gaps in employment but I was staying home for my kids for a year, I just relay that information in interview and have never had an issue. I have omitted one job from my resume that I worked at for 3 months. I resigned before my 90 day trial was over, environment just wasn't for me. I gave my 2 weeks and am re-hirable but I never saw the point in putting something down I only did for less than 90 days, it's hardly experience.

I've worked in family practice so I know how fast the everyday routine can be. One thing you need to do, is let co-workers, even doctors know, that unless it's an emergency your going to finishing checking your patient in, then you will be out. The fact that an MA is giving medications you drew up is a huge no-no, do not let that happen, it's more of an issue for the MA, but I don't like that. If they want the MAs to do the vaccines - fine - but you shouldn't draw them up then. I don't see the reasoning in that, are you assigned to one doctor only for the day or do you guys float between them all?

When were you fired and what was there reasoning, because you weren't fast enough? Surely as a new grad they should know you will be slower at first.

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Ok, the only thing you may run into trouble with is employers will want to know why you waited so long once you were out of school. I have gaps in employment but I was staying home for my kids for a year, I just relay that information in interview and have never had an issue. I have omitted one job from my resume that I worked at for 3 months. I resigned before my 90 day trial was over, environment just wasn't for me. I gave my 2 weeks and am re-hirable but I never saw the point in putting something down I only did for less than 90 days, it's hardly experience.

I've worked in family practice so I know how fast the everyday routine can be. One thing you need to do, is let co-workers, even doctors know, that unless it's an emergency your going to finishing checking your patient in, then you will be out. The fact that an MA is giving medications you drew up is a huge no-no, do not let that happen, it's more of an issue for the MA, but I don't like that. If they want the MAs to do the vaccines - fine - but you shouldn't draw them up then. I don't see the reasoning in that, are you assigned to one doctor only for the day or do you guys float between them all?

When were you fired and what was there reasoning, because you weren't fast enough? Surely as a new grad they should know you will be slower at first.

They expected me to work by myself after 4 wks of training. And yeah i don't agree with preparing the vaccines before the doctor even leaves the pt room but that's how they trained me to do it because if I waited it'll take too much time. And they fired me because I wasn't were they wanted me to be (too slow and I didn't agree with how they ran things and questioned them alot) and yeah i would float then be with one doctor for a day and if i didn't draw up the vaccines for them they would get mad and say I'm slowing everything and everyone down, which in the end is huge room for errors

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Specializes in Allergy/ENT, Occ Health, LTC/Skilled.
They expected me to work by myself after 4 wks of training. And yeah i don't agree with preparing the vaccines before the doctor even leaves the pt room but that's how they trained me to do it because if I waited it'll take too much time. And they fired me because I wasn't were they wanted me to be (too slow and I didn't agree with how they ran things and questioned them alot) and yeah i would float then be with one doctor for a day and if i didn't draw up the vaccines for them they would get mad and say I'm slowing everything and everyone down, which in the end is huge room for errors

Playing devil's advocate a bit here: 4 weeks is actually quite a bit of training, even for a new grad. I can see preparing the vaccines before the doctor leaves the room if the MD relays to you he/she will be ordering it. I don't see why they want you to draw up for the MA instead of the MA doing it themselves,. When you say you "questioned them a lot", how do you mean? For example, did you say "I would like clarification on why I am drawing up the vaccines and the MAs are giving them. I want to make sure I am following proper procedure. I have learned while in school we are only to draw up if we are giving the injection." Perhaps in your state there is a different guideline for this, I am not sure.

Were there other things you were questioning?

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Playing devil's advocate a bit here: 4 weeks is actually quite a bit of training, even for a new grad. I can see preparing the vaccines before the doctor leaves the room if the MD relays to you he/she will be ordering it. I don't see why they want you to draw up for the MA instead of the MA doing it themselves,. When you say you "questioned them a lot", how do you mean? For example, did you say "I would like clarification on why I am drawing up the vaccines and the MAs are giving them. I want to make sure I am following proper procedure. I have learned while in school we are only to draw up if we are giving the injection." Perhaps in your state there is a different guideline for this, I am not sure.

Were there other things you were questioning?

What I was taught in school was that you don't give what you didn't prepare or you don't draw up and let someone else give it for you. And other questions include "why do you order labs before the doctor even sees the patient (such as RSV or flu tests)" " i was taught to not take the shortcut and take the full minute to count the apical pulse and respiratory rate on children and infants because of irregular heart rhythms" (they love the short cuts to that) they didn't know about the ventrogluteal site being the most recommended for IM injections besides the vastus lateralus and the deltoid. (They gave it in the old site which I don't recall the name for but was no longer recommend because of the proximity to the spinal cord) And I'd question the needle lengths because they say all vaccines except MMR and Varicella are IM so use the 1in needle...yes im aware of that but some of the children are way to thin for a 1in needle it'll touch their bone and I'd suggest caging the needle size. Theyre response would be " because it slows everyone down and we don't have time for that"

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I think honesty is always best. If you need to explain why you left. Be truthful. To me your concern is admirable. So be truthful.

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Specializes in Allergy/ENT, Occ Health, LTC/Skilled.
What I was taught in school was that you don't give what you didn't prepare or you don't draw up and let someone else give it for you. And other questions include "why do you order labs before the doctor even sees the patient (such as RSV or flu tests)" " i was taught to not take the shortcut and take the full minute to count the apical pulse and respiratory rate on children and infants because of irregular heart rhythms" (they love the short cuts to that) they didn't know about the ventrogluteal site being the most recommended for IM injections besides the vastus lateralus and the deltoid. (They gave it in the old site which I don't recall the name for but was no longer recommend because of the proximity to the spinal cord) And I'd question the needle lengths because they say all vaccines except MMR and Varicella are IM so use the 1in needle...yes im aware of that but some of the children are way to thin for a 1in needle it'll touch their bone and I'd suggest caging the needle size. Theyre response would be " because it slows everyone down and we don't have time for that"

Well it definitely sounds as though they have some not so great practices and it wasn't a good fit for you. And that's ok, as I said before, it happened to me. I would personally leave it off your resume, I think it will hurt you rather than help. Just reflect on the experience, grow from it, and put your best foot forward in a new position.

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Your resume reflects what you want to showcase your experience and qualifications, so you can put what you want on it. It is the job applications themselves that usually have the statement that they are complete and correct.

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