Quote from Oldmahubbard
I am curious as to how some new APRNs are "unfit"?
I thought I was clear with my comment re: unfit providers. I was careful to state that I will happily train and guide any new provider, as long as they are equally invested. Unfit means completely unaware of what they do not know, unsafe practice, and unwillingness to identify and remediate deficits in their practice.
An example would be making a dangerous mistake (esp one you have made before) and then going back and falsifying the chart to try and cover it up. Or forgetting to do part of an exam or POC test, and then pretending you did, even charting fake results. Or gross negligence like sending a patient home on TID iron with a POC HGB of 4 (FOUR), and active menorrhagia. How do you even begin to remediate that, i don't know.
That is compared to someone making (or almost making) a serious mistake, being appropriately freaked out, and using the experience to get better. It is part of my role as a preceptor to help develop the crucial skill of managing mistakes productively, and accepting feedback professionally. When I make a mistake or miss something important, I point it out to whoever i am teaching, and talk it through for both of us to learn.
But if you view mistakes as something to cover up, or a personal affront to your worth as a person, you are digging yourself into a hole that eventually will be too deep to climb back out.