democrat

Thank you for the compliment. I have been only slightly considering the idea of going back to school for psych NP; I would be able to relate to the patient. But, on the other hand, would my perception be skewed?

Yes, I see a psychiatrist/NP; currently I take 300mg Trileptal TID and 300mg Welbutrin QAM. My last Trileptal level was around 4 with 600mg/day so she bumped it to 900mg. I have been seeing counselor also; I am Type I; I don't quite understand what the mixed state is-I can ask my Dr. about that. I do the stuff that's supposed to help-exercise regularly, get plenty of sleep, no caffiene. I know I need to start a mood chart. I am usually not what people around me would call irritable. I find myself getting very irritated if I see people I work with mainly 'not doing their best in taking care of patients' or doing their job to improve the flow of the unit. There are the other nurses in this unit that I never had an altercation with since we worked as a team.

I have read these posts about 3 times now; I appreciate your advice and comments

My frustration kept building as patient care issues with these individuals continue and yes, I did go overboard expressing my concern. By that time, management was sick of me and wasn't listening to anything I had to say. I agree with above posts the time clock thing was none of my business.

Recently terminated after 7 yrs. employment for conduct re: innability to get along with certain co-workers in unit. I started getting verbal reprimands from my manager in 2009 b/c getting into it with with the same people and 'my behaviour in unit' 'disrupting the unit'. I have a huge problem holding my tongue when I see people frequently milking the time clock for sometimes up to several hours when the census is down (or no patients in unit at all) socializing and playing on internet and should go home or go work in another unit while others of us were responsible enough to clock out and go home and losing alot of hours in the process. I complained alot to management about this to the point of being labeled as a tattler and I did finally manage to tick off management. Other things these nurses were doing/not doing was what I would call blatant neglect and poor patient care like: 1) not pulling a femoral sheath for 1-2 hours after it could have been removed (pt. staying on their back longer) 2) not moving the pt. to their private room and onto a more comfortable bed from a stretcher when there was no reasons why they should stay any longer (there were not pt. assignments- whoever was available for a pt. was next to get patient 3) nurse with pt's in unit and staying across hall in another unit socializing with friend (if their pt. called, IV pump alarming, family looking for nurse,etc.: this nurse was not able to see or hear anything that was going on with their patient) 4) give report to nurse on my patient that needed Q15 min check on groin; when I come back from lunch and get report, and then be told they forgot 5) I have pt. with B/P in 80's for over 1 hr./asymptomatic/Dr. aware; give report to nurse (same nurse as above) to go to lunch; come back from lunch to find pt. with B/P 69, symptomatic, wife reported no one had been in to check on her husband; got pt. stabilized and moved to CCU; when I asked nurse about why they did not check my pt: response was 'because I had other pt's to take care of'; this nurse had one stable patient. I had been having alot of altercations and at times not very nice with these nurses and making alot of complaints to management. Other nurses were making complaints too, just not near as much as I was. These nurses complained to HR about my behaviour in the unit after multiple altercations with them and multiple complaints to management about them. I kept having altercations with a unit secretary too for not doing many of the duties expected from a secretary (and complaining to management). I just had altercation after altercation and too many complaints to management so was verbally reprimanded several times and after 3 written reprimands teminated for 'innapropriate communication'. I have been completely upfront and honest with management and HR about being bi-polar, history of problems with interpersonal communication, the treatment I am currently under and any new updates with my medication since it was change and had to increased a few times. I do everything recommended to me by my psych dr. and counselor. I take it very seriously. What I did not do was ask for a accomidation although I don't know if that was even possible. I have been fired from about 80% of the jobs I have had in my lifetime for interpersonal problems and here I go and get fired from another job. I have not had any issues with patient care on this job other than a couple med errors that I actually wrote myself up on. I know that sometimes I don't realize (especially when I'm upset) how I come across to people verbally/ body language. I've got and unedited brain. Any recommendations would be greatly appreciated.