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bark0093

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  1. So after talking to my manager about the situation, I have to sign a verbal warning since in my 1st year of nursing there were two other instances of other people making errors and me not catching them "early enough". the two examples are that 1. someone restarted a heparin drip on a patient who came back postop without orders to, and I noted a few hours into my shift (i work nights so I did not see that the piggyback had fluid in it since it was dark in the room) 2. the previous nurse had recieved orders to change a PCA from morphine to dilaudid and neglected to do so while marking in the chart that it was correct. I didn't see the problem into an hour or so into my shift as well. So as I know as a nurse it is my job to note all lines when I come into a room, but I think it is completely unfair that I have to be officially sanctioned for other's mistakes. It is like I am being set up. Totally frustrates me. I am good nurse and others mistakes are getting me set up to fail.
  2. has anyone had a "verbal or written warning" on their record??? and if so, was there any fallout to it???
  3. thanks for the quick reply. my manager did ask if we did chart audits on nights and as of right now, we have not been asked to. I am assuming that will change to prevent this problem. I am wondering if any adverse even could happen in terms of the renal arteries by me pulling the irrigation foley?? NO clots or excessive bleeding happened at the time, but I wonder???
  4. I am new to this site, and have just finished my first year of nursing. but had some questions I was hoping someone could answer. I recently pulled a 3 way irrigation foleyl from a patient who had (i believe) uretal artery stents and a aortic aneurysm repair according to a electronic order in the chart. The foley had been in about 24 hrs and was still draining cherry urine. THe electronic order said to pull the foley POD1 at 0630 am. I felt like this may be wrong, so i spoke with a few colleagues and they all said that i could pull it if there were not clots, even though there was cherry urine. in my gut, i knew the order seemed incorrect, but i was nervous about not following the doctor's order. Our electronic orders are entered by a HUC and then checked by a nurse. This order had been red lined and checked by a previous nurse, so I did not think to go back into the chart and look at the original order. Low and behold, the doctor came in and flipped out because he had HAND WRITTEN on the original order set NOT to take out the foley. THis order had been overlooked by the HUC and the RN signing off the order. I spoke to the nurse following me that day and she explained the situation. I believe she put the 3 way foley back in with some discomfort from the patient. I originally spoke with my manager the morning i found out hte issue with the order. I recieved a phone call today stating that i needed to come in and have another official meeting about this issue with possible corrective action???? Does anyone know what could possibly go wrong with my error to the point that corrective action would be an option????? ANY help and support would be great. I am freaking out.

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