Need2Care

Too funny. Thanks, a much needed break and laugh.

I didn't think to question it because I thought just as you did *lumbarpain and gave the med. To my utter shock I was reported to the DON for this and the DON herself said this was wrong and that there's something wrong with me for not knowing this. The PRN simply stated can give Q4 hours for pain or discomfort. And I was supposed to have used my nursing judgement and known that meant not to give it within 4 hours of the standard Q8 order. I too am perplexed. I'm glad that so far all the feedback I've gotten is inline that what I did seems to have been correct but yet still leaves me ... confused. Idk, I have many years ahead of me to gain more experience and I know this is just the beginning and I will learn so much more from many more nurses who will be as supportive to me as I feel when I come here.

my resignation was accepted. i still am uncertain with how to explain that 'it wasn't a good fit for me' at the next job but i'm sure the words will come to me if i'm asked. i've been out of work almost a week now and have been applying to jobs online. i went on one interview and didn't have to explain as it all was still happening that same day so i basically said i was still employed. i am still waiting to hear back hopefully for a second interview. thank you so much for helping secure my mind into not giving up. i never thought i'd give up but this definitely shook me up quite a bit. @uptheladder12 thank you and good luck to you as well. school was hard, the work even harder but it's all worth it.

Same here. It took me three weeks and I ended up somewhere with a not so great reputation. I have to say that now that I'm not there anymore and have a different place to compare it to ... it was a very good learning experience for me. If they were located closer to my house I may not have left. Second thought maybe I would have... hard hard job there. Apply to everything and even go apply in person. Believe it or not some facilities do not have web sites or on line applications. Good luck, keep at it!

I definitely agree with that. The patient has since passed away however she wasn't verbally asking for the med. She was given it at 1:30pm as a scheduled dose then I observed her breathing rapid and shallow, struggling for air so I decided to put the prn dose into action at 3pm. I was written up for a med error because sheduled dosed and prn dose of the same med cannot be given that close together. I'm just so mad about this, I didn't need to be written up.

thank you all for your kind advice. *update, i was let go from that job for these mistakes, in which i respectfully asked if i could resign instead. of course i was regretful and remorseful about my mistakes but in the end i was just not good enough to work there in their eyes. the don told me that my nursing judgement was way off and it was a unanamous group decision from the don, md, pharmacist consultant and risk manager that i am unsafe to continue working there. i'm sad about it. mad about too it but cannot forget that i did in fact make these mistakes. i can't stop thinking about all the factors that were wrong in my mind working there. and why yes - uptheladder12 yes there was someone there i worked with who specifically was involved at making sure to make a big deal of my mistakes. this person i went to school with, graduated with and told me about the job opening. one day she flipped a switch and i swear was out to get me. she and i disagreed about a tx order. there were numerous orders for this person however one night they ended up scratching at both upper arms and needed another order. it would not have duplicated any other tx order already written but this nurse, in her mind, in actuality did not want to write another order. she was working charge and should have written it. so i had off a couple nights and she worked in my place one night and discovered the tx hadn't been done. what does she do... goes and tells the shift supervisor i didn't do it. i come in to find out about this and point out that there's no tx order for it, and if there was how come the nurse the previous night didn't do it either (i didn't get written up for this). anyway she was livid with me for saying there wasn't an order and proceeded to bad mouth me to the other staff, in particular the cna's. she told one cna not to listen to me anymore... i found that very strange. point being that this nurse, someone who i thought was a friend of some sort, complained and made a big deal out of my mistakes on the orig. post. i think the don may have felt a bit cornered into taking action because if she did not then this nurse might have reported it to the state. i don't know if that's a correct assumption or not but i'm not there anymore and i know time will heal my broken heart and mind and i will certainly not forget to slow down and be more adament about giving medications and proper orders being written.

I made some mistakes and was told I am unsafe to practice medication administration. I'll add that I am a new nurse with 1 year experience in LTC. I gave a prn medication too early coinciding with a sceduled med per facility policy. Then I did not give a lovenox shot due to waiting for pharmacy to deliver it but should have gotten it from the E-box in the meantime. I was told that LTC is probably not for me and given my previous former background in my 1st career in accounting that I might be better off suited for a medical administrative position rather than bedside nursing. I made these mistakes all in one weekend of work. However at my previous LPN job of 9 months being brand new I never made a mistake. I am grateful that my mistakes did not harm the patients but can I continue to be a nurse? How could I have done this and do these mistakes really make me unsafe? Advice would be appreciated seeing as my confindence is quite shaken at this point and I'm hurt over being told these things.

Totally agree with other posters. Being a new nurse is so overwhelming. Take one step at a time. Take one day at a time. Do definately get some help immediately. You have a whole online community here for you as well. Don't give up. It will be okay. It will all work out one way or another. Take a deep breath ... and another ... and another. Take one hour at a time if you need to and Breath. It will be okay.

Yes for a hospice patient. The patient was actively dieing and respirations became rapid and shallow and clearly needed the prn. The scheduled dose was given as ordered and I gave the prn 1.5 hours later additionally knowing I could not give another dose for at least 4 hours (my thought process). However, after the fact a new order was received from the MD okay to give Q1 hour. Where I work doesn't see it as you both do (and as I was taught previously at a different facility). I was written up for a med error for it being given too soon and before the new order came in. They say they've been cited before from state for having done this in the past so it is a rule/law to not do it this way. I explained that the previous employer I worked for gave prn's on top of sceduled dose in this 180 bed facility which is where I learned this and thought it was okay to do and so I was told that's too bad that I learned the wrong way and now have a concern about me that I just don't get it. It was lectured to me the nicest possible way (I think) but it still hurts. I wish I knew what the right way is. Is it per facility policy or is it a state guideline? How could it be okay for the other place I worked at 15 miles away to do in such a large facility but yet not at this place that is 1/4 the patient capacity? I guess I don't "get it".

There's a scheduled order to give Roxanol Q8, then there is a PRN order to give Roxanol Q4. The Q8 is being given at 6a, 2p and 10p. Does that mean I can only give the prn at at 10a, 6p and 2a?

There are some other things I think are worth mentioning here. If you complete the LPN program and become licesned you can: 1. start working as an LPN and generate some income 2. apply for a bridge program to get an ADN or BSN You said the ABSN is completely out of our pocket well then since the LPN program is paid for and doing that should shorten the length of the next level you go to i.e. bridge program, then it makes more sense to do the LPN first. Then there's less tuition for you to pay out.

Yes, exactly, I agree. Start from the top and work your way down and around.

I would also go with Emergency Care Technician.

Pippy I think you picked a good topic. I'm probably a little late to get in on your conversation here but I was thinking about PVD and specifically in an acute case where there are complications with a clot and having an intervention on whether or not to ambulate them is a disputed topic. I know I'm being vague but it's an idea to explore if you still needed something else. Good luck with your paper.

Hi. I don't have any info on your school however, hopefully you've seen the other posts about the HESI entrance exam. I would add that my experience with it was definately about the study guide. Get the HESI study guide. That and having recently taken anatomy and physiology class was the best help. Oh also, know the math; algebra ratio and percentages. If you study, you'll pass. Good luck!