monkey2012

I went and spoke to the top guy, he is supportive of my resignation but he will go and talk to human resource and we will see. I will let everyone know when I find out.

I actually saw the triage pt. I admitted I made this mistake. As for the ER disposition, the doc has a MA, I did the routine as to what nurses would do at the clinic. Thanks for your advice.

The doc has an MA who checks pt in and out, and nurses work in a different area than the docs.

Hello my fellow nurses, I am a young nurse and have been working for almost two years. I was a clinic nurse at a community clinic for 8 mos. It is a messy big clinic where staff likes to play the blame game and full of office politics. With the change of a Health Care Manager in Feb 2013, a total of 9 medical support staff left the clinic since June 2013, 4 fired, 1 quit suddenly, and 4 left. It's like every month we had someone leaving. The incident that precipitated my termination was this: Pt saw family doc and I was ordered to send patient to ER to r/o appendicitis. The usual routine at the clinic for nurse is this: Doc comes and give report about pt. Nurse calls hospital ER, give report, give map if doc asks, nurse document and fax over any pertinent information to ER if asked. I gave the patient the map, explained that this is the address, and husband said "thank you." Spanish couple but doc said they speak English. I closed the door to give them privacy. About an hour later, I stood up to clock out and saw the husband open the door. I then asked "How come you and your wife have not left yet?" The doc overheard me and gave me an accusing look, "You let the patient waited for two hours?" I responded to her, "I gave them the map, and they said thank you, I don't know why they stayed in the room for two hrs." I knew she was upset and explained the same thing to her several minutes later. At the time I didn't know it was only 1 hr 10 mins, not 2 hr, as exaggerated by the doc. Every doc has a MA who is responsible for checking the rooms. On that night, she wrote a risk report and I was terminated the next morning. They did the risk investigation and made up their mind without me. I have to tell you my other mistakes that led up to this firing. I made one omission on charting and did not properly triage a patient asked by front desk because front desk always freak out and calls the nurse for every little thing. I was called to triage but quickly assessed the patient and said she could wait a couple days to see the doc. I did not document either. The lady later called and complained why she couldn't be seen that day. I had to tell the truth of what happened to my health center manager. I quickly called the patient like she asked and took care of the patient's problem. The health center manager seemed ok with that. I admit and own up to those mistakes. When I got fired, they told me that I'm not a good fit for this company, I put the patient at risk, and because there were problems with my documentation and triage. I was never properly trained/ disciplined for my mistakes by my superior. When I was first hired, the health center manager and I were having a conversation and she said the company gives 3mos to see improvement, blah blah blah, but never gave me one. She was smiling to me in the beginning, and said she would mentor me, and it turned out, she was the one to fire me! They let an MA trained for 3 days for her mistakes verses me, a nurse, fired after several mistakes. 2 nurses were let go before me. Anyway, I have been crying and depressed since the firing, fixing my resume/ cover letter and hoping to start over. My nursing journey so far has been a rocky one and I wonder what I should do next. I wrote a complaint letter, explained what happened, and asked to step down verses termination. The top guy has responded for a meeting (he's been with the company for 7mos), and I'm planning to see him tomorrow. Any advise on how I should talk to him? I think with my personality, I may end up saying how screwed up the company is.

I just passed my NCLEX yesterday with the quick result, my best friend said it would be the best $7.95 you will ever spend in your life, and it was! I just want to let you know that this book provides comprehensive content review and the questions that were asked of me on my exam day came from this book. It prep me for it, you just never know what questions they're going to ask you, so study every chapter, and I mean every chapter. I also used the strategies book by Kaplan and that helped too, because it taught me how to think like a nurse. Just study hard and you will pass. I studied like 8 hrs a day for 7 weeks. I got a bad cold two days before the exam and because I couldn't sleep two nights in a row, I ended up sleeping for 30 minutes before waking up to get ready to take the test. I used the night doing more question review. If you get sick several days before the exam and couldn't sleep like me, I recommend rescheduling because my brain was killing me in the exam room, I spent like almost three hours on 75 questions. I went home thinking that I failed. That's plenty of my story but overall, I want you to pass your test and Saunders will help you prepare adequately for it. Good luck!

I passed my NCLEX yesterday. I used the Saunders book and it provides comprehensive content review and the questions that were asked of me on my exam day came from this book. It prep me for it, you just never know what questions they're going to ask you, so study every chapter, and I mean every chapter, especially the fundamental nursing skills. I also used the strategies book by Kaplan and that helped too, because it taught me how to think like a nurse. Just study hard and you will pass. I studied like 8 hrs a day for 7 weeks. I got a bad cold two days before the exam and because I couldn't sleep two nights in a row, I ended up sleeping for 30 minutes before waking up to get ready to take the test. I used the night doing more question review. If you get sick several days before the exam and couldn't sleep like me, I recommend rescheduling because my brain was killing me in the exam room, I spent like almost three hours on 75 questions. I went home thinking that I failed. I want you to pass your test and Saunders will help you prepare adequately for it. Also, I answered 3400 questions in Saunders and 500 questions in Kaplan. Good luck!