sr0273

I understand feeling like someone is impaired and not being able to do anything about it. It's worse when there is only "hearsay" evidence and really very little you can do. You feel angry and powerless and worry for the patients. The truth is all you CAN do is report it and watch for anything in the future. We have a nurse who is a consistently poor performer, always on the cellphone, going missing on the floor, signing things that clearly were not done, ignoring patients in pain, staying late just to drain the clock, etc. This person also meets people from other departments in the parking lot, has a ton of documentation holes, doesn't chart PRNs, and has been found with a pill in the pocket. I would bet my job that there are drugs missing, and all the signs are there. But all I can do is give it to the higher ups and let it be, because suspicion is only worth reporting, not worth causing someone to lose their job.

I feel like I'm 50/50 on whether I should reschedule. I'm not sure my practice testing scores are high enough, but everyone says I should just take it. If I fail I think I will be more disappointed than if I reschedule. My ATI tests vary from 62.7-68.2%, and other tests from NCLEX books have me all over the place. 66% in one, 88% in another. I feel like I could do more studying, and I have all day tomorrow, but like I said half of me just wants to get it over with. I've been panicking for a week. I don't know how to judge. I know pharmacology is my weak point, but I made it a point to give that extra time, and I'm at the point with at least the pharm that I won't retain any more. I think if I pass it will be pure luck. Like I said, I have until morning to reschedule. Thoughts?