patrickh_rn

To bbuerke No, just these two incidents. The manager would do a review with my preceptor every week to see my current progress. Except those two incidents, the manager told me that small things such as prioritizing, group several tasks into one visit per room, walk in and walk out the room fast, morning rounds, and shift report will be difficult at first and they are pretty common among new grads. So yeah, critical thinking such as whether to administer BP meds if patient's bp is 106/80 (Turned out that I do have to follow the parameter for that, if the order says hold if BP I thought I was doing really well and I was about the change to night shift next week. So... well, things happen and I just have to adapt to this fortunate/unfortunate event quick, find a new job and move on. There were a lot of nurses who I met that stopped and asked me where I was going and what happened when I clocked out. Something squeezed me so hard that I have to smile and tear out at the same time. They helped me a lot and this is how I'm going to repay my gratitude? =( I developed a great relationship with the CNA and some RN's there. Dream shatters, that's how we create a new one, right? hah.. Thanks, I will do my best. I'm still somehow sad and have doubts about my own characteristic. But I'm sure I will be fine soon.. Thanks for the support guys =D Possible, but in this case, not really. I still have to work on my grammar in writing, and I do have times that people cannot understand my words when I talk too fast. Yet it's been the 9th time I work with her and I believe the preceptor understand what I was saying. She will clarify with me when she cannot understand what I said and I will say the same thing again to her just to make sure she understands. I liked the orientation, pretty informative. Still, I guess the main reason that they terminated me was because, like what others replied in this post, I was still in probation and can just let me go easily. That O2 patient was actually weaned off from the oxygen for 2 hours and her O2 was around 93-94%. (She didn't like that thing on her nose and kept taking it off, so we decided not to put it back and it seemed like she was doing okay) So yes bad me I should have just waited for my preceptor and tell the doctor that I wasn't comfortable doing this and I have to wait for my preceptor. Can you clarify this part? I don't think the one I had is considered as internships. It would be much longer. "Hindsight is always 20/20. I know here in Birmingham, AL at UAB they have nurse internships for new grads. Maybe someone has something like that in your area?"

Thanks Squishy. I actually did a lot of self reflect on this and I gotta say, I'm still too naive. My critical thinking is still developing, which is why it is necessary for one to ask great amount of questions. "There's no stupid question"... now I understand why people say that. Thanks for replying.

Sorry, it seems like I can't edit my entire thread right now, chrome is acting up. How about I just post the whole story here. I'm officially fired from my first RN job today. My manager suspended me starting from last Thursday due to my medication error, which happened on Sunday, 25th. I made two errors during my orientation period, and those two errors are something that didn't teach in nursing school. The first incident happened around 4 weeks ago. This patient was admitted due to SOB and was getting better. When I was providing medication to the patient, the doctor walked in and assessed the patient for a bit. I stayed and listed to what the doctor said to the patient. Doctor said that patient is getting better and told me to walk the patient around the unit. So I agreed and walked the patient. On the half way, patient started showing SOB and wanted to sit down. I called help and many nurses helped me to sit the patient and escort the patient back to the room using a rolling chair. One of the nurses pointed out that I should grab a portable oxygen tank with me when walking this type of patient. I never had this type of patient before and this is the first time I heard you are supposed to use a port. oxygen tank. So my manager called me into her office and told me that I shouldn't perform task without my preceptor around me. She gave a verbal warning and there, the second incident happened 4 weeks after Sorry, Chrome was acting up. Stories continue.. The second incident happened last Sunday. Patient required Solu-Medrol 20mg/ml (IV). This is an incident that I could have used my critical thinking or my common sense to prevent this from happening. The first order was TID and I gave it to her at 0900. The doctor changed the order to BID and the first dose for BID starts at 11. Our eMAR shows the first dose of BID is available. When I was going to give the BID dose around 12, I somehow doubt the order a little bit. I did consult with my preceptor but did not pull out the eMAR in front of her. I just told her that the frequency for Solu-Medrol has been changed and if it was okay to give patient this medication. My preceptor gave me a okay and I administered it. Around 1500-1600, I opened the eMAR again and Solu is required during that time. I was like.. I just gave her this, why am I giving this to my patient again? I already drew the medication but thank god I realize something is wrong. So I asked my nurse and pulled out the eMAR in from of her. She checked it and asked me why I gave it twice in the morning. I want to say "you said okay", but it seems like she doesn't really remember. Instead, I silenced myself. She told me it shouldn't be a big deal but she still called pharmacy to confirm. Pharmacy said it's alright, just writing it up. So she wrote a simple incident report and that's it. Patient is okay and nothing happened afterward. The manager came in on last Thursday morning and it seems like the incident reported left on her desk. When I was providing patient care in the afternoon, the manager assistance was following me around and said he's going to provide me support while my preceptor is not around. I figure something is weird cause' he was watching my every move. I got called into the office afterward and she asked me what happened. I explained to the manager and she called in the preceptor to confirm if I ask her, and still she doesn't seem to remember I told and said I didn't tell her. Now I have to say that in real world... you gotta protect yourself. Stay silent or unable to fully express your is a NONO. I wasn't able to fully explain to the manager at the time and I got suspended for two days. (I didn't work for a week actually) I wrote her a apology note and she read and thought it was really sincere, and want to meet with me Thursday (today). And today, I got a "sorry but" and got terminated. She thinks that this unit is not really a fit for me due to high intensity. She thinks it will be better for me to go DOU or less intense unit. (Add, the whole hospital use computer charting. When the medication is available, the eMAR will show yellow for that medication at that period of time.) So after the first order got d/c, the new order will be place on top of the older order. 11 med for solu-medrol shows available) I understand that it is still my full responsibility to give the medication to the patient, and I understand that it is my fault for not using my common sense. I'm glad that nothing happened to my patient. But yet.. I.. sigh.. I don't know. Will those two incidents really severe enough to cause termination? I'm just wondering. I guess it's no use to fight for it since I'm already fired =S. Another question is, will this affect my future employment? Delaware is right, it's harsh but true.. I don't blame anyone but myself. Yet.. hm, I don't know what to say seriously. I just want to share this to someone. We all make mistakes; you learn from it and move on. Just don't do it again in the future. I guess this will be the most memorable experience I will ever learn as an RN.

I'm officially fired from my first RN job today. My manager suspended me starting from last Thursday due to my medication error, which happened on Sunday, 25th. I made two errors during my orientation period, and those two errors are something that didn't teach in nursing school. The first incident happened around 4 weeks ago. This patient was admitted due to SOB and was getting better. When I was providing medication to the patient, the doctor walked in and assess the patient for a bit. I stayed and listed to what the doctor said to the patient. Doctor said that patient is getting better and told me to walk the patient around the unit. So I agreed and walked the patient. On the half way, patient started showing SOB and wanted to sit down. I called help and many nurses helped me to sit the patient and escort the patient back to the room using a rolling chair. One of the nurses pointed out that I should grab a portable oxygen tank with me when walking this type of patient.