walxii

Hello! I am a relitivley new nurse. I graduated college in May of 2017 and started working in July of 2017. This month makes it 11 months since I started working in the emergecney room, and within two weeks Iv made two different major mistakes and need advice. Last week I mislabeled blood specimen tubes. I put the wrong patient labels on the tubes of blood and sent them tp the lab. The mistake was caught by the laboratory and new blood was draw and correctly labeled and no harm was done to any patients. As soon as I realized the mistake and was notified by lab, I notified the charge nurse who then had to notify the manager the next morning. As a result I was counciled on my mistake and was written up without being suspended. I have reflected on the situation and what happened to cause the incident and aim for this to NEVER happen again. Now last night I made ANOTHER mistake... I was pulling medication out of the omnicell refrigerator, which is locked unless accessed. As soon as the door opens it prompts you to count the Ativan vials in the container and then enter it into the screen to make sure it is correct before removing any other mediation. I miscounted the Ativan the first time. I took a moment to look at the Ativan again, and then I recounted the vials to equal 10 vials and not 9. At this point, I step over to the omnicell computer screen to re-enter the correct amount. Which you must do or it will cause a discrepancy. Next I mistakenly set the container with the vials of Ativan, ON TOP OF the fridge INSTEAD OF IN IT! I then go hang my medication and go upstairs with a patient for 15minutes. When I return our charge nurse is asking who left out the Ativan. I pull her to the side and tell her it must of been me. Even though no Ativan was missing from the container, she had to notify management again and now I'm being called into a meeting with the director and the assistant director. Up until last week I thought I was doing really well. I am very aware that it is human to make errors. But these are two erros that I'm extremely upset even happened! Espically since they were two big ones within a week. What makes it worse about the Ativan incident is that we were not even busy in the emergency room! Has somthing like this ever happened to anyone else? I'm really bummed out and need some advice.

Hello - Sorry this is long. Second and Third paragraph contain the Meat. Questions are bold. At the moment I am in a senior in nursing school and will graduate in May with my BSN. I would like to get a job as a new grad in a hospital but considering its a major medical area with many new grad nurses around that time it is very possible that won't happen. I'm thinking of just going home to work in the nursing home close to my home town for 6mo-1yr for job experience as an RN and to save some money before apply to a hospital. Is this a good route for a new grad to take? I worked There for two years during summers and breaks from university, before I had to quite because nursing school prevented me from going to work during my arranged times. I know all of the staff there unless they have new ones and I had a pretty good relationship with all of them and always got complimented on my good work with my residents from all the LPNs, RNs, my hiring/charge CNA and other forms of management. I know many of my co-worker CNA's, even though we were friendly, felt like I "did the most".My former Charge CNA strongly reassured me that the DON would give me a job as an RN once I graduated but never considered it until now. There was never any lateral violence/passive aggressiveness/attitude directed at me personally but I did see it happen. Especially the CNA/RN relationship and certain LPNs there. I am an observant person and silently watch what happens around me and I know that the nurses who took their job a little more seriously were the ones who got ****-talked the most (not to their face) from the CNA's. They always *****(complain is an understatement) about how that one particular RN supervisor would come around and check their rooms, to see if everything was fine, see something, and tell them to change it, tell them someone is wet before their round and then they get mad because they have to go change the person, complain about them being nosy, and the list goes on... and on... because it was always something. Not all of the CNA's had an attitude like that but a fair few did. I, personally, never had a problem with any of the RN supervisors because I was always respectful to them. If I didn't understand why they wanted me to do something i simply asked. The usually response was "Oh its just company policy" or " the reason this person's roommate can wear a brief in be and he can't is because his skin breaks down extremely easy plus the other has an order". Then on my way I went no problem and learned from what I was told. I'm not a dictator type person, but there are some things the CNA's did there that I DO NOT agree with at all because it is just not appropriate or the right way to do it (and there are MANY ways to do things safely). I feel like if I go back to work there I'm going to be "THAT nurse". "Oh look he is back with his nurses license and thinks he knows everything". (YES, this exact sentence has been said multiple times about others). Every thing I listed above that the nurses do (especially the RNs and the RN supervisors) that a lot of CNA's get rowdy about are things that should be done! I would definitely do all of them and whatever else I am suppose to do. Most of the LPNs do not check up on the CNAs like that, hence a better relationship with them overall. I am a nice, respectful, and reasonable person but if I have others working under my responsibly I will definitely tell them if something needs to be corrected, or done a different way, and explain why. Am I wrong for being that way? Would I be "doing the most?"