vintagegal

I would point out a conflict of interest.

If you do pass, are you confident in your ability to provide patient care?

You are a human. Period. And you are NEVER obligated to undergo such an ordeal. I would have just left, and retained counsel. NEVER let any employer hold you against your will and subject you to testing and treatment...

Let's be honest, most documentation occurs pre and post activity, very rarely is charting done in real time...

Sounds like this was missed by EVERYONE and not just you. As a clinic manager and provider, I keep a file of expiring meds that are clinic dispensed. My company also has a policy to prevent these types of things. Don't take all the blame, you were the last domino in a chain of missteps. Hopefully you turn this around and create a QI project and implement some change. You will definitely be passionate about the topic now since it happened to you.

You can't assist anyone who doesn't want the help.

In my experience, patients are not so much the issue as the family members, who more than likely have borderline personality disorder....

Over one's career you get to see the best and worst in people. I would like to open up the floor to share the best (and worst) patient interactions that you've had and what lessons you've learned.

Consider per diem, hospice, home health, or nursing homes. They need the nurses desperately, then you will gain back some experiences to cite on your resume.

De-escalation techniques.

Looks like she has too much time on her hands. Maybe if she was helping the staff instead of threatening them, the residents just might have better health outcomes. What goes around comes around...

I've said this to nursing students, and I'll say it to you: if you are looking for a career to make big time money, nursing is not and never will be the career for you. If you can stomach waking up every single day to work your a** off to barely make ends meet and be kicked while you do it, then welcome to the fold. You have to seriously love, and have a passion, for what you do. Else it is not worth it. Healthcare is in the state it is in because too many people want their piece of the pie and nobody wants to put in the effort. Yeah, management and insurance companies make the good money, and they don't care, and perhaps they sleep well at night. Meanwhile there are nurses who are holding everything up, hoping we don't step on a land mine or get tripped by the people we work with. Constantly looking over our shoulders, picking up the slack, acting like it's all OK for the patients sake. This is a dead end street that leads no where but to burn out. But we do it anyway because we can't imagine doing anything else.

Good luck with them and the person who most likely has borderline personality. All over a chair? I'd like to see what this person does over a parking spot...

Then it didn't happen. CYA. Always.

You've already lost. This should have been nipped in the bud in the beginning. I've sent students home for things like this and they have had to make up the clinical day. Expectation is set, if they aren't professional and representing the school with the best foot forward, they are out. One bad berry poisons the batch. Attitudes are extremely communicable, and pretty soon the entire class will walk all over you. Good luck.