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kp2016

kp2016

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  1. kp2016

    Anxious, depressed, and might need to go to HR.

    I started a new job a few years ago in an area where I had years of experience. My preceptor (who had significantly less experience in this specialty) was a nightmare. Criticized me constantly, publically and in front of patients. It was so unprofessional she was once shamed into apologizing to me when the patient told her her comments were mean and unnecessary. Our unit manager took every negative thing she said about me as fact. I was given several unfair verbal performance corrections. After a few months I was beginning to wonder if I really was as lacking in knowledge and skill as this person as this person managed to mentioned to me daily. I was terrified that I would be fired and given how apparently incompetent I was, would never get another job. I was depressed and hated going to work. I fantasized daily about walking out and never going back. Preceptor left abruptly and the manager was fired (for incompetence !!) Our new manager gave me a glowing performance appraisal and a pay rise. Sometimes it really isn't you. I have never gone to HR, mainly because I don't believe they will do anything. I also believe from my own experience that many people on your unit are well aware you are being treated this way and don't want to get involved least they get the same treatment. If I was you I either pray the manager gets fired or start looking for a new job.
  2. kp2016

    Question for Managers about Charge role

    Do you have a BSN? Some units make that a requirement for being a Charge Nurse. To be clear I don’t agree with this personally, but I have seen it.
  3. kp2016

    What would you do

    I would not trust this employer to let you leave early or not decide at the last minute that they can't let you come in late. Call in sick and go to your interview. You are still on orientation and they are showing your very clearly what you have to look forward to if you still in this position. They cannot be trusted to keep their word. Call in sick and go to your interview.
  4. kp2016

    Normal saline bag.

    You would get better replies to this question if you post it on an Australian nurses forum. Withdrawing fluid from bags is not common in the USA. It is also very uncommon for nurses in the USA to mix or concentrate their own infusions. It has been the policy of most hospitals I have worked at in the USA that infusions must be prepared by the pharmacy.
  5. kp2016

    Blood transfusion and IV cannula.

    Put the bag of fluid inside a pressure bag or a rapid infusion pump and you can give a 2 bags of PRBCs or a 1000ml bag through a 20g in a much shorter time frame than 45 minutes. This is done fairly regularly in extremely hypotensive patients in ICU, OR and Emergency. Obviously a large bore access is preferrable and allows even faster infusion rates but the reality is in a crashing patient you work with the access you have.
  6. kp2016

    IV Lasix.

    I hope you are taking a better attitude than this to your clinical placements. Being rude to other people after they have tried to help you doesn’t tend to go well.
  7. kp2016

    Is this even Legal?

    I have no idea if this is legal or not but it is certainly very dangerous, for the patients and for your license. If you show up to work this shift you will be held to exactly the same duty of care, for every single one of those patients as you would if you only had the usual 1/3 of the case load. I would immediately inform your manager via email with a cc to HR that the proposed assignment is dangerous and that if it is not appropriately staffed by the close of business the day prior you will not be arriving for your shift. This is obviously laying down a serious gauntlet and may leave you unemployed and ineligible for rehire but it will also make it clear to them that you won’t tolerate letting them make you responsible for their irresponsible staffing. It will also ensure you still have an active unrestricted license without which it will be very hard to secure employment in a decent facility that would never dream of treating its staff and patients like this. Good luck!
  8. kp2016

    New Grad Application Rejection

    That is a surprisingly fast response from HR which is normally notoriously slow. You might want to consider paying a professional to re write your resume and cover letter. It is amazing how much difference a well written resume can make to getting your foot in the door.
  9. kp2016

    WILD WORLD OF PDN

    I have been the new kid on the block in a unit where I heard "I was always told that" or "we always" all day long. Needless to say none of it was evidence based or based on published industry standards. I countered it by volunteering when the manager was looking for someone to join the education committee. I collected articles, resource manuals and orientation manuals from our relevant nursing association and journals and brought them to work. I incorporated the information into our education updates, skills updates etc and started referencing the position statements from our nursing association and our own policy and procedure manual (which apparently my co workers were not familiar with) when even I was challenged, even if the challenge was just eye rolling. I didn't happen overnight, but I did make significant changes at this unit over time.
  10. kp2016

    Employee Health Questions

    I have been asked about hobbies / leisure activities during interviews before. I believe the real question is do you have a healthy life style and effective outlets for dealing with stress? I believe I said I something general about loving yoga and long walks in national parks. Answer was greeted with smiles and nods. As for the question about your medical history. I would read the exact wording very carefully. Are they asking about current issues / medications or history of? I'm always careful to not give information I wasn't specifically asked for. In fact I probably wouldn't tell them anything they won't find out during the pre employment health screening.
  11. kp2016

    Latest on RaDonda Vaught case

    An ICU nurse who apparently doesn’t know the difference between Versed and Vecuronium, terrifying. I honestly don’t know if the charges are fair or not but it’s very hard for me to understand why this nurse still has a license to practise nursing.
  12. kp2016

    Team nursing - Anyone still doing this?

    It works great, with the right people. I have worked on a surgical unit where it worked great, a medical unit at the same hospital it was hell. Given all care is ultimately the RNs responsibility it can end up being a lot more work if you are working with people who are lazy, have to constantly be “asked nicely” to do A,B and C or who fail to notify you of abnormal situations. This is before we even mention the elephant in the room, people who are bullies or down right difficult to work with.
  13. kp2016

    OSBN complaint

    I am incredibly confused but the number of does / number of days math here, so I hope I have this straight. Bottom line. She was discharged from a unit (with access to a pharmacy and 24/7 medical support) immediately before a weekend with inadequate medications to last until it was likely that a doctor could assess patient, order more and you could receive the required extra doses. It's not news to any nurse with any experience that a ALF probably can't get Vanco over a weekend. The unit that discharged her with inadequate supplies is at fault here. As long as you have documented that the medication was ordered but not supplied and that the PCP was notified that is the end of you responsibility here. If you think maybe you didn't document calling the doctor. That is a problem. Review the chart immediately. Write a statement for record detailing exactly what action you took, you probably can't add it to the chart at this point but its good to write it all down while its some what fresh in your mind. Don't talk to anyone about this without legal representation.
  14. kp2016

    Broken chain of custody

    Wow! When you are finally vindicated and really to have your attorney pursue the financial damages that have been inflicted on you I sincerely hope you include your BON! With proof that the samples were mishandled they should have immediately been removed as evidence against you. Your multiple timely negative tests from independent labs should have been the end of this travesty. I think wr can all agree that impaired nurses need help and patient safety must be protected but that in no way justifies this kind of career and life destroying witch hunt! Please keep us updated. All the best!
  15. kp2016

    Looking for advice; "handling" situations **LONG**

    This unit is not a good fit for you. You need to pick up what is left of your confidence and start applying for a transfer / new job ASAP. If you stay here they will continue to add every little thing both fair and unfair to the list of your "failings and clinical inadequacies" until you are fired which will make finding a new job really hard. For the record I have been a nurse for more than 20 years. I have work with fantastic managers and horrible ones. I have worked in great units and ones so toxic I had to force myself to go to work every day and not cry. You are a new nurse who is still learning and based on what you have written here there is a fair chance that your current leadership and co workers are a significant part of your problem. Re the "medication error". The bottom line there is you were new and the ordering system didn't have the necessary safety checks to prevent a serious mistake. Yes, you should have reported this to your shift leader and completed the appropriate medication incident form but the way this was handled tells me your manager uses mistakes to call out nurses instead of using them to improve safety. Its also clear to me that your fellow staff, instead of looking out for you and supporting your learning and development are now looking for opportunities to take over for you and then report the fact that you failed to act quickly enough / appropriately. Sadly some nurses really enjoy being the Super Nurse who sweeps in and saves the poor patient from their nurse who wasn't as knowledgable or fast as them. This is a hall mark of a toxic unit. In supportive units senior staff keep an eye on the new staff and look to steer them through managing critical situations so they develop the skills to handle them independently in future. Also calling you into a meeting and then bringing up other incidents "while your here" is just an underhanded trick some managers use to officially talk to you without affording the you chance to bring an advocate or prepare yourself for the discussion (interrogation). Don't keep me wrong, I'm not saying you have made no mistakes, what I am saying is so has every nurse. Get out of here and give yourself a second chance somewhere else.
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