"Fired for NO Reason"

Nurses Professionalism

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we often see threads with the title "fired for no reason," or "new grad harassed and fired" or something to that effect. and i always feel at least a little sympathy for the individual involved, if only because i can clearly see by reading between the lines of their self-justifying post that there was a reason for their termination, even if they just don't get it. (there are always a few posts every year from a new grad who is convinced that the reason she's not getting along with her co-workers is that she's just so beautiful they're all jealous, that crowds of mean people are following her around, that she's so wonderful she's going to rock the er or icu or nicu or or and no one sees her wonderfulness clearly, or that some mean, tired, old nurse who ought to retire and get out of the way is targeting her for no good reason.)

i worked with a new grad who was recently terminated for, as she puts it, totally bogus reasons. evidently seeing mine as a sympathetic ear, she went on and on and on about how unfair it was that management expected her to get her act together and actually understand what was going on with her patients. "i've got the time management thing down pat," she said. "i don't know what else they want. they're just picking on me for no good reason." i liked sal, i really did. she was interesting and entertaining and really, really nice. she was also smart, hard-working (when she was at work) and well-educated. but she didn't study outside of work, and really didn't understand what was going on with her patients. i participated in several meetings with her in which it was pointed out that it's not enough to do the tasks, you have to understand why you're doing them. it's not enough to draw the labs. you have to understand what the results mean and then address them. for instance, if the inr is 9, it might explain the nosebleed, the cherry red urine and the fact that the hemoglobin is now 6. giving the coumadin at 6pm as scheduled is not a good thing, even if you gave it right on time and were able to explain to the patient that "it's a blood thinner." i could go on and on.

i got a call from sal today, complaining that she knows she's blackballed for no good reason because she just can't get another job. she wanted me to give her a reference. did she just not get it?

all you new grads out there who are convinced that you're being picked on for no reason, that your more experienced colleagues are just out to get you, and that you're being unfairly targeting, harassed, or picked on, hear this: it may be something you're doing (or not doing) and all those "mean people" are trying to explain it to you so you catch on, learn your job and succeed. we all tried over and over with sal, and she still doesn't get it. are you guilty of the same thing? if your preceptor says you lack critical thinking skills, do you take it to heart, think about it and learn from it? or are you convinced that the entire issue is that she's jealous of your extreme good looks? if your charge nurse charges you with a deficit in your time management skills do you spend time figuring out where you could speed things up a bit? or do you dismiss her as a tired old dog who can't learn a new trick and ought to retire anyway? are you taking to heart and benefitting from any negative feedback you're getting, however poorly given it is? or are you obsessing about how "mean" that nurse was to you and totally overlooking the message?

i wish sal would have "gotten it." she would have been delightful to work with if she had. but right now she's focused on badmouthing her preceptors and the charge nurse, and she still doesn't understand what she did wrong. don't make the same mistakes.

wasnt meant to be!

Specializes in med/surg/tele/neuro/rehab/corrections.

I disagree. If a nurse can make it thru nursing school and pass NCLEX then who is to say that nurse is in the wrong profession? Perhaps on the wrong floor! That ding-bat of a nurse might do better in clinic work? Or somewhere? :D

Specializes in Psych.

Sorry, I just want to clarify that my reference to senior nurses was a reference to experience and not age. I was 29 as a new nurse and many of my seniors were younger than I.... These days I am usually the oldest, but not always senior.

Specializes in Adult Stem Cell/Oncology.
From what the OP said, it seemed to me that this new grad did not know or understand basic things that any students still in school should now.

Knowing to hold Coumadin on a pt w/ a really elevated INR is Nursing 101, IMO.

Actually, I haven't even started nursing school yet and I already learned this in Physiology class: INR should be between 2 and 3 for patients on coumadin. If this patient's was a 9, she must have been bleeding from every orifice. What do they do to treat this? Vitamin K shot? Platelet transfusion? Just curious.....

Specializes in Cardiac Telemetry, ED.
Actually, I haven't even started nursing school yet and I already learned this in Physiology class: INR should be between 2 and 3 for patients on coumadin. If this patient's was a 9, she must have been bleeding from every orifice. What do they do to treat this? Vitamin K shot? Platelet transfusion? Just curious.....

I've seen several INRs that high with no active bleeding. Sometimes they get Vit K, FFP, or just ride it out.

Specializes in Emergency.

Hi,

I'd like to contribute my "Two Cents" to this post;

I am a newER (newer) nurse (graduated May 2007), who has been on a Telemetry unit since that time. I actually applied to this position before graduating since I had been there for 2 clinicals and really enjoyed the work environment as well as the challenges the patients medical issues presented me with.

As a new grad, when I started orienting on this unit, I was scared stiff, and couldn't make a move without my preceptor being there with me, because I was terrified of doing the wrong thing, saying the wrong thing, etc. All I could think was that if I made a wrong decision, I could harm or even kill someone. It was a very rude awakening to realize that no matter how much I learned in school, in reality, I knew very little, and had been in a well controlled environment in my school clinicals because the instructors are always there.

"Reality Nursing" is a very different animal...Now I had to really learn how to use every bit of data, resources, and especially my very new critical thinking skills to help my patients, and do it well (nursing is so very customer service oriented these days), so the patients and families are happy. Not an easy task for a newbie!!!

I have made mistakes (luckily not harmful), and gone through some rough spots, but I was very lucky (still am) to have a great support team on my unit. I hate when my ClinII says to me "We need to talk." because I know I have messed up, but I take the feedback and learn from it. A med error (and I've made a few), or a Customer service issue? The feedback about what I did is not really as important as the discussion about what to do so it does not happen again. I guess what I am trying to say is that as a new grad or even as a nurse with years of experience you need to take the critique and learn from it, know what not to do, and move on, hopefully making yourself a better nurse in the process.

I think the OP's point was that this person did not appear to learn from her mistakes which could create a potentially harmful situation.

Amy

Hi,

I'd like to contribute my "Two Cents" to this post;

I am a newER (newer) nurse (graduated May 2007), who has been on a Telemetry unit since that time. I actually applied to this position before graduating since I had been there for 2 clinicals and really enjoyed the work environment as well as the challenges the patients medical issues presented me with.

As a new grad, when I started orienting on this unit, I was scared stiff, and couldn't make a move without my preceptor being there with me, because I was terrified of doing the wrong thing, saying the wrong thing, etc. All I could think was that if I made a wrong decision, I could harm or even kill someone. It was a very rude awakening to realize that no matter how much I learned in school, in reality, I knew very little, and had been in a well controlled environment in my school clinicals because the instructors are always there.

"Reality Nursing" is a very different animal...Now I had to really learn how to use every bit of data, resources, and especially my very new critical thinking skills to help my patients, and do it well (nursing is so very customer service oriented these days), so the patients and families are happy. Not an easy task for a newbie!!!

I have made mistakes (luckily not harmful), and gone through some rough spots, but I was very lucky (still am) to have a great support team on my unit. I hate when my ClinII says to me "We need to talk." because I know I have messed up, but I take the feedback and learn from it. A med error (and I've made a few), or a Customer service issue? The feedback about what I did is not really as important as the discussion about what to do so it does not happen again. I guess what I am trying to say is that as a new grad or even as a nurse with years of experience you need to take the critique and learn from it, know what not to do, and move on, hopefully making yourself a better nurse in the process.

I think the OP's point was that this person did not appear to learn from her mistakes which could create a potentially harmful situation.

Amy

Excellent post from a new nurse who "get's it."

The Op was expressing her opinion and observations concerning a specific type of new grad. We all know there are poor preceptors, unsupportive environments, and so on. But from what the op told us, this was not the situation in the specific case she spoke of. I think she was trying to stimulate introspection, self-examination, and a sense of accountability among new grads.

I feel that posters who have responded defensively have missed the point entirely.

Specializes in ICU.
Yes, good advice.

But also, I did see, as an older student, absolutely ridiculous behavior, and simple cluelessness at my last clinical, to where I pulled a doc aside and updated him on signs and symptoms I noticed, when seasoned RNs were all, "what is up with this patient, why is she so agitated, what a PIA she is!" Some clinicals you learn something from and others, you throw in the towel. It can be hard to find people like you OP, who do want to teach and care at all. :twocents::o

I think this is the perfect example of why new grads are INVALUABLE! As the more experienced nurses are seeing what a PIA the patient is, you are truely using the assessment skills you JUST learned. While the more experienced nurses have seen this hundreds of times and nothing was wrong with the patient, they have grown jaded to the PIA patients and have forgotten that a lot of these are actual SYMPTOMS.

This very same thing happened to me when I was a new ICU nurse. Guy was really a PIA all night, I got this in report. THen 30 minutes later the guy died of a massive heart attack. That same night when that SAME nurse came back in for night shift, we told her what happened and she felt bad for not seeing it as a symptom. Yeah, the guy felt really bad ALLL NIGHT because he was dying and the nurse didn't even pick up on it.

Specializes in Emergency Room.

this is a very good thread. but it just reinforces why people need to take nursing as a career very seriously. sadly, people think "i'll just go to school for nursing" as a way to make a quick buck. i see it all the time with the nursing students and the prenursing students at my job. then when they are out of school it is a complete culture shock to realize the amount of responsibility that a nurse has and that yes, people really can die if you make a mistake. i see the cocky "i know that already" attitudes and honestly it turns me off from precepting. i was as a new grad and still am a very humble nurse willing to learn from who i can...nurses, docs, resp therapy, ot, pt., we all contribute to the outcomes of our patients and for that reason alone you will never know everything, it doesn't matter how long you have been in the field. i don't ever want to compromise patient care for the sake of ego.

Specializes in M/S, Travel Nursing, Pulmonary.
this is a very good thread. but it just reinforces why people need to take nursing as a career very seriously. sadly, people think "i'll just go to school for nursing" as a way to make a quick buck. i see it all the time with the nursing students and the prenursing students at my job. then when they are out of school it is a complete culture shock to realize the amount of responsibility that a nurse has and that yes, people really can die if you make a mistake. i see the cocky "i know that already" attitudes and honestly it turns me off from precepting. i was as a new grad and still am a very humble nurse willing to learn from who i can...nurses, docs, resp therapy, ot, pt., we all contribute to the outcomes of our patients and for that reason alone you will never know everything, it doesn't matter how long you have been in the field. i don't ever want to compromise patient care for the sake of ego.

Do you run into the ones who.....you can just tell they got their views of nursing from (E.R., Greys Anatomy, House)?

Now them, I cant defend. lmao

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
I think this is the perfect example of why new grads are INVALUABLE! As the more experienced nurses are seeing what a PIA the patient is, you are truely using the assessment skills you JUST learned. While the more experienced nurses have seen this hundreds of times and nothing was wrong with the patient, they have grown jaded to the PIA patients and have forgotten that a lot of these are actual SYMPTOMS.

This very same thing happened to me when I was a new ICU nurse. Guy was really a PIA all night, I got this in report. THen 30 minutes later the guy died of a massive heart attack. That same night when that SAME nurse came back in for night shift, we told her what happened and she felt bad for not seeing it as a symptom. Yeah, the guy felt really bad ALLL NIGHT because he was dying and the nurse didn't even pick up on it.

I've had this happen a couple of times...."what a whiney complaining whimp that patient is" and not long after my shift they are being whisked off to emergency surgery.

It's great having new grads around as I age in nursing, because the older I get, the less I know. I always pick their brains and learn so much. I love how attentive and thorough the can be. Sure sometimes they focus on things too much (no the blood in their tubing isn't going to kill them) and the whiney "their picking on me for no good reason" ones irritate the crap out of me, but for the most part they are an invaluable part of my team.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
Excellent post from a new nurse who "get's it."

The Op was expressing her opinion and observations concerning a specific type of new grad. We all know there are poor preceptors, unsupportive environments, and so on. But from what the op told us, this was not the situation in the specific case she spoke of. I think she was trying to stimulate introspection, self-examination, and a sense of accountability among new grads.

I feel that posters who have responded defensively have missed the point entirely.

Exactly, and God knows there are plenty of posts about how awful us old battleaxe jealous nurses who eat their young are. We should be able have a thread of the opposite nature from time to time:bugeyes::lol2:. :)

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