Hell again,
If you have read my previous posts, I am a new grad in the ER since June of this year.
Yesterday I was called to my directors office, because one of the Docs had written me up.
Now that I look back on it I was being sloppy.
The patient was a chest pain, but not cardiac in nature.
Phlebo automatically went in drew labs and sent them, they were ordered by triage out front so they had been done.
I did not do an IV because in the past we give can give meds IM, and her EKG was fine and she had no cardiac hx.
Later Dr. gave me a verbal to give Toradol 30 mg, without asking the doctor the route I went to accu-dose drew up 30 mg Toradol and gave it IM, this is what we have done in the past.
He asked me if I gave the Toradol and I said yes I gave it IM, he said ,"Why does this patient not have an IV she is a chest pain?"
He said now the dose is now doubled due to it being IM it will be an
additional 30mg.
I told him it did not seem to be cardiac in nature.
He yelled and said it is either worked up as cardiac or non cardiac no exceptions! You need to know the difference.
Later I had done a triage for another nurse because she was busy.
I had failed to put in vitals, as well as spelled some of the meds wrong.
As a result the wrong route and incomplete triage was turned in to my supervisor and director and now I am on probation for 60 days. with weekly progress notes from my preceptor.
NOW,
I had asked for more time in the ER after my 12 weeks, because I was falling apart.
They have been putting me with seasoned nurses, to help me when I need it, but still have to carry a full load, but I do get help from the unit and the charge nurse.
The new plan is to have me precept with a 40+ year vet, and she is to help me with time managment, but because of being written up, I am to review all meds with her, and she is to check all my triage notes.
I am to do this for 60 days, it is a probationary period.
WHAT A LESSON!!!
I FEEL AWFUL...
I have worked with this nurse last leason and she is awsome, and is always there to help anyone in need.
They told me they are doing this to protect me.
Well I know I should have reviewed the medication route with the Dr.
That was a big mistake, and yes I will learn and never assume, and clarify with the Dr. 1st.
I do not blame the Dr. because he does not want his patients in danger, and he is also the ER director, so he has plenty of pull.
I know I can turn this into positive experience.
The Dr. has been super nice to me lately since my write up and he explains everything to me to help me with my learning experience.
Now there is no room for sloppyness, I am now under a microscope.
Any input from anyone??? :uhoh21:
