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Nurses   (8,577 Views 45 Comments)
by ajuma ajuma (New Member) New Member

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You are reading page 2 of Suspended. If you want to start from the beginning Go to First Page.

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Thanks everybody for the advice. I wanted to leave when i noticed the "unfriendly environment" but people close to me advised against it. wish i didnt listen to them. But thanks guys.

Regardless, if you post, you should be open to all constructive criticism. You couldn't have possibly expected everyone in the world to agree with you, and pat your hand.. Sometimes tough love really is best. People need to hear other opinions frequently, in order to get a broader perspective, and therefore grow. I hope you learn this in time, if you plan on being a successful nurse.

Edited by sirI
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TheCommuter has 10 years experience as a BSN, RN and specializes in Case mgmt., rehab, (CRRN), LTC & psych.

1 Follower; 228 Articles; 316,171 Visitors; 27,607 Posts

The original poster came to these forums seeking advice. Although it is perfectly acceptable to disagree with and criticize this person's viewpoints, let's please stop insulting his/her usage of grammar and choice of phraseology from this point forward. We are not the grammar police.

Thanks for your cooperation and understanding. :)

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MCSS specializes in almost everything.

1,357 Visitors; 38 Posts

Hi Ajuma,

I do not think you should quit (especially before finding another job). How will you explain not being employed? It will look more suspicious and they would probably think you are lying when you said you quit. What would you say? "I left before they could fire me for making a medication error". We ALL make mistakes, some of us just forget them (or deny that they ever made them). Even if you weren't a new grad, it would be difficult to find a new job (but you probably should start looking, if you haven't already). You owned up for your mistake which is a good thing. You should not mention the other nurses getting away with things while you are not. That just shows immaturity (and it will probably make them "target" you more, "who is she to tell us how to do our job?") Please do not say that under any circumstances. Also, do not change your number, address, etc. as that will also be viewed as immaturity. That being said, I am sure you have learned from your mistake. I am sure that you will not do that again. No matter what happens, it is not the end of the world and this will make you a stronger person. You will be fine. Good luck! Please let us know what happens. :)

Edited by sirI
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suanna has 30 years experience and specializes in Post Anesthesia.

15,287 Visitors; 1,549 Posts

The original poster came to these forums seeking advice. Although it is perfectly acceptable to disagree with and criticize this person's viewpoints, let's please stop insulting his/her usage of grammar and choice of phraseology from this point forward. We are not the grammar police.

Thanks for your cooperation and understanding. :)

ABSOLUTELY! My spelling is BAD, my grammar is often fuzzy, but I'm a good patient care provider. I found some of the original post a bit flippant but, honestly, thi is a friendly forum to interact with our peers in an open non threatening way. Last time I posted on a "grammar" thread I got flamed and couldn't bring myself to return to AN for a few weeks. That isn't what I want to happen to any of our posters.

To the matter at hand- I bet there is more to this issue than a single med error. As you said- others have made like errors and suffered less consequences. You don't want to miss the chance of hearing what the DON has to say- it may save you your next job. I have known people who were "targeted" but more offten that not it is just a lack if clear perspective on what is the real problem. It's hard to be objective in our self evaluation. You have an opportunity to get a real picture of why you are being "targeted". It may be true, but there is a reason for it above and beyond this med error- you said so yourself, you were being targeted before this error came up. Find out why.

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3,919 Visitors; 227 Posts

Start looking for a new job. It should not be that hard to find one. Do this before you have been there to long to say that you took a maternity break. Do not use them as a reference. Learn from your mistakes. The end result from you staying at a job where you do not get along with your supervisors is a bad rep and possible threat to your nursing career.

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2,564 Visitors; 44 Posts

While I agree that you should maybe look for another position, I would listen to what administration has to say. When I was a new nurse, I made mistakes, too (anyone who says they have never made any kind of error is a big fat liar!) and got pulled into my DON office. I was crying the entire time - the patient was ok, but I felt so bad that I could have done anything that would hurt anyone. Did anything bad happen to your patient? But I digress. She did me what was probably the biggest favor in the world and told me she thought I was going to be a great nurse (don't we all hope!) and that I might do better in a less stressful environment until I got my feet under me. She arranged for a transfer for me and I have been, for the most part, blissfully happy (and have become a leader) in my new unit and have never looked back. You did the right thing in owning up to it. Make sure you emphasize that when you talk to them - that you took accountability for your mistakes and that it will certainly make you pay even closer attention from now on, especially with coumadin, but also for looking for orders that may not have been put in. It sucks, but in the end, it will make you a more careful nurse, wherever you end up. I'll be praying for you. Please let us know how it works out for you.

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District46 has 15 years experience and specializes in Accident and Emergency, Tutor & Assessor.

1,994 Visitors; 30 Posts

I know how hard it is, when you own up to a mistake. The department are responsible for looking into these errors to identify the problem and find a solution. As you have said that other nurses have made mistakes around coumadin, then there is an obvious pattern here. Maybe you are the unlucky one, but what is their choice - wait for just one more nurse? then investigate? - I hope not because that means one more patient too!!

There needs to be an investigation. They may find that the way the coumadin is written needs to change. This is a mitigating circumstance. I am certain that they will take this into account, as well as the fact that you are new, and any other factors. They will then either change the way the prescribing is done around coumadin, or not if they find it sufficient. They will certainly request that you do a medicine administration update in a clinical skills lab, which wouldn't be a bad thing. Then it would be over for you to continue, but you would now be that bit more competent and that much more experienced.

Try not to take any of the process personally. It is just a process that the DON has to go through to ensure patients are not hurt and staff are competent. They won't want to lose you, because that means the hassle of beginning again.

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nursel56 has 25+ years experience and specializes in peds//ambulatory care/HH-private duty.

1 Follower; 43,278 Visitors; 6,653 Posts

Just trying to clarify--

QUOTE=ajuma;4329358]I made a med error- didnt give coumadin to a pt.order did not pop up after supervisor put it in

Sounds like you didn't see the order.

i owned up to de mistake and was instructed to write what happened, why I didnt give the med. I did and I signed it - I wrote that it slipped my mind and all.

Sounds like you did.

Either way, pretty harsh consequences for a med error like that even if you did forget to give it. To me, and yeah I'm cynical- sometimes people who forget to enter orders notice the system malfunctions right exactly when they were supposed to enter it! The computer ate my new order!

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1 Follower; 32,227 Visitors; 6,977 Posts

Just trying to clarify--

Sounds like you didn't see the order.

Sounds like you did.

Either way, pretty harsh consequences for a med error like that even if you did forget to give it. To me, and yeah I'm cynical- sometimes people who forget to enter orders notice the system malfunctions right exactly when they were supposed to enter it! The computer ate my new order!

ya....i think you and i are on the same page, if the OP is feeling targeted, would not surprise me if this was a set up, and the order not put in until after the fact. If they have computor charting, maybe the entry time should be checked. Also, if comp., how often does the screen refresh?

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1,382 Visitors; 47 Posts

I wonder why there is so many problems with the giving of coumidin? you seem to mention that med as the one nurses are making med errors on so much. Where I work we have 2 nurses intial the Mar. when there is a new order or a dosage change in coumidin. for the first 3 days we do that. Maybe your place should consider that.

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Chisca has 28 years experience and specializes in critical care, dialysis.

13,799 Visitors; 731 Posts

Repeated medication errors by different nurses with the same medication? As others have stated it sounds like a system problem. And if management wants to blame nurses instead of fixing the problem then I would be looking for another job.

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dudette10 has 14 years experience as a MSN, RN.

1 Article; 25,715 Visitors; 3,528 Posts

Just trying to clarify--

Sounds like you didn't see the order.

Sounds like you did.

My thoughts exactly. To the OP: why did you document the error differently than what really happened?

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