ADD Forums - Attention Deficit Hyperactivity Disorder Support and Information Resources Community  

Go Back   ADD Forums - Attention Deficit Hyperactivity Disorder Support and Information Resources Community > ADULTS AND ADD/ADHD > Careers/Job Impact
Register Blogs FAQ Chat Members List Calendar Donate Gallery Arcade Mark Forums Read

Careers/Job Impact This forum is for adults to discuss how AD/HD affects work and career.

Reply
 
Thread Tools Display Modes
  #1  
Old 03-22-18, 11:40 PM
finallyfound10's Avatar
finallyfound10 finallyfound10 is offline
ADDvanced Forum ADDvocate
 

Join Date: May 2010
Location: USA
Posts: 1,676
Thanks: 1,521
Thanked 1,561 Times in 861 Posts
finallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond repute
This job isn't The One, either!

A lot of the same BS is happening at this job. Not organized, poor time-management, blah, blah, blah. Today was a new one, though, I got in trouble by the doc who heads the department. I never got in trouble by any doc in almost 3 years of med-surg nursing. It's a very different set up, though. I bet I would've if it were more similar.

The meeting: my boss, my supervisor, the MD and me. I put in an order that he did not give for that patient. The RN is to read back the orders to verify it was heard correctly. When he said "the same as the other patient," he didn't mean a particular part and since I didn't read it back, the double check wasn't there. It was in the middle of the night too. I'm wide awake and he's been sleeping so my head "is clearer." HAHAHA!

Some people say the onus is on the doc to prompt the read back if the as it's their orders. Whatever. The way I was taught and way it's done here is the RN initiates the read back. Has a doc ever said "Ok, read it back to me." Sure. They don't have to though, the RN needs to do it.

My boss was so gracious. I could've gotten a verbal or written warning easily. The supervisor would've been another story if she was the only one involved. She is one of those who starts to treat you poorly when you start messing up. That's another post entirely.

I need a job that I can do well not be the best but just fly under the radar and have my job not a major source of angst in my life. The emotional toll it's taking is so hard. This job is 95% easier than my last job yet here we are.

I should have never gone back school for nursing. It has literally ruined my life. That sounds dramatic but unfortunately is 100% true. That is also another post.

Thanks for listening.
__________________
ADHD-Inattentive, Adjustment Disorder w/Mixed Features of Anxiety and Depression, Dyscalculia (Math disability), Rejection Sensitivity Dysphoria, Adult Child of an Alcoholic.
Strattera 100 mg, Wellbutrin 450 mg XL, Klonopin 0.5 mg as needed.
Brene Brown
Shame derives it's power from being unspeakable.
Shame corrodes the very part of us that believes we are capable of change.
Shame cannot survive being spoken. It can't survive empathy.

Reply With Quote
The Following 2 Users Say Thank You to finallyfound10 For This Useful Post:
aeon (03-23-18), Lunacie (03-23-18)
  #2  
Old 03-23-18, 02:24 AM
allesandro1 allesandro1 is offline
ADDvanced Member
 

Join Date: Nov 2017
Location: Phila.Pa.
Posts: 210
Thanks: 49
Thanked 115 Times in 70 Posts
allesandro1 has a spectacular aura aboutallesandro1 has a spectacular aura about
Re: This job isn't The One, either!

I just left a job a month ago for similar reasons: the emotional toll began to have an impact on my health. I wish I had an easy answer that was full of wisdom but I don't. The only thing I can say is don't allow it to effect your health. Nothing is worth that. Do utilization review or something else that requires a nursing degree but is not so stressful.
Reply With Quote
The Following User Says Thank You to allesandro1 For This Useful Post:
finallyfound10 (03-24-18)
  #3  
Old 03-23-18, 12:55 PM
Little Nut's Avatar
Little Nut Little Nut is offline
Forum ADDvocate
 

Join Date: Mar 2016
Location: Baton Rouge
Posts: 1,259
Thanks: 178
Thanked 1,353 Times in 782 Posts
Little Nut has much to be proud ofLittle Nut has much to be proud ofLittle Nut has much to be proud ofLittle Nut has much to be proud ofLittle Nut has much to be proud ofLittle Nut has much to be proud ofLittle Nut has much to be proud ofLittle Nut has much to be proud ofLittle Nut has much to be proud of
Re: This job isn't The One, either!

Hey FF, Did you lose your job over just this incident? Just for myself I want to clarify for my understanding of the incident if you want to. (My terminology is for sure wrong.)

Normal procedure/process is;
  1. Doc issues instructions for future actions "on" patient to RN.
  2. RN transcribes instructions to patients "chart".
  3. RN reads back new instructions to Doc for confirmation.
  4. Doc verbally confirms if new instructions are adequate/accurate.
  5. Doc issues corrected instructions if new instructions are not adequate/accurate.
  6. Repeat above steps until Doc confirms that the new instructions are adequate/accurate.

Did I get it right? If I did;
  • Were the instructions as written adequate/accurate?
  • What steps were not followed?

TIA, -LN
Reply With Quote
The Following User Says Thank You to Little Nut For This Useful Post:
finallyfound10 (03-24-18)
Sponsored Links
  #4  
Old 03-24-18, 03:23 PM
finallyfound10's Avatar
finallyfound10 finallyfound10 is offline
ADDvanced Forum ADDvocate
 

Join Date: May 2010
Location: USA
Posts: 1,676
Thanks: 1,521
Thanked 1,561 Times in 861 Posts
finallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond reputefinallyfound10 has a reputation beyond repute
Re: This job isn't The One, either!

Quote:
Originally Posted by Little Nut View Post
Hey FF, Did you lose your job over just this incident? Just for myself I want to clarify for my understanding of the incident if you want to. (My terminology is for sure wrong.)

Normal procedure/process is;
  1. Doc issues instructions for future actions "on" patient to RN.
  2. RN transcribes instructions to patients "chart".
  3. RN reads back new instructions to Doc for confirmation.
  4. Doc verbally confirms if new instructions are adequate/accurate.
  5. Doc issues corrected instructions if new instructions are not adequate/accurate.
  6. Repeat above steps until Doc confirms that the new instructions are adequate/accurate.

Did I get it right? If I did;
  • Were the instructions as written adequate/accurate?
  • What steps were not followed?

TIA, -LN
."
Thanks LN! NO, I didn't lose my job. I didn't even get a verbal warning. Yes, you have the process described perfectly! The procedure in the US, anyway, is the RN pretty much initiates the read back. If a doc doesn't say, "read that back to me." That is ok. If an RN doesn't, then it wasn't done correctly.

I don't think the process itself is stupid or antiquated unlike a lot of other stuff RN's have to do. In this case, it was the middle of the night as the doc was on call and had been sleeping so I woke him up, that was why I was going quickly and didn't clarify as thoroughly as I should have.
__________________
ADHD-Inattentive, Adjustment Disorder w/Mixed Features of Anxiety and Depression, Dyscalculia (Math disability), Rejection Sensitivity Dysphoria, Adult Child of an Alcoholic.
Strattera 100 mg, Wellbutrin 450 mg XL, Klonopin 0.5 mg as needed.
Brene Brown
Shame derives it's power from being unspeakable.
Shame corrodes the very part of us that believes we are capable of change.
Shame cannot survive being spoken. It can't survive empathy.

Reply With Quote
Reply

Bookmarks


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is On
Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
My job is killing me. finallyfound10 Careers/Job Impact 4 02-15-15 05:12 PM
QUICK! Someone DON'T pinch me! I dont wanna wake up!! (GOT A JOB!!) psychopathetic Careers/Job Impact 15 07-20-14 12:26 AM
Difficulty staying with one job? keliza Careers/Job Impact 22 10-08-12 05:37 PM
Scared to find another job. dm_laugh3r Careers/Job Impact 9 09-30-10 10:56 AM
Help! Need Advice on Possible Call Center Job Canuck Careers/Job Impact 5 09-24-04 03:12 PM


All times are GMT -4. The time now is 11:07 AM.


Powered by vBulletin® Version 3.7.4
Copyright ©2000 - 2018, Jelsoft Enterprises Ltd.
(c) 2003 - 2015 ADD Forums