Top 10 reasons we get fired!-Poor Performance

About 50% of the performance issues listed there can be eliminated with a modern computerized order entry system, bedside barcode scanning and other high-tech solutions. People will make mistakes under pressure. Some of the biggest screw ups I witnessed in my experience was when the high-tech safety features were in place, but the nurse decided to skip them.Trouble is a good computerized order entry system can cost 70 million dollars to implement.The conclusion is who you work for is more important than how careful you are, because if you work for a good company there will be safety features (but they are expensive!!) and there will be a risk management team that works full-time on identifying the loopholes.

I noticed nurses at my facility would put off tasks they were unfamiliar with on to the next shift. I talked to my boss and it went nowhere. So now I try to grab one of the newer nurses anytime I have anything different to do and we do it together at change of shift. Yes I would like to just go home but we were all new once too so I feel it's good practice to stay the few minutes to show them.

Quote from RN&momI noticed nurses at my facility would put off tasks they were unfamiliar with on to the next shift. I talked to my boss and it went nowhere. So now I try to grab one of the newer nurses anytime I have anything different to do and we do it together at change of shift. Yes I would like to just go home but we were all new once too so I feel it's good practice to stay the few minutes to show them.

I've realized that if my EMAR is not allowing me to scan a medication for a patient then something is wrong. Instead of overriding it, I investigate by going through the five rights. I've prevented many errors doing it this way. Quote from Concerto_in_CAbout 50% of the performance issues listed there can be eliminated with a modern computerized order entry system, bedside barcode scanning and other high-tech solutions. People will make mistakes under pressure. Some of the biggest screw ups I witnessed in my experience was when the high-tech safety features were in place, but the nurse decided to skip them.Trouble is a good computerized order entry system can cost 70 million dollars to implement.The conclusion is who you work for is more important than how careful you are, because if you work for a good company there will be safety features (but they are expensive!!) and there will be a risk management team that works full-time on identifying the loopholes.

I also think patient to nurse staffing ratios is also part of the problem.

Add "showing up whenever you feel like it & calling off whenever you feel like it."Oh wait, you had a whole thread on this. LOL

Quote from heckla12I also think patient to nurse staffing ratios is also part of the problem.

Quote from heckla12I also think patient to nurse staffing ratios is also part of the problem.

Quote from MarisetteYour kidding now Managers seldom acknowledge poor staffing. It's all about the nurse, poor organization skills, poor time management, inability to multi-task, not using critical thinking skills and son on. I feel we have more people in management making policies and creating more quality surveys and such than RN's proving nursing care to Patients

I would so love to be positive and I could have maybe 20 years ago...... WE are set up to fail with nurse patient ratios. The "grid" does not take into account acuity...what so-evah.....try being in an ICU ratios 1 nurse to 2 or 3 patients no secretary, no patient care tech .....and worse no teamwork as the charge also takes patients...there are no "light assignments" you do not get lunch most days , beg someone to really no I mean" really listen" out for vent alarms or drip alarms or watch the alcoholic patient in Dt's as well as your vents so you can go peee. Your patients families are upset with you as you are not at THEIR family members bedside and they report you... . you hang your 10 am antibiotic at 11 or later. You miss the md orders that were written at 07am because 4 other mds had the chart and no one told you they wrote for stat orders of potassium or Lasix ....not to mention the phone ringing off the hook since you have been in the unit ...the other nurses say If they don't care we don't have a secretary neither do I, and they wont answer the phone so guess who does...when you can..... Some won't even answer their own patients lights and because you have some pang of good conscious ,even though you are so behind , you answer it ...only to get yelled at by the patient because they have been ringing for 15 minutes and they have to go to the bathroom. You explain that you are sorry but you are not their assigned nurse but that you will help them turns into...."I am not your nurse" later when they voice complains.....and guess who they complain about...not their nurse ...you...... and of course....the patient is always right..... and it's their perception of you...right? When you were trying to help trying to be nice .....Do you see how things happen..How one thing relates to another and most days you can't even remember what you did and to who it's so busy........but you don't manage your time well....if you don't chart before 7pm at night....All hospitals aren't like this but will probably be similar when O-care shifts into high gear and the hospitals are not getting reimbursements. The grids will get worse.... and then a nurse interim manager writes you up because that patient complained to her.... and you know the rest....

I am an associate degree nurse who has been licensed since 1992. I worked at one facility from 1993 until 2006. I then worked at another facility from 2007-2011. I was bullied at this last place of employment and I did make some clerical errors and some med errors. The manager that was my "bullier" wrote me up for things in addition to things that other nurses at my facility were not written up for. I also had untreated anxiety. Every time I went to work it was sheer hell because the manager (was something every day) was constantly tormenting me. When I resigned from that jog in 2011 9 months went by. I'd by then found a different job and was still in orientation. So 9 months after my resignation the last job stated that "I resigned in lieu of termination. I have never injured a patient and all of my patients and their family members had nothing but good things to say about me I received a letter from the nursing board that I must appear for a conference. The facility had 28 allegations against my nursing license. I hired an attorney and there was actually a back story for every allegation that was made . I admitted some errors and denied others because they were blown out of proportion. I was given a non-disciplinary correctional agreement which I completed in three months. (They had given me six months) I then voluntarily took an RN refresher course. I am unable to find work as a nurse. After 4 job interviews and formal job offers for each two of the jobs rescinded their job offers to me. (HR dept) Because even with a nondisciplinary correctional agreement it is a matter of public knowledge FOREVER! I called the board and the nursing specialist stated to me that yes this is a "public document" yet she told me that she was surprised that other nurses accused of drug diversion in hospitals were in fact disciplined but continue to keep working at the hospitals they diverted narcotics from. Is my career over?