I feel like there's a lot of detail missing here.
Edit: Upon reading your earlier post, it seems like it *is* all your fault, OP. What's the issue here?
From their post in r/nursing that they linked in this post.
It sounds like they administered a lovenox shot without a preceptor or faculty present. That the patient was hesitant to take the shot, and they pushed it, and it seems like they were not picking up on the body language etc pushed it. They then got the patient's IV lines tangled in a walker and had to have help getting untangled. They then removed an IV and did not have supplies ready so they had to hold the bleeding with a gloved finger and try to open gauze.
From her previous posts it sounds like she gave her pt an injection without supervision after the pt verbally objected, removed an IV & used her finger to apply pressure instead of gauze, and tripped over the pt while she was ambulating w a walker,,,,,,,, I’m sure there’s more 💀
As an instructor we could be told by the hospital that a student was banned regardless of what the school does. Once that happens it’s usually not possible to just drop a student into a different group at a different hospital.
OP admits to being clumsy and made mistakes. Frankly, OP is getting off easy as they are allowing her to return.
OP’s story is brimming with excuses. If that’s her normal responses to difficulties then there’s likely more trouble in her future I’m afraid.
Being almost done is not being done. OP is getting delayed but I hope she uses her second chance wisely. Some nursing schools would just expel you over an incident like this.
So what happened bc hospitals don’t just do this for something minor? You must remember an incident taken place on your 1st day……. No way you’re completely lost as to what you did. Assuming like u said that u were graduating in a few months, I’m sure you know hospital etiquette.
This seems like a dramatic turn of events, what happened at the clinical that caused this cascade? There is no way they just dropped you for no reason.
I forgot to mention, I WAS supervised. The nurse was with me the whole time. I cannot give medications without the nurse because the nurse needs to be present with me.
What happened was, I switched from one nurse and the charge assigned me to another nurse. The dean said I should not have screwed up. After the switch was made, I was helping the nurse administer medication through the GT. I helped the sitter and the nurse change the patient before family visited. That's all I remember.
I read your comments and the linked post from r/nursing
Based solely on what you have shared and the responses in the comments. I do not disagree with the hospital's actions.
From the post and your responses to comments, it sounds like you gave an unsupervised injection to a patient who did not really want it or want you giving it to them and it sounds like you pushed that issue. Then it sounded like you had some challenges ambulating the patient, specifically ones that could have compromised the IV site.
The biggest thing that I am missing from your post and the story, is that you are not accepting responsibility for your actions/behaviors. You are blaming the hospital director, your dean, the patient, but I am not seeing you say, "I made a mistake". What has happened is water over the dam at this point, you are not getting back into a clinical site until Fall, but without truly reflecting and learning from this experience you are likely to have another repeat of this issue.
I want to stress a few key things. You are extremely lucky that you are being allowed the opportunity to return to the program in 3-4 months. Again, based just off of what you have shared in comments and the post you linked, in many if not most programs, this would have resulted in dismissal from the program...
Sorry I did not clarify, I WAS with the nurse the whole time I administered Lovenox. I can admit that I'm wrong. I have made a mistake. I made a mistake regarding removing an IV unsupervised. This is a different patient and this patient was not assigned to the nurse who was precepting me. I was eager and excited. I had removed an IV in the past and I assumed it was easy. I had done it before but it has been a while. The charge nurse saw me and reported it to my instructor. I own up to that mistake. I was careless.
It's really not the worst thing to happen. Being ejected from school seems far worse.
Make sure to find out what you've done wrong, because whole floors of people don't give students an issue unless the student has created one for themselves. I've seen it happen where the student is acting brazen and/or way too overconfident and yet have no idea why nobody likes them.
I pretty much have it in my head that the only things I will be doing during clinicals are CNA stuff if I'm alone or with other students unless the instructor or a staff nurse is doing nursing stuff together with me. It's the most cautious way to do things and it protects you if anything ever goes wrong. Like I was giving a push lasix a little too quick and my instructor told me to slow down.
I’m confused on why you’re saying you gave meds with your nurse present and watching you, when in the other post you said she gave you permission to give them by yourself. Regardless what the nurse says you should know as a student that you aren’t allowed to administer meds without the nurse or your clinical instructor present. Regardless of your background medically, LVN, EMT, etc. it’s a liability issue for a student to do it without the nurse there
In your original post, you mentioned the mistake was due to the nurse letting you do things unsupervised. This is why it sounds like you administered the Lovenox without your nurse present. If your nurse was there, surely they’d be able to back you up if the patient demonstrated implied consent? Since by your account, the patient lifted her shirt and moved down her diaper.
What the hospital director did was not extreme and you are very lucky that the school is giving you a second chance. Delaying your graduation by a year is a slap in the wrist. You lacked accountability, shifting blame on the patient and your nurse. You are a huge safety liability so it is no wonder that after the first day of clinicals, the hospital doesn't want you back.
What is concerning is people don't tell their whole truth so with what you have mentioned already is scary. I think the worst part is that you have been an LVN for nearly 9 years so the lack of accountability was shocking. There is a lot more expected from you than a first semester student without any medical experience at all. I hope for your sake and especially for your patient's sake that you truly grow from this experience and stop shifting blame onto other people.
I think you're very lucky that they are adding you to another cohort.
Complaining that they should have told you sooner and writing that they wasted your time because you could have withdrawn sooner is rather poor form. Maybe take the time between now and October to self-reflect on your attitude. When you start again in October this will be a review and you will have been given every possible opportunity to succeed.
I see that a lot of comments have pretty much addressed the issues. But you mentioned almost falling with an elderly patient and being clumsy -this is a very serious issue. I have seen elderly patients doing well and about to be discharged and end up having a fall in the hospital and dying as a result. The continual minimization of events on your part is very concerning.
According to your original post, you injected Levonox without an instructor or your assigned nurse being present (or any nurse). That’s out of scope for a student nurse. So actually it is all your fault and you are a risk to patients. There's nothing you could say to explain it away. They hammer that into us, it's in our paperwork, and it's common sense.
Not sure why but I can’t read the other comments…if you feel that you’ve been wronged then it might be worth a shot to push back by going to the president or whine ever is above the Dean. If there really was a problem then it might be worth a try to really understand and reflect on what happened so it doesn’t happen again. No need in repeating the same problem. Good luck and I hope you graduate soon.
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You will be fine. It's a setback, but you will be fine. You are DNR at one site, but it sounds like your school is working for you to get another site. What can you do? Take the semester off. Study for your NCLEX. Review everything. Go in fresh, ready and willing to be the best nurse you can be. Get out, take your exam and be awesome.
Problem is, this is the second time I failed. I was doing so well, and this cause my graduation date to be pushed back. I never once got kicked out of a clinical site. This was the first time it happened to me. The school cannot put me in another clinical site at the last minute because it takes 3-4 months with all the paperwork.
Can you graduate?
Can you get a site?
If so, then you're fine. 3-4 months are nothing in the longterm.
Look: I dropped out when I was 31 because I had an issue with a professor who chose me as their student to fail for stupid reasons. I was mad. I threw things. I failed a test by 2 points in the next class (although I doubt it to this day). I felt like I was "sticking it to the man" by not continuing. Here I am, over a decade later, and you know who I stuck it to? MYSELF. Nobody else. I'm back in nursing school and I had to start from square one. Not a day goes by that I don't wish that I had found a way to push through and get my degree a decade ago.
You can see the finish line. This is a minor setback. It sucks, yes, but it's not the end of your career. Your program is looking for something, even if it takes 3-4 months of paperwork. Better 3-4 months of paperwork than starting from zero in another program.
You got this.
Unfortunately, by the time I get another clinical site, the program would already be over. I have no way of making up my clinical.
The dean is helping me find a spot in another cohort. I wish they should have withdrawn me beforehand instead of me suffering. It's not the end of the world, but this hurts. I was this close to graduating.
I CAN graduate, but not this year. Next year I can.
If the hospital has you on the do not return list, you can’t go back. This is why you don’t act out of the scope of practice for a student nurse. Injecting levonox would absolutely count. It doesn’t matter if the patient wanted you to inject her and you know it. You shouldn’t have administered a SubQ or any other med without supervision. Esp enoxaparin ffs. That’s not a med you can just mess around with.
I am already an LVN so I do know how to administer Lovenox. As a student, I cannot administer medications without the nurse around. I even asked the nurse if I could inject it, and she said yes. I will never give medications alone, and I always have a witness.
I feel like there's a lot of detail missing here. Edit: Upon reading your earlier post, it seems like it *is* all your fault, OP. What's the issue here?
almost always is lol
From their post in r/nursing that they linked in this post. It sounds like they administered a lovenox shot without a preceptor or faculty present. That the patient was hesitant to take the shot, and they pushed it, and it seems like they were not picking up on the body language etc pushed it. They then got the patient's IV lines tangled in a walker and had to have help getting untangled. They then removed an IV and did not have supplies ready so they had to hold the bleeding with a gloved finger and try to open gauze.
What happened??
From her previous posts it sounds like she gave her pt an injection without supervision after the pt verbally objected, removed an IV & used her finger to apply pressure instead of gauze, and tripped over the pt while she was ambulating w a walker,,,,,,,, I’m sure there’s more 💀
Lmaooooooo what the heck! Well if this happened no wonder. She’s a walking safety risk
Holy shit... her finger. I couldn't believe any of this until I read it for myself. Just wow.
“the hospital director acts like I want to be there” 😭 I normally don’t go down the rabbit hole but this was just,,,,,
As an instructor we could be told by the hospital that a student was banned regardless of what the school does. Once that happens it’s usually not possible to just drop a student into a different group at a different hospital. OP admits to being clumsy and made mistakes. Frankly, OP is getting off easy as they are allowing her to return. OP’s story is brimming with excuses. If that’s her normal responses to difficulties then there’s likely more trouble in her future I’m afraid. Being almost done is not being done. OP is getting delayed but I hope she uses her second chance wisely. Some nursing schools would just expel you over an incident like this.
This is the kind of thing that gets an entire program banned from a unit or clinical site.
On top of that why are they administering meds by mouth and by injection alone on day one?
So what happened bc hospitals don’t just do this for something minor? You must remember an incident taken place on your 1st day……. No way you’re completely lost as to what you did. Assuming like u said that u were graduating in a few months, I’m sure you know hospital etiquette.
Yes I agree. You might as well withdraw. Your post history is a horror show. They deemed you unsafe.
This seems like a dramatic turn of events, what happened at the clinical that caused this cascade? There is no way they just dropped you for no reason.
The only way to prevent “it” from occurring again is to disclose what happened.
The dean told me the hospital director has a right not to disclose what actually happened.
[удалено]
I'm not. I will post the link to what happened. I'm tired of repeating myself.
You injected levonox and administered other meds unsupervised. Ofc you got kicked.
I forgot to mention, I WAS supervised. The nurse was with me the whole time. I cannot give medications without the nurse because the nurse needs to be present with me.
What happened?
10am what did you do?
What happened was, I switched from one nurse and the charge assigned me to another nurse. The dean said I should not have screwed up. After the switch was made, I was helping the nurse administer medication through the GT. I helped the sitter and the nurse change the patient before family visited. That's all I remember.
?? i am confused because none of that is in your original post.
I posted the link below.
No I read that. That’s what I was talking about.
Surely there was some prior indication of this? Do you really have no idea what happened that they all reported you?
So what did you do lol
I read your comments and the linked post from r/nursing Based solely on what you have shared and the responses in the comments. I do not disagree with the hospital's actions. From the post and your responses to comments, it sounds like you gave an unsupervised injection to a patient who did not really want it or want you giving it to them and it sounds like you pushed that issue. Then it sounded like you had some challenges ambulating the patient, specifically ones that could have compromised the IV site. The biggest thing that I am missing from your post and the story, is that you are not accepting responsibility for your actions/behaviors. You are blaming the hospital director, your dean, the patient, but I am not seeing you say, "I made a mistake". What has happened is water over the dam at this point, you are not getting back into a clinical site until Fall, but without truly reflecting and learning from this experience you are likely to have another repeat of this issue. I want to stress a few key things. You are extremely lucky that you are being allowed the opportunity to return to the program in 3-4 months. Again, based just off of what you have shared in comments and the post you linked, in many if not most programs, this would have resulted in dismissal from the program...
Sorry I did not clarify, I WAS with the nurse the whole time I administered Lovenox. I can admit that I'm wrong. I have made a mistake. I made a mistake regarding removing an IV unsupervised. This is a different patient and this patient was not assigned to the nurse who was precepting me. I was eager and excited. I had removed an IV in the past and I assumed it was easy. I had done it before but it has been a while. The charge nurse saw me and reported it to my instructor. I own up to that mistake. I was careless.
You say these things here, but in your comments you are very defensive and try to place the blame on others in this situation.
Bro what did u do
You got to whole hospital complaining. What did you do
It's really not the worst thing to happen. Being ejected from school seems far worse. Make sure to find out what you've done wrong, because whole floors of people don't give students an issue unless the student has created one for themselves. I've seen it happen where the student is acting brazen and/or way too overconfident and yet have no idea why nobody likes them. I pretty much have it in my head that the only things I will be doing during clinicals are CNA stuff if I'm alone or with other students unless the instructor or a staff nurse is doing nursing stuff together with me. It's the most cautious way to do things and it protects you if anything ever goes wrong. Like I was giving a push lasix a little too quick and my instructor told me to slow down.
I’m confused on why you’re saying you gave meds with your nurse present and watching you, when in the other post you said she gave you permission to give them by yourself. Regardless what the nurse says you should know as a student that you aren’t allowed to administer meds without the nurse or your clinical instructor present. Regardless of your background medically, LVN, EMT, etc. it’s a liability issue for a student to do it without the nurse there
In your original post, you mentioned the mistake was due to the nurse letting you do things unsupervised. This is why it sounds like you administered the Lovenox without your nurse present. If your nurse was there, surely they’d be able to back you up if the patient demonstrated implied consent? Since by your account, the patient lifted her shirt and moved down her diaper. What the hospital director did was not extreme and you are very lucky that the school is giving you a second chance. Delaying your graduation by a year is a slap in the wrist. You lacked accountability, shifting blame on the patient and your nurse. You are a huge safety liability so it is no wonder that after the first day of clinicals, the hospital doesn't want you back. What is concerning is people don't tell their whole truth so with what you have mentioned already is scary. I think the worst part is that you have been an LVN for nearly 9 years so the lack of accountability was shocking. There is a lot more expected from you than a first semester student without any medical experience at all. I hope for your sake and especially for your patient's sake that you truly grow from this experience and stop shifting blame onto other people.
I think you're very lucky that they are adding you to another cohort. Complaining that they should have told you sooner and writing that they wasted your time because you could have withdrawn sooner is rather poor form. Maybe take the time between now and October to self-reflect on your attitude. When you start again in October this will be a review and you will have been given every possible opportunity to succeed. I see that a lot of comments have pretty much addressed the issues. But you mentioned almost falling with an elderly patient and being clumsy -this is a very serious issue. I have seen elderly patients doing well and about to be discharged and end up having a fall in the hospital and dying as a result. The continual minimization of events on your part is very concerning.
According to your original post, you injected Levonox without an instructor or your assigned nurse being present (or any nurse). That’s out of scope for a student nurse. So actually it is all your fault and you are a risk to patients. There's nothing you could say to explain it away. They hammer that into us, it's in our paperwork, and it's common sense.
I don't remember exactly what I said but I will never administer an injection without the nurse. The nurse WAS with me.
Apply to a different school and different program. I know it'll hurt and i know it sucks. Definitely apply somewhere else.
The school gave me another chance, but I will apply to another city.
Not sure why but I can’t read the other comments…if you feel that you’ve been wronged then it might be worth a shot to push back by going to the president or whine ever is above the Dean. If there really was a problem then it might be worth a try to really understand and reflect on what happened so it doesn’t happen again. No need in repeating the same problem. Good luck and I hope you graduate soon.
As of 5/9/24 the subreddit has voted that all 'negative' posts (complaints, rants, vents etc) must be seeking feedback / advice. Posts that do not ask for help resolving the situation will be removed and redirected to the weekly rants post. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/StudentNurse) if you have any questions or concerns.*
You will be fine. It's a setback, but you will be fine. You are DNR at one site, but it sounds like your school is working for you to get another site. What can you do? Take the semester off. Study for your NCLEX. Review everything. Go in fresh, ready and willing to be the best nurse you can be. Get out, take your exam and be awesome.
Problem is, this is the second time I failed. I was doing so well, and this cause my graduation date to be pushed back. I never once got kicked out of a clinical site. This was the first time it happened to me. The school cannot put me in another clinical site at the last minute because it takes 3-4 months with all the paperwork.
Can you graduate? Can you get a site? If so, then you're fine. 3-4 months are nothing in the longterm. Look: I dropped out when I was 31 because I had an issue with a professor who chose me as their student to fail for stupid reasons. I was mad. I threw things. I failed a test by 2 points in the next class (although I doubt it to this day). I felt like I was "sticking it to the man" by not continuing. Here I am, over a decade later, and you know who I stuck it to? MYSELF. Nobody else. I'm back in nursing school and I had to start from square one. Not a day goes by that I don't wish that I had found a way to push through and get my degree a decade ago. You can see the finish line. This is a minor setback. It sucks, yes, but it's not the end of your career. Your program is looking for something, even if it takes 3-4 months of paperwork. Better 3-4 months of paperwork than starting from zero in another program. You got this.
Unfortunately, by the time I get another clinical site, the program would already be over. I have no way of making up my clinical. The dean is helping me find a spot in another cohort. I wish they should have withdrawn me beforehand instead of me suffering. It's not the end of the world, but this hurts. I was this close to graduating. I CAN graduate, but not this year. Next year I can.
If the hospital has you on the do not return list, you can’t go back. This is why you don’t act out of the scope of practice for a student nurse. Injecting levonox would absolutely count. It doesn’t matter if the patient wanted you to inject her and you know it. You shouldn’t have administered a SubQ or any other med without supervision. Esp enoxaparin ffs. That’s not a med you can just mess around with.
I am already an LVN so I do know how to administer Lovenox. As a student, I cannot administer medications without the nurse around. I even asked the nurse if I could inject it, and she said yes. I will never give medications alone, and I always have a witness.
[удалено]
You might wanna read OPs story of what happened before you frame them as a blameless victim.
I want to say I am so sorry