options after being terminated?

[TraumaCheers]

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Members don't see this ad.

"... pissing off nursing management should be insufficient cause. They get bent out of shape for all kinds of stupid reasons. Its about time attendings and PDs quit bending to the bitching of nurses every single time. Far too many of them are cowards afraid of confrontation.

I 2nd, 3rd, and 4th that.

 

[TraumaCheers]

it seems it is impossible for u to stay at the same program for the time being n you don't want to waste too much time on the matter.The most practical option now is look for a new program where u can continue and finish.When apply to new program, just be honest what happened cuz the new pd will somehow find out.As for the legal part, get a professional consult . the program cannot just fire somebody for one mistake, there should be remediation, probation .etc prior . As a third yr resident, the biggest mistake u did was to trust the nurse which is a big nono, from the first day of residency, my senior always says DON'T trust anyone.Being a resident means getting abuse by other health professionals, getting unfair treatment, getting blamed ,underpaid,overworked..etc.It is hard to come across this in the middle of residency especailly in this field cuz nobody in ur program will help/say anything since nobody want to get involve, good luck to u.

Dude, you are the grammatical assassin! 😱 Time to put your phone down, stop text messaging, and review Hooked on Phonics

 

[kaowin]

It was an issue over medication dosage... I could not remember the dosage so I asked the nurse to check what the dosage is... later I found out through the DME that the dosage she told me was a fatal dose.

Fortunately the medication was not given, there where no other issues regarding the patient that night, but the nurse never called me or the supervising attending back regarding the order. So no harm was done to the patient.

were you rude to the nurse? she may have told you the wrong dosage so you would write the order. Of course, she would not give it, she would just write up an incident report. Either way its not her responsibility, her responsibility was to catch it, which she did. I don't see how she could have given you the wrong dosage without doing it intentionally. You either know a dosage or you don't, if she didn't she would have looked it up which rules out her giving you the wrong dosage. The chance of her making a mistake and accidentally gave you the wrong dosage off the top of her mind would be minimal. No prudent nurse or many nurses in general would be careless enough to report off an uncertain number and not go look it up. which brings me full circle, she would have known it was the wrong dosage. So are you sure you weren't somehow being an a**hole that day or on a regular basis?

 

[YayNakedChicks]

Yeah, nobody likes a slimy, conniving, manipulative lawyer...until they need one. OP, you need a real scumbag, a cold, calculating psychopath lawyer. What you hate in med mal attorneys you must seek out in your own counsel.

 

[TRAMD]

Medicine is not totally lost to you. Either some FM residency will take you (however, you will have to repeat 2nd year--which might be a good idea anyways), the military will take you (they will take anyone) or some state that still licences GPs (docs with only an internship completed) will license you as a GP.

Cut out the attitude and excuses. Get as much advice from this residency about what all your deficiencies were. This will be painful, but you need to know because it is obvious you don't know how truly deficient you are. Don't get down on yourself, you have made it this far, with some work you can still become a practicing physician. WORK on your deficiencies, change your bad ways starting NOW. Good luck.

 

[Top Gun]

were you rude to the nurse? she may have told you the wrong dosage so you would write the order. Of course, she would not give it, she would just write up an incident report. Either way its not her responsibility, her responsibility was to catch it, which she did. I don't see how she could have given you the wrong dosage without doing it intentionally. You either know a dosage or you don't, if she didn't she would have looked it up which rules out her giving you the wrong dosage. The chance of her making a mistake and accidentally gave you the wrong dosage off the top of her mind would be minimal. No prudent nurse or many nurses in general would be careless enough to report off an uncertain number and not go look it up. which brings me full circle, she would have known it was the wrong dosage. So are you sure you weren't somehow being an a**hole that day or on a regular basis?

The OP may have been an as*hole. However, that does not give the nurse license to potentially threaten patient safety in the interest of seeking vengeance against the resident. I mean, look what happened in this case. It seems like the OP wrote the order using the dosage the nurse gave him.

Note to the OP: This is exactly why, as a resident, you are supposed to look up a drug dosage yourself. You are the one ultimately responsible. That means you do not trust anyone else to look up the dosage. Look up the dosage yourself and know its the correct dosage!

 

[kaowin]

The OP may have been an as*hole. However, that does not give the nurse license to potentially threaten patient safety in the interest of seeking vengeance against the resident. I mean, look what happened in this case. It seems like the OP wrote the order using the dosage the nurse gave him.

Note to the OP: This is exactly why, as a resident, you are supposed to look up a drug dosage yourself. You are the one ultimately responsible. That means you do not trust anyone else to look up the dosage. Look up the dosage yourself and know its the correct dosage!

no it doesn't give the nurse license to do that, my point exactly. it never should have been her place, its not her responsibility. Plus she wasn't threatening patient safety because she was never gonna give it! I've worked with pretty acute nurses, saved my ass a few times. They can make you or break you and in the OPs situation, they broke him. During med school, one nurse gave me this piece of advice "never trust that people will do their jobs and that they will do it well." He thought he was a big shot ordering other ppl around. He obviously still doesn't know where he was in the wrong. To the OP, treat your colleagues with the respect they deserve and take responsibility for your own actions.

 

[Top Gun]

no it doesn't give the nurse license to do that, my point exactly. it never should have been her place, its not her responsibility. Plus she wasn't threatening patient safety because she was never gonna give it! I've worked with pretty acute nurses, saved my ass a few times. They can make you or break you and in the OPs situation, they broke him. During med school, one nurse gave me this piece of advice "never trust that people will do their jobs and that they will do it well." He thought he was a big shot ordering other ppl around. He obviously still doesn't know where he was in the wrong. To the OP, treat your colleagues with the respect they deserve and take responsibility for your own actions.

I see your point, and you are correct. The nurse wasn't really threatening patient safety because she never intended to give the drug even if it was ordered. We all agree that the OP should never have passed the buck.
Hopefully he/she will learn from this and move on.

 

[(Pants)^2]

Every one of us here has made a medication error on orders. That, in and of itself, is not a reason for termination. Even asking a nurse to verify what you believe is the appropriate dosage is not grounds for termination.

From what I have seen, residents are fired for:
1) Lying
2) Lying Big Time
3) Light, camera, action, lies!
4) Oh my God why would you even think to lie that much?

There is obviously a part of the story here we are just not privy to.

I second the call to close this thread since there is not enough info supplied to help out the O.P. (should he/she deserve help)

(And to all the PGY-1 peeps just starting out: When you are asked a question and don't know, just say "I don't know, but I will find out for you right now". Your seniors may be pissed at you for 5 minutes and think that you are lazy, but my goodness if you get pegged as a liar it is GAME OVER).

 

[Blade28]

(And to all the PGY-1 peeps just starting out: When you are asked a question and don't know, just say "I don't know, but I will find out for you right now". Your seniors may be pissed at you for 5 minutes and think that you are lazy, but my goodness if you get pegged as a liar it is GAME OVER).

So true.