Posted: 14-Feb-2012 22:37|
Could someone advise me, what is the best way to deal with.I am really suffering with stress at the moment and am now having problems at work.I have been told that I am having a meeting with 2 doctors and PM next Tuesday-I gave a toddler the enzira vaccine when it should have been the Sanofi vaccine.The child was fine, had no problems after vaccination.Also I saw a lady for contraception and I spoke to the GP on call about her as her BP was high and she had run out of microgynon about 10 days previously so did not start her next pack on time.Also had unprotected sex.I documented all this and wrote patient to see doctor.Doctor gave micronor but did not do anything about unprotected si- the gp says I did not tell her about the si.I do not know if they will believe me.I have had a difficult few years dealing with family problems.I have a son who has special needs and going through difficult teenage years.My dad and sister have been very ill and in and out of hospital.I have never let my personal life affect my work but in spring last year was feeling exhausted and getting physical anxiety symptoms- not sleeping well,palpitations and feeling sick, my concentration at work was affected.I forgot little things like leaving the electric heater on in my room,I forgot to book a district nurse for dressing for patient over weekend.I was told my documentation in patient consultations was not adequate,putting on immunisations correctly,correct batch numbers, read codes, or didnt put on any notes after seeing a patient(this was if I was running late).I had a meeting with doctor and PM and they asked if they could do anything to help.I asked for more training on computer and said I would try my best to improve, also I would see my GP for help-they just offered medication.They acknowledged that I have a lot to cope with in my personal life but all they offered was unpaid time off which I cant afford to do.Since then I have really improved my documentation but I am being checked up on constantly and this is making me even more stressed.Our other nurses are not being checked on like this.I have been working there for nearly 10 years and have always had good feedback and I have good clinical skills and am very hard working.I dont know what to do for the best and am thinking whether I should leave and try to do a less stressful job but feel sad to just give up on a career I have loved.I do not have any confidence left and am at rock bottom.
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Posted: 14-Feb-2012 23:14|
so sad to read your post, there is so much going on at home and at work. you sound very stressed, and worried about the meeting with your employers. please try to keep calm and be really honest with them about how stressed you feel, and how this may have affected you in work.If you have documented everthing please try not to worry, just talk through each scenario with the doctors/PM. you may feel better if you can have some time off with support of family/friends and your own gp. even though it may be hard financially, you must put your health and well being first. sending you lots of cyber hugs, hopefully others can offer advice re your job. hope it all works out.x
Posted: 14-Feb-2012 23:31|
Do you get paid sick leave as this sounds more appropriate than unpaid leave when you suffering from such stress? Have you tried the medication offered by your GP?
Are you going to this meeting alone? Are your union involved or a friend advocate?
Hopefully the two significant events you describe are being looked at to see how things could have been done differently or possibly avoided rather than apportioning blame. Either situation in isolation could have happened to anyone even if not going through what you are going through.
Have you had the computer training you felt you needed. Are the templates used for imms user friendly and made so it is impossible not to enter the details you listed?
I am currently on a phased return to work after a protracted ongoing illness and know I could not work my normal hours so perhaps you could negotiate reduce hours etc for a while?
If you have worked there for so long I hope they treat you well through this stressful time and show appreciateion for you loyalty and past work.
My thoughts are with you NDP
Posted: 15-Feb-2012 00:13 1|
NDP-it's late and I think AShirley and Karen have covered just about everything. I cant think of anything useful to add other than please take as much time as you need to think things through and don't make any hasty decisions that you might regret later. Sounds like you have given this practice your heart and soul for many years and if you decide to call it a day then do it because you want to and not because you feel threatened in any way or under pressure from GPs/ management. Everything can seem overwhelming after one or two incidents that didn't go well but look at them in the context of your 10yrs with the practice-all that hard work and positive feed-back-will take someone very special to replace you and that won't happen overnight. Sounds to me as if you are pretty special to your family too so go easy on yourself!
Posted: 15-Feb-2012 08:03|
I dont have anything to add to what has already been said but I hope everything gets resolved for you. please let us know.
This is my interpretation of the available information but not the law!
Posted: 15-Feb-2012 08:20|
I hope it gets resolved too, and were supposed to be a caring profession aswell?x
Posted: 15-Feb-2012 09:09|
Good advice above, hopefully this meeting is with an aim to help you, it really should be.
Please get someone to go to the meeting with you. Stress for whatever reason can make it more difficult to articulate how you are feeling and also take in what is being said so a representative / supporter can be a great help.
Posted: 15-Feb-2012 09:10|
element of your post are similar to my situation whatever you do make sure you have a
union rep with you meet with them prior to meeting it gives you support and not not so vulnerable positive or negative you need representation there be
my email address is email@example.com if you want help as in pretty much wi tune with this kinda situation
Posted: 15-Feb-2012 09:23|
just to point out from your initial post ... if GP decided to give micronor it was up to them to check no risk of pregnancy
Posted: 15-Feb-2012 10:08 1|
I hope today is looking a little brighter than last night. And well done for plucking up the courage to post on here - we all need support and it comes in many forms, from many sources. Use them all and accept the help when offered.
With regards to the increased monitoring of your work and the meeting, it sounds to me like they're doing exactly the right thing. An issue was identified and support offered / put in place. Since then, they have been monitoring your work to ensure that the new ways of working are doing just that - working. This meeting should just be a follow-up to see how you're getting on.
I would be very honest and up-front with them. Explain that you appreciate that you had dropped the ball on a couple of occassions, but feel that you've improved greatly and will continue to do so. Explain that you're under the care of your GP and hopefully the stresses and strains of life are becoming easier to deal with.
I would reflect on whether the support has been given (the IT training, for example) and was is suitable / appropriate. Has the increased scrutiny been a burden? If so, try to arrange a less intimidating way to give them the assurances that you're performing well, whilst you don't feel pressurised.
It has to be about open lines of communication. A meeting with the three of them, on the initial face of it, may seem intimidating. But look at it from the other way - they know an employee of theirs needs support and they are trying to find out how to give that. Be honest and open and show your willingness to improve and give them evidence of where you have. Equally, be the first to point out and admit when things haven't gone perfectly and how you managed the situation as best you could.
If (and it's a big IF), it becomes a Disciplinary Investigation or similar, excuse yourself immediately - professionally and politely of course - and ask them to reschedule, so that you better prepare yourself. That's the time to get your Union involved (and ACAS), not yet. I don't think this is likely, I'm fairly sure they're trying to do the right thing.
Go in there, confident in your abilities, aware of your fallabilities and open to discussing ways to improve.
(Please be aware that I am a Practice Manager / Monster (delete, as appropriate!) and that this is my opinion only. I do not represent any other body or organisation. Nor do I necessarily have any specific qualifications on this matter and am basing my opinion on experience and common sense only)
Posted: 15-Feb-2012 12:10|
ALL comments so right. ! 10yrs, you have given yourselF. Dont be forced into a corner, and as said, get advise and support in any interview with employers.They need to heed the employment law! You surely have a contract of employment? and sick pay although not your full salary is what you should have I trust your own G/p would be supportive ? I can empathise we you 6 yrs ago after 17yrs...and the last 7 as nurse practitioner...Hey please dont let them bully you into leaving Do get advise and have time out! They cant sack you while on sick leave.I am still in post and I now am of the age where I took my pension and CAN only work contracted hrs ..... Take Care DONT be bullied
Posted: 15-Feb-2012 12:48|
atir - you are right that NDP needs to accept support and help where available. And that they should not let themselves be bullied (although this doesn't seem like this is the case). It may be that their surgery only offers SSP, so unpaid leave was the best available. Or that they'd used up their sick leave allocation.
And don't think you cannot be dismissed when on sick leave. You can. If the circumstances dictate it and it's legally correct, you can.
But, that said, I think this is a positive meeting for NDP. An opportunity for them to discuss progress and look forwards.
Posted: 15-Feb-2012 13:50|
Can't really add to the excellent advice you have already been given
NDP, just want to add support and let you know we care. xx
Posted: 15-Feb-2012 14:35|
gosh lots of sound advice and I hope it is helpful- try not to let their survelliance seen as threatening but I know how hard that can be- its difficult to feel your not trusted, but use as an aid to get your notes up to scratch- i think many of us have struggled wth doing that over the last few years now we have to be so careful and thourough with everything
I was reported to the NMC by My practice manager lots of years ago,due to my alcohol and drug addiction and I had to go through a lengthy process of meetings etc wth the partners etc, notes taken etc- but it was all do wth keeping things safe and covering everything so that I didnt need to be suspended, and was able to have a lengthy time of work for treatment- Because it was done properly( and yes my emplyers were very supportive as i had worked for them about 7y)I avoided disciplinary, but had to be kept under regular review by the NMC and also had weekly meeting for some time with the PM to iron out any probs- and I imagine they were keeping a close eye on my work for sometime
So what Im trying to say is that when you are in it, it is very difficult but it sounds like they want to support you hopefully, although it sounds like you need sometime off work- I have periods of terrible concentration, and Know that I have to check everything at least twice esp wth documentation
why dont you ask them whether its an idea to bring someone to the meeting wth you, as they may have some thoughts about it
Posted: 15-Feb-2012 17:55 1|
I cant really add anything to what has already been said. I just want to offer you my thoughts and cyber hugs and hope that things improve quickly xxx
Posted: 15-Feb-2012 19:43|
I feel so sad for you.I hope all works out well in the end.There is some really good advice above and this forum is a fantastic source of support so I'm sure you will get through this.
Posted: 15-Feb-2012 20:09|
Hope things are a bit clearer for you I have been in the same boat, You are not alone and you are not going mad, if you can get some counselling that may help too, good luck.
Posted: 16-Feb-2012 15:48|
i am so sad to hear how stressed you are...i cant really add to the good advice everyone has given you...maybe a trip to your gp may be good to get some timeout...i think as mums we all try and do too much...just recharge your batteries...as to the meeting...take someone with you and tell the surgery you are having someone come along to listen to anything that you may miss..get your witness to take notes and email them to all parties so you have a paper trail...as to what has happened...its happened..be strong and tell them no harm has come to the child...as to the lady if she had imformed you of upsi after 5 days there isnt anything you could have done anyway...she will have to wait and see..adv her to do a pregnancy test 2-4 weeks after upsi even if she is bleeding...its good practice to do a significant incident form...and also maybe suggest that you have double appointments for while to help you complete your documentation/consultation etc...you have a lot to cope with and we are all human beings...if the drs/nurses dont care who will...i will be thinking of you..good luck..let us know how it all went xxx