Got fired twice this year, brother. Once for sticking up for patient ratios; once for being "discourteous" to a nurse I'd never had so much as  a heated discussion with lol. Weird being essential and expendable.

Basically if you chose to give a patient additional medication you were out of your scope as a nurse. We can’t dictate how much a medication patient should receive . I think I would have told her I would give her the additional 1.5 medication dose once the prescription was brought in by her husband or consult the physician .They were probably afraid that this behavior would continue and cause grave outcomes. Although I understand you wanted the best for the patient we must act within our scope. I would look into the pmhnp program sounds like you would thrive .

Rest knowing you are truly led by the patients best interest.

I imagine it must've been hard to be so transparent about this. I'm very grateful  🙏 Wish you all the best going forward, love your videos

That’s not a medication error that is a nurse trying to act like a doctor without a medical license. I would have fired you too.

dont get me wrong, I like this guy.  Im a psych RN also who works CRC/High acuity, every shift one or more patients tests the fences with me.   ive made mistakes too that have gotten me quietly transferred to another hospital or "encouraged" to resign,   I watch my step super carefully now,....it's so easy to get in trouble in psych nursing without even doing anything wrong,  there's absolutely no advantage to knowingly breaking rules, all the rules matter.

I am in a big shock with this story !
They don’t value your honesty…

He didn’t get fired for the error, he was fired for acting wildly out of his scope with zero acknowledgement that this was risky or dangerous.
He is not qualified to dictate what is right and wrong in this situation.
She was not prescribed that amount of medication and it is extremely dangerous practice to have the mindset that you know best.
He is not a Dr.
Listening to him talk you get the impression that he doesn’t think what he did was wrong and he would happily do it again.
And THIS is why he got sacked.
As a ward manager I would be very concerned to have him practicing on my ward.
If he is allowed to make calls like these once he will likely continue to make his own decisions around meds and one day cause harm.
I am seriously concerned that he can't see this.

Sorry to hear it. Thanks for the transparency. Hope it doesn't cause you ongoing grief!

I sought treatment when I was really manic (no sleep for ~4 days) and I begged for a higher dose. I pleaded my case, explaining how heightened my symptoms were and that the dose they wanted to give me was too low to help. They totally disregarded me and I had another awful night with only a couple of hours of sleep. Luckily the next day I had a nurse who listened to me and increased the dose, and I started to recover. We need more people like you who actually care about patients and listen to our needs. Health care companies are just sociopathic organizations who only care about liability since it threatens their profit.

He didn't follow the 5 rights of med administration. Dangerous practice

I am sorry to say this but even if you have the best patient s interest at heart. You are not allowed to give someone more medicine, you don t make the treatment plan. Doctor s do. So that if any side effects occur, doctor s know what amount someone was taking, etc. Maybe a warning would be enough.

I'm a truck driver. I was driving 130mph in a 65mph zone. I got fired. I was shocked.

thank you for your transparency. im a new sub

So sorry to hear that, such a silly reason to be fired ! man I wish you the best of luck. I just discovered your channel and I'm going to watch most of your videos since I'm planning to shift my career from an EMT dispatcher to a psychiatric nurse.

Respectfully, you can’t just go rogue and give medication outside the parameters defined by the script & doing so subjected them to legal liability if they didn’t fire you. Also, it sounds like you maybe worked in a facility where I worked (based on some terminology). And your lozenge story- I can totally see how that could happen, and you are correct that it was on her prn med list. You were fine on that.

Thank you for being open about this. I am about the start my last semester of nursing school and my instructors really haven't talked that much about what happens if you make a medication error. All they said was to report it right away to the charge nurse. I feel like someone shouldn't be fired unless they are repeatedly making mistakes. I feel really worried about working as a new nurse soon and that I am going to mess up. Do you know if mental facilities train new nurses ? I am kind of worried because I want to work in the mental health field, but I want to be trained well because i have no experience. I feel like I still have no idea how to do anything and I don't feel like clinicals are enough.

Its not an error when you did the right thing.
You know best if you did the right thing.

I appreciate your honesty. I think alot of people commenting seem to feel quiet certain they wouldnt make any mistakes like this. I dont think he's telling us to justify is actions but as a way to get something off his chest and vent. I for one, could see myself making the same mistake thinking i was helping the patient. if you;ve ever been on a psych med, not having the correct dose for a day or two can realy screw up months of progress. that said, he acknowledge what he shouldve done in the video several times. ill for sure take this to heart and for that Thank you A Psych Nurse for sharing your story.

Sorry this happened homie ... I don't personally work in healthcare, but I can empathize with seeing how something like this could happen. It's a shame but at least it looks like something like this won't happen again. Not sure if you've been able to get another job yet, if not I'm wishing you the best in that area :)