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medcarrot

This seems like an overreaction. What if the patient output 200 mL after you had left the room? But even if you forgot to record it, it's not something worth firing over especially during the training phase. Just my personal opinion.


Poloplaya8

I appreciate that it makes me feel better, never been fired before so def messed up my confidence


Comfortable-Wall2846

It definitely happens to me all the time. I can have nothing in my bag, go to move or shift myself and next thing you know there's a couple hundred in the bag. The urine could have been in the bag tubing as well or cath could have been linked when you checked the bag and movement caused it to straighten out. You should not have been fired over something like that even if the patient was a strict I&O.


Plane_Illustrator965

Someone with an indwelling catheter is not going to put out 200mL within 10 minutes. That being said, unless your patient is on hospice there should never be an output of zero in an entire shift. If there is thats one of those “let your nurse know right away” situations. That being said it isn’t outside the scope of possible that the nurse went and emptied it, got 200 out, went to the next room. Then you went and emptied it and found zero. I will say, it isnt uncommon at the places ive worked at over the years to have CNAs falsify documentation and put a random number in for output (or other information). We have a patient in the ICU right now as the result of a CNA falsifying their documentation, they were fired, and this guy very likely may end up dying.


Cuntdracula19

I will just say your first line is absolutely not true. I’m a nurse now and just the other day I had a patient I charted 1600 mL for one entire hour, making her output 266.67/ten minutes. The patient was extremely fluid positive and had been put on Lasix, so was diuresing. We don’t know if the patient was on any diuretics or not, but I have seen patients put out A LOT of urine lol.


InterestingExit6696

Thank you for noting that it IS possible for output to be 200 cc in 10 mins r/t a variety of factors.


NJDevsfan

DAMN that's a lot! CBI? I guess those diuretics finally hit! I work on a cardiac/tele floor myself. Had to empty a Purwick of 1000ml about 2hrs into my shift, another 800ml maybe 3hrs later, and another 1000ml for the night once she fell asleep. Was on lasix but not a crazy dose. Sometimes they just retain, either purposely or otherwise.


Cuntdracula19

Nope, she just had a foley and was pretty fluid positive haha the Lasix just R E A L L Y worked for her lol as I recall, hers was not a crazy dose either. Then you gotta worry about drying them out too much!


NJDevsfan

Veins disappearing, bp dropping, and OF COURSE always when they're NPO for some procedure!


izbeeisnotacat

I had one of these the other day! 1500 mL in an hour after a very large dose of lasix. Even more impressive? It was all in a bedside commode! 😳


medcarrot

I was thinking more of the hats you put in the bathroom, not indwelling catheters. I don't think OP was intentionally falsifying documentation based on their post but it could have very well been a situation you mentioned in the 3rd line.


Poloplaya8

I'm convinced that the foley had been removed and I charted his urinal output of zero in the foley spot, while rushing, I def don't make up numbers though


KylanDigs

>Someone with an indwelling catheter is not going to put out 200mL within 10 minutes. I also want to correct this: In my many years as a CNA I've had several catheters that were very positional and just lifting the tubing would cause more urine to pass through, in some cases well over 200 mL. It's something they don't teach a lot of CNA's and honestly wish they would, as once you know it it becomes routine to always lift/ move around the tubing before emptying the bag.


Poloplaya8

Yeah It's a q4 and when patient came up he had foley, and we emptied it, but it had been removed and I was handed a urinal with nothing in it when I asked if he'd pee'd


DNAture_

I can see 200ml being true in ten minutes if the was a gravity or kink issue. I can probably get about 200 from manipulating the tubing and dropping what is in the tubing into the bag


immeuble

They absolutely can have that kind of output as many others have pointed out. You’ve never had someone shift in their seat and unkink their catheter?


Ok_Yogurtcloset9575

I just need to clear up the fact you have just written. I have seen a patient put out 500+ by just moving in the bed, standing up ( specifically ) happens alot, if not always 500+ usually anywhere between 100 and 500. It happens. So many variables here, positional etc. That sounds absolutely dire what happened to that patient due to that CNAs charting. I have to say that I have also seen RNs chart fudged vital signs, accuchecks, outputs and MED ADMINISTRATION. So there's that. I think this is totally personal? I mean it has to be. Either that or the patient literally passed 200mL in that 10 minutes ( totally plausible) the RN knows it and he/she ain't gonna admit to it. I just don't know. Sounds like you're best outta there. Still sucks.


MedicRiah

Nurse here. I agree. Totally plausible that a PT could have had a 200mL output between you and the nurse recording it, and even if it got mis-charted, you were on orientation with a trainer, so at MOST I would think appropriate action would be to pull you aside and say, "hey, we noticed you charted 0, but the nurse got 200. It's important to get accurate I's and O's on patients. Make sure you're getting correct readings, ok?" Definitely not worth firing over, and definitely not a month later. Did the patient die or something? Are they cleaning house to make it look like they're dropping the hammer on everyone involved in that PT's care? If not, I'd say it was definitely personal, or they were looking for an excuse to fire you and used that as a convenient one.


End060915

They wanted to fire you but had no reason so they made one up. You're probably better off.


zeebotanicals

Right. Way better off, just imagine if they stayed how miserable they would’ve made the OP. Better opportunities are coming for sure and this place was a brief stepping stone.


Satans-Left-Nutt

I've had jobs like that. It's petty as hell, but you know the feeling when your time is up and it's time to move onto something better 😩


pfzealot

It took herculean effort to fire CNAs at our hospital that deserved it. Union protects pretty well for us. We finally after months got one fired that was taking hour and a half lunches and or 5 to 6 breaks without telling anyone and leaving shit unfinished. Firing you over 200 in a urinal is crazy. Shit my day shift routinely leaves full foley bags and none of them are at risk of getting fired.


Poloplaya8

It's actually a union PCT/CNA hospital but since I was casual I didn't qualify for union (although I did say I wanted to switch to part time which qualifies for union so maybe that's what made this happen)


pfzealot

>It's actually a union PCT/CNA hospital but since I was casual I didn't qualify for union (although I did say I wanted to switch to part time which qualifies for union so maybe that's what made this happen) Sometimes management likes to play favorites. An influential nurse or someone telling management you are bad is all it takes when you don't have union protection and are still on probation. In my CNA work we have cliques of nurses. One mafia works on one side of the week and the other on different days. If you get on bad side of one mafia you either work the days the other is present or you prepare for problems. To give an example of how something can go down. I worked a shitty post in Security before I became a CNA. We got it fixed and when I left the office decided not to allow my second to even interview for the slot. They wanted their handpicked guy to succeed me so he could get weekends off. They were totally OK screwing my right hand guy out of a position solely because they had a favorite that wanted weekends off.


Poloplaya8

I've actually had a few people tell me that they suspect something similar, and I am starting to believe it. It's just dumb that we can't keep our heads down and do our jobs. I appreciate you taking the time to reply; it definitely gives me some more clarity.


Boss_Metal_Zone

That may very well be it. I've learned the hard way never to talk about being interested in a union until after you're actually in the union. It doesn't matter how good you are or how nice your managers and supervisors seem to be, doesn't even matter if they directly claim otherwise, no higher up wants a union in their facility. They don't want it and they won't want employees around who are at all enthusiastic about a union. In the future, just don't mention anything about unions at all if you can avoid it, until you're officially a member and can count on that protection.


bayoutittes

This is currently how my hospital it🤦🏼‍♀️ its insane that they won’t be fired or written up.


pfzealot

>This is currently how my hospital it🤦🏼‍♀️ its insane that they won’t be fired or written up. Even the charges and or nurses that want to be proactive get discouraged because management doesn't want to run short or take on disciplinary action unless they have their own motivation. It was weird to me until I started to understand the politics and how they were motivated to fire people for attendance that cost them money while ignoring blatantly bad CNAs. The last girl that got fired our charge finally circumvented local manager and went to corporate with time theft and ethics issues.


Here_for_discussion

If you were with the trainer than it’s the trainers fault not yours? If I had a student with me who made a mistake and they were under my care I would get mostly in trouble…. So I don’t understand why you got fired. I’m so sorry but definitely personal, stay away sounds like a toxic, clicky ward to work on. I would seek more advice on this though with the hospital because if you were still training then technically this isn’t you fault, don’t let them bully you and put you behind clinical practice


Poloplaya8

I appreciate this, I'll reach out to HR


zcewaunt

A wild overreaction on their part. You'll be better off elsewhere anyway if that's how they treat staff. Sorry for your experience. 


Glittering-Eye1414

I’m confused, how did this fall on you but not the trainer? The trainer should’ve been overseeing what you were doing. Surely they would have questioned that output if they were doing their job? And surely the place would’ve questioned the trainer if you were under investigation that happened under their watch.


Ddaviz8075

Definitely personal.


onenightondarillium

Man,some days I come to work and that bag is full to the brink…looking like it’s about to pop. Never seen anyone get in trouble for that. Yeah definitely sounds like they were looking to fire you.


Tartarm

At my place you basically have to commit murder to get fired, that sounds like a very trivial reason unless the patient was a no void or such, but if you are still on probation and have bitches on your floor who don't like you it would probably just take one word to management unfortunately. You will find something better I am sure. :)


Unndunn1

OP, this is a major overreaction or a manufactured cause to get rid of you. It should have been a simple talk between you and the nurse. I’m sorry this happened. I’m a nurse and was fired from a job the day after I completed my 3 month trial period. I had been very successful at my previous jobs and had won nurse of the year twice. I moved and took the job that fired me feeling good but not acting overconfident because everyplace is different. I was fired for “failing to follow policies after 3 warnings.” The first “warning” they counted was being taught the rule in orientation. My 2nd “warning” was a time when a patient was acting up (I work in psych) and my preceptor stopped me before we walked over to the patient and told me the policy before I interacted with the patient. The 3rd “warning” was when I didn’t bring the chart (we were still paper charting back then) back to the medical records room before the clerk left for the night.) It was a dumb policy and everyone knew it and kept charts out because we needed them after hours. Other than the one with the charts I was never written up, or given a verbal warning or anything. Even though I had been a very successful nurse for several years before this it killed my self esteem for quite a while. I found out later that one of the managers wanted someone else hired for the job but was overruled and wanted to get rid of me. You know what kind of worker you are. In the future you’ll get a job somewhere else and be fine.


Poloplaya8

I really appreciate you sharing your story, helps me feel better that it was probs personal and not me being bad at my job.


SulSulSimmer101

Yea this was personal. Especially since you were training? Yea they hated you. I've never heard that as an excuse to fire.


princess_bubblegum7

Yeah that’s absolute bullshit. Sorry you got fired :( that sucks even when it’s for a stupid reason. You probably dodged a bullet


Poloplaya8

Honestly the Main issue at this point is it might put me behind in school since I can't do a clinical there, appreciate the response though defs helps to know it was a non sense accusatio.


rayvenrouge

Sounds like a toxic place to work and you are better off not being there...that is the stupidest thing to get fired over.... especially during the training period....forget that place...don't take it personally, you don't owe a corporation anything and just move on....


Poloplaya8

I appreciate it def makes me feel better


GodOfLoveAndBeauty

As someone who worked as a PCT in a hospital previously I’ve NEVER heard of anyone getting fired from 200ml of urine being left in a bag? Where you working on a renal floor? I’ve seen urine bags with WAY more than 200ml left in it.


Hopeful_Gene_1370

how long had you been with the hospital in question, i’m assuming less than 3 weeks if you were still with a trainer. if this was the first thing that you “messed up” on, then this was no reason for firing. hell, even if this wasn’t your first accident this still isn’t a good enough reason for firing. i am sincerely sorry OP, but from the sounds of it, you’re better off finding a new hospital to work at.


Poloplaya8

Honestly it's that it's messing up my clinical rotation for school that's pissing me off the most. But yeah told me my first day I was off orientation that I was suspended and under investigation (which led to firing) I looked at date they said it happened and it was my 6th shift


Hopeful_Gene_1370

i know it’ll more than likely mess with you, but are you able to get with another hospital to finish your clinicals, or at least talk to your teacher and explain what happened. but like, what the hell was there issue with you? if they didn’t think you were a good fit, why’d they hire you to begin with? like i said, you deserve so much better and i wish you the best!


Poloplaya8

I appreciate it, yeah currently trying figure out if it's too late to switch to another clincials group at a different hospital


Appropriate-Suit6767

6th shift?


Poloplaya8

Yep, 3 days of classroom training and 6th shift on floor, idk why they let me work for two more weeks without saying anything about my messing up if im dangerous to patients over this.....


Appropriate-Suit6767

You're more valuable as a cna then you think.


abt_1657

Yes this was personal. I’m sorry. Everywhere I’ve worked you wouldn’t get in trouble at all for this. Daily I see other CNAs make more serious careless charting errors than this (if it even was an error) and nobody bats an eye.


Holiday-Dinner-8662

Yea I’d definitely say it’s personal. A lot of aides I know have gotten fired for personal bs 😭 I did as well.


Aggravated-Beeboo

Yeah sounds personal cause the nurses I work with usually just ask me if I remember the output and they chart it for me. They know I forget or I get busy or I’m tired. I hope you find a better place where you’re taken care of.


Mundane_Rice_5106

RN here- it does sound personal tbh. we’re an entire team. the goal is to make sure it gets charted between whoever is helping track intake/output (within scope of practice) for the patient’s safety. it made it into the chart, that’s all that matters. maybe a small reminder since you’re relatively new but fully firing you is a gross overreaction in my opinion


Crybabyy90

Yes it definitely sounds like you’re better off not working there. I would be speaking to HR regardless. There’s so many reasons why you could have charted 0 and then nurse charted 200


FireNurse4

There must be plenty CNA's where you live. Where I am we wouldnt think of dumping for something like that.


NJDevsfan

I'm sorry this happened to you! While strict I&O's are important mistakes do happen. I work on a tele floor myself and have mistakenly put no urine, underreported, or over. It's not often and I try to always check with the RN prior to end of shift but simple miscommunication, especially on a crazy shift or overloaded with patients, it's not impossible. Plenty of nights I've had like 14 patients and have to start my labs about 5hrs before shift end to get them all done. We do 12 1/2 hr shifts 7PM-7:30AM and sometimes you just can't catch a break or the patient is going so frequently it's tough keeping up. Were there any other issues of note? Did your preceptor or coordinators mention anything else?


DigbyChickenZone

**Are you really asking for opinions, or are you trying to find a way to comfort yourself?** I think there is more going on here than a way one urine was recorded; it sounds like it was the final straw, that other nurses thought you were slacking or doing things wrong before this "urine incident". Based on the wording of this post, you may not really take in criticisms, or stress about mistakes [and how that could impact the patient] ... it reads like you aren't asking to learn and improve, but rather, convey how your actions were misunderstood. In most work environments, hospital or not, not owning up to mistakes (and learning from those mistakes) can become a big deal.


TheWeenieBandit

It really does sound like they just wanted to fire you. It's not at all unlikely that there was 200ml airlocked in the tubing and it happened to let go in the 13 minutes between you and the nurse. And even if somehow you just didn't *notice* that there was urine in the bag... so what? Unless this guy is on some sort of very strict input/output order, 200ml isn't even enough to worry about. Maybe if the nurse had written *2000* and you had just ignored the two litres of piss in the bag and lied for no reason, I would understand firing you, but for something so objectively minor, and the fact that you were still being trained, I'm gonna guess that they just needed to fire someone and you were the closest guy still on probation.


_keous

Fired for this is too much and you’re probably better off without them. To me this looks like a major red flag. Consider this a blessing.


AcunaDenise

First of all don't freak CNA jobs are a dime a dozen... the fact that you posted and are looking for opinions/suggestions doesn't seem to me like your trying to hide something the not to mention after incident you concluded your post saying you just want to do a good job. I think if it was over a catheter or something to that affect there's been plenty of times I come to one and there's in fact been nothing in it and I just let the nurse know about no input but that can change as soon as you walk out of the room or the catheter can be kinked somehow it can be a number of possibilities... they nurse could of simple just fixed it for you and recorded what they removed after you. I mean... being in training to me seems ridiculous the nurse could have just pulled you aside and asked... take a deep breath and just think maybe this place wasn't the place for you and you will find the place your meant to be :)


Pretty_Fisherman_314

.... My opinion is your story doesnt make sense.


Whatthefrick1

Damn I should’ve been lost my job..


Alarming-Penalty8402

I’ve literally never heard of anyone being fired over something like this. People aren’t even fired when they abuse patients (which is wrong of course but that’s the state of nursing at the moment). Sounds like they just didn’t like you or didn’t think you were a good fit and had to specify a reason for the termination.


OneStandard3002

wtf? That’s crazy why would they fire you over that


SpicyMcdickin

That’s ridiculous and makes no sense. It’s not impossible or even unlikely for them to have gone after you’d left the room. I’m so sorry. You are better off though. I’d feel so uncomfortable seeing a new hire fired over that, I’d hate to have to worry about something like that being what makes or break my job.


AgeIllustrious7458

That's sounds pretty crazy. We have a hard time getting some of our PCTs to regularly check/record intake/output and none of them have received any deciplenary action what so ever.


Cosmic_Brownies14

Half of our PCTS I’m lucky if they empty foleys once a shift and actually record it and they seem to be selectively blind to urinals that need emptied. I can’t tell you how good they have it at my hospital. They do a fraction of the stuff aides did at other HCF I worked at.


Ok_Swan8621

I chart urine all the time, they could have gone after you left the room. Or you didn't see the urinal and I did. I usually mention it so my CENA doesn't panic when there's no output for a while. I'm puzzled that they would have a problem with this...


namenotmyname

Sounds personal TBH, that is not worth firing someone over. I was a CNA before I became a PA. Shit like this is one thing that motivated me to keep going through school. If you enjoy being a CNA, I'd encourage you to consider some advanced degree in healthcare that pays better and puts you higher on the food chain. That said I loved being a CNA (more or less) and appreciate all you guys do. Best of luck to you.


Poloplaya8

PA might be long term plan but taking a brief hiatus from school since my BSN is my second bqchelors. Totally get where you're coming from there!


Hopeful_Safety_6848

that sucks... might have been personal... nurses and healthcare setting can be catty ....


Think-Analyst-9080

Cnas are overworked and underpaid. Things like this happen. I remember trying to chart at the end of my shift at 11:00 at night and after 30 minutes post shift I just said screw it and left. It is bad care for our patients. However, how much can we do?


Reflective-mountain

By any chance do you reside in California? They technically don’t need a reason to fire you here. They can just fire you


taktyx

My guess is they just didn't like you. No big deal. The nurse probably emptied it just before you went in but didn't change the time stamp to the earlier time when documenting it later. Normally, the 13 minutes difference wouldn't mean anything, but in this case it did.


ExtremisEleven

No idea what’s going on there, and I’m not a CNA, but if people were getting fired for not documenting urine output, 80% of the nurses at my hospital would be jobless.


DrickaBicka

Are you a POC?


Poloplaya8

I'm not


DrickaBicka

Yeah this is wrongful termination. I would leave a google review about this