Quote from megan_EMT
Would some of you who said no/unsure be willing to share your reasoning? I'm looking to go into nursing and would appreciate hearing from people who don't necessarily love their job.
I didn't respond to the original question, but I'll offer my thoughts.
I started in healthcare in 1991 as a Phlebotomist while I was in the EMT program at Wichita State. In one way or another I've worked in nursing service for 20 years.
Politicization- nursing services are either subservient or socially agressive, with few departments having a well defined professional standing. I.e., we are there to ensure that JCAHO doesn't close the facility by ensuring patient complaints are minimized or mitigated, or to bear responsibility for inadequate and incompetent institional policy direction. At the other extreme, we have some who would mandate
health and safety for the public via legislation.
Litigation prevention- following what I mentioned above, nursing is largely becoming a legal buffer between physcians, institutions and malpractice. Check-box assessments, inadequate staffing, and HIPPA place the majority of institutional liability on the lowest tier of credentialled personnel- the RNs. Magnet (Magnate
) Status, and BSN-preference is another measure of this. I.e., ""WE" told you they were highly
trained, they knew better than to do X!"
Having said that, there is a good bit of room to make the field what you want it to be. If you are self-assessing and self-educating, and if you go at least BSN (and
are a bit politically savvy) ist is not uncommon to be able to create your own job description/program, or to head up an established program at a facility that has not implemented said program yet. I.e., epilepsy/stroke/diabetes/STD/whatever case manager. If you identify an underserved, comparatively large, demographic, and if you research ways for the facility to be reimbursed for taking on the population, you just became a Program Director.
I wouldn't "not-not" do it, but go into the field with your eyes open. Good luck, Megan, BTDT!