Re: How to get hired without experience
Hi Dixie,
Yes, your clinic sounds a little different than mine, although I know there are many things common to all ambulatory care clinics.
I work at a hospital-based clinic, so I am actually an employee of the hospital. There are some really good aspects to that, such as: my pay is the same as a hospital RN, and since I worked for the hospital for a gazillion years already I've worked my way up the pay scale pretty well. We close at 5:00pm Mon-Thurs, and at noon on Friday, so we have virtually no turnover. Even when we get frustrated we know that that's a schedule we're not likely to find again! Also, as employees of the hospital the doctors are not our bosses. Of course working for a hospital you have plenty of "bosses" but at least we're not in a pickle if we should get some doctor who wants to be a tyrant. They can't ask us to stay late, run personal errands, etc. We've been lucky about that (not having a tyrant), but it could certainly happen.
The downside is: well, we work for a hospital. That means we are subject to the regular JCAHO inspections and have to abide by all of their rules. The charts have to be just so; we have to keep relentless logs of our sample medications, keep up with all the required education sent out frequently by the hospital education dept., and on and on and on. That's not really bad, it just means there are some headaches that those in private office don't contend with.
Our floater is there every day; it's a full-time position. She's either taking vital signs and putting patients in rooms for the regular nurses, or helping a regular nurse as we're all very bombarded every day. If she calls in sick it means the regular nurses just run a little faster, lol. She is extremely valuable to us. If a nurse calls in sick, the floater then covers for that nurse's doctor.
You have routine patients that should have scheduled with their PCP; our situtation is patients that situation is very sick patients walking in who should have gone to the ER but absolutely refused to because of what they consider an unreasonable hassle and wait (we sometimes end up taking them there ourselves). And then, just general "walk-ins" who don't think the "by appointment only" policy applies to them. Sometimes I feel like asking "OK, Mrs. Smith, which one of these scheduled patients would you like for me to bump out of their sheduled time since you want to take one of their spots?" Of course I never would say that and we just absorb them.
I like clinic work; I've been it for six years now (I was working inpatient mental health for years prior to that, until the hospital closed our psych dept. due to what they felt was insufficient $$$ coming in from it).\
(and you said YOU tend to go on and on!)
To STNA: If you were applying at my clinic, of course I couldn't ask you this but I would LOVE it if you said on your own "I almost never call in; I have adequate back-up babysitting arrangements so I don't have to call in every time my babysitter can't work; I don't smoke, so you'll never have to hunt for me outside; and I am not "above" doing any task needed (because we are truly a jack of all trades in a clinic- if there's a mess on the floor we get the vacuum, etc., as housekeeping only comes once a day; we might have to take a wheelchair to the parking lot to help bring a patient in, etc.)
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