Is Phys. Office nursing "Really Nursing"? - page 4
I am going through school with a friend, (we are taking our pre-req's together), and I happened to mention that I was interested in working in a Physicians office. To which she said, " I don't... Read More
May 10, '07"But, I had an interview with a young doctor today and although it will be a paycut, I do like the no weekends, no holidays, 8 to 9 hour days. I just don't know what to do. I am in my late 30's and my kids are still fairly young. I feel like I need to make a change for better hours, but the pay is the big thing right now. I also feel like I will loose my skills. I planned to stay on at my current hospital as contingent if they'd let me. I guess I am afraid of making a change that I won't like; or that won't be what I wanted. I just don't know what to do.[/QUOTE]
one of my classmates was in your predicament and decided to go straight on to the OR. have you considered procedure areas in your hospital, like endoscopy, same day surgery, interventional radiology...? the pay in these areas seem comparable to traditional units with better hours.
Aug 12, '07well, maybe if she knew that one day you are going along doing a "routine" exam on a patient and in walks a 72 year old that has been out picking blackberries and got into a nest a yellowjackets. Forgot his Epi pen and he is the color of this background that I am typing on. He proceeds to code and.....hey that's when you have to change gears and put those "not really nursing" skills to use. BTW, he made it, thankfully but in an office, you never know who will walk in. You always have to have your skills honed......best to you.
Sep 5, '07I am a new graduate who has a job offer at an adult outpatient pulmonary clinic at a very prestigious medical institution that focuses on ambulatory care and sees patients from all over the country. I also have an offer to do a new graduate program at a step-down unit in a hospital working nights. I plan on going to graduate school to become an FNP next fall. Since in the long run I plan on being an FNP in an office anyways, would the clinic be so bad (no nights, holidays or weekends)? I am worried about working at this hospital because I know they have to use a lot of traveling nurses so does this mean they have a high turnover with employees? This clinic on the other hand sounds like a great place to work. What should I do??? I know I will lose skills like IV, catheter placement, treatments, etc. but as an FNP I don't think I will use those skills anyway. Any advice would be great!
Sep 5, '07Hi, I too want to get my FNP. But for now I am still getting my ADN. (have been an LPN for 23 years.) Look, bottom line, there is no rule that says all new grads have to work nights. Also I will tell you IF the docs. at the office are worth a hoot, you will learn a lot. I say take the office job-if the pay/bennies are acceptable. Let me know. Email me!
Sep 11, '07Office nusing allowed mE to really distinguish between pt's and really sick patients. GREAT EXPERIENCE!
Sep 15, '07Quote from sharona97I have been an adult medicine nurse in a community health center for 3 weeks now. I must say so far it has been really great. True you don't do trach care, tube feeds, IV meds, monitor gpegs drains, foleys...all inpatient stuff, that I did in school and assisted as a tech for 2 years. Do I miss it....sometimes but realize nursing is not only about that. and there's quite a bit that I do not miss....eg the smells, lifting pts, bedpans, enemas, bladder irrigations, pt on go-lytely......Office nusing allowed mE to really distinguish between pt's and really sick patients. GREAT EXPERIENCE!
remember the prioritizing questions on Nclex RN......I have to employ this everyday...who patient do we see first?...which phone call do I return first....?
alot of autonomy.
we do lots of shots....immunizations, shots for std's, TB plants, Nurse visits...for employment shots and screens, TB reads, and people who have to have injections who can't do it themselves, ear irrigations which is yeuky....oh well. Lots of med refills, teaching for newly diagnosed problems.....I also have to do Peds on the one evening I do. not fond of this.....I love kids too much and hate when they cry as they are given shots...
I love that there are no nights and weekends, 11 paid holidays and 3wks vac.........my hours are 9-5 and 12-8 on my evening. my start pay is $26 per hour but I am salaried. So I get the same check bi-weekly. no overtime.
I may later on get a per diem in a sub-acute setting just like maybe one weekend a month to maintain inpatient skills.
Sep 15, '07I agree ,there are skills lost in office nursing. I think it depends on where you work, which department subugates you to different skill types. When I've worked for a surgeon, I did pull drains, When I worked peds sometimes I had to cath the pt, etc.etc. The day is long and at times pretty much the regular physical type of day. I worked hard and long and enjoyed my weekends off. I thank the poster who disagreed about it's ok to hire people off the streets to do this job. We all work hard and families should come first , I say this because I put my career first and had a latch-key kid who called mom QD at 3:30. Now I regret staying there at the office until 6:30 instead of being home with him. But that's just me. I am working towards the LPN-RN bridge program, and I'm taking my time. What's meant to be, will be.Last edit by sharona97 on Sep 15, '07 : Reason: grammar
Dec 5, '07I vote for "nursing is nursing"...
And to answer your question, I'd say it depends on what office you work in. If you work for a GP, then you may not get that excitement you're craving, but there is still a boatload of specialty tasks and other things you will be doing and learning.
Now, around these parts, I don't think I've ever seen an RN in a GP's office. It's usually LPN's, EMT's or MA's.
Most RN's here work for specialists... cardiologist, pulmonologist, neurologist, etc.
Pay is about the same as new grad in the hospital.
The difference is, working for specialist here, you'll be expected to hit the hospitals first thing in the AM, pre-round for the docs/pa-c's and pretty much be the right hand person... write up the verbal orders/vent weanings, etc, standard/sop orders you've been taught to do for certain patient types and such. Most docs train/allow minor procedures like arterial line insertion and what not, and you're fully expected to be available to assist/suture/wrap up any central line insertions or similar tasks.
Office time is usually only about 2 days per week when the docs do office hours.
Basically your job is to pick up the slack, get the day's ball rolling and keep the flow going so the docs don't have to start at zero when they come in to round on their patients. You have 8 hours a day to get it done and usually there is not much expected in the way of overtime or working ones self to death.
It's a great job to work while pursuing your practitioner degree as it's darn near that kind of job. That's what most RN's do here and they end up NP's still working for the same doc and paid accordingly.
I'm really considering it myself... hours, days, holidays, no weekends... sounds right nice!
Dec 16, '07Well who ever thinks office nursing isn't "nursing" is out of there minds. I am a former cardiac/post open heart nurse who now works in a a family practice office. I feel like i am a more rounded nurse now since working in this office. I get the joy of working with peds,ob/gyn, young and older adults. Yes it is very different from working at the bedside, the stress levels are different, but i can say it is the best decision i have ever made! I do suggest working in an hospital before going to an office just b/c it will help develop your critical thinking skills and give experience with dealing with different diseases/conditions.
Dec 18, '07I'm still in school and since the moment I decided to become a nurse I've never pictured myself in a hospital setting. I'm really interested in patient education and I like the interaction that nurses are able to have with patients in an office.
Last year when I was in the hospital in labor with my son I asked my nurse if she would ever consider office nursing. Her comment was something to the effect, "If I want to be bored all day..." and that has just made me so nervous ever since.
This thread has made me feel so much better about things.
Dec 18, '07When I worked for a group of Cardiologists in their stress lab in the office I started IV's everyday. There a many skills in office nursing. There are many times folks walked into our office and the hospital was across the street and they were having an MI.
So for the nurse who feel they may be bored working in an office setting may be judging the hospital environmrnt to an unknown office environment. There is a difference but there is still a great need of nurses quick on their feet and quick witted. There ia a need for prioritizing at times.Last edit by sharona97 on Dec 18, '07 : Reason: me
Dec 19, '07My experience includes work as an MA (cardiology/pediatrics office), then nursing in nursing home, home health, ambulatory care, family practice, neurology office. No med surge but think in retrospect it would have been the most efficient way to develop nursing skills, apply nursing and fully understand its unique role as compared to other medical roles eg Medical Assistant (MAs), advanced degrees, etc. I find it challenging in office settings because many (MA's and even docs) do not fully understand the nursing role; applying the scientific process with skills of assessment, documentation (and having the knowledge and understanding of its legal importance), education, follow-up, etc., and also having the opportunity to create and build programs that benefit the patient and the organization is what has ultimately earned me respect and set my nursing duties apart from duties of MAs, LPNs, etc. In an office setting, there is much responsibility for oversight of subordinates and setting an example, for clinical skills, communication (particularly documentation), patient education and interaction and customer service, etc. Nurses are greatly under utilized in the office setting, particularly since that is where the diagnoses begins, but where patient education should also be readily available at the outset (the doc's just don't have the time).