Thanks for shedding some light on this. It does look like a train wreck in motion. Right now patients are being covered by nurses who work in other territories and are helping out until staff are hired and trained. I will be trained by the DON, who also does care and fills in when there is a need. She will be my clinical support person. She seems knowledgeable and capable, but I'm with you. I fear that my lack of skill will come back to bite me later. I know I would do well given enough time, but I have a feeling I'm not going to have the luxury of being fully trained before they turn me loose. I can predict that I will be in many new situations not knowing what I'm doing. I also get a feeling they will hold that against me in the end - finding errors, holding me to a standard I'm not prepared for - and maybe I'm sort of like a place holder for when they can hire a more experienced nurse. And then they'll give me the "you're just not working out" speech.
I'm not too worried about documentation. I'm the odd nurse who likes computers and technology. I started my career in medical records, and I was a medical transcriptionist for 15 years before I went to nursing school
. I'm not kidding myself though. I know there will be a learning curve, but being relaxed when it comes to technology will help me get through it more quickly. And for me, the documentation and paperwork will be my favorite part! I love doing that kind of stuff.
Oh, another thing that they didn't mention in the interview was that they cover a wide territory. So it wouldn't be just driving 20 or 30 miles a day. It could be 100 or more. I would be hard pressed to see all my assigned patients in an 8-hour day.
Your clarification is helping me to see that this is not what I want to do. If I want to be a case manager, then I should keep going until I find a case management position. There are things about this I would like - for example, doing more hands-on skills that I haven't done since nursing school and wouldn't mind getting better at, autonomy to work on my own, no coworkers, no politics, no drama. But I don't think the good points will outweigh the bad stuff - long hours driving, wear and tear on my car, potential for getting in over my head without no one to help me get back out, potential safety issues and having to be in filthy houses with multiple animals and hasn't been cleaned in years. Not to mention the unstable management and the potential for having the whole thing collapse without notice.
I think I'll keep looking. Thanks for your input.