hello to you all fellow nurses!
I was super excited when I was finally offered an RN job, but I was extremely nervous too. I always thought i would start in a hospital setting, but instead i was offered a job at a doc's office (internal med) where the staff is split right in the middle - 1/2 are vietnamese, 1/2 are spanish-speakers (me = spanish speaker
And right off the first day, i was majorly weirded out.
Ok, so tell me why all the people that give the shots and draw labs and collect samples are called NURSES? I'm the only RN there, the other 2 are Med. assistants, 1 is a phlebotomist, 1 is a CNA working part time here, and 1 doesn't even have a degree in anything related to health care. And get this - that last one - the one with no health care degree - is the one in charge.... what the FLIP!?!?!? Here's the thing - He is the one that is orienting me, when he introduces himself, he says "I am one of the nurses", he draws blood, starts IV's (!!!!!!!), gives meds (almost all are IM injections).....
Am I delusional? While I was in nursing school
(and please feel free to chime in on this one), it was expressed to me in VERY STRONG words that I should NEVER introduce myself as "I'm one of the nurses" but rather "I'm a STUDENT nurse". Every time I charted something, it had to be signes ",SN" not "RN" - why? I thought it was b/c it was illegal to be representing myself as a nurse when in fact I was only a student nurse. Even on this Allnurses forum, I specifically remember that when I chose my username at first, I chose "Sakura_SN" b/c it was in the guidelines that I could not represent myself as an RN until I got the title.
So why is it that in this doc's office it is ok for this gentleman, as well as the other ppl, to represent themselves as nurses???
and most importantly - I am worried that by me, as an RN, being there might put my license in jeopardy. I know that certain advice can't be posted in here, but maybe i can be directed as to where to find info about this.
...... the other less important thing that weirded me out was the Point system. Apparently, when you do something wrong, you get a "point". This point is then sent out to EVERYONE in the office, for example, "Jane doe has received a point b/c she did not key in the right code for the CBC machine". Well now everyone knows what you did wrong. So I asked, well what happens when you get a point? This was the explanation: "You don't want to accumulate too many points, you may get a verbal warning. If you want the point taken away, it may be docked from your pay or YOU MAY BUY THE DOCTOR LUNCH"
Why is it that that explanation made a big siren go off in my head???
ugh... I already hate my job
and I've only been there a week. I have no idea how I am supposed to stick it out for a year (that's my goal - I want to be able to put my experience in a piece of paper and write my ticket elsewhere)
sorry for the long entry
p.s - please don't close my thread - I really do want feed back
Jul 3, '09
Leaving a job after only a VERY short time is not the same thing (and doesn't look nearly as bad) as staying several months and then leaving. When you leave after only a couple of weeks, it is easy to explain that this job was a total misfit.
For example, you could say that when you took the job ... "I didn't realize that I would be the only nurse on duty. When I interviewed an people introduced themselves as nurses, I thought they were really nurses and that I would be one of a team of nurses." Employers will understand why you left and probably not hold it against you. With this economy, many people are being forced to take jobs that they would not otherwise have taken. If you explain that you were looking for a hospital job ... but no one was hiring ... you took the office job thinking there were other nurses there ... etc. etc. .... I believe most decent employers will understand why you left quickly and not hold it against you.
Edit: Upon further reflection ... that thing about buying lunch for the doctors or paying for points out of your paycheck intrigues me. My first reaction was as negatve and "weireded out" as yours was. But when you think about it, they have a point. They are running a business -- a medical business. The only money they take home to their families is the money that is left after all the expenses are deducted from the money that comes in. When people make mistakes, those mistakes take dollars out of their families' incomes. Staff mistakes cause their incomes to be reduced. So, they want the staff to pay them back in the form of money. It's equivalent to asking store cashiers to make up difference when their cash drawers do not match the register tape. I don't necessarily like it ... but it's interesting to think of it from that perspective. As the daughter of a small town physician who only brought home what was left after he paid all his expenses, I appreciate the doctor's side of that situation as well as the staff's.
Last edit by llg on Jul 3, '09