Am I making a mistake not taking MedSurg position? - page 2

This is a nice dilemma to be in but right now it is stressing me out! I have worked for a year in a corrections facility and I really enjoy it very much. No full time position was available as I... Read More

  1. Visit  ProfRN4 profile page
    1
    Isn't it great to have options? What exactly do you do in corrections now?

    Regarding bridge-burning, as long as you have done well in your corrections job thus far, I can't imagine that you'd be leaving on bad terms. Do your best to keep in contact with some of those people; leave a door open, if you will. My opinion is that your corrections' experience will be beneficial on the floors. You must possess some great communication skills, and have the ability to handle difficult situations --> Med Surg should be a breeze!!
    dalgal likes this.
  2. Visit  Ruthfarmer profile page
    3
    Quote from dalgal
    Yes, often that's true...unfortunately where I live is so rural that everyone knows (or is related to) everyone else so moves have to be made as to not make waves...
    Whether it's rural or not is not an issue. Everybody knowing everybody is not really an issue. Make your choices and be gracious. Whether you leave corrections or decline a med surg offer, thank the supervisor for the opportunity, and tell them that at this time you have have considered all the options available to you and that at this time you have to leave or decline the offer. If you want to mention that the path you're taking seems a better fit for you or will further develop your skill set or will help you meet your career goals, you can.

    Do your best work, be gracious, then stand back and let other people own their own responses or feelings. Don't embrace fear and worry and trepidation about how other folks will respond. If they are reasonable people they will be glad to see you do what's best for you. If they are unreasonable, then nothing will please them. Some people would complain if you hung them with a new rope. You can't cater to other people's ideas about YOUR life and career. You have to do what's right for you.
    timmedico, dalgal, and SHGR like this.
  3. Visit  sauconyrunner profile page
    4
    I would take the Med Surg job. You can easily explain to your corrections people that you would like to gain acute care experience, and then possibly return. No bridges burnt at all....they will understand. Problem with working in Correction first is that you may never get another opportunity to get your foot in the door for hospital work. I have a friend who had a ton of SNF and corrections experience. about 5 years, and no hospital will look at her. It's sad, but true.
    timmedico, fromtheseaRN, dalgal, and 1 other like this.
  4. Visit  Fiona59 profile page
    1
    Take the med-surg. It will consolidate your basic skills.
    dalgal likes this.
  5. Visit  rninme profile page
    5
    Stay in corrections especially if you like your job there. You have no guarantee that you will like Med-Surg and it can be a tough place to work. If possible why not stay where you are and pick up some PRN time at the hospital? Rather than leaping without actually knowing what you are getting into, you will have some idea of what life on Med-Surg is about. Best of luck to you whatever your choice!!
  6. Visit  LynnLRN profile page
    1
    I feel like dialysis likes people who have acute care experience since acute thing can happen, so med-surg might better fit that goal.
    dalgal likes this.
  7. Visit  SHGR profile page
    4
    If you love corrections, what's wrong with staying there? Just because "some people" think you need to start out in med-surg doesn't need that nurses do, or that you do. In corrections you develop people skills, management skills, time management, and see all the chronic conditions you want! Your assessment skills have to be top-notch, no?

    Ah, to be stuck between two good choices. Don't feel guilty if you choose corrections. Turning down a job offer is not burning a bridge, especially now when there are so many applicants.
    timmedico, Ruthfarmer, KimberlyRN89, and 1 other like this.
  8. Visit  RNGriffin profile page
    1
    Do you have tenure at the corrections facility? How does the pay and hours compare?
    These types of questions baffle me. Only you know where you would like to be in your life, what specialty you would like to work in, and what your schedule permits. If you have time invested in the corrections facility, weigh the pros & cons of actually moving into a nursing position. If you are interested in entering the private sector arena, you may want to weigh the pros of the med-surg unit.
    Your call.
    timmedico likes this.
  9. Visit  TerpGal02 profile page
    1
    I took my first job at a community mental health agency. Was I worried about getting pigeonholed by taking this job? Sure but it was the job I was offered in a really tight market and I LOVE psych nursing. I am finding I really like being in the community too.
    dalgal likes this.
  10. Visit  Jennilady1977 profile page
    1
    Congrats! Both jobs sound good, but coming from a med/surg nurse- I think I needed that time in med surg to fine tune my skills and assessment capabilities. You see so many health problems in med/surg that you learn so so much. Which ever you choose, I am sure you will do fine.

    It is amazing that you have found the job in the field you want to be in. Personally I'd probably go that route, but there are some big advantages to starting out on med/surg.
    timmedico likes this.
  11. Visit  paddlelady profile page
    2
    You are a brave person to work corrections and I applaud you for that. I think if that makes you happy go for it. You will get some very solid experience and will be making critical decisions just as you would med-surg.
    Go with your heart and you will be happy.
    SHGR and dalgal like this.
  12. Visit  cav5 profile page
    1
    I would say take the job that makes you happy. I have never worked med surg and am fine with that. I did do ICU and so I know cardiac, respiratory and those type of things very well. I learned a lot about those specific patients and skill sets. I would have a hard first year on a med sure floor but I don't plan on working on a med surg floor so that is OK. I had a hard first year as a school nurse as that is a different skill set but now I know those things really well. I think you need to look at where you want to go and learn that skill set. If you choose to change jobs then know that you will beging anew and have to learn that skill set as well. Med surg is a nice all around start-I am not saying that at all. However, I don't think that you have to start out as a med surg nurse to be a better nurse at other jobs. I do think a few people brought up the good point that if you want hospital nursing then you might want to start out at the hospital. However, if you love corrections nursing and think that is your path then I say go for it. I know that paths aren't always straight and we rarely end up where we thought were were going but it sounds like you might have found your niche and that is a good thing. The other good point somebody else brought up were your pay and hours-sometimes those things get forgotten and become really important really fast. Good luck on whatever you choose!
    SHGR likes this.
  13. Visit  240zRN profile page
    2
    Don't be scared into thinking med surg is the *best* place to learn. It is my understanding that regardless of where you work, you will need to learn the physiological patient population. Some med surge units do more ortho, some are more geriatric, some are more post-op, some are more LTC transfers, some are more respiratory. Don't be sold on the concept that med surg will expose you to the most, therefore you will be better off skills/knowledge wise. I honestly think corrections will build your ability to be autonomous and take ownership for your learning and assessment/psychomotor skills; which will inevitably contribute to later success on any unit/environment you find yourself in. I have seen seasoned ICU nurses struggle in other ICU's simply because the patient population is different. Neuro, Cardiac, Respiratory, Trauma...all different. All units, even if they sound the same, are not--so some med/surg experience is not the end-all answer to building strong foundations in nursing. I know of a new ICU nurse that is sailing and all he has is 3 years of hospice experience; I also know of a struggling ICU nurse with more than 5 years of med/surg experience.

    I hate the concept that some nursing jobs pigeon-hole a person into certain fields. It perpetuates the stereotype that nurses are stupid. I don't see why a peds nurse cant do corrections for a while, then play in the ED, then do public health, and come back and do ICU.

    Whoever mentioned that there is a nurse with only corrections experience and SNF experience being snubbed by hospitals. I know of a corrections nurse who went straight into the ED, and around here--SNF/LTC nurses are loved by med surg hiring managers.

    DO WHAT WILL BOTH MAKE YOU HAPPY AND BETTER CONTRIBUTE TO YOUR CAREER GOALS. I almost made the mistake of taking a meg surg/job as a new grad thinking it was "whats best for me." Glad I didn't!
    Ruthfarmer and SHGR like this.


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