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- May 7, '12 by NoviceRN10I don't know why the previous responders are thinking public health nursing = home care, I didn't take it to be that. I am assuming it's more of a health department or maybe clinic type job. I would stay a year in your acute care setting. I didn't realize when I began my first RN position that the one I was leaving as a nurse tech (student) after only 11 months would cause a snag for all the positions I apply for now that ask for minimum one year experience. Didn't think anything of it and now I am bummed I didn't stay at least another month (was working contingent and could have). I hope that you find a new position that suits you better than med-surge, it isn't an easy floor to work, especially days.
- May 7, '12 by prettymicaStay at least a year.. and always PRN if you can.. Also once you get report you should make a list of what you need to do for each patient so you can check off as you go.. That helped me alot while I was working in LTC. I work home health not public health and the paperwork is a lot and i am weekend baylor. I also work Hospice PRN(but i have a daily schedule) but once I put this on my application I have 2.5 years of LTC and 2.5 Years of hospice, and I will also have about 2 years of home health after I grad with my RN. That looks like i am more stable that just saying 10 months. Also I have held these job all at the same time.. I don't think they ask if i was PRN or weekend or not. My one year of LTC, earned me a spot at hospice, my one year of hospice earned me a spot in home health so it does come togetherLast edit by prettymica on May 7, '12 : Reason: more info
- May 10, '12 by not.done.yetIf you stay with acute care per diem I think you will be fine.
- May 11, '12 by DEgalRNThanks for all the advice everyone! While I feel that staying a full year would be most beneficial, I've decided that I can't wait if there is a job that I think I'll love. (And I truly believe that about this public health job.) Who knows when this opportunity will present itself again, right?
Luckily, I am able to finish out my current schedule with my employer before moving to my new position. Which puts me at a little over 11 months full-time. Yes, I know, so close to that 1 year mark, but the new job can't wait. But, I'll stay on PRN and keep those acute care skills fresh.
Again, thank you all for the advice. I did a lot of soul searching, and really feel this is the best idea for me.
- Jul 9, '12 by GoNavyHopefulRNI can appreciate your concerns and I feel like you were me four years ago. Like you, I left the floor to go into PHN'ing largely because my hubs was deploying and we had a small child at that time. Had I stuck with floor nursing for a few more months, I would've been more marketable. It's tough not being able to get back on the floor. As far as skills, I don't use any of it and it bothers me. On the other hand, it has forced me to exercise sound judgement because it's extremely autonomous. I wish I was able to have a full year of floor experience before going into public health. Many counties are heading towards evidence-based home visiting programs. What that should mean to you is heavy administrative work. You must be able to prove your worth via paperwork to quantify something that's not happening. I feel like a paper pusher many times. It's frustrating. Most programs are MCAH-focused which means young gals who need a lot of encouragement (aka hand holding as some call it). You wear many hats as a PHN. You are a nurse, a counselor, a social worker, an educator, a mandated reporter, a detective, and a road warrior (lots of driving). There is a huge pay cut as well. I've focused my career on celebrating the little successes in the lives of these women. They are few and far in between, but a PHN has to keep motivated and optimistic some how. I am assigned to an urban area and it's unsafe. Know what you're getting into and ask yourself if it's a good fit! Good luck. I love being a PHN but it truly is a unique challenge if you're up to it!