I miss floor nursing...I think?

Nurses General Nursing

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Hi,

I started as a new grad on a CVICU step down unit and stayed there about 2 years. The floor went through a lot of changes while I was there as many floors do. Our manager left and after that many people started to leave. We had an interim manager but they ended up not taking the job. So we as the staff felt like no one wanted us. We ultimately had to "fend for ourselves". There were days where we had 5 patients with no techs, most of the patients with multiple drains (chest tubes, NG tubes, abdominal drains, etc.) with cardiac drips, insulin drips. With no support from a manager we had to support and help each other.

After working in that environment about 6 months, I got burnt out. I decided to take a job as an oncology clinical research nurse M-F no weekends or holidays. I thought I would love it! Well that ended up not being the case. After being here about 4 months, I am pretty bored! It is pretty much all paper work and rarely patient interaction.

I think back to the floor and I miss it. I never thought I would say that, but I do. I miss the rush, I miss the patient interaction and feeling like you made a difference in that patient's life. I often think back to working on the floor and wish I never left. Should I go back or should I hang in here and see what happens? I don't like the idea of working weekends and holidays again but I would rather do that than not make a difference in a patient's life.

Specializes in Med-Tele; ED; ICU.
a job as an oncology clinical research nurse

Which I personally would hate... though floor nursing would also suck for me.

I'd hang tight for awhile and keep your eyes open.

The per diem suggestion proffered by a previous poster is a good one, and a way to keep your clinical skills current.

Too long away from the bedside and it can be a challenge to get back.

Specializes in Developmental Disabilites,.

I went back to floor nursing after having a desk job. For me, I was bored and lonely in the office. Now I am very happy being surrounded by other nurses, staff, and interesting patients.

Is there any way you can pick up ECB or PRN shifts and go part time w/ onc?

That way you could get the best of both worlds.

If you are bored with clinical research in oncology but are happy with the schedule, I would highly suggest applying for an infusion heme/med onc rn position. You keep busy and have (what I think) is more meaningful interactions with patients in comparison to inpatient. You get to know the patients, not just their disease process or Tx schedule but on a personal level. The patients trust and usually adore and appreciate the infusion Nurses, making the job that much more rewarding.

Specializes in med-surg, med oncology, hospice.

Think back on your nursing education-what clinicals did you enjoy? Is your position where you are at, at the same hospital where you worked in the CVICU? If so, then you have some seniority going for you. Talk to the nurses where you did work. Do they have a manager there now that they like and support them? If not, what other nursing floors have a stable environment (more-or-less)? Every floor has its ups and downs,but the bad parts pass. I worked the same floor (adult medical with a bit of everything else thrown in) for 36 years. If its tolerable, than its a matter of outlasting the problem. Be a float pool nurse and get a chance to try different floors. Though I was assigned to the medical floor, I was floated enough to see/experience the other floors. If not adult medical, I would have chosen pediatrics. I don't like surgery-to me it was a matter of cutting out what's wrong and patching them up. See what you like as far as the nurse manager goes, the type of patients that you would bee working with, and if the nurses who work the floor work as a team. If the shift is one from h---, and everyone is working as a team, then one can survive almost anything. As far as working M-F and weekends, sure every one starts at the bottom of the totem pole. But as you gain seniority on that floor, then you can work more decent days/shifts with most people who do the scheduling. The one's I worked with favored seniority. They felt it was one benefit they could give to their nurses and felt everyone needed to pay their dues. But with vacations and holidays, everyone needs to work their share of unpleasant shifts to be fair. I LOVED medical nursing. The patient is not just their admitting dx. Because many problems are chronic or based on personal habits, one works with the same patients several times over the course of their lifetime-and you really get to know them as people. Well, I have said enough. I hope I at least mentioned one idea that either comforted you or gave you a new direction to seek.

Girl I could have written this post myself. I left the floor 6 months ago to pursue case management. Mon-fri , no nights weekends or holidays. Well I miss the bedside and asked my old boss of I can come back. People think I'm crazy but like you I miss the rush , and patient contact. I'm so bored and often find myself falling asleep at my desk. I also miss the 3 day work week. So I'm hoping to get back soon. I just don't think I'm ready to hang up my stethoscope just yet.

Wow! I am going through the exact same thing. I went into Case Management thinking I was done from the floor for good...but I was wrong. I am extremely bored and miss patient care terribly. I called my old manager to ask for my job back.

Specializes in Childbirth Educator, Birth Doula.

Oooo... LORDY. I am literally right on the other side of this right now. Took a clinic job in the facility I'm in to get off the floor and night shift and it was NOT a good fit. I was not challenged by the clinic environment at all.

I came back to the floor full time and am now orienting in the ED (I'm in a critical access facility with a rural health clinic attached and these lateral transfers are easy in such a small facility). I can't believe I missed the floor and I don't see myself here forever but I definitely did not know what I had until I was gone!

i would beg, borrow, and steal then to go back to floor nursing. LOL..

Specializes in Ambulatory Case Management, Clinic, Psychiatry.

I would stick it out at least a few more months while picking up per diem shifts. What about going back to a similar unit, but perhaps one that wasn't so understaffed/hectic? Either in your facility or another? Also like the idea of hem/onc infusion nurse.

I just *love* hearing Brits talk... We rebels just don't use your language with the beauty and nuance that y'all do.

You're very charitable! I'm hardly 'BBC Newsreader' material, though.

If you want to hear my regional accent, have a listen to Liam Cunningham (Ser Davos) on 'Game of Thrones'.

Thank you all for your responses. After speaking with some former coworkers that still work on the floor they said a new manager is being hired. She is very enthusiastic about supporting the unit and building it up to where it once was. Also, they have hired more nurses so they aren't as short staffed. But they do not have many techs hired yet. I am leaning towards going back, I would rather continue there and continue to learn what I can. Instead of starting somewhere new on nightshift. I feel like that is where my heart is, even though there are bad/stressful days at least I was making a different in a patient's life. I will need to find the good parts of the job and focus on that instead of finding the bad parts, because every job has its downfalls. I appreciate all of your responses.

I've decided this week I'm going back to the bedside and I can't wait. Just put my notice in ! Going back to what I love which is being a bedside nurse. I know that I'll miss the holidays and weekend off but that's okay. I'll also have crazy busy days but I'm crazy enough to actually love it all .

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