My Reasons For Avoiding The Acute Care Hospital - page 3

by TheCommuter Asst. Admin

19,683 Views | 56 Comments

I’ve been asked the same question by members of Allnurses.com, real-life coworkers, and even some of my own family members: “Why aren’t you interested in working at a major hospital?” My relatively short nursing career... Read More


  1. 2
    Great discussion of career choices.

    In the end, you don't owe anyone an explanation for doing the work you enjoy doing.
    tinderbox and TheCommuter like this.
  2. 2
    I've had ICU nurses tell me that they couldn't imagine the stress of taking 8 patients on the floor. Simultaneously I have nurses who are terrible if ever pulled to the units. I have found that I'm not sure where my passion is yet, but I've been blessed with a job where I love my coworkers and get to float around frequently and experience new specialties. I love talking to other nurses and hearing about where they've been and what specialties were their favorites.
  3. 3
    I have worked at 2 major hospitals in my area and they have been the worst jobs I have had as a RN. We need to listen more to ourselves and not to other people's opinions of what we should do. I have been guilty of this in the past and they were bad experiences. Great thread to read.
    LoveToHike, joanna73, and TheCommuter like this.
  4. 1
    I applaud you for your choice and for standing up for it. I wish you well and find fulfillment in what you do as a nurse.
    TheCommuter likes this.
  5. 1
    You totally renewed my faith in the nursing field with that article!!! I myself am a relatively new nurse (will be three years post boards this August), and I feel I could have written that article as well!!! I bounced around different fields post college, but after earning my degree in developmental disabilities, I took a job as a caregiver for a group home of about 12 senior's with varying types of MR/psychiatric and behavioral issues. After about a year there, I was put in a class to be a "medication associate"...and that is where the bug hit. After getting married, moving to Pa, and working in an assisted living facility for 3 years, I decided to go back to nursing school...I was ready, mature, and knew this is what I wanted (and my company paid the WHOLE thing, included my liscence and boards).

    But long story semi short, I work in a locked down alzheimers/dementia unit. 80 residents all with varying stages but all diagnosed Alzheimers, including a handful on hospice services. It's assisted living...so we are not even close to even being at a skilled level (though...that is the direction we are heading with some new admits!!) but anyway...If I had a nickel for every person who scoffed at me, who told me that I was "throwing away my career"...I wouldn't have to work anymore!!! Here's the long and short of it...I'm happy!!! I did the whole surgery/catheters/blood draw "ohhh this is super cool" stuff in nursing school. If I have never have to flush a line or do PICC line care again, am I going to regret it for the rest of my life?? No. What I would regret is time with my residents. I have 80 grandmoms and grandpaps who may not recognize me everyday....but get me thru my day with a hug and and I Love You. yeah, i have the crazy families who get on my nerves...but the time to bond with them to the point that I had a family bring me thanksgiving dinner after finding out I couldn't travel home to see my family on the holiday. I work for a smallish company but that has great pay, amazzzing benefits, and GUARANTEED every other weekend and every other holiday off....yeah. In healthcare. On most nights I have two MA's to cover the med cart so I can get charting and what not done..and actually oversee the care of my patients (imagine that!!!)

    So I agree with the article...It takes all type of nurses to make the world go round!!!
    TheCommuter likes this.
  6. 2
    It has been 20 years since I graduated nursing school. I had worked the previous 10 years prior to becoming a nurse in hospitals. I am thrilled to have missed out on the whole acute care thing.
    joanna73 and TheCommuter like this.
  7. 4
    The future of healthcare is moving away from inpatient acute care and more toward outpatient procedures and home health. And as healthcare changes and evolves, nursing schools really need to stop pushing acute care nursing so hard. I think that's why so many new grads come out of school thinking they have to work in a hospital.
    sublimeaurora, joanna73, itsmejuli, and 1 other like this.
  8. 2
    worked 1 year in med surg, then 15 yrs in family practice, and now 11 yrs as a school nurse. Much prefer family practice and school nursing.
    joanna73 and TheCommuter like this.
  9. 2
    When I was in nursing school all I wanted to do get licensed and apply for acute care positions. Now that I am working in acute care all I can think about is how to advance my career beyond what I am doing now. I like my back, knees, and sanity but I also feel pressure to maintain an acute care position for future opportunities. In your case, I don't believe acute care experience is necessary for WHNP or FNP (which I looking into) so don't be like me and beat yourself up.
    joanna73 and TheCommuter like this.
  10. 3
    I can't disagree with this sentiment. I was an EMT before becoming an RN and I have to say I can't believe all the drama the joint commission brings to bedside nursing. For example, the drama with the glucometer. Its over the top!

    More and more, I think about leaving for grad school and a private practice where I eat lunch, work at a steady pace and don't have someone "watching me" all the time, whether it be handwashing or chart auditing.
    Marisette, joanna73, and TheCommuter like this.


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