Need Career Advice

Nurses General Nursing

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I am at a turning point right now in which I need some career advice. It's a convoluted story so let me try and explain it clearly.

Right now, I work in a clinic. I have been there full time now for a year and 3 months. I am part of the Internal Medicine department, and what I do, all day, is handle all the medication refill requests, samples, etc for the 20 physicians within that department. It's M-F, no weekends, no holidays, no call. I am also involved in the clinic by teaching patient asthma classes, and publish our phone statistics for the Physician Work Groups. I also LOVE my co-workers, and adore my immediate co-worker, who does the same thing I do. We both handle the medication refills.

I also go to graduate school full time; the college I am attending is 5 minutes away from work, and my manager allows me flexible scheduling to accomodate my class schedule in the evenings.

What has happened, recently, was a dramatic change in our department with the telephone nurses (which includes me). My partner and I have relocated our offices to the clinic Infusion Room, where we will be expected now to also assist with the clinic's infusion/injection needs. This includes patients from geriatric to pediatric. The other nurses who were there in our spot, were Travel Nurses, who handled all the foreign travel immunizations/counseling for patients. They got relocated to OUR old office, which we shared with 2 other nurses who did a completely different job. There is much dissention; we are not wanted in the Infusion Room, and the other nurses are upset that they have to work where we used to; they don't like our roommates, basically. So there is this big rift down the middle of our department, and it's really horrible right now. I don't want to do infusions and neither does my co-worker. We took the jobs we have to get away from patient care. Also, my only clinical experience is obstetrics. To suddenly have to hydrate a CHFer in fluid overload is very disturbing to me.

Well....there is a position open within the clinic; an educator role who is basically in charge of training new staff. This is somewhat in line with what I am going to school for: to be a nurse educator. The pay is about $2/hour more than I make now, is salaried, and expected weekend on call to support physicians who use our electronic charting system.

I also have a interview with our Medical College as a Research Nurse in the Birth Defects Center. I don't have experience as a research nurse, and I don't know the pay, but the Medical College here is very prestigious and tough to get in to; I hear nurses are happy there. I also have obstetrical background so this is definitely in line with my clinical experience/interests.

My dilemma is that, changing jobs, especially to something intellectually challenging like the research position might be tough to do during school. Also, I really, really love my co-worker at the clinic. I adore her, and don't want to leave her. Working with her is the most pleasant thing I have ever encountered. Also, my clinic job is very conducive for finishing school; it's not intellectually demanding and I am comfortable there. So, I guess, I don't know what I should do. I don't know if now is the time to make such a move. I DO know that both the research and the educator position within the clinic would be good career moves, but I am unsure if I am ready to make such a move, but they are very good opportunities; especially the research position.

I am very confused. The reason I was looking for a job because of the changes within the department, as well as other unsettling future type things going on. \

Please help.

:confused:

Specializes in LDRP; Education.

Well, I had my interview today with the Nursing Exec for the clinic educator role. I found out a bit more about the position, and, my gut feeling right now is I'm not so certain I'd want it.

The main thing that turned me off was that the main area of support related to this job is with our electronic charting system, and THIS is because our Helpless Desk has never been trained on our electronic charting system and therefore can not support our staff when they call. So, as an educator, I would be performing Information System functions without the penefit of Information Systems pay.

If the role was more staff development, I might be more inclined. But so far it's work station support, then comes new hire orientation, and then being a CPR instructor and organizing classes. First of all, I hate CPR and I certainly don't want to be an instructor.

The good thing about this job is that it's within the same organization and I wouldn't lose my tuition reimbursement that I have coming at the end of fall term. If I quit before then, that expense is out of pocket and I've since amended my student loan to reflect that reimbursement. The other good thing is it isn't patient care, it's a "leadership" position with 4 weeks vacation and the hours seem flexible.

My interview with the Medical College is on Thursday.

Susy, what are your first word that comes to your head gut instincts telling you? Which one do you want?

Heather

Hi Suzy,

I'm new 'round here. Its nice to talk to you. I've read your dilemma and find it ineresting. I've worked in education before and enjoyed it for a period of time. The repetitive nature of the job was why I decided to go a different direction. But I did enjoy it for a while. I think that I would find research interesting for a while as well. But the same repetitive risk is there as well. What distresses me the most about what you have said is that management made decisions that affected you without your imput. This happens in my organization as well. I enjoy my job and coworkers very much. But the way decisions are made can really upset me. Look for those opportunities and as OBNURSEHEATHER said, trust your gut instincts. We nurses have developed great gut instincts but don't always listen to them.

I would prefer the research position my self. It would be much more stimulating. It does however require usually some pt. contact. Usually blood draws, IM injections, vaccines depending on the project. Mostly though it's a whole lotta paperwork. I know some research nurses and they really love it.

However sounds like the educator role may be more condusive to finishing school.

Let us know how the Medical college interview goes and best of luck with whatever you decide.

Specializes in Clinical Research, Oncology, HIV, ENT.

1. Your co-worker/friend is a really bad reason to stay at any job.

2. If you're almost finished school and the schedule works for you strategically it's probably best to stay put.

3. If tuition reimbursement is a major issue and you're almost finished school, you should stay put.

4. I would assume that since education is what you are studying then education is what you want to do and that upon graduation you will want to find a position utilizing your new degree. Are you going to take a new job only to go looking for one in education in 6 months? Not a good career move. I personally think that education limits your opportunities. But I don't know alot about it and it could be that it's not what I want to do, so I'm biased against it.

5. Research can open endless opportunities to you. Again, I'm biased towards it. In my opinion, working for a physician as a research coordinator is a dead end job. I've done it. You can only get so far and that's it. HOWEVER, the expereince that you can acquire as a research coordinator can present you with the opportunities to move into other areas.

I work in biopharmaceutical research for a biotech company. I have no patient contact. I work M-F 9-5. Travel is usually a requirement, but fortunately, I've done my time in that area and only travel when I want to now. Travel may sound like fun, but when you're flying 200,000 miles a year, on 6 planes a week, have been everywhere and seen everything it gets old real fast. I now manage a staff of clinical research associates (the people who do all the travel) and manage the clinical drug development program. I can also guarantee you that the money in the pharmaceutical industry is significantly better than any bedside nurses salary. Once you have experience in industry you can go Independent and become a consultant which is very common and very lucrative.

You can also get into public health research, NIH funded research, epidemiology, CDC, etc.

Given all this, research, also, is not for everyone. It can be boring and tedius at times. There is also lots of politics involved.

I think you need to take the following into consideration:

How much longer you will be in school

Financial aspects of losing tuition reimbursement

Your ultimate career goals.

All this...just my lowly opinion.

Specializes in LDRP; Education.

ResearchRN, and others,

Thanks for the advice.

In reflecting on my goals, etc, I guess I like the mininal to no patient care piece. When I came to the clinic initially, I did so to get a normal life back. The hospital was unsafe. I enjoyed and will always enjoy labor and delivery, and that is the only patient care I like - nothing else. Which is why the changes here in my current job, that now have me pushing solumedrol, lasix IV, etc when I have no medical-surgical experience is very, very, VERY uncomfortable for me.

With regards to my school; whether I go into research or education I feel my MSN will get utilized, even if it's a leg up for an interview, and I firmly believe that knowledge is never wasted. While my program is an MSN in Nursing Education, the Master's degree itself can be used elsewhere. I have seen jobs that are writing/reviewing NCLEX questions, that require "a" Master's degree. So I feel that even if I don't go the education route, it will still be used.

Truthfully, I have always been interested in research, but thought it was too difficult for me. I am not math inclined at all, and don't like drawing blood, etc. I like minimal patient contact. The only patient contact I would welcome is obstetrical. I guess I should find a job related to that.

When I started school, my thought was to work here, where I'm at until I graduate, find a job at a university, get on the professor track, and have the university pay for my PhD. education. But there ARE other options. The MSN will only open more doors for me, I think, rather than limit me.

Time will tell.

Specializes in LDRP; Education.

Ok, for all those interested parties.....:D

I had my interview with the Medical College on Thursday night.

First of all, I have never been to the Medical College before but let me say it is truly a beautiful, beautiful facility. The woodwork, the mahogany, the gorgeous library! Ok, anyway....;)

I interviewed with the physician who is running the study; she is a neonatologist originally from Detroit. The study is funded by an NIH grant; the goal is to study 7,000 African American women and their babies and to look at the environmental factors which contribute to birth defects. The study is anticipated to run for 7 years, and even when it is complete, the MD assured me that I will have a job at the College for as long as I want to be there.

My job, along with 2 other RNs who work for her, are to work with a particular L&D unit in our city and coordinate obtaining blood and urine samples from prospective women, as well as gain support from the OBs and their office, as well as coordinate how to have the L&D nurses inform us when one of our babies has been born. We collect the data, input it into a database, and manage that, report our findings to the doc. There would be minimal patient contact; perhaps drawing blood samples, obtaining urines, taking health histories, and otherwise promoting the study to the docs and gaining support.

Pay is ok, about mid 40's, and she DID offer to meet my current employer's tuition assistance plan to me NOW, even before I have been employed for a year. She also stated that when my degree is complete, I will get bumped to a higher pay scale altogether.

The MD herself is a gem! We talked for 1.5 hours, about my life, my experiences, what I like to do; even what my husband does! She seems to think I would be the perfect fit, and being a former L&D nurse, would feel right at home on the units and be able to develop easy and accessible tools for the L&D nurses to use to inform us of deliveries. I think she's right. I am a little scared though. Scared of a job change that I am only making because of the changes at work. I wouldn't be looking for another job if it wasn't for that. So this feels a little like I am going "before I am ready." But maybe I am ready.

I left the interview 90% confident that she is going to offer the job to me. She called my references already. Even if she calls, I will wait to answer her. I need to think about this.

Reactions, anyone?

Well Susy, it sounds to me like you've already made up your mind. It sounds like a great job, much better than the clinical educator position.

If you're actively out looking for new opportunities, then you're truly ready to move on.

Good luck!

Heather

Susy darling, GO FOR IT. Please get outta the clinic. If you let this opportunity pass, I promise you you'll kick yourself for it later. Clinic jobs are a dime a dozen. Research jobs like this one are special and you know it.

DO IT.

Oh, I'm so excited for you. Take it. It sounds perfect for you. Sure a change is ALWAYS scarry. You have someone watching over you and heard your prayers. You'll do fine. I wouldn't pass this one up.

Gotta go with the majority, take the research job and be happy. Good luck, Gary

Specializes in LDRP; Education.

Update:

Well, tonight was my start of the fall term. Ugh. And I took my final for stats on Tuesday. I had ONE DAY of vacation.

I also got offered the Research Nurse job today. I didn't accept; I'm going to negotiate salary a bit more, review benefits, and take the weekend to decide.

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