Decision to make urgently.

[garciadiego]

I did not know where to put this topic, I took my best guess. I have to decide very soon whether to take a postion on a assigned floor or float, float makes 2 dollars more an hour. I have been a LTC nurse for years, work at a LTC facility with a "acute unit" that has 8 beds, but if there are only 2 beds full then I would have to take about 18 other residents on the adjacent unit. The Acute unit usually has treatments I'm not comfortable with cause I don't do them daily, like wound vac. , there are also PICCs, Implanted ports, just things I usually don't do on a regular basis. If I take the assigned floor position I work with people I mostly enjoy and am very comfortable with the usual 32 LTC residents I care for and I will probably get the schedule I want. If I float I will be going to units with a few nurse managers who have a distinctive abrasivness about them, I won't be familiar with the residents on these floors, I will also have to float to the "acute unit" in which I will be the only nurse, and have procedures I am not familiar with and usually not much support around on the acute unit, I think the implicit assumption is that if your a nurse then you should be able to do these treatments and procedures, but it seems to me people are good at things they do on a daily basis, I usually need repition to get comfortable with doing things, perhaps I get overly concerned about making mistakes, I would rather ask for help, than pretend I know what I'm doing when I don't, but what if there is not help? I also get overwhelmed when there is a overwhelming amout of things to do.

My kids want to go to college, so do I sacrafice, like Jesus, and take the stressful float job? Do I stay comfortable, like Buddha and get assigned to the unit of choice?

....any thoughts from you all in nursing land? What would you do? Should I just flip a coin?

But despite this conflict I am greatful to have a job, no matter what I decide, I think.

[CrunchRN, ADN, RN]

assigned.

[garciadiego]

Thanks for that reply....can you tell me why you said "assigned"?

[4boysmama]

From your post, it's clear that you are not comfortable/don't want the float. I think down the road those extra $2 will not make you happy enough to take the float position!

[garciadiego]

Thanks 4boy and Bronze....I'll probably go with my Buddha nature and inform HR I'd like to be assigned.

[CrunchRN, ADN, RN]

Exactly what 4boysmama said is why I responded "assigned".