ShiphrahPuah 2,759 Views
Joined Dec 5, '07.
Posts: 92 (52% Liked)
I am wondering how many other clinic nurses end up working late nights. I left the hospital so I could have more work/life balance and work 8-5. I worked for a really great clinic for a few years where the nurses each had one late night (until about 6:30) but usually worked until 5 or 5:30 the rest of the week.
Then I took a job MUCH closer to home in family practice office where I was told the hours were 8-5 with one or two nights per week until 6, but reality is that we usually stay until 7:30 to 8:30 pm most nights. The schedule is always so overbooked that even when the docs are only scheduled until 5, they are not done seeing patients until about 7:00. THEN they get to answering their phone messages, and we have to stay until everyone is called with reponses. With these hours, I might as well work 12 hour shifts in the hospital and make more pay and only work 3 days per week instead of 5.
I am thinking of trying to get back into my previous clinic where I usually got out at 5:00, but I hate leaving a job when I have only been there for a few months (the employees who have been there a long time say it has always been like this).
I was wondering if any other clinic nurses are experiencing neverending hours -- I don't see this complaint very often. Since I have only worked in 2 clinics since leaving the hospital, I don't know if I was just extremely lucky with the first one or if these hours at the second one are pure insanity. I want to be home in the evenings with my kids.
I work in the OB/Gyn department of a large multi-site clinic that has pretty much any specialty you can think of (we have a lot of HMO patients). I give way more injections at the clinic than I ever gave in the hospital (in my dept, depo provera for contraception, weekly progesterone for moms at risk for preterm labor, Rhogam for neg Rh mothers, various vaccines like flu and TDAP). Also do blood draws. Some departments in my clinic do IV therapy (walk-in care, oncology) but we pretty much send pregnant women who need fluids to L&D so they can also have long-term monitoring. I do nonstress tests (electronic fetal monitoring) weekly or biweekly on pts with conditions that warrant it toward the end of their pregnancy. Of course what you do depends on what type of specialty you work in. You get to know the meds you work with, and those will be different for different departments. I look up those that I don't give all the time. I also spend a LOT of time on the phone triaging, answering questions, doing Rx refills, notifying patients of lab or ultrasound results.
The phone is my least favorite part of the job, but I do really like working in a clinic better than in a hospital for several reason only some of which are that I like the 8-5 (although I do work one evening late), no weekends, no holidays, plus I get an hour for lunch and actually get to eat and pee during my day which often was a very difficult thing to do at the hospital.
As for community oriented, I am not sure of your exact meaning. Clinics like the VNA (Visiting Nurse Association) take uninsured and public aid patients,and that might be what you are getting at. My clinic used to take public aid before I started working there, but now it is only on a case-by-case basis (preg mom who lost insurance will be treated throughout, sometimes a longtime pt of a doctor will be authorized by the MD to see the doctor). I do like that I see some of the same pts over and over and really get to know them.
A lot of people will say you should work in a hospital first (just like they say you should work in med surg before going anywhere else in the hospital). I did work in a hospital for 2 years and think it does help, but I also know my clinic has hired new grads in the past who have worked out really well. It's a very different workflow than the hospital, and nursing school pretty much trains you for hospital work. I had a lot to learn when I made the switch, but I am very happy I did.
Hospital is hell, ambulatory care rocks
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