Little_Mouse (3,452 Views)
Joined Feb 28, '09.
Posts: 147 (29% Liked)
Thanks everyone. Actually I already accepted the position, but was wondering how the transition would go from bedside to telephonic nursing go? It's just so different: not being in a hospital setting but a corporate or even home setting and not being able to see your patients. I think the hardest part for me would be losing that "control" of the patient assessment, or ability to feel, see and--dare I say it?-- smell the patient! Lol.
I recently got offered a telephonic nursing position (case management). I've been doing bedside for the past few years, mainly in med surg.
Does anyone have any experience transitioning from bedside to telephonic nursing? Any advice would be appreciated. Thanks!
My favorite complaint was after our first Tulsa earthquake. Nothing spectacular but a little shake for 45 seconds. This guy comes in with a complaint of post earthquake anxiety. I look at him and say "you're afraid of earthquakes yet you come to the ground floor of a ten story building just after one?" Sounded like a candidate for therapeutic wait time to me.
Yes! I thought I was the only one...I've been a nurse for about 3 years and I still have anxiety about work. What may be contributing to that anxiety is the fact I've changed jobs 3 times in those years and never really "settled in"...although I thought the grass would be greener on the other side. I've realized that bedside is bedside is bedside. And I don't like it very much. I think it's a lot of stuff to do, to know, and liability...I would like to work in something less stressful. Another thing I realized through my short nursing career so far is that I personally have a lot of anxiety in general, am very self deprecating and hard on myself in a lot of aspects of my life but even more so in nursing since I compare myself with my colleagues, even new grads. But that's all personal and ties into my work.
For you, do you think your anxiety is something new or has been with you for a while? If it's new, did something happen in particular that you can point to where it began? So you feel burnt out? Maybe you need a new environment that's less stressful? Just something to think about. Good luck!
Did your BP monitor tell you the MAP? The patient could have been fairly asymptomatic if his MAP was still 60 or above. MAP is generally an important reading in ICU, but is often forgotten about on other units. I've gotten several patient on pressure supporting meds due to telling the MD that I calculated the MAP and it was less than 60 and I was concerned that even if the patient was asymptomatic at the time, a prolonged time of a MAP less than 60 means vital organs are not getting perfused.
Just curious--what job did you leave your previous employer for?
^ omg that's great! Lol
Omg sooo cute!!! Just too adorable!
I totally understand. Yesterday was one of those days for me. Do what you can and believe me, you are actually doing something even if it doesn't feel that way.
It'll get better.... ebb and flow...that's how work can be
Ive also been interested in leaving bedside but the jobs seem few and far between. Ambulatory surgery sounds so interesting, but all opportunities I've seen need OR experience which is something I don't have...and I also find it hard to actually get in that specialty if not right out of nursing school (I only have med/surg/tele experience). How were you able to get that opportunity? Did you have ICU experience? I think those with ICU experience seem to have more flexibility/job opportunities due to the higher level acuity of care.
Congratulations! You're actually the same class year as me (2009) and I totally understand as it was difficult for me too.
I'm really happy for you! What a journey it was to get here...and what a journey lies ahead of you Wishing you the best!
Sounds like there's a lot on your plate! Is it possible to resign from on of the jobs (like maybe the on call ambulance?) or least per diem in one or two of the part time jobs? Because you said you "love your job" I suspect you dont actually want to leave the field, but rather have waaaay too much going on right now.
No problem. Good luck!
FT med surg. Despite the lower pay, you will have a guaranteed position with pay and benefits plus gain an invaluable amount of experience that will make you more marketable in this difficult economy....eventually that pay will increase.
The ltc job just sounds too unstable.
I had worked at a small community acute care hospital that only had an urgent care and not an ER. Since it is within a hospital setting that particular case it would be considered acute. But there are plenty of urgent care sites that are not associated with a hospital (stand alone) and I believe those would not be considered acute.
Despite that, I think if you were looking to work at a hospital setting, urgent care can still provide a good experience like triaging and patient care.
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