Latest Comments by naptimeRN

naptimeRN 4,340 Views

Joined Mar 22, '10 - from 'New York'. naptimeRN is a RN. Posts: 160 (43% Liked) Likes: 149

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    Hi, justcuriousrn. I have been an RN for around 4.5 years. Started on a med/surg floor (still work there per diem). I worked for a couple of years in an outpatient urology surgical clinic and now work in the PACU of a free standing outpatient orthopedic surgery center. The hospital is the highest paying, especially when figuring differentials, holiday pay, overtime, etc. my hospital was unionized so we also get decent raises. The PACU job is okay pay. I figure it's worth the cut in pay for me for no weekends, no holidays, no nights, and no call.

    I do pre and post and enjoy both. The patients need to be cleared to come so they are ambulatory and relatively healthy. It's fast paced and lots of running and being on your feet. I find it way less stressful than the hospital. I have patients for a max of two hours and then send them on their way. I like that it involves assessment and lots of patient teaching. I find that outpatient nursing (at least in the jobs I've had) does get a bit more monotonous than hospital nursing. That can be looked at as good and bad.

    Unfortunately it's not managed well where I work and it's high staff turnover due to that which makes it hard because we are extremely busy. Still, I always get a lunch break, which certainly can not be said when working at the hospital. My biggest gripe is that the schedule comes out only one week before and there is little flexibility (we aren't granted requests off like at the hospital). I am part time and this makes it nearly impossible to plan for childcare or for my life. Definitely look into how they do scheduling wherever you Interview and make sure it will work with your home life needs. Outpatient surgery centers not affiliated with hospitals will all vary in how they are managed and run, so that can certainly make a difference.

    All areas of nursing have their pros and cons, but generally I really enjoy outpatient surgery. I definitely prefer it over floor nursing.

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    brownbook likes this.

    Quote from brownbook
    Sounds like your bosses, or the scheduler, don't care very much since they "allowed" the other part timer to go. I hope, assume, she told them why she was leaving.

    I don't remember how early the schedules came out where I've worked.

    I worked full time at a smallish out patient surgery clinic for 5 years. We rotated shifts, 4 weeks we were 6 - 2:30, 4 weeks you were 6:30 to 3, 4 weeks 8 to 4:30, 4 weeks 10 to 6:30, plus a few other various shifts in between the early and late ones. That was real nice to know when you were going to be the early nurse or the late nurse for 4 weeks at a time.

    Then I went per diem to a large out patient surgery clinic. It took them, and me, a while to sort things out, and who did the scheduling changed several times. But the scheduler always knew who had child care needs, i.e., couldn't work certain hours, and was able to accommodate them. Every scheduler made an effort to keep the staff happy! For a while I simply told the scheduler I just wanted to be scheduled Mon., Wed., and Fri. but it didn't matter what shift I worked so that part didn't affect me.

    As I said I don't think who ever does your scheduling cares? Unless you could get all your co-workers to unite and ask for the way the schedule is done to be changed. It would be ideal if you came up with a few concrete ideas, "solutions" instead of just complaints.

    Scheduling staff is extremely hard.
    Thank you for the info and advice! The rotating schedule sounds organized and fair as well! I guess things are complicated here because we have a few people working 10 hour shifts and everyone else is 8 hour shifts. The tens are lucky in that they always are scheduled for the same times. Its extremely high turnover too which doesn't help, as of course we are consistently understaffed due to it. I have been there four months and I am third in seniority... Yikes. We have a clinic coordinator (like a charge nurse I guess..) and an administrator. The coordinator is supposed to do the scheduling, but the admin comes along and makes changes.

    The other part timer actually didn't plan on resigning. She had gone to the administrator to discuss scheduling. She was recently diagnosed with a health issue requiring infusions and needs to make appointments ahead of time of course. She was told that the schedule can not come out earlier and requests are not guaranteed and actually put her down the next week for a specific day she requested off. So she resigned and the admin is fully aware of why.

    I think you are right that a plan is required, not complaints, as obviously they don't care because they've heard it before. But I think she also will not care if I came up with ideas. I've never experienced this and the consistent turnover seems to show that others don't care for it much either. Stinks, because I like the job itself.

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    Marz, thank you for your response! I am so jealous of how organized you outpatient facility is in terms of scheduling!! Haha! Seriously though, I do not understand why we can't know ahead of time like that or at least a month out. We have the same doctors each week on the same specific days so it's clear which days more staff is generally required. And wow!!...This is hard enough, I could not imagine finding out the night before!!

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    Quote from brownbook
    Every hospital, clinic, out patient surgery setting, etc., has different ways of scheduling.

    By part time do you mean the same as PRN? Do you get benefits, a set number of hours per pay period? Or you just "extra" help and added to the schedule as needed no benefits, no guaranteed hours? That would make a difference.

    However it really sounds unfair, even your co-workers must have a hard time dealing with knowing one week, or less, ahead what days they are going to work.

    Scheduling is very hard. Your reply to my questions will give me more "wonderful' (ha ha) ideas of how to advise you.
    Thank you for your response. I am part time here, receiving benefits and work three days per week. I work per diem at a hospital. Per out union contract there, our schedule comes out at least 4 weeks in advance. My last outpatient part time job I had a set schedule so did not deal with this. The people that work 5 days a week at my job don't really care as much since they know they will be there all five days. But myself and the other part timer find this very difficult. She actually resigned last week because of it.

    So we don't know what days we are working until 5-7 days before or what times (shifts range from 6a-2p all the way to 9a-5:30 p and when closing you are often stuck there until 6 or 7p). I always feel anxious having no clue what days/times I need child care for and can never plan ahead.

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    Hello. I work in the pre op/PACU of an outpatient orthopedic surgery clinic. I am part time. The schedule comes out one week before (at the most) and I'm finding this difficult for planning childcare and life in general. They aren't willing to have set days or take requests for days off needed during the week.

    If you work in outpatient surgery, how far in advance do you get your schedule? We know which days are generally busiest each week, so I don't understand why we have to find out the schedule we will be working only five days before. Or is this common in the outpatient surgery setting?

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    Outpatient surgery? I work in an orthopedic surgery clinic PACU doing pre and post op. Many of my coworkers worked in critical care for years and consider this their lower stress retirement job. It's busy but not like working in the hospital was and I rarely come home feeing stressed out. A bit monotonous, but life friendly with no weekends, nights, holidays, or call. Pay and benefits are not as good as the hospital in my experience. Little interaction with family (post op instructions) and patients are in and out. Has its pros and cons like every job but ultimately, not a bad gig.

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    LinenP likes this.

    Med surg 1:6-8 on days, 1:8-10 nights

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    Just apply I've had quite a few friends I graduated nursing school with get jobs in outpatient chemo infusion centers in the Buffalo area. Try CSS oncology, Buffalo Medical Group, etc.

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    Would you be willing to do part time? I work per diem since having my baby 9 months ago but was working as an RN for over three years before. I think what's most important is what you and your family thinks is best. I think not working for a year doesn't look great on a resume especially since you've never worked as a nurse before, but I would think you would still be able to get a job when you are ready, it may just take a bit longer when you are competing for jobs with nurses with experience. I think family is most important and you can't get that time back. There will always be jobs, but your baby won't always be a baby. That's my thoughts, but very career oriented nurses may disagree. Do what works best for you and your family. Maybe try something part time when baby is a bit older to start getting some experience.

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    Deleted. Oops, didn't see this was in the LVN board.

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    graciehamm likes this.

    Teach most of the year and you could be a camp nurse in the summer

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    missprnqday likes this.

    As full time I prefer 12 hours because I feel like 5 days at the hospital is borderline intolerable. As part time and per diem, I prefer 8's because I'm not required to be there 5 days a week and 8 hours flies by! I start getting real tired after 10 hours. I totally understand why full timers usually prefer 12's however!

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    calidreamin and jesRN9392 like this.

    For that pay in the area, coupled with that commute... I would personally not take it. Plus, putting kids into childcare is as I'm sure you know so expensive, so you'd have to figure out if that job would be worth it financially. I know getting experience is important, but to me, that situation would just not be doable. Figure out costs for gas, take home pay, and weekly childcare costs... Also take into consideration non-monetary things like time away from home with that commute. You have to think about what you realistically can do and would be worth it. In the meantime, keep applying places. Just my opinion and I wish you luck

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    It's not that nursing itself is so bad, it's all the other (for a lack of better word) crap. The chronic short staffing, the conflicting work ethics of care team members, being treated like second class citizens, constant tedious tasks piled onto an already overwhelming workload, etc. The actual caring for the patient part can be quite rewarding when all the other..crap..doesn't get in the way.

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    I would definitely get licensed and try finding a job and working until you have the baby. Some experience is better than none and they may be willing to work with you in terms of going part time or per diem after baby. My first ever nursing job was a per diem position (which I still have). It's for a small rural hospital. It may be more difficult getting hired per diem at a larger more suburban hospital or a doctors office with little to no experience but you can always try. Congrats on the baby! I am due with my first any day now..☺️


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