Bottomed out, BSN, RN 5,177 Views
Joined Jan 29, '12.
Posts: 254 (24% Liked)
I've hit a wall with my work and I feel very bad about it which then feeds into guilt and then hating work even more and so the cycle goes on. I work full time days outpatient, usually leave work on time, have fantastic co-workers, all the good stuff. I have identified no reason "Why" I should just feel uncaring anymore. I feel a patient complaint or request for me to do something for them that is beyond my expectations of "minimum requirements to get the job done" is a burden.
I work with geriatric patients who get sicker and older and hurt more and more no matter what the crazy, expensive to the healthcare system interventions we do for them. I feel bad, but I feel like screaming if someone starts talking about their psychosocial issues or whatever else is going on. I used to be like, "Awe, let's see what I can do to help..." But now I feel like saying, "Oh spare me!"
It's not a good space to be in and I want my badittude to vanish and the caring nurse to come back. Has anyone else hit a sudden wall like this? HElllllllllllp!!:uhoh21:
EMS--slow walk----> Nursing -----RUNNING-----> EMS
If your facility is expecting you to be able to circulate in addition to PACU nursing, they need to provide the orientation that would properly cross-train you- it should not be something you should have to do on your own or pay your own money for. If the facility is unwilling to do so, it is one I would not be willing to work for. It's not a safe practice.
1 year 3 months. And I never looked back
I'm working in the LA area and have fellow nurses who are licensed CRNP's still working at bedside nurses in the ICU because they don't like the idea of the huge pay cut they'll take when they take their practitioner job. The medical groups you'll join up with don't care how well your nurses union got you paid as a bedside nurse, it's a whole different ballgame as a salaried CRNP.
Also I know there are a lot of California nurses talking about how they have got great pay in California but I should shed some perspective on that for you. I've lived in The San Fran and the LA area in the past year, you need to earn $130,000 to $150,000 to live somewhat comfortably there with the outrageous cost of living. In the SF area you need $1 million dollars (literally) to buy a crappy 1000 sq foot 3 bedroom home that needs updating. In SoCal you'll need around $500,000 to $600,000 in a cheaper/higher crime neighborhood but your pay is significantly less in SoCal as well.
I've lived and worked from New York/Connecticut down to Atlanta to Tennessee to Texas then all down the coast of California. I love California but don't let these high pay numbers fool you. A nurse making $90,000 a year in 85% of America is probably actually having a better and more luxurious lifestyle than a nurse making $130,000 in many places in California.
I think we may have worked at the same place! Call the company that sent you there. Review the contract and if you have no penalty for leaving, give a notice and get out the door. I've gotten a call 5 times about an interim position for an ADON position. They told me up front they expect the ADON to work the floor and do the rest of her duties. It's no wonder they can't keep staff.
Yup, I don't think I would take another assignment at that hospital or Agency A.
I'd keep moving forward with the second company. If a hospital and agency cancelled me on the fly like this I would not look back.
Screw that. LBMMC recently had a EMR conversion right? The hospital should had been upfront about things and they were not. It is not as if the contract issue between the Union nurses and Hospital happened within the last two months. These things take many many months of negotiations. Hospital knew things had soured and used the EMR conversion as a coverup to the real back story.
Since you have strong feelings about the messiness that is occurring I would say follow your gut and bow out.
I got my last paycheck because I called in sick till payday then I sent my recruiter an email and like you said kristinetdb...I changed my numbers and have been very happy since. I have me a FT job in Dallas and I am making twice the money I was making with the travel agency...it was a rip off...I was making like 20 bucks/hr because they were paying for my housing...it just wan't worth it to me...Plus I did have a true emergency at home, so once I came to take care of it..I decided not to go back to misery...I haven't heard not one word from them since I sent them the email explaining that I would not be returning...
I just quit my contract with 7 weeks left on it...I was miserable and my son was at home not with me on assignment and he was starting to rebel agaist his uncle...who he was at home with...I was getting floated everyday and sometimes twice a day...I just hated it and I couldn't take it anymore...so we'll see what the say but it doesn't matter...I'm not going back!!
HealthSource Global always has a bunch of strikes. I've worked with them before with no complaints although they were recently acquired by AMN so for that reason alone, a lot of nurses will bash them.
I felt like the Nurse/MD relationship was about 25 years in the past when I worked in Texas.
I actually had a critical care pulmonologist blow up on me because I didn't obtain consent forms filled out and signed by a vented patients family for a procedure. He showed up randomly expecting me to have explained the procedure, got the consents and set up the bronchoscopy cart and be prepared to assist him for the procedure. All of this with out even an order placed in the chart to do a Bronch!
There was another MD who would walk up to the station, bark which nurse had X patient then he would summon you with two fingers to signal you were to follow him to the patients room. When you'd get there he wouldn't address you or ask you anything, he just wanted you there in case he needed something while he was in the room.
Other MD's did the typical thing where they expected you to give up your chair or workstation. The nurses would make a point of making coffee for the MD's and doting on them like it was 1972.
I was expected to write orders for the MDs or act as their scribe very often. They knew I was from out of state because I refused to do this and would constantly be saying "Joint commission standard is ...." and "In non third world countries usually hospitals don't....."
I really enjoyed Texas as a state but not to practice as a nurse.
I thought maybe it would be different as advanced practice but I was wrong. A cardiologist was doing a TEE on my patient one day and he requested his personal team of nurses from his special procedure dept to come up and just be there for him. Not to mention this is the ICU where the ICU nurse is the assistant for procedures, so I had to be there as well. Not to mention the ultrasound technician who operated the machine because he didn't want to do it. To top it off he wanted a CRNA to come up and push the 50mcg of Fentanyl and 2mg Versed even though ICU nurse are totally capable to do conscious sedation and we push much more than that all day. The CRNA was insulted and pissed and the cardiologist demanded his presence and then ignored him pretty much.
I hoped it was just my hospital but many other travel nurses have made this same observation in Texas.
Have you ever been required to ambulate (perhaps with a PT or PTA) that weighed more than 400?
Also, why so many patients of this weight? I do understand that they must have some serious comorbitities so my question is not so much why hospitalization as why this population is concentrated in your catchment area? Without Googling demographics, I'd bet there cannot be more than a dozen Americans that weigh 600 pounds or more. Mind boggling possibilities though!
I would try plan C or plan D. In other words, I would not choose either of the options you suggest. I would not do the online program because of the reasons you gave. I would find a better way to fund the education. Perhaps just take a few classes on a part time basis while you work to earn the money to support yourself and your child. Look for a job with tuition reimbursement to pay for most of the part time classes. If part time is not allowed at Georgetown, then go somewhere else ... or just work a little extra and save up some money for a few years -- money that you can use for school when you are in a better position to go.
But I would not go that deeply into debt for an FNP.
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