Would you do it over again? - page 2

by kelmc0824, MSN, RN, NP | 5,060 Views | 15 Comments

Hello everyone, I hope I am posting this in the right forum. I have been an RN, BSN for a little over a year now. Started out in L&D, which was too overwhelming for me and now work part-time in the women's health and... Read More


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    The way I see it RN and NP roles come with its own distinct "dramas" if you will:

    RN - you get a lot of pressure from nurse managers to get your nursing documentation done to the point of sacrificing real nursing care at the bedside, you have to please nursing committees who come up with the most counter-productive ideas regarding patient care, you have to deal with staff call-ins and being short-staffed, you have deal with non-licensed assistants not being available to help, you deal with cattiness and in-fighting between nurses, you are told to do things not because the evidence supports it but because that's how it's always been done, you struggle to get tasks done in your allotted shift with no time to really look at the big picture...

    NP - you don't have to deal with nurse managers and more likely your collaborating physicians are supportive of your role and growth as a provider, you have to show that you are productive by ramping up your RVU's to prove your worth, you have intense pressure to make sure your documentation meets regulatory and insurance requirements, you may get flack from nursing staff who are jealous of your authority, you get to play "detective" when a patient shows up with a wide differential diagnosis and the opportunity to unlock the final diagnosis based on your work-up gives you a sense of accomplishment, you get instant gratification when you provided an intervention and it worked, you deal with "frequent flyers" who take no responsibility for their health no matter what you do, you can't call in as often as you did as an RN because you feel guilty that the service needs you and the physicians never call in, you work long hours, you may get called regardless of time of day and night, you have to keep up with CME's...

    Would I do it again? absolutely!
    CCRNDiva likes this.
  2. 0
    agree with all of the above Juan.

    I am sick as he// right now. I have an obstructed bile duct, and am very symptomatic. I've worked all week sick, getting progressively worse and today spent my lunch hour racing across town to get an MRCP and then back to finish seeing patients. Feeling like acholic stool myself, lol, I saw 122 patients this week, few of whom were as sick as I am. Barring cholangitis, I'm going to try to schedule the ERCP for next Saturday so I don't have to miss a single hour of work. We certainly don't want those RVUs to go down!

    I probably would never have called in for it, I'm just not the type (I don't call in sick, I only call in dead) but in the old days it wouldn't have been anything to change the schedule for a day off to get the ERCP at least. Now, any day I'm out is thousands of dollars of lost revenue, and inconvenienced and unhappy patients. No can do unless my illness presents a threat to patient's health or safety, rather than just discomfort to myself. Ditto a sick family member, someone else would have to stay with them. I simply cannot afford to not go to work. And that includes vacation days as well. Yes, I am awarded 4 weeks vacation , but we really can't afford to take that much. I'd lose over $100,000 in clinic revenue if I took off that much vacation time. That's out of the question. There is a lot more to think about now that I am bearing responsibilty for the clinic's financial health.
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    Blue devil, sounds like your practice brings in enough money to hire another APRN. People need vacations..and sick time.. Hope you feel better.
    angel549 likes this.
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    BlueDevil - hope you feel better soon!Agree with your sentiments though....I currently have 320+ hours of PTO that I can't take because of the workload.
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    I will confess, I did not like being a nurse. There I said it. I feel much better now thank you, can I have my medicine now please? To answer your question, abso-freaking-lutely. I really love what I do. Is it for everyone? No. Do I have days I wished I worked mowing lawns, you bet. But then someone comes in with a 5 yr Hx of belly pain that no one can help with and is miserable. You tell them to stop eating anything with wheat in it and on follow up, they have responded very well. Or you Dx cyclic vomiting syndrome, read uptodate as to criteria for Dx and Tx. On follow up Pt. has gone the longest they have ever gone without an episode in 7 yrs. You bet I love what I do and would do it again.
    Mom To 4 likes this.
  6. 0
    If you are dead, money doesn't mean a whole lot. Aid yourself first, then you can give first aid, is what I was told early on. We as nurses need to get good at saying NO. I got practice working In a prison, and never got jumped once. It actually feels good to draw a line and set and keep a boundary. BD, take care of yourself for frack sake! Look if you were to stop, the world would still spin and the clinic would muddle on without you. You are important, just not that important that all hades would break loose without you. Sorry it may be hard to hear, but it is true. I fully understand the thought process though and am guilty of it to a lesser degree. Still working on it. Get that gold bladder yanked out, you'll feel much better. I just hope you're not out for 6wks like I was, big wimp, that's me.


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