I am sick of being a job hopping RN - page 2

I need advice. I am a RN with 2 years of experience. My speciality is cardiac although I have med surg experience as well. Ever since I graduated from school with my BSN in 2010, I have had this... Read More

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    I think you should establish some longevity before you start looking again. At some point the job hopping is going to work against you.
    chevyv and VivaLasViejas like this.

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  2. 1
    I agree with Caliotter.

    Speaking from the perspective of a nurse who's held 13 nursing jobs in 15 years, I have to say that for some people, job-hopping is a symptom and not just a search for the "perfect" job, as it was with me (undiagnosed bipolar disorder). Your situation is probably vastly different from mine, but the process of discovering where the problem lies is crucial to your success.

    I'm suggesting that you look deep inside to see where your restlessness and dissatisfaction are coming from; ask friends and family what they see; maybe even have a few sessions with a therapist. Believe me, it's worth it.......you don't want to ruin your chances at landing your dream position by demonstrating that you are quick to change jobs.

    I wish you the best. Nursing is a very stressful occupation, and more often than not a job change works out to be SSDD (same 'stuff', different day). Just saying.
    caliotter3 likes this.
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    @Saline Flush: My plan is to have my MSN as a Family NP in the next 3 years. I was accepted into an online MSN program for FNP. Going part time, it will take me three years and a semester to attain that goal.

    I agree with your thoughts about LTC. Although I care about the residents, it is not a good fit. I would rather have the craziness of the hospital. They cannot keep a RN past 2 weeks where I am. I am already an overachiever, apparently: I have been there a month. I will probably be there until the end of August. Many are scared off by the facility, and rightfully so. The pharmacy is horrible - despite requesting meds, many do not come because they say it is the facility's job to have the meds although the facility does not have them. The residents fail to get all of their meds which is definitely a problem. Nurses who do not assess: I had to send out a hypotensive resident with a systolic in the 80s with frequent liquid diarrhea (except for me, no one took her vitals as reflected by the chart) and a G.I. bleed within the same week when assuming my shift at 2200. People are not taking vitals, and are not assessing. CNAs "fake" vitals, writing numbers that do not correspond to the residents' baselines. I take my own vitals-I invested in my own automatic blood pressure cuff. There is only one large blood pressure cuff (put that on a smaller framed person, a person gets inaccurate, lower than average blood pressures from the cuff being too big). Not enough supplies: running out of tube feeds, no cups for urinalysis, etc. CNAs that do not show up to work, stretching the ones that I do have where they can have upwards of 28 people each. A CNA is a nurse's eyes and ears when they are not in the room. I do not like having to stretch them because it impacts the quality of care. I hate manual paper charting because it is repetitive and time consuming. Computer charting is much better (speaking from experience). Night shift is the shift that I am on. It is the only one where there is one nurse to 36 residents (which include a couple trachs and g tubes). On days and evenings, they have one nurse to every 13 residents. I suppose the management and staff think that things come to a standstill in the middle of the night. Not so. The list goes on.

    I took this job because, like I said, I support my family. One income is not enough. I also thought that it would be nice to know the residents on a long term basis. That is a nice thing about LTC. A nurse (a good one anyway) gets to know their baselines. This is all that I like about LTC. I believe a person can determine from the prior paragraph why I am not fond of what I have seen so far. I did not even begin to go into all of my concerns about this place. I have been offered a hospital position after being frank about all of my positions these two years. I agree: switching jobs is not a good thing. However, after this LTC experience, I am going to value the hospital environment much more.
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    @Viva: My expectations are simple but important: I want to work in an environment conducive to patient safety with the supplies needed to do my job.

    I must be able to walk away at the end of the day knowing that I gave safe, attentive care to all people under my supervision and care.
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    Quote from Kasandra
    @Viva: My expectations are simple but important: I want to work in an environment conducive to patient safety with the supplies needed to do my job.

    I must be able to walk away at the end of the day knowing that I gave safe, attentive care to all people under my supervision and care.
    I'm sorry; I meant no disrespect when I suggested looking within for the answer to the job-hopping dilemma. You asked for advice, and that was what I gave you. But you should be aware that the environment you're looking for is a rare bird in this day and age, so you may have a very long search ahead of you.

    It took me 13 years to find my own Shangri-La. Some nurses never find it, and they either leave the field after a few years, or they become bitter and angry people who are difficult to work with. Again, I wish you only the best.
    SalineFlush likes this.
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    @Viva: No, No! Thank you for your advice! You are right - I put this post up for people's thoughts on my career. You bring up alot of excellent points. I appreciate your time!
    VivaLasViejas likes this.
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    My only suggestion would be to tell you to take a step back and really consider the feelings coming from you because things are not going to get better once you become an NP. Once obama's healthcare bill takes place, in combination with management in hospitals in LTC you will be rushed to see pt's, everyone will be cramped and wondering if they are going to loose their license or if pt's will complain because you won't given them a script for 150 percocets to go home on a friday night for "menstrual cramps".

    I'm not at all saying to rethink things, I just see that you're going to be an NP, and I personally hate working with midlevels that have textbook expectations of nurses, and of situations with patients when things are anything but textbook. Wanting me to stop everything I'm doing because a pt is hypotensive at 95 systolic. Or giving me attitude because I didn't drop everything to give 650 of tylenol STAT As a provider you will be able to take more time with your patients to do the right thing but you will experience pressure from management and other providers to do things faster, and see patients quicker, which in some cases won't be inappropriate, or skip to quickie assessments, etc.

    To make a long story short I'm not totally convinced that those situations that made you quit are totally the fault of management, i think the whole system is broken, and those things you are complaining about are here to stay, and probably will follow you. I hope at some point, or in some facility, you will be in a place that it won't be a problem for you. (sometimes working with cool people that help you, make dealing seem not so bad.) And remember not to take your feelings of frustration on fellow RN's who are right there working next to you.

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    From my experience as a RN for 32 years and my experience as a nurse recruiter, I know that the first 5 years of your career will be finding your niche. Don't be afraid of trying different areas. I had a love for psych and hospice coming out of school. After 4 years on an acute psych unit it was time to move on! I was a hospice RN and supervisor for 19 years with the same organization. I love hospice and dealing 1:1 with patients and families. Unfortunately I was downsized and my position was eliminated. Kassandra, be patient and find what you love! It may just take some time that's all! Good luck and keep that level of professionalism always, it's an asset that I always looked for in the nurses I supervised and in the nurses I recruit now!
    Kasandra likes this.
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    @Tiffany: I have never taken feelings of frustration about work out on those who work with me. I fail to see where that assumption came from. The only bit of dialogue where that may have come from is from my low opinion of nurses who do not assess their patients (or residents), do not give meds as scheduled, and, as a result, put them at risk. I hold my colleagues to reasonably high standards because nurses can kill or harm a patient (or resident) from not assessing when the individual has a change from baseline (which is why one must establish a baseline assessment, very crucial). For example, if a hypertensive person becomes hypotensive, you would not give them their normally scheduled blood pressure meds because you would cause them to "bottom out" which could lead to a code and very possible death. The health status of the people whom we care for is always changing. One must assess those under their care to protect them from harm. In my opionion, assessing and rounding are the two most important things a RN must do. Oh: And slow down when giving meds. Know why you are giving the meds that you are giving and if they are still appropriate to the patient's condition.

    Also: I realize that LTC is different from the hospital setting. Very different. However, just because someone is not in a hospital does not mean that you cannot hurt or kill them from not executing one's nursing responsibilities in an efficient and accurate manner. Tiffany, this conversation is not directed at you at all. These are simply my thoughts on nursing.

    I am opionated, choose my battles, and stand up for my patients because someone has to in order to keep them safe. I am going into NP school because I like their work. I have worked alongside NPs in the hospital setting, and admire their ability to diagnose and treat with the intelligence that a nurse brings to the table. With Obama Care, there will be more of a demand for all health professionals.

    One more thing: Nurses are just as intelligent, if not more knowledgeable at times, than the physicians they work under. Yes, I said it. There is nothing wrong with bringing concerns to the PCP's attention regarding any aspect of the patient's care. Again, patient safety is paramount.
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    @Lienne: What you wrote is a comfort to me. I have some nursing buddies who have had multiple nursing jobs as well, looking for that ideal fit (well, as ideal as nursing can be!). Thank you for your understanding and encouragement!

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