Sick of floor nursing, what now? - page 4

I’m getting tired of floor nursing. And I’m getting burnt out on night shift. I’ve only been nursing for a year and a half. We’re always told that med-surg is where you should start to get your... Read More

  1. by   SkyDrift
    Try sub-acute rehab or SNF and become a RN Supervisor, where you supervise and delegate tasks to LVNs and CNA. Your primary tasks will be IV medication and IV insertions. The only downside is the nurseatio ratio, but it also depends on the staffing of the facility. It's an 8 hour shift compared to 12 hour shift. Admissions can be pretty hectic depending on the time of the day and week. I haven't really seen a "chill" nursing job that pays well at the same time...unless you become a Nurse Practitioner.
  2. by   tenjuna
    You could look and see if Clinical Informatics interests you. I was in Ortho for a year and a half and it almost completely killed my desire to be a nurse. I switched to CI and couldn't be happier.
  3. by   nurseypants328
    I recently left floor nursing after 5 years. Half on nights and half of it on days. I was beyond burned out. The stress got to the point where I was was seeing a neurologist for migraines and a GI doc for stomach problems not to mention I was sick all the time and I HATED my job. I took a huge leap and took a job in home health. I have to say I've been doing it for a little more than 3 months and I'm enjoying the change. Not to mention I actually make more money than I did in the hospital! Certainly it has its stressful moments but it won't come close to the kind of stress I was experiencing on the floor. You get a little more time to educate (which I LOVE) and boy do you get good at wound care and PICC dressing changes lol. It still feel so rewarding and my patients are so gracious and thankful... and I get to be home no later than 4:30 or 5. Check it out... it can't hurt!!
  4. by   sjerseymom
    I spent almost 5 years in the hospital. From telemetry to OR to step down & even ICU. I wanted the ICU experience so I could go back to school. Guess what I hated it. I left the hospital for case management with insurance. It was work at home M-F no weekends or holidays. Now working as a UN with the same company & love it. Honestly a slight pay cut but worth the work at home, away from the hospital politics . I am currently looking to relocate my family to another state & will keep my job & pay. How awesome is that. Don't get discouraged we have all been there. Many do not find their "niche" but that is ok. You will find what works for you & your family. Network & keep looking. Never be afraid of change. I worked many of floors & learned a lot from each. That helped making me a more well rounded nurse. I respect all positions & do not hold one over another. Had many times the ICU nurse would come over & she even berated a my coworker - very unprofessional. We need to encourage others & not look at them as a PIA but use as a teaching moment to help them become a better nurse.
  5. by   katgross57
    Hi.
    I was like you, in that I never cared for hospital nursing. I drifted from med-surg to oncology to nephrology to urology, and finally psychiatry.
    I did enjoy psychiatry, but I found out after years of nursing, that acute care was just not my niche. Nurses tend to think that, unless you work in a hospital, that you're not a "real nurse," but there is so much more to nursing than acute care. Public health or community nursing is what it's all about for me. Yes, I took a drastic pay cut when I left the hospital, but the benefits far outweigh the money. I finally did minor emergency walk-in clinic care and loved it! There was never a dull moment, but I was able to focus my nursing skills on less patients at a time, instead of spreading myself thin and feeling like I had half done everything at the end of my shift.

    Now, I am a school nurse and going on my 10th year. I have 2 campuses and things can get quite hectic but still not like the hospital. I have always loved patient teaching and I get to do quite a bit of health ed. Don't be fooled though, there are lots of young diabetics that you will spend a big part of your day with trying to keep sugars from getting out of control. There are many times I've had to call an ambulance for emergencies and do emergency care until they arrive. There are lots of young asthmatics requiring inhalers that I assist everyday and I even have a student that requires G tube feedings.

    I certify the staff in CPR, First Aid and AED, Assist in policy making for health concerns, give lots of meds, do screenings for vision, dental, and scoliosis, just to give you an idea.

    Needless to say, I love my job and plan to stay until I retire. This is what nursing is all about for me. I have summers off and all holidays. Don't limit yourself to just the hospital.
    There's so many opportunities out there. Go out and explore!
  6. by   momathoner09
    I pre op patients for heart and vascular surgery. No nights, weekends, call or holidays. Hours can be unpredictable as we start early (0500/0600) and you get off once the last patient goes back (depending what order you came in). So you might leave at 3pm, 6pm, 12pm- who knows?!

    We work closely with anesthesiologists, surgeons, OR nurses, CRNAs, and the surgeons office (their nurses there, PAs,NPs). Lots of strong personalities.

    One thing I like is that we are a one way stop. Patients (and their families!) come to us either from home or from the floor. We may take care of them for 15 min or 6 hours and anywhere inbetween.

    You have to be very detail orientated going thorough charts making sure that patient is able to go to surgery. Things get added on and cancelled everyday so you have to be flexible. We call all around the hospital needing things yesterday (transport, lab, blood bank, etc). Everything is hurry up and wait.

    Its not a bad gig. I don't think I would be any good at floor nursing since this is all I know. GI, outpatient surgery operates on a similar level if you wanted to look into anything like that.
  7. by   martymoose
    Quote from tenjuna
    You could look and see if Clinical Informatics interests you. I was in Ortho for a year and a half and it almost completely killed my desire to be a nurse. I switched to CI and couldn't be happier.
    Do you mind if I ask what additional education you had to get to do this?
  8. by   BonnieArlene
    Are you at all interested in LTC? MDS coordinator?
  9. by   Beautiful Mind RN
    I was in the same position as you, only I had different life circumstances that directed me to my current position.

    I am a Training Specialist for my organization I work for now. Specifically for the Epic system.

    So I train employees, mainly nurses and doctors, about the system. You can also get certified and do consulting as well ( however, that is not as steady going as a full time position).

    This can also segway into an analyst job, where you can help build the EMR system your colleagues use.

    Research it and see if it's a fit.

    The pay is good too. Usually jobs in "Clinical informatics" do.

    The pace of the job is definitely more steady as are the hours. Plus I get to help people and use my expertise in a different way.
  10. by   NightNerd
    I'm kind of in the same boat, so I can't speak from personal experience here, but a former coworker recently started a job as a school nurse. It is at a school for developmentally delayed children, some of whom do depend on her med-surg skills (tube feeds, etc). She loves it! Summers off, coincides with her kids' schedules, and (per my mom, a former ICU nurse with over two decades of experience) makes big bucks! Needless to say, I am stalking that school's job openings.

    Also, maybe occupational health? Maybe you wouldn't even have to change work places, just transfer departments.

    I totally feel you on this, though. I'm working a job in med-psych, and it has turned me from someone who was mildly anxious into someone who who is panicked pretty frequently and now takes medication to vote with anxiety. (Like I said, I was anxious before, but the past few months have really pushed it over the edge. I'm not ashamed! Just amazed at the change, not in a good way.)

    I've determined that I like the psych patients, but am terrified of having peoples' lives in my hands. I am always scared that this will be the day I make a mistake that costs someone his or her life. Partly, this makes me a prudent, conscientious nurse; but now I feel like I'm losing MY life over it.

    I'm thinking about moving to straight psych nursing, or just getting my Masters in Counseling (my BSN is psych, fortunately). I'm enjoying reading these comments. I'm not convinced that I'll stay in nursing forever (although I'm supposed to start a BSN program this month...), but it's a good reminder that there is a fantastic amount of variety in this career.
  11. by   eham89
    I was a med-surg nurse for 11 whole months before it became a nightmare to my soul. I transferred to a perioperative area and thrived. I stayed in that position for 4 years until new management led me to find something less stressful. I am now a Research Coordinator for a biotechnology company and have found my home. Although I do not necessarily use "nursing skills" everyday, I am still able to create patient relationships and use critical thinking. Just wanted to put out there that nursing can be used for much more than the hospital and long-term care setting. Hope you find your calling soon!!
  12. by   Apollo617
    Try dialysis. Specifically Davita. I'm a tech there and love it. Our nurses seem happy. It's very rewarding but a much slower pace. Our nurses typically work 5 am until about 3 with three days off. The late shift they have about once a week is 12-8p
  13. by   TheCommuter
    Quote from r0seRN
    I don’t want ICU/ED/L&D/Mother/baby/PACU/OR/Charge nursing/Case management.
    Quote from r0seRN
    I’m considering home care, clinics, doctors offices, or one of those work from home insurance approval positions.
    I know you said you do not want case management. On the other hand, you would consider a work-from-home insurance approval position.

    I also grew tired of floor nursing and accepted a position working for an insurance company from home. However, I do case management from home...in addition, the pre-authorization nurses (read: INSURANCE APPROVAL) at my workplace are classified as case managers.

    You might wish to reassess your views on case management. It occurs in settings outside the hospital or nursing home. It might be what the doctor ordered for you. Good luck to you!

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