I need some advice from hiring nurse managers. I'll start with some background and try to keep it short at the same time.
I graduated nursing school
(ADN) in May 2010. My first job out of school was at a prison, basically clinic nursing. I was there for 7 months. I left that job because my husband retired from the Navy and we had to move to another state.
Once we got to our current state, I found a job at an LTACH (not SNF... long term acute care). I was there for 7 months as well. Conditions at that facility are not the best, and since I had never worked in a "full-service" hospital, I applied for a NOCs position on an onco floor. Night shift did not work for me or my family at all. I was sick all the time from the change in schedule and I never saw my family. After only three months there, I knew I had to make a change back to days. The only positions available in that facility were PMs or NOCs, so a transfer was not an option, and in any case, the facility required one year on the current floor prior to applying for a transfer.
I spoke to the manager at my previous facility, who asked me if I would come back to a days position (I had been on days there before). He "assured" me that things were changing for the better, a new administrator had been hired who was making major positive changes. He "backed" these comments up with examples of how things had changed. I liked what I was hearing, and trusted him. After much soul searching, I decided to take the position. I regretted the decision almost immediately. Things had gotten FAR worse than they had been when I was there just a few short months before. Staffing ratios are often unsafe, protocols and policies are non-existent. The few that are in place are often written "under fire" because we have new patients coming in that day with situations most of the nurses have never been in before (critical drips such as heparin, dopamine or insulin; peritoneal dialysis, etc.). The policies/procedures often do not cover everything that should be covered to ensure safe and high quality care.
A new "clique" has formed in the past couple of months, and the people in it are running the show. If you're not in the group, then you're targeted or completely overlooked for learning opportunities or opportunities to advance your practice.
The manager that re-hired me has just quit and our QAPI director has taken his position. Already, staffing ratios have changed (not for the better... the Charge Nurses had been taking it upon themselves to do what they could to improve them, but they have little authority)... who knows what else will change next. The QAPI has only been CNO since Friday and already is changing things quickly. Just to clarify, I am not against change, and in fact, I thrive on it. However, change should be well thought out and planned. It should be pro-active, not re-active and every change at this facility so far has been re-active.
I am trying to be patient and give this person a chance, but I've been back at this facility for only 5 months and already have been looking for the door for a couple of months. The culture is terrible and I feel that nurses have no support at all. I feel like I am completely on my own with no back up.
I have always tried to keep an eye out to see what trends are in nursing as far as open positions, education and experience required, so that I can better plan my career. While looking online this morning, I saw a position that really caught my attention.
The position is a clinic nurse in a family medicine clinic with a major health system in my area. The hrs are 7a to 6p (varying days) with 7a-12p on Saturdays (the posting doesn't specify if it is every Saturday, but my guess is that it does.
My question is this: Since I have changed jobs four times now in two years, with 7 mos being my max at one facility, how do you, as a hiring manager, view this? Would you consider someone with my history for a position in your facility?
I feel that I have had legitimate reasons for leaving my positions (a move, health and family reasons). I am qualified for the position and I really am committed to my employer, whatever establishment that might be, but it is difficult to accurately describe the conditions at this facility. It truly is dangerous for patients and nurses alike.
Should I go ahead and apply for this clinic position or should I stick it out another six months (which I honestly don't know if I can do... I can definitely give it my all and try, but I've started experiencing depression and burnout because of the culture and practices of this place).
I am looking for honest career advice from those who are on the other side of this... i.e. hiring nurse managers.