Day in the life of a PHN??? Please respond. - page 3

by wonderbee 16,631 Views | 26 Comments

I'm through with the stress of acute care inpatient nursing. I've been told by my doctor it's time to take care of myself. I've got arthritic knees that can't handle 12 hours on my feet, no lunch and constant multitasking. Time... Read More


  1. 0
    Well, Wonderbee, it's been almost a year, I'm a new reader in this specialty area, and I'm wondering how your first year as a WIC nurse has come along? If you're still reading, let us know.

    - - - - -

    Oh, I see you have written elsewhere. I'll read those posts!
    Last edit by hotflashion on Aug 14, '10 : Reason: add a line
  2. 0
    You all make public health nursing sound awesome.

    I am an acure care nurse, and other nurses are petty, they complain about things that they shouldn't complain about, and they are backstabbers-- smiling at your face then complaining about you soon after you leave--

    I am actually going to do my clinical hours at a public health facility, at this place is a community health care center. I am interested to see how it goes. It is very far from my house, but hey I need these hours for school.
    maybe it will help me get a foot in the door.

    one question: is the pay comparable to the hospital pay?
  3. 0
    "one question: is the pay comparable to the hospital pay"

    Call me a cynic, but I suspect not. Perhaps, in the world of nursing, you get reasonable working conditions for a reduction in pay.

    Pardon my black mood.
  4. 4
    The pay is not comparable to hospital pay. I make $6 less an hour than a new grad at our local hospital. But I LOVE my job. You asked for a day in the life....
    Arrive at office, check email, return phone calls, frantically try to chart.
    Go to a home visit with a mom and baby, smell gas in the home, call the gas co for an emergeny response. Assess mom and baby, Do Developmental assessment on the baby. teach. Go to next home visit. No one is home so you just wasted an hour and 20 miles of driving. Call to follow up on the gas leak. Go to next home visit. Assess mom and newborn baby, spend 2 hours trying to get baby, who has now lost 10 % of his birth weight, to latch. Call lactation consultant for advise. Call WIC to try and get a pump. After 2 hours and 30 minutes of nursing the baby weighs less than when you started. sigh. Call every where I can think of to get a supplimental nursing system. No one can give them out until a lactation consultant sees the mom...no appointments until next week. Go get some formula (there is none in the house and no money) Schedule an appointment for the lactation consultant and arrange transportation. Teach, Teach, Teach. Go to next home visit, assess pregnant mom, find that the doctor has not followed up with tx plan. Call the dr. Teach pt about condition. Teach pt to advocate for themselves. Go back to office, frantically try to chart!
    Rizz, KayCharm, bfactivist, and 1 other like this.
  5. 4
    It's been a while. For those interested, an update. After 2 years with WIC, I will be transferring to our maternal/child health division. Unfortunately the WIC program's funding has been slashed and they can no longer afford a nurse. They use nutritionists and nutrition assistants. For me this is a good move.

    I lost my autonomy working with the WIC clinic and I was utilized within a very narrow scope which was more suited for a technician than a nurse. In other words, they wanted the credentials but that was it. They never knew quite what to do with me other than run hemoglobins. Now it's time to spread my wings again and take up the profession I hold in high esteem. I'm happy to be staying in public health. My heart has always been with my moms and their children. I wish I could do more for them.
    whslee01, Rizz, exnavygirl-RN, and 1 other like this.
  6. 0
    I'm the child health nurse at my health department. I do not miss acute care. I help out in Adult Health, STD clinic, Family Planning and Maternity whenever I can. We do a lot of education which I love.

    There is more to the working in the health department than many people realize. I never realized until I started working for one.

    I love my job. The pay sucks but the hours and work environment make up for it!
  7. 0
    We have a WIC nurse. She does WIC certifications and signs referrals for PHRM/ISS. I wonder if they will eventually phase out her position. We have two Nutritionist and I do my own WIC for my patients.


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