Advice please

Nurses General Nursing

Published

Hi!  

I work at a pediatric office and honestly I do love it. But as of around April, I became unhappy as in everything was kind of falling on me. I was doing the ordering of supplies, staying two hours or so after to complete tasks that should have been completed by other employees, doing medical records, calling parents back with lab results, answering questions they had, etc. mind you this was also in between rooming, vitaling, and doing procedures on up to 40 patients a day. We have one medical assistant and or nurse that is supposed to do these tasks in an 8 hour period. It’s just not safe nor humanly possible. I did it for months, never complaining, but as of late my mental health has been taking a toll. I’ve been completely mentally and physically exhausted after leaving, aggravated and just not happy. Anxious I forgot something, worried if I did, etc 

One of my friends and coworkers works at a different pediatric office, and I was recently offered a job there in July. I passed on it due to at my recent job they fired the manager, and lost three other girls. Cut to I was offered this job again in August. My last day at my previous job the doctor who runs the practice asks me why I’m leaving. I tell him what I think needs to change and why I know not only I but my other staff was unhappy. He seemed legitimately surprised because I don’t believe my manager filled him in on this stuff. Although I had brought up my issues before and was told oh it would get better or they were dismissed. He offered me a raise and promotion. He said that he looks at me like a daughter and he knows how good I am at my job and would not want to lose me.

This new job I started, and honestly? I like it but it seems kind of too easy if that makes sense. And I’m wondering how and what chances of moving up in the new practice I have? There’s no management positions and there are multiple nurses and medical assistants who honestly don’t do much or anything and claim it to be “overwhelming.” I’m like you guys literally have no idea what being overwhelmed is LOL. 

So my dilemma is this. Go back to my old job with a higher position and salary (he wanted me to be the manager of our urgent care) or stay at this new job although I don’t feel very fulfilled yet. Should I give the new job a change? Am I like an abused dog that has a good home and now I don’t know how to accept the lack of chaos and stability? 

Also, the new job is less hours, but more pay. 

Old job will be same ish hours but more pay. Mind you I was clocking about 84 hours in a two week period making 20 dollars an hour and the new job is 64 hours with room for more, 28.50, will go up to 29 after my probation period. My old job offering the promotion would be like 80ish hours and 28 dollars an hour. 

So there is where my dilemma lies friends, any advice, opinions, etc would be GREATLY appreciated

Specializes in Neurosciences, stepdown, acute rehab, LTC.
2 minutes ago, GrumpyRN said:

Very slightly off topic but...

Do none of you Americans think that working 80 hour or 64 hour weeks continuously is excessive? Is this normal? If so, no wonder you are stressed and getting PTSD.

UK working week is 37.5 hours and everything after that is paid at overtime and we are looking to try to reduce the working week.

She said in a 2 week period! We are not THAT crazy. 

1 Votes
Specializes in Pediatrics.

I did mean every two weeks friend LOL I’m sorry 

Specializes in Emergency Department.
2 hours ago, anewsns said:

She said in a 2 week period! We are not THAT crazy. 

 

2 hours ago, NicKi0410 said:

I did mean every two weeks friend LOL I’m sorry 

Oooops!!

Sorry, I did miss the 2 weeks. Ignore me and carry on. 

To OP, I hope it works out for you and you get the advice you need.

3 Votes
Specializes in Med-Surg.

I’m not a fan of the old, “but we are family.” Twenty dollars is a low salary. Keep the new job.

2 Votes
Specializes in New Critical care NP, Critical care, Med-surg, LTC.
23 hours ago, GrumpyRN said:

Do none of you Americans think that working 80 hour or 64 hour weeks continuously is excessive? Is this normal? If so, no wonder you are stressed and getting PTSD.

While we determined that the OP was referring to a two week period, I work with plenty of people for whom 60 hour weeks are the norm. Up until this past Summer I was working 56-60 hours a week for over a year. And yes, that's causing stress and PTSD, I didn't even realize the impact on my quality of life until I cut back and realized that I was much happier. Some of us are "put your head down and work", people. We're the ones that pick up when it's short, often feeling responsible for leaving coworkers short and knowing the direct impact it has on patient care in these situations. Please know I'm not saying I'm a better nurse or person because of that, if anything I should work on my own self worth issues if I find that down time for me is less important than the operations of my work place. 

OP, I hope that you find a situation that makes you happiest. It sounds like you were stressed in your previous position, but in some ways you thrive in a busy environment. I hope that you are able to see a clear advantage in one or the other situation, it sounds like there is potential in both. Good luck!

3 Votes
Specializes in Pediatrics.
19 minutes ago, JBMmom said:

While we determined that the OP was referring to a two week period, I work with plenty of people for whom 60 hour weeks are the norm. Up until this past Summer I was working 56-60 hours a week for over a year. And yes, that's causing stress and PTSD, I didn't even realize the impact on my quality of life until I cut back and realized that I was much happier. Some of us are "put your head down and work", people. We're the ones that pick up when it's short, often feeling responsible for leaving coworkers short and knowing the direct impact it has on patient care in these situations. Please know I'm not saying I'm a better nurse or person because of that, if anything I should work on my own self worth issues if I find that down time for me is less important than the operations of my work place. 

OP, I hope that you find a situation that makes you happiest. It sounds like you were stressed in your previous position, but in some ways you thrive in a busy environment. I hope that you are able to see a clear advantage in one or the other situation, it sounds like there is potential in both. Good luck!

I think I’d love to go back and be able to put some of the changes that need to be done into place. But I’m just concerned they’re saying oh we’ll promote you and give you a raise and nice title and nothing will change. 
The new job is definitely less stressful. I just like to bond with my patients and my staff and I feel like I haven’t yet. I feel like I’m at camp or something LOL I’m hoping that could come with time, but that’s what I’m afraid of. That and not making the right choice and regretting it. I know these aren’t the only two jobs in the world, but right now I feel like they are and at one point I was completely happy at the old job until I got so overwhelmed that it was honestly affecting my outside life. I was almost burnt out. And I’ve only been a nurse almost 3 years, that can’t be normal. 
 

thank you! I hope I find a good in between or make a good choice! 

1 Votes

Our pay periods are 2 weeks long. She was saying she works 84 hours in two weeks, or 42 hours/week.

I personally don't like working over 40 hrs/week, but some younger nurses like the extra $. In the US we get overtime after 40 hrs/week.

Working in a hospital is a different story. 12 hour shifts can turn into 16 hour shifts.

Specializes in Travel Nurse, All ICU specialties and ED.

Keep your new job! I imagine you are struggling to adjust because at your old job 1) you felt needed. 2) you didn't even have to think about it, you KNEW you were good at your job. There are many new people at this new place, and more coworkers = more chances to make new friends! Give it a shot, I think you will grow to be satisfied and maybe even happy there!

3 Votes
Specializes in Geriatrics, Dialysis.
On 9/5/2021 at 12:29 PM, NicKi0410 said:

See that’s the thing. I don’t think our manager or HR let the doctor who owns the practice  know how unhappy mostly everyone was. I’d go to her and tell her my issues and she would agree with me and say oh this will change and then the same stuff would keep happening. And I brought some stuff up at a meeting once and her and a few other girls like completely brushed it off like I was insane. But the doctor who owns the practice is the one that brought me into his office on my last day and he asked my issues and I told him. I would love to say oh they’d change, but I don’t necessarily trust that anymore. I just am completely torn and I don’t want to regret anything you know? 

You are right to not trust that things would change. If the doctor who owns the practice was totally oblivious to how staff felt why would you expect that to change if you went back? He/she wasn't concerned enough with the staff's job satisfaction to even be aware there were issues much less do anything to improve them.

3 Votes
Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
On 9/5/2021 at 10:29 AM, NicKi0410 said:

See that’s the thing. I don’t think our manager or HR let the doctor who owns the practice  know how unhappy mostly everyone was. I’d go to her and tell her my issues and she would agree with me and say oh this will change and then the same stuff would keep happening. And I brought some stuff up at a meeting once and her and a few other girls like completely brushed it off like I was insane. But the doctor who owns the practice is the one that brought me into his office on my last day and he asked my issues and I told him. I would love to say oh they’d change, but I don’t necessarily trust that anymore. I just am completely torn and I don’t want to regret anything you know? 

Of course the manager did not let them know. That would be admitting a failure on their part!

Move on if this is what you want.

1 Votes
Specializes in School Nursing.
On 9/5/2021 at 4:45 PM, GrumpyRN said:

Very slightly off topic but...

Do none of you Americans think that working 80 hour or 64 hour weeks continuously is excessive? Is this normal? If so, no wonder you are stressed and getting PTSD.

UK working week is 37.5 hours and everything after that is paid at overtime and we are looking to try to reduce the working week.

The U.S. needs to take a long hard look at how much and how hard we are expected to work. The quality of life in other countries, the UK, Sweden, Norway, Spain, is much better than here. They get more time off to spend with families, more family leave, and universal healthcare. I wish that we would take a lesson from these countries and take care of our citizens right here...

5 Votes
Specializes in Community health.
On 9/5/2021 at 4:45 PM, GrumpyRN said:

Very slightly off topic but...

Do none of you Americans think that working 80 hour or 64 hour weeks continuously is excessive? Is this normal? If so, no wonder you are stressed and getting PTSD.

UK working week is 37.5 hours and everything after that is paid at overtime and we are looking to try to reduce the working week.

1) people are exaggerating. 

2) the internet is not reality 

On 9/6/2021 at 9:42 PM, 2BS Nurse said:

Our pay periods are 2 weeks long. She was saying she works 84 hours in two weeks, or 42 hours/week.

I personally don't like working over 40 hrs/week, but some younger nurses like the extra $. In the US we get overtime after 40 hrs/week.

Working in a hospital is a different story. 12 hour shifts can turn into 16 hour shifts.

I didn’t even notice this. ? Yes, that’s in two weeks, not one week for heaven’s sake! 

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