Afraid to quit my job

[nsue]

I have been working as an RCM in long term care for 5 months. I have been provided education on how to do MDS and state regs. I know this cost the company money to train me. I have done a good job, but was not trained on all aspects of the position and have had to figure out most of it myself. I told my employer I would stay a year, but am not able to. I work long hours uncompensated and people keep asking me "why haven't you done (fill in the blank)". I have never been told I was responsible for those duties nor shown how to do it. My husband is fed up with me coming home late and falling asleep before 8pm. The unit I work on has had 4 managers over the last couple of years and I was trained by an MDS consultant who did not know all the aspects of the position. Hence I started out behind and would have to work 12 hour days every day in order to catch up. I have improved the quality of care and get along great with my coworkers so I feel like I am letting them down.

My problem is I feel bad for putting them in a bind. I only plan to give 2 weeks notice although the company request a month. It is an "at will employer" meaning I don't even have to give notice if I don't want to. They will probably offer me more money because they are desperate but it is not the money.

Any suggestions on how to handle my resignation?

[Ruas61, BSN, RN]

This is an MDS position. There is a big crisis with keeping people in the job. The scope impacts EVERYTHING for LTC from surveys to public scoring to reimbursement.

I left after 17 years in it to go to the other side and many are doing the same.

Most places do not think (or care) about the consequences.

You have a license, a pulse and can read- come on down.

The 'come to mountain' moment for management is the surveys failing, the quality indicators falling or Medicare taking the $$$ back.

Get out if you can.

[DeeAngel]

Never burn bridges because you *think* you wont need a recommendation. Nursing can be an extremely small world sometimes and you never know when you will meet these people working somewhere else.

[Aunt Slappy]

I say give two weeks and move on, because you could very well give the required notice and work it out, and still end up blacklisted by the organization.

Five years ago, I resigned from a large hospital system after working only 7 months, because I figured out fairly quickly that the job was destroying my mental health and starting to impact my physical health. I gave two weeks notice as required. Since then, I've occasionally seen positions I thought I might like and applied, most recently just two weeks ago. I've always had the name of a long term employee of their system to use as a reference. And none of my applications have lasted more than 24 hours before being marked "no longer under consideration." The last one barely made it 12 hours.

Following the rules doesn't guarantee anything.

[J.Adderton, BSN, MSN]

I definitely agree. Positive feedback from past employees is important in obtaining new nursing positions. This is especially true in the area of hospice since you will be working independently in patients homes the majority of workday.

[nsue]

Thats terrible! I hope i dont get blacklisted but i am done. Life is too short to let a job consume you.