After Nursing: Is There Life Out There?

Some musings from a nurse in her mid-fifties who learns that she faces the possibility of losing the best nursing job she's ever held.......and ponders the question of whether it's time to make this 'best' nursing job her *last* nursing job.

I knew it was too good to last forever.

Today, in a meeting with my company's regional director of operations and the corporate nurse consultant, my Executive Director and I learned that we will both probably be let go if our building doesn't pass our re-survey next month. We got our butts handed to us during the exit interview last time, and we've had some challenges that have put us behind schedule in getting the new programs up and running in response to the problems found during the inspection. The timing couldn't possibly be worse; we expect the survey team back at any time after the first week of March, and we simply aren't finished fixing everything, let alone learning how to use all the new paperwork that Corporate put in place to address the documentation issues.

Neither of us was surprised; we're both longtime directors, and this is a place we've both been before. The proverbial handwriting is on the wall.

Still, the discussion had a surreal quality to it, especially before my boss was summoned to join the RDO, corporate nurse and me in my office. The RDO sat down in the floor supervisor's chair and gazed straight at me with his head cocked to the side, looking for all the world like a certain physician I see fairly frequently, and asked me the same type of questions Dr. So-and-so always does.

"Are you OK?" he wanted to know, speaking in a tone that was more concerned than condemning. "How are you doing? I mean, how are you really doing.'' He was to repeat these queries at several more junctures during the conversation, which made the hair on the back of my neck stand up. I have never felt the need to inform Corporate about my personal health issues, but I got the sense that he knew everything and was just waiting for me to come clean.

Fortunately, this was NOT my first rodeo, and since I don't use my 'nonconformity' as an excuse for being remiss in my duties, I said nothing along that line, only that I'm very stressed out and frustrated at the circumstances under which I'm working at this point.

Which brought to mind something I promised myself back in 2010 when I realized that I'd lucked into the best nursing job ever: that this was it. This was the job I would retire from. Little did I know that this statement would come back to haunt me as I approach late middle age and realize how great are the odds against finding another nursing job. Especially one I can actually handle.

I'm old. I'm tired. I'm cynical. I'm a train wreck, both physically AND mentally. And I've decided that if I do end up in the unemployment line, I'm done.

As much as I've loved nursing, I know my days are numbered even if I do squeak through this crisis. I'm far too prickly now to just stand back and co-sign people's BS. I'm easily distracted and tend to lose focus when faced with piles of paperwork. I'm quickly overwhelmed, and easily undone by the stressors inherent in the work. Plus, I'm at an age where it's time to think about what I want out of my later years. Hmm, let's see....should I enjoy my home and family, or would I rather go on forever with the 50-hour weeks? And how long will my mind and body hold out if I continue to put myself through this day after day, month after month, year after year?

I don't know.

What I do know is, I need a Plan B. Of course I'll continue to work hard at keeping my job, because I really do enjoy it a good portion of the time (and the pay isn't half bad either). And if I do come through intact, I'm staying where I am until I can't take even one more snotty patient or irate family member. But I am just not going to put myself through another round of interviews for nursing positions.....if I can even get them, that is. I have an associate's degree, bad knees, and flat feet that can't run the floors anymore. A few years ago I could, and did, get away with it because my experience was so varied; now it's a different story, and with my lack of advanced education I'd be lucky to find a swing-shift job in a nursing home. Which I can't do. Great.

So, to assist me in redirecting my energies, I'd like to know what you all think would be a good job for me. I mean, besides Wal-Mart greeter (which I don't think they even have anymore) and carnival barker. What do you think I could do that would make me reasonably happy AND keep my husband and me off the streets? I don't need a career anymore, but a job paying a living wage is a necessity.

I look forward to your responses. (Friendly reminder: they do need to be in reasonably good taste, of course.) Thanks!

Specializes in ICU, CM, Geriatrics, Management.

Hey there, Viva. Have only read the first page of this thread.

But I've reviewed a ton of your postings through the years. (No, I'm no spring chicken either.)

And there's no question in my mind that even if the current audit turns out to be the worse in the facility's history, you're still gonna land on your feet someplace else.

'Cause you're too sharp, too experienced and too with it.

Might also turn out to be a blessing in disguise: The next place may be your best employer. So stay positive.

Good luck to ya!

Specializes in LTC, assisted living, med-surg, psych.

Awwww....that didn't hurt one bit. Thank you!!

Specializes in Alzheimer's, Geriatrics, Chem. Dep..

Viva any updates on this? how are things going?

Specializes in LTC, assisted living, med-surg, psych.
Liddle Noodnik said:
Viva any updates on this? how are things going?

I apologize for being remiss in checking my threads/articles. :blackeye:

Things have improved rather dramatically in the past week and a half or so, I'm happy to report. The new schedule ROCKS! I got so much done last week that I was able to take on some new projects, which has already retrieved my butt from the sling it was in just a couple of weeks ago. My boss is happy again, and I even got hugs from the RDO!

Now I've just had my first 3-day weekend and have literally enjoyed every minute. In these three days, I've actually gotten to go on a "date" with my husband, do some shopping (although it's like "HELP! I'm spending too much money and I can't stop!!"), get some yard work done, see a movie, clean up some of the clutter around the house, go to Mass, and I STILL had time to just veg in front of the computer. And I'm relaxed and rarin' to go tomorrow morning. YESSSS!!!:singing:

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
VivaLasViejas said:
I apologize for being remiss in checking my threads/articles. :blackeye:

dat's ok dolling... glad the new schedule is working, amen! ?

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
VivaLasViejas said:
I apologize for being remiss in checking my threads/articles. :blackeye:

Things have improved rather dramatically in the past week and a half or so, I'm happy to report. The new schedule ROCKS! I got so much done last week that I was able to take on some new projects, which has already retrieved my butt from the sling it was in just a couple of weeks ago. My boss is happy again, and I even got hugs from the RDO!

Now I've just had my first 3-day weekend and have literally enjoyed every minute. In these three days, I've actually gotten to go on a "date" with my husband, do some shopping (although it's like "HELP! I'm spending too much money and I can't stop!!"), get some yard work done, see a movie, clean up some of the clutter around the house, go to Mass, and I STILL had time to just veg in front of the computer. And I'm relaxed and rarin' to go tomorrow morning. YESSSS!!!:singing:

I am so happy for you!!!!!!!!!!

Specializes in LTC, assisted living, med-surg, psych.

An update I wish I didn't have to share........

Our re-survey process began at 0830 Wednesday morning, and it all went downhill from there. What we were expecting was the one surveyor who did the quickie one in January and said we just had a few more things to fix up. What we got was a team of three---one of whom is well-known to me, and when I saw her come into my building I knew we were in deep Bandini: she is a pit bull of a surveyor who nearly closed our sister facility singlehandedly two years ago (I was the one who saved that facility from a stop-placement order, as some of you may recall). And, to put it politely, it took them only ten hours to carve up our documentation and hand our butts to us......with a brand-new citation and a 'harm' tag to top it off. :arghh:

So now we get to go through this again. AGAIN. Strange, I thought it was my job to make sure that our people were doing their jobs; it never occurred to me---until it was pointed out to me today---that it was also my job to make sure that other companies were making sure THEIR people were doing THEIR jobs. :rolleyes: I also got a verbal spanking for apparently being a poor advocate for my resident who isolates in his room because he wants to be left alone, whose son thinks he's doing OK under the circumstances and knows Dad would pitch an unholy fit if the mental-health nurse came in to evaluate him.

I've carefully documented the conversations I've had with both of them, figuring that would suffice; but I am evidently remiss in allowing the man to live out the remainder of his days as he chooses without intervening, without forcing him to do things he doesn't want to do......and for what? So he can stick around even longer when he already feels that life has become a burden and he wants to be done? So he can regain the 40 pounds he lost in the nursing home, which he certainly doesn't need and is far more mobile without? How is that being an advocate??

And of course, it all boils down to what TPTB demand from us---perfection---versus what we who do NOT walk on water can give, which I call "pretty-damn-close". We take good care of our residents. Everyone, including the top brass at our company, our outside home-health providers, and the residents' families, knows this. We just have trouble proving it, in no small part because the targets we're aiming at keep moving all the time.

And yes, I'm frustrated, angry, upset, and fearful that this is indeed the final nail in the coffin. I honestly don't believe my director will survive this latest catatastrophic survey, and if he goes, I'm gone too. We've given it our best shot and then some, and we still aren't getting it done to the state's satisfaction; why ever would the company keep us on when our mistakes are drawing civil penalties that cost them money?

I'm not going to spend the weekend stressing about it, though. Boss goes on vacation Monday and will be gone for a week, which means nobody's getting fired till at least the beginning of the following week; what happens after that is anyone's guess. But I've been thrown under the bus before with bad surveys, and I'm sure I'm not done quite yet. All I know is that I'm going to carry on just like I usually do, working on the things I can fix while trying not to drive myself bonkers over what I cannot.:nailbiting:

Specializes in LTC, assisted living, med-surg, psych.

Well, I got my orifice handed to me again yesterday........emergency staff meeting, then a private discussion with my boss. He spent over an hour and a half on the phone with Corporate before the staff meeting, and it's boiled down to this---we will both be fired if we fail the next re-survey.

From a business standpoint, I understand perfectly well what TPTB are thinking, and I don't blame them. This is part of what being in top management is about, somebody's got to fall on his/her sword, and life goes on. OTOH.......I don't have a Plan B, and I'm scared to death.

I've NEVER not had a Plan B for what to do in case a job didn't work out. This was the one I'd planned to stay with until I was ready to leave nursing, period; I know what the economy is like, and I know what the job prospects are for a 50+ nurse with an associates degree, to say nothing of years of experience that make me expensive to hire, and medical problems that make me expensive to insure. And I'm sick of starting over again........I finally figured out why I used to job-hop, have stuck with this one through some pretty tough times, and have absolutely NO desire to leave. I am too old and too tired to keep starting over, and over, and over.

To say the least, I am afraid........I am very afraid.:notworthy:

In the same situation, in my 50's, in a high level administration job and can't continue these hours for health reasons. Before I took this position I wasn't considered for the hospital or even in any other area, too long out, to high up in administration and would not be considered for a position I had years ago even if wanted too, had excelled in my previous position, and would take a pay cut. Not sure what to do. Very frustrating. Do I go back to get my BSN? I already have a BA but that is keeping from being able to apply for some positions. However that doesn't guarantee I will be considered anyway. If I was younger I would go back to school to be a NP, that's where the jobs are BUT I still have children to put through college and after 3 now it would be over 4 years since a doctorate would be required and most programs are moving to the doctorate level I would be closer to retirement, if we had the money to retire.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
VivaLasViejas said:
Well, I got my orifice handed to me again yesterday........emergency staff meeting, then a private discussion with my boss. He spent over an hour and a half on the phone with Corporate before the staff meeting, and it's boiled down to this---we will both be fired if we fail the next re-survey.

From a business standpoint, I understand perfectly well what TPTB are thinking, and I don't blame them. This is part of what being in top management is about, somebody's got to fall on his/her sword, and life goes on. OTOH.......I don't have a Plan B, and I'm scared to death.

I've NEVER not had a Plan B for what to do in case a job didn't work out. This was the one I'd planned to stay with until I was ready to leave nursing, period; I know what the economy is like, and I know what the job prospects are for a 50+ nurse with an associates degree, to say nothing of years of experience that make me expensive to hire, and medical problems that make me expensive to insure. And I'm sick of starting over again........I finally figured out why I used to job-hop, have stuck with this one through some pretty tough times, and have absolutely NO desire to leave. I am too old and too tired to keep starting over, and over, and over.

To say the least, I am afraid........I am very afraid.:notworthy:

If it is any solace...you are not alone. You are amongst friends....((HUGS)). I have no words of wisdom.....I was, in the end, unable to save myself, now it's a moot point.

This too shall pass.