Be Professional or Keep My License?

[AngelfireRN, MSN, RN, APRN]

I am in a bit of a quandary here, guys, and could use some help.

Long story short, I have a new job. I was not looking for one, but it sort of fell into my lap. I gave a 2-month notice at my current job, and all seemed well, I thought.

My OM got a phone call one day last month, and came to my office afterward to tell me that she had "loaned me out". The situation being that somewhere else in the hospital needed a replacement NP for a week. I was quick to inform her of the stipulations on my certs, being that I can not see a certain age group, and was told that all would be handled. It wasn't.

So, on the day I was to present myself at the area to which I had been loaned, and had been told not to report to by my governing body, the powers that be arrived in my office, and it was arranged to the satisfaction of all (save me, of course) that I go to whence I was loaned.

My quandary is this...since the time that I brought the complications and the edict from my Board to the attention of my OM, who I used to get along with famously, she's been...different. Any communication regarding the loan has been delivered with a tight little smart-*** smirk, and then she disappears before I can respond.

That, combined with the actions that took place after, have made me consider cutting my notice short. I can start my new job as soon as I can get there, so no issue there.

I guess my main concern is, since there was no issue with this, what else may be done so that they can have their way, and do I want to risk looking unprofessional more so than I want to protect myself?

Any advice would be greatly appreciated. Thanks.

[dscrn]

You owe it to yourself, and your license, to look out for YOU! I'd be out the door real fast...

[caliotter3]

Something is brewing if she is smirking. I would cut my losses and go to the new job intact.

[AngelfireRN, MSN, RN, APRN]

Thank you both.

[MC1906]

I would definitely be careful and follow your state protocols for your license. It would be awful if someone ended up bringing it to the attending of your state board of nursing that your practicing out of your scope.

Visit your contract with your current place of employement.

1. see if you can be loaned, and if so, does it state the requirements that must be met prior to being loaned.

2. See what the minimum amount of days required to give a notice. I would then adjust your previous letter to meet the minimum and get out of there. If you have some PTO days or vacation days, you may want to use those up before you leave if you cannot transfer or cash them out.

****Follow your Human Resources guidelines to get you out the most professional way*****

[sandnnw, BSN, MSN, EMT-B, APRN]

Are you under a contract? What "they" are doing smells illegal and your OM is not looking out for you, but what "feels easy and quick" because you obviously are good at what you do.

I'd serve notice as quick as possible. There must be an escape clause in your contract. Don't expect any help from the "company." You have learned a very valuable lesson here. Never, never practice outside your scope or age range. As an ANP in TN, i cannot see anyone under 12, as much as my PA peers hate it, I stick to my guns and I like to think they respect me for it (I see two adults for their one kid to keep them happy, I know, I know...)

As far as being professional, well that has different meanings in different situations...sounds like you are the only one being professional here...

[AngelfireRN, MSN, RN, APRN]

Again, thank you. No, I am not under contract, so no worries there. While I am at the place I was loaned to, I have refused to see kiddos under 14, and have refused to do more with the meds than OK a refill for a long-standing script ordered by the doc. I am getting no small amount of rolled eyes and gusty sighs, but I don't care.

The doc is so mad at me he can't see straight, because they asked me to fill in on weekends, and I agreed to think about 2 per month, when he thought I should work them all. I DO have a M-F job, you know, and I'd like a day off now and then. Insane.

Yesterday, one of the admission gals brought me a paper with some names on it, a Mama had called and said that her kid's meds "weren't working, that he got mad and agitated in the afternoon". I looked at her with, I'm sure, a confounded look on my face, and she said, "Well, what Janice does is goes and gets the chart, and calls and makes recommendations. He's due back at the clinic on whatever day, but he won't see the doc".

I looked at the note and told her that the problem may just have to wait for Janice to get back, as I don't know what to do, have no knowledge of this child, and am not authorized to change his meds.

Again, I get the look, "Well, you just don't want to do your job". She huffed off. I did explain to her later, in detail, why I refused, to which she said, "Well, the doc won't speak to her, you know."

"Well, neither am I. I can't tell her anything, and I am not authorized to change a med I know nothing about."

I can promise y'all this, it'll be a cold day in Hades before I EVER go back there.