Bedside nurse or school nurse? Opinions please.

Nurses General Nursing

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I was just offered a position as a school nurse for a very large middle school, 1244 students in grades 5-8 and roughly 80 kids come through the clinic each day. I initially began looking for a new job because my current one requires day/night rotating every two weeks and not only am I not sleeping at all anymore, I cannot stay awake on the drive home at ALL. I drive 45 minutes and fall asleep constantly the whole way home. Night shift is also wreaking havoc on my heart with lots of palpitations and some arrhythmias. With that background, here are the pros/cons of each position.

School nurse:

Pros = Summers/holidays/weekends off, school day is 7:30-2:30, no more night shift or 12 hour shifts. I'd also be taking on a new challenge working with diabetic children (six in the school right now) and a special needs group of children with complex medical issues. We also take on a research project on a topic of interest to educate staff. on.

Cons = It's an hour commute, have to pay union dues, and slightly less pay at $47,000/year (but equal or more if you factor in only working 9 months out the year), working 5 days a week instead of 3, and I'd be giving up my fiance and my one day off together.

Bedside nurse:

Pros = Helpful coworkers, lots of clinical skills put to use, I get to work with babies, self schedule, potential for overtime, and I love what I do.

Cons = 45 minute drive to work including tolls and two major highways (bad when you fall asleep driving!), working 2 out of 3 major holidays, rotating days/nights every two weeks, falling asleep driving on the way home after every night shift.

I'd still stay at my bedside job per diem if I choose the school nurse job. So knowing all of the above, which one would you choose? My family is telling me to go for the school nursing position, but it's hard to pull the trigger when bedside nursing is all I've known and I always pictured myself as a bedside nurse. I'd love to get the opinions of fellow nurses. Thank you!

Specializes in Home health was tops, 2nd was L&D.

I think every nurse goes thru stages in her career. I loved teaching hospital for High Risk L&D but physically my body would not tolerate 12 hrs night shift though I mentally liked it. I too get very bored very quickly, and need to be challenged> I could not have done school nursing even 10 yrs ago but now I would love it, but cuts have left limited jobs where I live so...

My suggestion is to try school nursing, get involved with the kids and the school, perhaps they would let you teach mini seminars like on hand washing etc to spice up things! Keep hospital job per diem (prn). Even though you are working 5 days maybe you could work hospital on day you fiance works? Figure on working most of the summer, then see how you feel. You will learn what you like or don't and can go from there.

I am amazed when I met a RN who says she has been in same place for 20+ yrs..but usually when asking how, it comes out well it was same hospital but more than one unit. But when I do hiring, I prefer nurses who have had several jobs, shows me they like challenges and are motivated and can re-invent themselves.. of course that is if references check out and they moved on willingly not because of being fired multiple times.

Try it and see what happens. I think growth is good!!

Specializes in School Nursing, Ambulatory Care, etc..

Just to clarify, I get paid in the summers - I have elected to have my paychecks stretched over the whole year instead of just the 9 months of the school year.

I would advise you to take the position that offers day shift work, at least until you can get some kind of control over your health problems. Once you have your health problems in check, you will be in a better position to venture out in different directions in the future. Good luck.

Specializes in ICU, PICU, School Nursing, Case Mgt.

We didn't have that option. Still, isn't it a little tight actually getting paid for 9 months of work? The school district is considering doing this--but I stopped in 2008.

If you're not able to get anything at your current employer that's daylight only, the school nurse position may be your best bet until you're able to get your health in better control. Keeping yourself per diem in the position you have now is an excellent idea because it will allow you to maintain seniority if a position opens up. I wish you all of the luck in the world, no matter what you decide to do.

Were you not paid for all your time off as a school nurse? In Texas we are paid for holidays, summer vacation, spring break, ect.

Boy, wouldn't I love to be paid for ECT. Maybe I would be calmer.

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