Published Jan 22, 2016
priyaremi
65 Posts
I had previously posted on here relating to deciding on whether to opt for a homecare RN position or a hospital one. I am a new grad and graduated last September 2015. I had been offered a PDN position with a lady with a peg, trach and ventilator but decided to decline as I thought I may not get the exposure I needed for future career prospects.
HOWEVER, I attended an interview and was offered a hospital job today for med/surge. I realised that it was a disaster when I asked the interviewers what the patient:nurse ratio was. They had no answer and spent five minutes talking about new documents that were coming out etc and blah blah blah. She eventually said that on a ward of 32 patients that there would USUALLY be 4 nurses!!. She said sometimes only two or three depending on available staff. This is one of the busiest hospital in the country. I then asked her whether I would get any training or induction and she said "It could be a month after you start" and its for a few hours!!!!. *****?!!. I am fresh out of college and no training or orientation whatsoever is available!!!
They offered me the job at interview and I said that I would think about it over the weekend. I am 40 years old this year and a death wish is something that I do not have. I rang the agency about the PDN job and she met with me this afternoon. I met with the family and they seem lovely. It is full time and permanent and one patient!! It also pays a lot more than any of the hospital jobs. Why kill myself, perhaps a patient and my nursing licence just to get broad spectrum experience?. I am at peace with my decision now and hope it goes well. The agency told me that I can shadow for three months or more if I want it due to the vent and trach etc. They will also send me for trach and vent training. What more can I ask for!!!. With the questionable practices in healthcare where I live, I think I will be staying on in the community for the forseeable future!!!
roser13, ASN, RN
6,504 Posts
Good for you! Sounds like a great opportunity.
Thank you roser13
So excited to start my first nursing position.
OCRN3
388 Posts
True ... Hospital is not all it's cracked up to be and if your states has no ratios!!! Run! Happy for u!!
nutella, MSN, RN
1 Article; 1,509 Posts
There is nothing wrong with picking a position and job that you feel will be right for you!! Congratulations to your job! I worked in the community and did not regret it. I can compare both settings as I have done both and home care can be extremely satisfying, you can make a true difference. There will always be a job for you in the community plus you do learn a lot of skills !!
Good luck!
Natasha, RN, BSN
77 Posts
Congrats to you!!! Sounds like you had a gut feeling to not take the hospital job that would leave you running around like crazy with a high nurse to patient ratio and limited training. Run for the hills from that one! lol
Again, congrats :)
Thank you so much 😊 everyone for the lovely and encouraging feedback. You are so kind to take the time to reply. I start my new job next week.
middleagednurse
554 Posts
trachs and vents offer good learning opportunities
Nomad_Nurse1
18 Posts
Go you! I've realized that one can not work to their full potential as a nurse if their mental health is suffering. You can ALWAYS go back to the hospital if your current position isn't what you want. You won't regret it.
LadyFree28, BSN, LPN, RN
8,429 Posts
You have learned early in your career the most important part of being a nurse-advocacy...you have advocated in making the best decision in order for you to be the best nurse you want to be.
Best wishes!!!
LDAthleteNurse, BSN, RN
407 Posts
I'm happy for you! Wishing you the best of luck :-)
nars_wannabe
36 Posts
Good for you! Congratulations!