Published
So, I've had 3 interviews and have gotten offers from all 3. Here's a run down:
1. Children's Hospital
[*]$27/hr base for 1st shift, unclear on shift differential
[*]Offered 7a-7p
[*]Temporary to permanent w/no benefits initially, excellent benefits IF offered permanent position after 3 months
[*]always a dream job of mine, i have experience with peds
[*]One children's hospital in most areas, not easy to transfer anywhere
2. County Jail (not a gov't position)
[*]$26/hr base, $3-night shift, $4-weekend nights differentials
[*]Offered 6p-6a
[*]Permanent w/benefits
[*] Great triage experience
[*]Will possibly be limited to correctional healthcare facilities
3. St Joseph's
[*] 24.50/hr, $2-night shift, $2.75-weekend differential
[*]Offered 9p-9a, but 8hr shifts available
[*]Permanent w/benefits
[*]Excellent experience in the ED, which will lead me to the ICU
[*]Able to travel anywhere with ER experience
Just to name a few facts....now i know i can always do pediatric home care part time, or even prn later down the line at Children's. I have also already accepted the position at Children's, not knowing i would get other offers.
I do have a family who needs healthcare benefits. So I'm torn more between the ER Position with less pay, or a pediatric specialty which is why i wanted to become a nurse. I know i need to think about the future, which involves becoming a CRNA. (Need 2-3yrs ICU) But no benefits, and no 100% guarantee I'll become permanent....that's iffy. Private insurance would be around $1000/mo if not thur a company.
I also don't know if i would blow my chance of getting hired again if i rescind my acceptance. But technically, i havent started nor trained. Im so torn, and i cant hear my heart because of my logical mind.
I have a spouse willing to accommodate my work schedule, 8yr old in full time school, 3yr old autistic kid, going half days and a 1yr old not in school. So 3rd would maybe work better for me. I am also a new grad who graduated last month with my license.
Someone please help me!
I would take the job that has benefits. That's the situation I'm in currently. I'm applying to jobs but they need to be full time positions that offer benefits. I definitely wouldn't take the first job. It may be your dream job & all but there is no guarantee that it will lead to full time with benefits.
If you want to be a CRNA, then that the ER position. I'm not saying that it will be easy to go from ER to ICU but it will be easier to become a CRNA working in the ER than in corrections. Because honestly, you probably will get stuck there. I've worked in corrections & a lot of NM don't look at corrections nursing as 'real' nursing.
Im partial to Childrens because I know several that work there and they love it, but the lack of stability is such a hard thing with me. Have you tried any of the HCA or Centura facilities? there are loads of open full time with benefit jobs out there.
Im not sure if we have those facilities here. But i just recently made a connection that connected me with someone in charge of the crew positions.
I would take the job that has benefits. That's the situation I'm in currently. I'm applying to jobs but they need to be full time positions that offer benefits. I definitely wouldn't take the first job. It may be your dream job & all but there is no guarantee that it will lead to full time with benefits.If you want to be a CRNA, then that the ER position. I'm not saying that it will be easy to go from ER to ICU but it will be easier to become a CRNA working in the ER than in corrections. Because honestly, you probably will get stuck there. I've worked in corrections & a lot of NM don't look at corrections nursing as 'real' nursing.
I agree i think im going to go with the ER. It fits my long terms goals. And that point i could specialize in Peds anesthetics.
1. More money yes but not a guaranteed position and no benefits. Area you wanted to work in but can you financially handle potentially losing the job in three months?2. I know absolutely zero about corrections nursing
3. Guaranteed hours and benefits. ED experience makes you very marketable. The lower pay isn't really accurate if you add in the benefits you are actually making more.
Not telling you want you should do but wanted to give you more perspective.
I do want to be very marketable! Thats why im leaning towards the ER And will most likely accept. Can you explain your 3rd point? As far as pay and benefits?
Yes. You pay much less for insurance through your employer than you would on the open market so add that difference into your salary. You get paid vacation, sick days and holidays so add that in. You likely get some kind of tuition reimbursement so there's some more money. You will also have short and long term disability. That adds up too. It's not technically money you see but it's available to you.
I voted ER (and not just vecause I'm biased ��), but man, 2100-0900 is an AWFUL shift. I work a lot of Noc but shift change has always been 0500 or 0600. I've even heard of 0700, but never 0900. It's so far into the next day that it would be very difficult for me to get to sleep at all. I definitely wouldn't like that shift.
In my experience (and yes, I'm biased), the ED is really a great jumping off point to ANY floor, and especially the ICU. You get your foot in the door in every department of the hospital, you take care of a little of everything from primary care to critical care, from newborn to geriatrics. You interact with virtually every department in the hospital from radiology to lab to all of the inpatient units, respiratory. At this point in my career, I could probably get a job on any floor in my hospital. The only exception might be L&D simply because the ER shuns all real preggos! Although I think ER skills would translate well to a busy L&D unit, it's just the unit we interact with the least in the hospital (and obviously Mother Baby as well). The ER has been a closed department at every facility I've worked, but we will often be asked (never forced) to float up and cross train to ICU when they are short staffed. And when we are drowning and they are slow, ICU RN's come and help us out. ICU is the department we are closest to, so it's very realistic to expect that a start in the ED would help you transition to ICU at some point. At least in my experience.
Does child care figure into things at all? I'm sorry if I missed that. I'd choose the ER position based on all that you said but working that shift and being the childcare provider after getting off work....I couldn't do that or recommend that. But I'm assuming if you said your spouse is supportive that they are doing the childcare?
Does child care figure into things at all? I'm sorry if I missed that. I'd choose the ER position based on all that you said but working that shift and being the childcare provider after getting off work....I couldn't do that or recommend that. But I'm assuming if you said your spouse is supportive that they are doing the childcare?
Careful your innocent question might be misconstrued as overstepping:
And honestly, what i have now for insurance is irrelevant and doesn't pertain to you.....not to be rude.
Careful your innocent question might be misconstrued as overstepping:
Yikes I hope not. It'd be a completely different life to work nights and get off and take over childcare, or wake up early to do childcare before the next night vs working days and doing childcare following while a partner goes off to evenings--or a partner can work on your days off.
I can imagine no worse torture to be primary caretaker for a toddler after having put in a night shift.
PS I can think of several relevant reasons to ask about current health coverage for making this decision so don't feel bad lol
enuf_already
789 Posts
The word temp in the peds job would scare me if I really needed a full time job with benefits. Peds is not usually a stepping stone to a CRNA. Not saying it couldn't be done but peds and adults are 2 separate worlds. You will want adult experience on your CRNA application.
It depends on your long term goals and what you and your family can live with now.