Feeling close to the end of my rope...

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Hi everyone,

I am an RN who has been struggling quite a bit recently and thus has made several posts. To give a quick summary for those unfamiliar with my situation, I have been working at a medical unit at a local hospital part-time for close to 2 years and a hospice casually for about a year. I am very unhappy at my hospital job and thus have been looking for a day nursing job for a month and a half now. Unfortunately, things have taken a turn for the worst again, and I would appreciate any honest feedback or responses. This community has been honestly amazing and I have been trying to apply the advice given to me in the past. Apologies for the long length, this will be my final post related to my current situation so I want to cover all bases. 

Yesterday, I received two e-mails that both of the jobs I would have accepted (clinic positions) had decided to go with other candidates. I was absolutely devastated as I normally get a job offer if I'm interviewed since I actually tend to interview well. I feel like I saw the light at the end of the tunnel only to have it disappear again. It has now been almost 2 months since I started applying elsewhere and I have applied to 22 jobs in that time period. 

I am absolutely desperate to move away from acute bedside now. I mentioned in earlier posts but I don’t think I have really gone into how sick I am really getting from this line of work to the degree I am literally considering changing fields if I can’t get regular hours soon. I have a history of anxiety and depression and I think that is honestly not helping with any of this but my health feels like it is reaching a breaking point. My sleep schedule is a complete and utter mess. When I sleep now it isn’t unusual for me to wake up 6-10 times over the eight-hour period if I manage to even get that. I often get less sleep, then wake up exhausted and struggle to get anything done on my days off anymore because I am so exhausted. I recently had an episode of sleep paralysis and ended up having a full-blown hallucination regarding the hospital. I also am having frequent nightmares which is part of the reason I am waking up so frequently during my sleep.

I have been gaining a lot of weight too, about 30 pounds in the year and a half. None of my clothes fit me anymore but my scrubs and even those are starting to feel increasingly tight. I'm so embarrassed about my weight that I've been staying home a lot too since I have nothing to wear and it's obvious how much weight I have gained. I am experiencing frequent bouts of nausea and constantly needing ginger ale or gravol to stop myself from dry heaving or vomiting. To go along with that, my bowel movements are also all over the place, I tend to have very tiny BMs and sometimes have 5-7 a day ranging between hard pellets to diarrhea over even a few days. I literally feel sick enough that I went to my MD concerned that I had cancer or something near the start of the year. They ran a bunch of blood work on me and I had a colonoscopy but couldn’t find anything. The only thing they found was that I have small fractures on my spine and the cartilage on my hip is beginning to wear away possibly from overuse. I am in my 20s and this just seems crazy to me.

I’m starting to really regret the career and think that shift work is a big reason why I am having so many issues. I had a major depressive episode for years in high school and I’m not even lying when I said I was healthier then. This is probably the sickest I have been in my life. My mom, who is very similar to me, is a person of habit and has very set routines. When I have a more structured life, I seem to live healthier. But my current work schedule is all over the places or nights for weeks on end. It’s definitely not helping my mental or physical health especially with the stress from the job in general. I literally feel so sick some days going into work that I have started to slow down and almost envy my patients. They feel awful too but at least they can rest.

 I’m in a bit of a hard position since my manager at my current unit is the one who runs the clinic I most desire to work at (aside from money the big reason why I haven't quit). He has actually expressed an interest to hire me there when a position opens up but says it could be anywhere from 6 months to a year. He actually knows that I am applying elsewhere part-time and is fine with it provided that I stay on my unit casually and it relates to clinic work. He actually told me it would be ideal even if I got clinic experience before he moves me to the hospital clinic.

While the position my manager is offering is super promising (and my current) dream job, I don't want to put all hope into one position. There are rumours that my manager, while an awesome guy, is actually thinking of retiring in 6-12 months. if he leaves before helping me get this position I could be in trouble as it could take even longer for me to get the clinic position if at all. That being said, I have tried to be less picky and apply to a variety of postings that are 8-10 hour day shifts to improve my health. I've applied to clinics, coordinator roles, and vaccine centres all without success. My resume is normally forwarded by the recruiters to the managers according to the applications sites and I have had a few interviews. But time and time again I get told that the manager "has never seen so many strong hospital nurses applying for the clinic position" and that "while I have a strong resume I need more bedside experience." One manager had a conversation with me about it and thinks it could be that nurses are re-evaluating the work-life balance since the pandemic is ending and are all trying to move away from bedside. I now have close to 2 years of med-surg bedside experience which I was told would open many doors so this is extremely frustrating. I absolutely categorically do not and possibly could not do another year of bedside part-time on my current unit. 

To add even another layer of woe onto everything is that my hospice job recently hired an ICU nurse who was fed up with the hospital system and just wanted out. She accepted a full-time position and my hours have literally gone from working there for a breather once or twice a week to once or twice a month. 

I'm just so unsure of what to do at this point. I want to keep saving to buy my own property/rent so that I can move out of my parent's house in a year or two and get into a serious relationship. I feel stuck in my current job with no one wanting to hire me for positions that would allow me to grow or to help improve my health. This in turn is making me feel like I am falling behind in all aspects of my life. 

That being said does anyone have any suggestions for areas I should apply to next? Additional courses? Any advice that could help me land a day job that would allow me to be casual only at my current job? 

I have seen some people say that OR/PACU can sometimes be Mon-Fri and offers a good hospital wage. I know it requires a lot of extra courses but at this point, I would be willing to do it if it was exclusively days. OR/PACU nurses, what has your experience been? As always thank you in advance for any advice. 

Specializes in Under 4 months of nursing..
2 minutes ago, lifelearningrn said:

Have you considered school nursing? You can't beat the hours and when you consider all the time off, they pay isn't as bad as you'd think. With all the time off, you can work just about any other PRN nursing job if you enjoy moonlighting!  

I honestly and truly wish school nursing was more of a thing in my country (I don't live in the States). ? I have looked and apparently, there isn't a school nurse position in over 150km. 

Specializes in School Nursing.
55 minutes ago, Aliceozwalker said:

I honestly and truly wish school nursing was more of a thing in my country (I don't live in the States). ? I have looked and apparently, there isn't a school nurse position in over 150km. 

Well clearly you need to move! :O) 

Specializes in Psych, Corrections, Med-Surg, Ambulatory.

I realize I'm late to this party but I absolutely believe your hospital job is the basis for your physical problems.

As much as you'd like to move out on your own, it is a saving grace that you live with your parents.  Surely they'd be supportive of your taking a work hiatus while you get your health on track.  A hiatus does not have to be a career-killer.  You really do need to prioritize your health or everything will come crashing down on you.

I second the advice to get a sleep study and do check into other health providers.  You do NOT need to be handed antidepressants as though they were going to erase the real stressors in your life.  That is cop-out health care.

You sound like a very level-headed, motivated person.  I can only offer encouragement while you work your way through this.

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