For Sale: Used Nurse. Dirt Cheap!

It's taken me a dozen years to get here, but I have finally decided that I'm no longer a "new" nurse. Nurses Announcements Archive Article

I'm not sure if it's because I was a good deal older than many of my classmates when I graduated from nursing school and found out very quickly that I was nowhere near as smart as I thought I was, or if it's merely because I'm in awe of nurses who are around my age and have practiced for many more years than I. But whatever the reason, the road to success in nursing has been a lot harder, not to mention longer, than I expected. And I'm sure there are those who wouldn't call me successful at all, seeing as how I'm back to where I started, as a charge nurse in a long-term care facility.

I, on the other hand, see it as having come full circle.

As a newly-minted RN, I was ambitious and eager to move up, and with some life experience going for me, I progressed swiftly through the ranks in the years following licensure. I sampled nursing much like a smorgasbord, starting out in LTC but then "graduating" to the hospital, then to a mid-level management position in residential care, and on to senior management in LTC. I returned to med/surg nursing for a few years, but then went right back to management---this time in assisted living---and there I believed I would remain until retirement. I missed using my nursing skills, and I wasn't fond of the 24/7 nature of management, but overall, life was good; I was earning more money and assuming greater responsibilities, and some of my superiors were beginning to talk of my potential as an administrator.

Unfortunately, I was missing the whole point..........only I didn't know it until my career basically crashed and burned in the fall of 2008. I'd left a job I was more or less contented with to take a similar position with another company that lured me with promises of increased prestige and the kind of salary I'd only dreamed of. At first, I was literally wined and dined with expensive meals, a showy all-expenses-paid seminar, a trip to San Francisco, opportunities for advancement. I was wooed with flattery and given stock options.

But as I've learned many times, when something sounds too good to be true, it almost always is.......and when reality set in, a mere two months into the job, I realized that I had been set up to fail by both my immediate supervisor and the company itself. It was inevitable---I was working 50- and 60- hour weeks, scrambling to keep up with impossible demands............and most of them had nothing whatsoever to do with nursing. I might as well had "Public Relations Person" on my name badge instead of R.N. To say that I hated this with a pink and purple passion would be an understatement; I hadn't gone into nursing to kiss VIPs' rear ends, conduct tours, or take orders for lunch with a cloth napkin draped over my arm. I hadn't gone through the rigorous training of nursing school so that I could sit behind a desk, answering the phone with "It's ALWAYS a great day at (blank) Assisted Living, how may I direct your call?" instead of teaching the care staff how to administer medications correctly.

So when I made the decision to get out, I went to see an old friend who had just taken the DNS position at a local nursing home, and begged her to put me to work. At this point I didn't even mind going back to the floor, even though I was certainly not in good shape physically and wasn't sure how long I'd be able to do it, if indeed I could at all. I didn't care about the pay, the hours, the weekends...........all I wanted was a job. My friend, being a nice woman who just happened to be in need of staff, obliged by giving me one. And as it turned out, a chance to be a nurse again.

Life, as most of us discover at some point, is really weird sometimes. Just about the time you think you've got everything wired, the proverbial rug gets yanked out from under you and you find yourself questioning every assumption you ever had. I thought I was supposed to be ambitious. I thought I was supposed to want more responsibility, more money, more everything. I didn't. I wanted to take care of people. I wanted to be able to turn over the keys at the end of a shift and not worry about it until the next day. I wanted to do a good day's work and accomplish the goals for that day instead of always worrying about the long term. And I wanted to know my residents as people again..........not as names on a checklist.

Who knew that one could find redemption in an old, rundown building that sits on what must be the West Coast's largest ant colony? But that is exactly what's happened in the seven months since I shook the dust of Snootyville from my feet and returned to nursing as I first practiced it, twelve years ago.........only better. The bloom is long off the rose---I know what the workload is---and I'm OK with the lack of glamour in it. However, I also find myself much more patient with residents, staff, AND bureaucracy than I used to be. I never call in. I don't leave stuff for the next shift. And my fears about being too old and out-of-shape for floor nursing have evaporated in the reality of being over 40 pounds lighter.

I don't know what the future may hold, or how long I'll stay where I am---hospice nursing has been calling to me for some time now, and its voice is becoming both louder and more insistent. But for now, I'm "too blessed to be stressed": I'm doing something I love, and my time off is all my own. Wealth and position are lousy substitutes for golden afternoons playing with the grandbabies on the freshly-mowed lawn, eating supper with the family, and enjoying these last precious weeks before my youngest child embarks on adulthood. I missed so much of life when I was spending all of my waking hours either at the job or thinking about the job; nowadays, I have less money, but what I've been given in exchange is well worth the cost!

So while I'll probably never retire---I can't afford to now that I've given up my souped-up 401(K) and my stock options---I have essentially retired from the rat race. But if you're a hospice agency and you need a good used nurse, dirt cheap.......well, I could be just the one you're looking for.

Specializes in LTC, assisted living, med-surg, psych.

You would probably be well-advised to take a refresher course if you want to get back into direct care. So much has changed in the past decade that anyone who's been away from the bedside for more than a couple of years really needs re-education---not that your basic nursing skills, like Foley insertions and IV starts, are ever forgotten, but as you well know, theory and best practices are continually changing, and it's hard to keep up even when one is taking care of patients every day.

Since you've been in research, you'll have the advantage of knowing what goes into nursing practice, but it would be of considerable benefit to you to see how that research translates into the care given at the bedside. Just my two cents' worth. :nurse:

Specializes in OR, Diabetes, Research, and Med/Surg.

Dear VivaLasViejas,

I appreciate your two cents and as a matter of fact I have applied to an RN Refresher Course that starts in the Fall. I will see where that leads me. Thank you! :nuke::nuke::nuke:

Specializes in LTC, assisted living, med-surg, psych.

I wish you the best. I know I'm a much better nurse for having a few years of management under my belt, as well as having simply grown older and wiser since my last foray into bedside nursing. No worries..........you'll be fine.:up:

Specializes in psychiatric, UR analyst, fraud, DME,MedB.
You would probably be well-advised to take a refresher course if you want to get back into direct care. So much has changed in the past decade that anyone who's been away from the bedside for more than a couple of years really needs re-education---not that your basic nursing skills, like Foley insertions and IV starts, are ever forgotten, but as you well know, theory and best practices are continually changing, and it's hard to keep up even when one is taking care of patients every day.

Since you've been in research, you'll have the advantage of knowing what goes into nursing practice, but it would be of considerable benefit to you to see how that research translates into the care given at the bedside. Just my two cents' worth. :nurse:

Hi Viva, as usual , your advice is priceless. I am the one who is taliking of doing a LTC form medicla review and UR, and also out of clinical practice....do I need also a refresher course? I am not going to work in an acute facility. Also, considering my background in Medicare review, I am thinking of getting the MDS. Where can I find out about the refresher course?

Thank you again ladies for bringing this subject up.:wink2:

Specializes in LTC, assisted living, med-surg, psych.

You could check your state Board of Nursing website for approved refresher courses, if you feel that is appropriate. It might not be a bad idea if you've been out of clinical practice for more than a few years, just to get your skills up to date. MDS nurses sometimes have to work the floor (I had to when I was a resident care manager) and if you're on a skilled unit, you'll be dealing with fresh CABG patients only a couple of days out of the hospital, wound vacs, IVs, fresh ostomies, and all sorts of acute-type situations. Besides, education is NEVER wasted. Go for your dreams!!:up:

Specializes in psychiatric, UR analyst, fraud, DME,MedB.
You could check your state Board of Nursing website for approved refresher courses, if you feel that is appropriate. It might not be a bad idea if you've been out of clinical practice for more than a few years, just to get your skills up to date. MDS nurses sometimes have to work the floor (I had to when I was a resident care manager) and if you're on a skilled unit, you'll be dealing with fresh CABG patients only a couple of days out of the hospital, wound vacs, IVs, fresh ostomies, and all sorts of acute-type situations. Besides, education is NEVER wasted. Go for your dreams!!:up:

Thanks Viva, I will add this to my to do list.......I am also in the process of endorsing my California license for Oregon and Washington State............. California is just not our thing anymore . My family ( my daughter and grand daughter) find it too crowded, too commercialized, hot and smoggy and a very bankrupt state that keeps taking money out form the childrens school system----- this is what made me really think seriously of moving, not to mention it is getting quite expensive here also ! Help !! :)

Specializes in LTC, assisted living, med-surg, psych.

Well, it's pretty spendy up here in OR and WA too, and our economies certainly aren't great, but I wouldn't blame you for getting out of CA.

My family and I moved up here from the San Diego area in 1988 for the same reason---too crowded, too expensive, and the economy was in the toilet then too. Guess some things never change!:lol2: I miss it sometimes, especially the weather, but I've never regretted the move; Oregon gave us more opportunities and we've done very well here. And it's STILL cheaper to live here than in So.Cal.

Specializes in psychiatric, UR analyst, fraud, DME,MedB.
Well, it's pretty spendy up here in OR and WA too, and our economies certainly aren't great, but I wouldn't blame you for getting out of CA.

My family and I moved up here from the San Diego area in 1988 for the same reason---too crowded, too expensive, and the economy was in the toilet then too. Guess some things never change!:lol2: I miss it sometimes, especially the weather, but I've never regretted the move; Oregon gave us more opportunities and we've done very well here. And it's STILL cheaper to live here than in So.Cal.

:wink2:

Viva, I really appreciate your honesty. I need an ear or ears about Oregon and Washington, while I get myself sort of ready w/ the license and some serious certifications. Maybe I could get my feet wet a bit by working part time w/ an LTC close to me in Playa del Rey.....Can you be my eyes and ears? I did not know that you are in Oregon! My daughter moved to Oregon with a musician couple (Oregon is very good music state) , but after a month I have to tell her to come home because I was starting to support two households ( the musicians do not make much money) and It was getting difficult, you know.......they were so heart broken , they love it there so much. I have heard that people were different too. It is good to know that Oregon have a diverse culture---- I prefer grown up places like this. San Diego is beautiful , but I do see that it is also getting very crowded.

I like to go to a place where children can still be children , fresh air, water, lots of water !!!!! and most of all a good public school for my grandaughter. I will be working for a while, so this move will be good...but like I said before , if I can get a Medicare UR/Medical review job , I will be happy. but if I need or want to change direction, that too is open. Thank you Viva! You are indeed an Angel and a terrific writer. can you direct me to your blog too? :redbeathe:p

Specializes in LTC, assisted living, med-surg, psych.

Yes, I'd have to say people are more laid-back here...........we tend to be a "maverick" state, in fact our state motto was "Oregon: Things look different here" for years!:smokin:

Western Oregon and Eastern Oregon are two different critters, however. On the west side, where I live, it's mostly very progressive, liberal, and "green" (too much so, IMO). Portland, Eugene, and Corvallis are college towns where there is more diversity in the population and great educational opportunities. It also rains a lot here, but it's beautiful year-round and the summers are perfection itself. (Except this year---we are having a record-breaking heat wave, yesterday it was almost 110!!) Eastern OR is a lot of high desert, much less rain but more extreme temperatures on both ends. It's mostly agricultural, and the people are generally more conservative politically. There are good-sized hospitals in LaGrande, Pendleton, and Hermiston, but otherwise employment opportunities aren't the greatest.

Washington, I don't know that much about, except Seattle has several large hospitals and who-knows how many LTCs, but Tacoma, Olympia, and Everett are also good-sized cities with a smaller-city feel that you might like as well.

Once again, I wish you all the luck in the world!

Specializes in psychiatric, UR analyst, fraud, DME,MedB.
Yes, I'd have to say people are more laid-back here...........we tend to be a "maverick" state, in fact our state motto was "Oregon: Things look different here" for years!:smokin:

Western Oregon and Eastern Oregon are two different critters, however. On the west side, where I live, it's mostly very progressive, liberal, and "green" (too much so, IMO). Portland, Eugene, and Corvallis are college towns where there is more diversity in the population and great educational opportunities. It also rains a lot here, but it's beautiful year-round and the summers are perfection itself. (Except this year---we are having a record-breaking heat wave, yesterday it was almost 110!!) Eastern OR is a lot of high desert, much less rain but more extreme temperatures on both ends. It's mostly agricultural, and the people are generally more conservative politically. There are good-sized hospitals in LaGrande, Pendleton, and Hermiston, but otherwise employment opportunities aren't the greatest.

Washington, I don't know that much about, except Seattle has several large hospitals and who-knows how many LTCs, but Tacoma, Olympia, and Everett are also good-sized cities with a smaller-city feel that you might like as well.

Once again, I wish you all the luck in the world!

:nurse: Thank you Viva ! this is a start! I have heard that most nurses have both Oregon and Washington nurse license, if that is true , why is that? Is the geographic location that close to each other? I have a head hunter that will also help me----there was a real good UR position in Oregon , and the employer liked my qualificication in this area....but they want an Oregon license upon application . I am putting this as one of my priority list. we will be leaving some close friends and relatives, but honestly I just find Los Angeles crowded , hot, dry and dirty, and very expensive. The inflation is growing faster than my salary raise !! thank you for the information. I would like to keep in touch w/ you if you like? :wink2::heartbeat

Specializes in LTC, CPR instructor, First aid instructor..

I love your style of writing, Viva. You are a natural writer.:up:

Specializes in LTC, assisted living, med-surg, psych.
:nurse: Thank you Viva ! this is a start! I have heard that most nurses have both Oregon and Washington nurse license, if that is true , why is that? Is the geographic location that close to each other? I have a head hunter that will also help me----there was a real good UR position in Oregon , and the employer liked my qualificication in this area....but they want an Oregon license upon application . I am putting this as one of my priority list. we will be leaving some close friends and relatives, but honestly I just find Los Angeles crowded , hot, dry and dirty, and very expensive. The inflation is growing faster than my salary raise !! thank you for the information. I would like to keep in touch w/ you if you like? :wink2::heartbeat

Yes, there are a lot of Oregon nurses in the Portland/Vancouver area who hold dual licenses because they travel back and forth between states. I don't think that's true of the majority of OR nurses, though. For a while I was working for a company that wanted me to oversee several assisted living facilities between here and Olympia, so if I'd stayed with them I'd have had to get a WA license, not to mention learn an entire new set of regulations (there are a number of differences between the two states as far as nurse delegation goes).

For you, however, I think it would be a good idea since you've not settled on one place yet.:nurse: