Hospice NP asked to perform RN visits?

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I'm a hospice NP with over ten years of experience. I've just started a new Hospice NP position, and my supervisor wants me to learn the RN charting, so they can use me as needed as an RN. I'm uncomfortable with this. I haven't worked as an RN in over ten years, I've never been asked to perform anything other than my NP role in previous jobs. I don't want to do it. I don't know the nursing side, and have functioned mainly like an MD, prescribing, writing orders and doing F2Fs.

What do you think? 

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Specializes in retired LTC.

Sounds like a classic 'bait & switch' to me.

If this was NOT discussed during your interview and you CHOOSE to decline, let the employer know NOW. Can you outright leave? Or do you need to continue working while you job search? Determine what is acceptable & practical for you.

This was sprung on you AFTER you started. I have NO DOUBT that this job switching will be forthcoming. And most prob, more often than they'd like you to believe.

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59 minutes ago, amoLucia said:

Sounds like a classic 'bait & switch' to me.

If this was NOT discussed during your interview and you CHOOSE to decline, let the employer know NOW. Can you outright leave? Or do you need to continue working while you job search? Determine what is acceptable & practical for you.

This was sprung on you AFTER you started. I have NO DOUBT that this job switching will be forthcoming. And most prob, more often than they'd like you to believe.

Thanks, I agree. Bait and switch. 

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And they also probably see some sort of benefit to having "higher' qualifications to do the work.  Like the benefit of having an RN do LPN level visits.  Perhaps play it up with the patients.  I would not be surprised if the next thing is a "tearful" explanation of why they have to pay you on the lower RN level of wages too.  Based on all concerns, I think I would be looking for a different employer, unless being employed at all rather than unemployed, is your only criteria to settle for.  Good luck finding something better.

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OMG! I hadn't even thought of that. I am drawing the line at functioning as an NP, charting as NP. I will walk, if they don't back down. The fact that they would sneak this in during orientation is a huge red flag.

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You are an NP, they are hiring you as an NP. Do not work as an RN. That would be like hiring a contract MD and then asking them to do MA work from time to time. 

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Specializes in retired LTC.
On ‎4‎/‎7‎/‎2021 at 10:15 AM, pierogi said:

OMG! I hadn't even thought of that. I am drawing the line at functioning as an NP, charting as NP. I will walk, if they don't back down. The fact that they would sneak this in during orientation is a huge red flag.

Stand your ground.

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Specializes in Rheumatology NP.

I am a former hospice RN, oftentimes hospices run notoriously lean, they may be short nurses and if they don't need you for a F2F on any given day, they will slide you into a routine nursing visit.  They probably figure they are still paying you the same, so why is it an issue?  I would definitely not agree to this.  

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Thank you. They work the RNs and LVNs into the ground, and I'm sure they would do the same to me. F2Fs, prescribing, and running around doing RN visits too.

After everyone's feedback, I went back to my mgr and said, "no."

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Specializes in retired LTC.

Good for you!

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Specializes in Hospice, LPN.
7 minutes ago, pierogi said:

Thank you. They work the RNs and LVNs into the ground, and I'm sure they would do the same to me. F2Fs, prescribing, and running around doing RN visits too.

After everyone's feedback, I went back to my mgr and said, "no."

This is true, we are drowning out here. When someone comes along and draws that line in the sand and says they're not going to put up with this it gives me a surge of hope. Please stand your ground!

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On 4/6/2021 at 1:44 PM, pierogi said:

I'm a hospice NP with over ten years of experience. I've just started a new Hospice NP position, and my supervisor wants me to learn the RN charting, so they can use me as needed as an RN. I'm uncomfortable with this. I haven't worked as an RN in over ten years, I've never been asked to perform anything other than my NP role in previous jobs. I don't want to do it. I don't know the nursing side, and have functioned mainly like an MD, prescribing, writing orders and doing F2Fs.

What do you think? 

Set your boundaries now, if you don't say no...it's a forever thing.

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