I Feel Stuck - Like My Options Are Limited

Nurses General Nursing

Updated:   Published

I have been a nurse for 4 years now. My first year I worked on a med-surg unit at a hospital in the city- about an hour and a half from my house. It was okay but the drive got to be too much especially in the Winter when the hour and a half drive turned into a 3 hour drive or I would have to fork out $150 a night to stay in a hotel because the roads were too bad to drive on. I live in a very small town in Indiana- a population of around 1200. There is only one hospital within an hour drive of me, which is where I currently work.  It is a very small "Band-Aid" hospital with a small ER, a 6 bed ICU where the most intensive thing they do is give blood, and a psychiatric unit which is where I work.

I have been in psych the last 3 years and I am beyond burnt out. It's not that I don't like the job, but to be honest, I do not feel like I do much or help in any way. We see the same patients over and over again and 95% of them just need a place to stay and eat for a few days. I literally pass pills and chit chat with my patients and maybe get an admission or two and that is it. It is monotonous and I am bored. I did travel for a while last year but due to family obligations at the time (helping my mom), I could not travel far and unfortunately the opportunities dried up so I cam back to my old staff job. It is disheartening going from 10k a month to bringing home 2500 a month. I really want to try out another area of nursing but the issue is, there is literally nothing close to me. There are no outpatient centers. There are no nursing homes. Hospice/home health is not a thing around here. There is nothing besides the small hospital I work at and I do not have an interest in working ER or ICU.  There is only a one small doctors office besides the hospital and they are never hiring. The one school in town is also never hiring nurses either. 

 I would love to do L&D or aesthetics but those are not options anywhere close to me. The nearest hospital with an L&D wing near me is over an hour and a half way and they pay is only $1 more than I make now which would not be worth it by the time I paid for gas. Not to mention in the Winter, I would have to get a hotel when the weather is bad since they do not plow my roads.  I looked into aesthetics nursing and every med spa wanted experience or they were a 2 hour drive one way and the pay would literally be my gas money for the week. I am also in grad school- I have 2 more years- and the schedule would not have been feasible with my school as I have set exam times that are not negotiable. I have also looked into remote nursing jobs but they all require experience and the only experience I have is in psych and there are no remote jobs available for this as I have looked for the last year. And the few remote jobs I have qualified for, the schedule was also not feasible with my school/exam schedule. 

And unfortunately, moving is not an option. My boyfriend has worked at his company for over a decade but does not have a college degree. He got lucky and got in at the right time and with his military training, got a high paying job and has worked his way up in his company. But the downside is, that means he is stuck there as he would never have a job that pays as well without a degree. Not to mention he is grandfathered into benefits that are no longer available anywhere really.  I have brought up how I feel about being stuck and he is supportive but also tells me he does not know what to tell me. He did tell me when we first starting dating 5 years ago that he loves his home here, he only has his dad left and he will not leave him, and he cannot just go anywhere and get a job so therefore he will be staying here. He will bring this up and tell me he told me he was staying here and this is something I knew before we got serious.

I am also 7.5 months pregnant (my Nexplanon failed) so that also puts a damper on my plans as well. I had originally planned to go back to travel and go wherever I wanted or just get an apartment or something in the city and work to get experience but that is not going to be possible now with a baby. I just feel so stuck. I had always had big plans and dreams and wanted to travel and see different things but now I feel like I cannot do that.  I feel so lost and dissatisfied and don't know what to do 

Specializes in Operating Room.

I vote for PMHNP, giving you the ability to do telehealth and med management from home when you are done. I have worked with one remotely and she is amazing! 

Specializes in Dialysis.
ClimbEveryMountain said:

I vote for PMHNP, giving you the ability to do telehealth and med management from home when you are done. I have worked with one remotely and she is amazing! 

I agree, she has psych experience, which should be a prerequisite for that track

Ashleynurse101 said:

And they are always right in the middle of the day (1 or 2pm depending on the class) so a Monday-Friday 7-3, 8-4, 9-5 or anything that requires call at all is just not possible.

If the remote jobs have a one hour lunch break, you can schedule your break for whatever time the test is.  This may be your best bet right now.  Not only would you not have to move, but working from home would be a convenient option for a new mom.  I'd stay put til after maternity leave then either do remote or make my peace with the current job.

DaniannaRN said:

I noticed that too.  Sometimes people don't really want a solution to their problems.  They would rather shoot down every single suggestion because of -insert issue here- instead of trying to find workarounds.  There are always ways to fix an issue, you just have to be willing to put in the work.

I noticed that too.  Ashley, are you just looking to vent? (which we all need from time to time!)  If not, I'm curious why every idea is an automatic no.  I understand some of the suggestions are not logistically feasible.  However if there are truly no alternatives for you, then I'd be thankful for my current job and make my peace with being a bit bored.  I wonder if there is something else going on here.  Maybe you're in denial that options that were viable prior to your pregnancy are now off the table?  Or maybe you're looking for others to back you up in either leaving your boyfriend or trying to convince him to leave this town?  I'm not sure what you're hoping for, but it doesn't seem to be a solution that lets you stay where you are.  Maybe I'm wrong.  But if you are committed to your boyfriend and staying in this town,  I'd stay put at the current job and focus on finishing school.  But be planning in advance to make sure there's a better option available in this town once you do.  If not, it may not be worth the time and money.  Best of luck and keep us posted!

Hi, the VA hires remote nursed and so does other govt agencies on usajobs, I think you should try looking into remote options. Network on linked in too.

Everything will change when the baby is here. You will be plenty busy with the baby and school. Will the boyfriend support you? 

Hi!

I'm in a pickle as well, feeling like there are very little options for me.

How did you deal with all the emotions? I feel depressed about my work situation but am still grateful and thankful for all that I have. By the way congrats on your new bundle of joy!

I just needed a place to vent, I have been an LVN for sometime and finally received my RN endorsement and now I'm trying to transition but all I've ever known is PDN and School nursing one on one. I need some peace of mind and guidance on how to try to step away from my comfort zone. My drive where I was paid at higher rate was also 1hr + away, so I tried looking near me and accepted a huge pay cut. Now I'm stuck and don't know how to get back on track. Any word of advice, should I try to go back to a refresher course to gain confidence in the RN world.? Any advice would be appreciated ? 

You may not want to hear this, but I think that PMHNP would be your best bet. You have current psych experience and could work remotely after you graduate. Would it be possible to switch at this point - I think you would have an easier time getting remote work with PMHNP rather than FNP (but perhaps I am wrong).

Pick your battles. The boyfriend, the mother,the little town with no opportunities, the advanced degree, the baby, Nobody can handle of the that. We can't help you here, Pick one and go for it.

Specializes in ER.
londonflo said:

Get Married

The piece of paper you need is a marriage license to ensure your baby's future.

I totally agree!

Specializes in Psychiatric.

Hey everyone! I'm sorry I've been MIA since making this post. I've had a really rough go lately and unplugged from all social media and the world for a little while. after some long hard thinking, I've decided to just stay where I am at for now. I know things will be a lot different once the baby is here which can be any day now. I have talked with my advisor and switched back to the pmhnp program and I plan to go PRN once the baby is here and just work a few days a week. I also sat down with my fiancé and had a hard conversation with him about how I feel. We have agreed that with our son about to be here, it is best not to make any major decisions right now but he was really supportive and understanding of my feelings and my inner dilemma. he expressed how awful he feels because he feels like he is holding me back but there isn't much he can do to personally change it without completely altering his life either(which would be completely unfair to him and something I could not ask of him). We have agreed to come back to this conversation in the future when things are no so hectic and we don't have a newborn to care for. 

I've come to face reality that it is not what is best for me at the current moment but what is best for my son. When I made this post, I was honestly just feeling so alone and felt like I had no one to talk to and just needed to vent. I do appreciate everyone's kind words and advice though. I want to reiterate that I was not meaning to just say no to everyone's suggestions but to be honest, most of what people mentioned are avenues I had already looked into and done extensive research on and unfortunately they were just not options with my particular circumstances. I have also talked with my professors who have reiterated that my exam schedules are absolutely non-negotiable so unfortunately remote work or any work that's Monday-Friday is just not a possibility for me at the moment. Plus we do not have childcare in our area and are just going to make it work with our opposite shifts and me working a few days a week for now. Even if remote work was an option, I don't think it would be feasible to try and balance being a fully attentive employee while simultaneously being a fully attentive mom. I think right now I can't have my cake and eat it too and have to make some sacrifices and for me, that means my career at the moment. Hopefully in a few years things will be different or I am going to have to come back to reevaluate what is truly most important to me. Again, thank you all for your kind words and advice 

Specializes in School Nursing.
Ashleynurse101 said:

Hey everyone! I'm sorry I've been MIA since making this post. I've had a really rough go lately and unplugged from all social media and the world for a little while. after some long hard thinking, I've decided to just stay where I am at for now. I know things will be a lot different once the baby is here which can be any day now. I have talked with my advisor and switched back to the pmhnp program and I plan to go PRN once the baby is here and just work a few days a week. I also sat down with my fiancé and had a hard conversation with him about how I feel. We have agreed that with our son about to be here, it is best not to make any major decisions right now but he was really supportive and understanding of my feelings and my inner dilemma. he expressed how awful he feels because he feels like he is holding me back but there isn't much he can do to personally change it without completely altering his life either(which would be completely unfair to him and something I could not ask of him). We have agreed to come back to this conversation in the future when things are no so hectic and we don't have a newborn to care for. 

I've come to face reality that it is not what is best for me at the current moment but what is best for my son. When I made this post, I was honestly just feeling so alone and felt like I had no one to talk to and just needed to vent. I do appreciate everyone's kind words and advice though. I want to reiterate that I was not meaning to just say no to everyone's suggestions but to be honest, most of what people mentioned are avenues I had already looked into and done extensive research on and unfortunately they were just not options with my particular circumstances. I have also talked with my professors who have reiterated that my exam schedules are absolutely non-negotiable so unfortunately remote work or any work that's Monday-Friday is just not a possibility for me at the moment. Plus we do not have childcare in our area and are just going to make it work with our opposite shifts and me working a few days a week for now. Even if remote work was an option, I don't think it would be feasible to try and balance being a fully attentive employee while simultaneously being a fully attentive mom. I think right now I can't have my cake and eat it too and have to make some sacrifices and for me, that means my career at the moment. Hopefully in a few years things will be different or I am going to have to come back to reevaluate what is truly most important to me. Again, thank you all for your kind words and advice 

It sounds as if you have done a great deal of soul searching in order to come up with your decision. You must do what is best for you and your family, no matter what. If you feel that this is the best avenue to go, then I wish you nothing but the very best of luck, and enjoy your time with your baby. The first year goes by in a blink.. 

 

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