I work bedside in the NICU for about 8 months. I hate it. Management sucks, completely understaffed so I've found myself in unsafe situations and so, on. I have a contract with them that I knew I would break eventually because I knew I wouldn't end up there for even a year.
I applied to a plastic surgery clinic position (cosmetic - Brazilian butt lifts, breast implants, tummy tucks, etc.) This plastic surgery is all over TV in my city even though he's just starting practice and he's pretty popular on social media. I had to do an online test, a phone interview, interview with the doctor and manager and finally an interview with his business advisor today (which I've never heard of having to do before). They all absolutely loved me. However, are these red flags?
1)I would be the only registered nurse working in the entire clinic. Surgeries are Tuesdays and Fridays and the doctor would be in another clinic Mondays, Wednesdays and Fridays doing other surgeries. On M, W, F, I would be the one seeing every post-op patient from Tuesday and Friday by myself without having the doctor to consult. I would do patient education, dressing changes, and other stuff that for right now I don't know..
2) I would have to write his progress notes. They use Nextech, which I'm not familiar with but I'm really good with computers. However, writing his progress notes? That seems weird? He said it's because since he's only there Tuesdays and Thursdays, he wouldn't have a chance.
3) No insurance and no 401k. The business advisor told me they're in the process of getting it for the employees. My current job has both. Because of this, when we spoke about pay, I told them I would want the highest they're offering because it almost matches my current job. Surprisingly, they agreed and said I could be looking toward raises in the future.
4) They have another building they plan on moving to, that's bigger and owned since they're currently renting out. It's already built according to everyone, so the business advisor was trying to assure me that this is a real thing and that if I'm part of the team as they grow, it would be a huge learning experience for me. But how do I know that's really happening?
5) I would be with him Tuesdays and Thursdays as his scrub nurse I guess. He has 1 medical assistant currently and hiring 2 more. Do they help during procedures? What would be my role? I guess this isn't a red flag but I'm just confused.
6) He only wants a brand new RN. Isn't that weird for something so big like surgeries? He said he doesn't want nurses with bad habits and that he wants someone young because he's young and wants someone with him that's in the long-term. He told me his extremely strict, demanding but nice. He says he just wants his clients to get the best work, but how does he expect this with a brand new nurse?
7) Last but not least (sorry) - the staff briefly mentioned (like VERY briefly) that their only RN left. They have been in practice for less than a year, so I don't know what may have led her to leave beforehand? I might be looking into it too much but I feel like that's a major red flag?
Anyway, thanks so much guys. EVERY single comment means the world to me. My parents and other family members have been telling me I'm crazy for leaving my current job which has good pay, insurance, 401k and room for growth but I'm so depressed in that job. Breaking my contract is also something that will be big because of the money and the fact I'd be burning bridges with this hospital franchise but I don't mind, as long as I'm not making the wrong decision. But I'm not sure if I'm getting red flags. ?
Your post reminds me of the stories shown on the shows, "El Rojo Vivo" and "Primer Impacto." These are televised on the Univision and Telemundo networks in Spanish. I watched these shows with my mom all the time.
It seems every week there was some story about some woman going to a plastic surgeon's office (insert any Latin American city name here OR Miami) and how they ended up either maimed, disfigured, or dead. Of course, the surgeons run off and hide and then the employees get picked up by the authorities and have to fend for themselves.
Stay far away. Don't be that nurse led off in cuffs!
You are currently unhappy and depressed in your NICU job. When you interview, go with the mindset that will ensure you work somewhere that will satisfy you. If you get weird, negative vibes from anyone don't take the job. You are no longer a "new grad" and desperate for any job that comes along. Also, if you stay in the NICU for 3 more months your skills will be more sellable.
ONLY wanting to hire a new grad is a red flag. I appreciate places being open to new grads (otherwise none of us would ever get a job) but I have never ever heard of someone actively rejecting experienced nurses.
I love the idea of shadowing. That would seal the deal for you, yes or no.
ONLY wanting to hire a new grad is a red flag. I appreciate places being open to new grads (otherwise none of us would ever get a job) but I have never ever heard of someone actively rejecting experienced nurses.
I love the idea of shadowing. That would seal the deal for you, yes or no.
Just wanted to chime in on this subject since it’s been mentioned several times. My first new grad nurse job was in a private practice. My manager told me The Dr liked new nurses because they could “mold” them to way he Likes things done.
Older/experienced (I’m talking 1+ years) nurses In general can be “set in their ways”. I know for me Something as simple as the order/route/length of infusion is taught differently from facility to facility. Even though both ways were safe/acceptable I still liked to do it the way I was taught and used to.
I just wasn’t sure if anyone picked up on that being the reason why he wanted a new grad. However he shouldn’t be OPPOSED to an experienced nurse.
The Dr liked new nurses because they could “mold” them to way he Likes things done.
That's BS though.
What you get with even a little bit of experience is a basic idea of how things are supposed to roll (especially in the legal and ethical realms).
When people say they don't want anyone with that kind of knowledge, what they are saying they want to be able to sell you a bridge with you having absolutely zero thought of checking to see if the bridge even exists, let alone whether it's for sale.
Specializes in OR, Nursing Professional Development.
1 hour ago, CommunityRNBSN said:
ONLY wanting to hire a new grad is a red flag
Not necessarily. We like new grads in my OR because they know they have a steep learning curve (some of those who transferred from other units didn't fare so well with the whole feeling like a fish out of water), plus we don't have to break bad habits.
I fear he wants a new grad so he can bully them into doing unethical things because they don’t know any better and don’t have the experience needed to stand up for themselves. Note the description of his personality. ?
“When people say they don't want anyone with that kind of knowledge “
Exactly why I said he shouldn’t be OPPOSED to experienced nurses. The Dr I worked for did not do that.
9 minutes ago, Wuzzie said:
I fear he wants a new grad so he can bully them into doing unethical things because they don’t know any better and don’t have the experience needed to stand up for themselves. Note the description of his personality. ?
BostonFNP, APRN
2 Articles; 5,584 Posts
Reminds me of this story:
https://www.nbcnews.com/news/us-news/18-year-old-getting-breast-enhancement-surgery-went-coma-lawsuit-n1106121