I need a career adivce on changing unit

[tarotale]

Hello yal! I am a 6 month young RN, BSN and worked at a medsurg tele unit. To be short and frank, I absolutely dislike it and most of times.

I have an opportunity to work at an observation unit (cv obs, I think), and I am highly inclined to it because such environment seems to be, "less of wiping rear" so to speak. I be honest, I am tired of nursing primarily because I have to do PCA care. Bedside is not my niche anyways and I know I will be going to NP or administration because I really really don't like bedside, but for time being, I want to go somewhere I don't have to deal with q2 turns, PCA works, and etc.

Anyways, I am trying to ask you if cvobs unit would qualify for nurses like myself who do not really favor the "nasty" side of nursing. I don't mean to slam the PCAs; I know our jobs will be very hard without them.

[emtb2rn, BSN, RN, EMT-B]

You're asking for career advice so I'm going to give you some that you might not have expected. If you plan on going into administration (as you state), then learn how to write in a clear, concise and complete manner. I've read a few of your posts and have found them poorly constructed with incomplete sentence structure.

Being able to write well is a major requirement for administrative work as most of your communication, especially with senior management, will be via email. Your BSN program included a few writing classes, did it not?

[tarotale]

oh? I didn't know I needed to write like a Shakespeare on website lol do you go to corner store with tuxedo or wedding dress? don't be worried friend, I am pretty rationale person, so I proabably write in more "clear, concise and complete manner" when I write for a... say, an job application or resume? thank you for your concerns though, it's good to know you care so deeply

[Esme12, ASN, BSN, RN]

Hello yal! I am a 6 month young RN, BSN and worked at a medsurg tele unit. To be short and frank, I absolutely dislike it and most of times.

I have an opportunity to work at an observation unit (cv obs, I think), and I am highly inclined to it because such environment seems to be, "less of wiping rear" so to speak. I be honest, I am tired of nursing primarily because I have to do PCA care. Bedside is not my niche anyways and I know I will be going to NP or administration because I really really don't like bedside, but for time being, I want to go somewhere I don't have to deal with q2 turns, PCA works, and etc.

Anyways, I am trying to ask you if cvobs unit would qualify for nurses like myself who do not really favor the "nasty" side of nursing. I don't mean to slam the PCAs; I know our jobs will be very hard without them.

I gave you a extensive answer in another thread.....https://allnurses.com/emergency-nursing/how-long-your-807943-page3.html

Which said in part.....

While I am also one who really doesn't like med/surg nursing...our reasons are completely different. I HATED that I could not care for my patients in the manner they deserved. I HATED that there were patients I was responsible for that I barely laid eyes on....let alone my hands. I HATED NOT having that one on one patient care that patients deserved....so I went into intensive care where I could be assure that my patients were cared for by me.

I have done administration and trust me you deal with a different kind of "poop"....I guess it's personal preference which kind of crap you prefer. For me....it's the smelly version. The other was far more odoriferous.

Looking for ICU or ED positions will not relieve you of the dirty aspects of nursing......Nothing is quite like a critical GI bleed or a patient covered in feces that laid on the floor for three days because no one found them. But that does not mean that these patients deserve anything less than the best care possible for the time we are responsible for them.

Yes, there are positions at the bedside that offer less exposure and some away from the bedside that offer no exposure. I think the strong reaction by most nurses when these statement are made is the disrespect of the profession of nursing and patient care. I admire a nurse that realizes that a certain area is not their cup of tea. My hair stands on end when a nurse feels themselves above the task of patient care.

To answer you question about an observation unit....there are "Clinical decision Units" for observation of ED patients that usually include more walky, talky patients who are more self sufficient. Some of these units are ED department based/attached and are very busy with multiple patients on serial lads ruling in or ruling out acute MI's. You will move a lot of patients to ICU or to regular admission floors....or transfers to tertiary facilities for invasive cardiac intervention. These orientations are generally shorter than the standard ED position. It's an assembly line of labs draws, multiple admissions and transfers....with but wiping thrown in for good measure every now and then.

I wish you the best in your future pursuits.

Any obs unit will have patient contact depending on then unit however most are of a lesser acuity than on the floor.

[seaghost]

Being defensive when someone gives you useful advice is not the best way to deal with criticism. I agree that you could work on your writing. Currently trying to imagine respecting someone in admin who believes typing in an intelligent and coherent manner is comparable to wearing a wedding dress to the corner store. Are we the corner store? Or are we your professional colleagues?