Is it an ethical violation to quit a job before you start?

Specialties NP

Updated:   Published

I will try to be as succinct as possible:

a. I accepted a once per week job doing PRN disability exams on Sunday's. I signed a contract as a 1099 worker that did not specify any damages for breech, but said I could be terminated if my exams were not up to industry standard. It takes up to six weeks to get paid.

b. My "main job" was to pay me a 10K bonus which they concluded I was not in fact eligible for and will not be paid. Since I was "counting" on this income until my PMHNP practice was built up I am forced into the position of finding "part time" work. Thus, I was offered a Psych RN position on Friday, Saturday, and Sunday at $57.00 per hour. This would more than "pay the basic bills" until my practice on Monday, Tuesday and Thursday filled up.

c. I wrote the "disability exam" place and stated that I would not be able to start next Sunday week for the above reason (I need to earn money to pay my bills I need cash flow). I literally only have money for one more month's rent. They said I didn't have "an emergency" I pointed out that not only was I going to go late on my credit cards (for the first time in over a decade), but that I literally faced being homeless if I did not generate cash flow.

d. They stated they would pay me 50% of the $110 per exam when the exams were performed (the rest later), but that they considered me under an "ethical/legal" obligation" to perform all shifts signed up for (through the end of May) unless they could find a replacement (these exams are located all around the state of Washington). Furthermore, they said since patients have been scheduled for these appointments that failure to perform the exam would result both in civil litigation (for damages without regard to what the contract says which does not specify damages) and direct action against my license. They said that "unlike being an RN your obligation starts when you agree to do the exam" since I pointed out that as an RN the obligation started once you had accepted report.

e. I said that while I disagreed with their perspective (specific performance to perform work is generally considered to be a 13th Amendment violation which is why you can force someone into a Chap Seven, but not a Chapter 13 bankruptcy, basically you would be requiring them to work to pay their debts and this had been found to be unconstitutional in most cases-child support being a noted exception). Still, I pointed out that I had moved from Florida to Washington and did not even have the resources for an attorney so I would "go along" as they don't seem to be giving me a choice. I re-read my contract and there is nothing about damages for non performance. But that doesn't mean they couldn't take action against me anyway or with the Washington State Board (especially since they are a contractor to do disability exams for the state of Washington).

f. What if someone became ill or their spouse or child suffered a situation or they found they just couldn't do the job? Would they face sanction against their NP licenses? If someone can be held on the hook for disability exams three months down the line it seems a bit like involuntary servitude. Part of me just wants to "shut up and take what's due me for a poor decision", but the other part finds it difficult to take. Still, there is a point that people are expecting to show up starting next Sunday and see someone for their disability exams.

Specializes in ICU, trauma, neuro.

Good advice but:

a. I am in a contract with Mindful Therapy. If I terminate the contract I owe them $1000 plus $600 per month for every month left on the contract (12 months) and I forfeit the fees that I have paid to them (about $1000.00). Also they would probably consider me ethically bound to give notice to the clients that I am seeing there (I saw five yesterday as new intakes). Also, they consider three ten hour days (in my case Monday, Tuesday, and Wed) as full time. Also, they are rapidly filling my schedule and may do so even faster once more insurances become "paneled".

b. On Friday/Saturday (since I cannot work the RN/Psych position since I have to do the Sunday disability exams) I will probably go with a second company as a Psych NP (in Redmon) since they have promised a $3,000 advance, pay 70%, and don't charge any fees (and they have already booked me six new intakes for this Saturday). Of course Pontum health is requiring me to do the disability exams on Sunday's under pain of a lawsuit and allegation against my ARNP/RN license in Washington (I am poor, so they would win by default given that I cannot afford representation other than through my , and in any case that is a battle I do not wish to fight).

c. I am "renting a room" for about $1,200 per month in the Seattle area. There are many options (albeit Spartan) on Airbnb in the $900 to $1200.00 price range). My significant other has made it clear that she will not be helping with money so if I fail I will literally be sleeping in my mini van and showering at Anytime Fitness (provided I can continue to pay their $30.00 per month fee).

1 Votes
Specializes in Psychiatric and Mental Health NP (PMHNP).
6 minutes ago, myoglobin said:

Good advice but:

a. I am in a contract with Mindful Therapy. If I terminate the contract I owe them $1000 plus $600 per month for every month left on the contract (12 months) and I forfeit the fees that I have paid to them (about $1000.00). Also they would probably consider me ethically bound to give notice to the clients that I am seeing there (I saw five yesterday as new intakes). Also, they consider three ten hour days (in my case Monday, Tuesday, and Wed) as full time. Also, they are rapidly filling my schedule and may do so even faster once more insurances become "paneled".

b. On Friday/Saturday (since I cannot work the RN/Psych position since I have to do the Sunday disability exams) I will probably go with a second company as a Psych NP (in Redmon) since they have promised a $3,000 advance, pay 70%, and don't charge any fees (and they have already booked me six new intakes for this Saturday). Of course Pontum health is requiring me to do the disability exams on Sunday's under pain of a lawsuit and allegation against my ARNP/RN license in Washington (I am poor, so they would win by default given that I cannot afford representation other than through my Liability Insurance, and in any case that is a battle I do not wish to fight).

c. I am "renting a room" for about $1,200 per month in the Seattle area. There are many options (albeit Spartan) on Airbnb in the $900 to $1200.00 price range). My significant other has made it clear that she will not be helping with money so if I fail I will literally be sleeping in my mini van and showering at Anytime Fitness (provided I can continue to pay their $30.00 per month fee).

I am very sorry you got yourself into this. The contract with Mindful Therapy sounds very fishy, and I'd consult with a lawyer on the legality. Those terms are ridiculous. In the future, read contracts carefully and don't sign anything with such punitive terms. If I were you, I'd consult an employment attorney about the legality of the contract. You can still look for another full time gig with a reliable paycheck. I just don't know why you made things so hard for yourself.

2 Votes
Specializes in ICU, trauma, neuro.

I did talk to several of their NP's earning well over 200K who told me they were "full" within 90 days of employment (on their schedule). Most of the practices in the Washington area either pay around (70%) and charge fees or are "community health" and pay more like 130K. Most are owned by Psychologists or counselors (rather than MD's) and have something like 10 counselors for every prescriber (unlike Florida where there are typically many more prescribers than counselors making it often difficult or impossible to find effective counseling for clients). I am not complaining about my primary job or their contract. I believe I have a good opportunity to make a go of it (and it would have been even better with the rock solid paycheck as a Psych RN working Fri/Sat nights which doesn't seem possible with the disability exams on Sundays). I also pretty much gave up my credit rating (I will go at least 60 days late on my credit cards and possibly even my 26 year relationship for this opportunity especially if I fail). This was a high risk reward endeavor I knew that going in it's just that this complication (Pontum) creates additional challenges.

1 Votes
Specializes in Psychiatric and Mental Health NP (PMHNP).
On 2/19/2020 at 4:45 PM, myoglobin said:

I did talk to several of their NP's earning well over 200K who told me they were "full" within 90 days of employment (on their schedule). Most of the practices in the Washington area either pay around (70%) and charge fees or are "community health" and pay more like 130K. Most are owned by Psychologists or counselors (rather than MD's) and have something like 10 counselors for every prescriber (unlike Florida where there are typically many more prescribers than counselors making it often difficult or impossible to find effective counseling for clients). I am not complaining about my primary job or their contract. I believe I have a good opportunity to make a go of it (and it would have been even better with the rock solid paycheck as a Psych RN working Fri/Sat nights which doesn't seem possible with the disability exams on Sundays). I also pretty much gave up my credit rating (I will go at least 60 days late on my credit cards and possibly even my 26 year relationship for this opportunity especially if I fail). This was a high risk reward endeavor I knew that going in it's just that this complication (Pontum) creates additional challenges.

I guess things are different in California - more likely for PMHNPs to find salaried jobs.

1 Votes
Specializes in ICU, trauma, neuro.
On 2/19/2020 at 5:32 PM, myoglobin said:

I going to really try and focus on staying positive. Learning all that I can and doing the best job possible for my clients. I will trust that "God has a plan" and that if I truly do my best that things may in the end work out. On the positive side I really enjoyed my first day except for the lady who talked to me for 90 minutes and then walked out angry because I refused to restart her Xanax 2mg TID which she had been off of for 90 days. She said she didn't want any more "phamaceutical poison" and didn't even want to listen to the seven to ten other drugs and CAM's (alternative medicine) approaches I presented. She didn't even have insurance (that I can accept) and I was willing to see her for free.

It hurt when she said that "I didn't care about her". I guess because I do, but restarting her on something that even she acknowledged had "helped mess her up" would make me part of the problem (especially after she had been off the drug for three months).

1 Votes
Specializes in Psychiatric and Mental Health NP (PMHNP).
6 minutes ago, myoglobin said:

I going to really try and focus on staying positive. Learning all that I can and doing the best job possible for my clients. I will trust that "God has a plan" and that if I truly do my best that things may in the end work out. On the positive side I really enjoyed my first day except for the lady who talked to me for 90 minutes and then walked out angry because I refused to restart her Xaxax 2mg TID which she had been off of for 90 days. She said she didn't want any more "phamaceutical poison" and didn't even want to listen to the seven to ten other drugs and CAM's (alternative medicine) approaches I presented. She didn't even have insurance (that I can accept) and I was willing to see her for free.

Well, good luck. Go ahead and get your Calif license once you are settled in.

1 Votes

This is a business decision on your part and ethics does not enter into the equation at all.

1 Votes
Specializes in ICU, trauma, neuro.
19 minutes ago, DeeAngel said:

This is a business decision on your part and ethics does not enter into the equation at all.

Except that the company indicated that if I did not complete the shifts I signed up for that they would not only sue for breech of contract but also file ethical complaints with the BON against my license. So at least from their perspective it is an ethical issue.

1 Votes
Specializes in mental health / psychiatic nursing.
On 2/20/2020 at 6:56 AM, myoglobin said:

Except that the company indicated that if I did not complete the shifts I signed up for that they would not only sue for breech of contract but also file ethical complaints with the BON against my license. So at least from their perspective it is an ethical issue.

I highly recommend you contact an attorney for legal advice. If you are cash strapped both Seattle U law school and UW law school are local to Seattle and have FREE legal clinics where you can get legal advice. They can connect you to low cost and free resources if you need more than they can offer you.

Specializes in ICU, trauma, neuro.

Those are really good resources. Sincere thanks.

Specializes in Med-Surg/Tele/ER/Urgent Care.

Which of these jobs owes you the 10k bonus? If they and you signed a contract saying they would pay the bonus, they are obligated to pay it. It does not matter if you’re a 1099 which means you’re responsible for all the taxes, social security etc& not a W2 employee. If they wrote it into the contract they must pay it. I have had different jobs as a FNP, some were 1099/independent contractor, some part time or full time W2 employee.

Usualy independent contractor there are no benefits, no CME,etc, but the contract says if paid by the hour or per visit or flat salary. If they offered bonus it is still part of the contract & it sounds like they are trying to get out of paying the bonus.

Have a lawyer that does co tracts look at it, it’s worth your time.

Specializes in ICU, trauma, neuro.

The job that I want to keep originally offered the bonus when I talked to the owner, but withdrew the offer at the time of the contract signing. It is still a great company and a good deal it’s just that my “cash flow” and part time job strategy has to reflect the shortfall. Meaning that I need to earn more than what the disability exams would pay.

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