Published Jul 3, 2015
tinybbynurse
196 Posts
We were told at orientation for my home health (private duty really...it's shift work paid by medicaid) 2 weeks is the standard...so no 4 weeks here. Been at this job for 2 months ...worked for a year at a SNF that loved me and was sad to see me go and offered a wonderful reference if I ever need it.
I'm not saying I'm NOT going to give 2 weeks notice, I'm just saying I'm pondering maybe not.
I hate this job...has been nothing but mental stress and a panic attack that almost sent me to the ER ...it's caused stress on my family and especially my boyfriend who I live with because they all (esp him) love me and have seen me go through being extremely depressed and overly stressed. I tried to decline one client and they wouldn't let me...I wake up on the day I have him and feel sick like clock work. I don't enjoy my life anymore to the fullest I could ...this job has stole my joy and I feel like once I have it back I'll look back and realize that even though I knew it was bad ..it was REAL bad and I'll realize it wasn't worth it for a day to feel the way I feel right now. We all get fed up with jobs sometimes yes but I don't feel like it should be this severe. (There was a reason they practically hired me over the phone from 1000 miles away before I moved...I'll know how to spot employers like this from now on ...I had to learn)
Hours are unreliable (way too much or too little)
Families hate the agency and complain to me all the time (but like me...just not the agency)
Poor communication between office, patient, and nurse
Cook and transfer and change briefs more than anything else ...and drive a patient?!?!
Yeah I know all of this is subjective, maybe, and even though I know the truth it doesn't mean I can tell this all to a future employer I interview with (I have 2 interviews next Thurs) as an excuse for leaving before 2 weeks notice.
However ...how about for OBJECTIVE reasons?
Those being : being placed on cases that don't even require ANY RN skill ..a cna should have most of my cases. I don't mind doing things below the RN skill level ..but there needs to be a reason they placed an RN on that case and not a cna. Otherwise, what was the point of me going to nursing school or being hired as an RN? Ex: one client I have I change her, dress her, and drive her to an adult day care. That is it.
And ... I'm currently being paid as an LPN for ALL of my cases.
I was actually paid as an RN for my first case which I don't have anymore, and am now taking a $400-500 paycheck cut and still working 35-40 hours.
When you're being assigned cna cases that don't require RN services and are being paid as an LPN am I so horrible for leaving before 2 weeks if I get a job when I interview?
I feel like I'm disrespecting myself each day I continue to work. I also feel that the pay is not worth putting gas in my car to drive to the client's houses ...and like I'd be better off recuperating from my mental stress at home and saving money til I start a new position if offered next week.
caliotter3
38,333 Posts
If you don't anticipate needing a positive reference from these people and you live in an employment at will state, then just give them a letter of resignation stating your final shift as your final day. Employment at will means no notice need be given. All you have to do is to finish the shift. Many times an extended care nurse finishes his/her shift, calls the agency or goes to the office, and says that they won't be back. Nothing new there. If you want to go through the trouble though, get your doctor to write a note stating immediate leave for health reasons. Then mail in your resignation while on that leave. State "medical reasons" as your reason for resigning. More than one way to go about this.
Libby1987
3,726 Posts
I don't understand why because you aren't living life to the fullest that you can't give two weeks notice nor do I understand why you are accepting assignments that aren't paying RN wages.
Did you agree to that initially? If so, you signed up for it and should give notice, if not then why aren't you simply saying no?
mvm2
1,001 Posts
I'd say just give them the two week notice since you do not technically have a job in place yet. I understand all the reasons you gave are good reasons to quit the job. But hey it is only a couple days extra out of your life and you can leave a job under good terms. Think about how fast weeks go... another 2 weeks will not be that bad.
Apparently it's legal to give me these assignments because I didn't sign something saying I wouldn't take LPN assignments I guess ...but of course I didn't anticipate I would get LPN assignments. And I'm a fairly new nurse so of course they'll hand off the assignments no one wants to me first. I'm going to decide what to do after my interviews on Thursday.
I'm just mentally burnt out on this job way too quickly. My last nursing job wasn't like this nor do I think all are. I just made a bad decision accepting it so yeah maybe it's clouding my judgement a little but I'm just ready to be done with it. I believe there is more passion and enjoyment to nursing to come! : )
Thanks for the responses!
And I'm half joking when I say I technically could probably get off with the health leave ...I moved to a new state 1000 miles away and out of my parents house, so luckily i am now with my wonderful man but not my fam or friends, accepted my first FT status position which obviously happened to be a not so great job, anddd wrecked my car within the first 2 months so alot of transitional stress and bad luck on my plate which has Def not helped with my dealing with this job as you can imagine! Haha. Not making excuses just trying to paint the picture of how this isnt a typical situation where i stayed in my hometown and the only new or hard thing im dealing with is a stinky job. Just had a rough start but excited to change my situation and see how great my new life can be. Anyways I'm joking and making light of the situation but I truly did ponder getting put on an antidepressant for all the stress and changes (it runs in my family and I've been on Prozac before for like a year or less years ago so im aware of the benefits)...but I usually adapt well to change and I think once I quit a brick will be lifted and the rest of life's stress won't seem so overwhelming so I'm giving it til I leave this job to see if I still need some Prozac haha.
Well I got a new job and just attempted to give 1 week notice. Whether or not that's deemed ok to most ....the fact of the matter is they literally wouldn't accept it!! I'm stuck doing 2 more weeks now which I know isn't that bad but I'd rather they be pissed with my 1 week notice than force me into 2 weeks! All the more reason to hate this job ...they never take no for an answer! If I wanna resign be it TODAY... let me .... I feel lame that I got suckered into it.
I'm sorry well count the days like a kid counting down till Christmas morning
Esme12, ASN, BSN, RN
20,908 Posts
I would be careful of the laws in the state you are employed with this home health patient
In my state.....1996 Patient Abandonment
Introduction The relationship that exists between a physician and patient, or between other types of health care providers and the client, continues until it is terminated with the consent of both parties. A patient having health needs, especially a patient who is disabled or feeble, may be dependant on the home health professional. The patient has the right to expect that he or she will have access to the services he or she needs until receiving proper notice to the contrary and, preferably, until a substitute is provided. Such a relationship can be terminated by the patient at any time. The patient has the freedom to choose his or her health care providers. However, the physician, nurse, or home health provider may also withdraw from the case as long as it is done properly and the patient is not harmed by this action. The premature termination of medical treatment is often the subject of a legal cause of action known as "abandonment." Abandonment is defined as the unilateral termination of a physician-patient or health professional-patient relationship by the health care provider without proper notice to the patient when there is still the necessity of continuing medical attention. [1]Elements of the Cause of Action for AbandonmentEach of the following five elements must be present for a patient to have a proper civil cause of action for the tort of abandonment:1. Health care treatment was unreasonably discontinued.2. The termination of health care was contrary to the patient's will or without the patient's knowledge.3. The health care provider failed to arrange for care by another appropriate skilled health care provider.4. The health care provider should have reasonably foreseen that harm to the patient would arise from the termination of the care (proximate cause).5. The patient actually suffered harm or loss as a result of the discontinuance of care.Physicians, nurses, and other health care professionals have an ethical, as well as a legal, duty to avoid abandonment of patients. The health care professional has a duty to give his or her patient all necessary attention as long as the case required it and should not leave the patient in a critical stage without giving reasonable notice or making suitable arrangements for the attendance of another.
The relationship that exists between a physician and patient, or between other types of health care providers and the client, continues until it is terminated with the consent of both parties. A patient having health needs, especially a patient who is disabled or feeble, may be dependant on the home health professional. The patient has the right to expect that he or she will have access to the services he or she needs until receiving proper notice to the contrary and, preferably, until a substitute is provided.
Such a relationship can be terminated by the patient at any time. The patient has the freedom to choose his or her health care providers. However, the physician, nurse, or home health provider may also withdraw from the case as long as it is done properly and the patient is not harmed by this action.
The premature termination of medical treatment is often the subject of a legal cause of action known as "abandonment." Abandonment is defined as the unilateral termination of a physician-patient or health professional-patient relationship by the health care provider without proper notice to the patient when there is still the necessity of continuing medical attention. [1]
Elements of the Cause of Action for Abandonment
Each of the following five elements must be present for a patient to have a proper civil cause of action for the tort of abandonment:
Physicians, nurses, and other health care professionals have an ethical, as well as a legal, duty to avoid abandonment of patients. The health care professional has a duty to give his or her patient all necessary attention as long as the case required it and should not leave the patient in a critical stage without giving reasonable notice or making suitable arrangements for the attendance of another.
I can't help the agency doesn't have enough nurses to cover my shifts.... that's their problem. We all leave for a reason. They're asking me to stay another week yet wanna keep paying me as an LPN ...yeah ok screw them. I'm going to be making 9 dollars more at my new job. So when passion and monetary reasons cease to exist at this job ...there's nothing left ... I'm going to have to Def fake smile and fake nice to all my clients these next 2 weeks. Either that or call back and say I actually quit today after this shift.
Oh and they ask about me doing per diem shifts alongside my new job ...desperate for nurses much? Yeah right, and no thanks.
And im not leaving in the middle of a shift ....so no abandonment here. It's the agencies responsibility to place nurses ... not mine. And they all have a family that can care for them in the worst case scenario that a nurse can't be present. They don't live alone.
What do you get in return for working what they told you to work, instead of complying with your written notice? Most states are employment at will states. If that is the case with your state, you choose to work their notice instead of your own. If you comply with the employer's blackmail, it should be in writing in case there is an issue in the future.
Very true. I do understand that 2 weeks is best go give ... but like I said I already have the new job so references are not an issue anymore and it's just merely the fact that they didn't take my resignation, whatever it may be, at face value and just accept it. I may just tell them again sorry but I start orienting at my new job earlier than expected. Which isn't true but my current job is lucky I'm even working this week! The hospital wanted me to start orienting this past Monday and I put it off 2 more weeks because I'd only be able to give 1 work day,notice ..they asked if i had any "comittment" to this job aka they were happy to whisk me away as soon as i was willing .. so we'll see what I decide to do. Either way,there is a,light at the end of the tunnel. But yeah I can't believe how much this agency has tried to manipulate me from beginning to end ...wow.