RNperdiem 28,330 Views
Joined: Dec 5, '06;
Posts: 4,090 (56% Liked)
; Likes: 8,713
14 year(s) of experience
Does you university have a career counseling service? Now might be a good time to schedule an appointment and get some facts clarified.
Do you have a job now? Maybe something flexible that can work with your school schedule so you can borrow less money would be a start.
Don't sink anymore money into education until you have a real plan of what you want to do with your life. It is obvious you don't want to do nursing. This is okay, life is too short to get into a career you despise.
Since you are 28, what kind of work have you done? You mention dabbling in a couple of areas that sound interesting, perhaps you could look at those fields again.
People who earn six figures usually work hard for the money working long hours and often having advanced education and skills.
The only artistic person I know who lives an upscale life is a cousin of mine who is a singer. She is married to a high-earning corporate lawyer and he subsidizes her career.
Trauma is everywhere. It begins with EMS and the emergency department. Trauma can be minor injures or require major work in the trauma bay of the ED. Where I work, trauma patients end up in Surgery ICU if they are in bad shape, otherwise they are placed on the surgery step-down unit or the orthopedics floor. In my hospital, none of the nurses work exclusively with trauma patients. SICU and surgery step-down take a mix of surgical patients. Same thing in the emergency department.
I work on a university campus. If you complain, all you get is the response "the university owns the parking".
Doctors don't get off easy. They pay more than anyone for a parking deck.
Luckily I work nights and weekends when parking is free.
The weekday people have it the worst. The park and ride of off campus parking used to be free, but now costs money to park there too. All parking costs a lot. If there is a football or basketball game, and your parking lock or deck is near the stadium, they post an announcement that people parked in the lots they pay for will have to move their cars by 6pm (or whenever) or be towed. Yep, sports fans are more important than employees. Sometimes an employer shows how much you matter.
Med-surg is always a bit chaotic at the best of times. Five is a good ratio, assuming you have some help from an aide and a unit secretary to handle calls.
The patient population matters too. My first med-surg job gave us six patients, but most of my patients were frail elderly people who needed a lot of basic care. It was unusual for anyone to be able to go to the bathroom unassisted. During shift report, all those elderly ladies who were given 0600 Lasix would be calling at the same time for assistance to the bathroom.
The number and quality of your CNAs will make or break your day.
My random thought is that this department already knew who they were going to hire, but had to follow the procedure of posting the job for the required amount of time, interviewing x number of people who they had no intention of hiring anyway, and the email was mistimed.
I think you already know the answer to your question. If you are a new grad, you might decide you are better off staying a little bit longer. Start scouting out other places to work outside of your hospital since you know how the manager refuses to grant transfers.
When that other job offer comes in, give your 2 weeks notice and resign.
No quick fixes here. I make a big effort to get a good night's sleep before work; a rested brain just works better.
On the day before work, I make getting to work easy by having lunch packed the night before, a clean uniform laid out, my work shoes in the car and leave plenty of time to drive to work. Running late and getting that rushed feeling is no way to start the day. Breakfast is oatmeal for me. It is filling, energizing and easy to prepare in the morning.
At work, I make good use of my brain sheet. With six patients, you can get interrupted frequently, and having stuff written down helps you reorient.
I agree with cleback, don't skip breaks. Sit down, even if only for five minutes.
Are you willing to move for the specialty you want? Most hospitals in my area don't have NICU. The vast majority of jobs are for adult patients.
The ADN is probably a disadvantage. In big academic teaching hospitals (where you find NICU), having a BSN is a big deal, so keep your options open for adjacent positions like L&D or newborn nursery jobs at smaller hospitals.
What form of equal do you mean? Statistically doctors are more likely to come from upper middle class backgrounds, have more years of education and make more money.
Are you willing to move to get a job? Of all the hospital beds available there are only a small portion set aside for pediatrics. That means fewer jobs for nurses who want to work in peds. In my area, many hospitals do not even have a pediatrics department. It is a desired specialty with fewer jobs compared to nurses who work with adults.
I was just reading some articles about the long waits in ED for psych inpatient admission. There is a dedicated section in my hospital's ED for mental health needs. There is a big shortage in my state for inpatient beds, so ED is a big overflow area. If this is what you want, you get to combine your interests.
I have worked per diem for a long time, and I like it because it can fit around my family obligations.
Because my husband's job brings our family health insurance, I am able to continue per diem work. Without health insurance, my son's health issues would have bankrupted us a long time ago.
As a per diem nurse I never have to be in charge, precept new staff, go to staff meetings (unless meetings are listed as mandatory), join a committee and come in on my day off for meetings, and nobody is telling me to get a BSN.
Some places are more desirable to live. In some places in the country, people are moving in in large numbers. These places tend to be affluent, often urban, well-educated and in-demand. Nursing jobs can be harder to come by.
Other places need nurses. They are in less desirable areas where people tend to move away from, not to.
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