traumaRUs

I've been an APRN x20 at the same nephrology practice with a brief (<6 months) hiatus to try a hospital job. I had no nephrology experience when I was hired. They liked my level one trauma center experience and my ability to tell sick from not sick. I did have a huge learning curve but was provided 6 months of orientation. I started off with 30 minute office appts and now see pts every 20 minutes. I also care for dialysis pts in several units. 15 minute appts are VERY difficult even as a seasoned APRN. And yes, I do work over 8 hours pretty much every day. However, I feel I'm well compensated.

HHmm - interesting. However, many of us that are now APRNs certainly DO patient care - just in a different way.

Congratulations! Best wishes on your new career

I personally would NOT go the LPN route and I say that as someone who did the LPN to ADN to BSN to MSN to post-MSN route. LPNs are a valuable member of the healthcare team. However, as a single father in this economy, RN pay will be more and offer far more advancement opportunities. Nursing is a second career for me as well, I became an LPN at 34, RN at 36, APRN at 47 and at 68 still going strong Best wishes.

At least in my area, the nursing shortage is quite acute. As long as you give adequate notice which (in my area) is the usual two weeks, you should be fine. Over the past 20 years, I've left my current job twice and returned without any issues. Best wishes. I was an ER nurse at a level one trauma center for 10 years and loved it.

It sounds like new job jitters to me. Its hard starting a new job with new co-workers and new culture. Give it some time is my advice. You've worked ER before - sometimes the nursing staff can be kinda dramatic. Let us know how it goes in a few weeks.

Can't agree with above poster more. ADN to MSN is the way to go IMHO. I did the LPN to ADN to BSN to MSN to two post-MSN certifications. Lots of money wasted on these interim steps. Best wishes on your decision. Let us know what you choose.

Its got to be hard to have been through all this stress. May I ask how old you are? Would taking a few years off and then attack it again be an option? If you are older, what other responsibilities do you have? Family, children, spouse? I wish you the best - think maybe some soul-searching would be in order?

I have heard of this. When a child is born with Potter syndrome which is bilateral renal agenesis, dialysis is the only way to rid them of the toxins with the idea that a renal transplant will be needed once the baby stabilizes and gains weight.

Wanted to circle back to the original poster - what did you decide to do? Hope you are at peace now.

Get out ASAP!!! This situation is setting you up for disaster. What is the penalty for not giving two months notice? Geez thats ridiculous! I would normally provide a long notice as well but this situation literally puts your license on the line. I would consult an employment lawyer in your state. Best wishes on finding a new great job.

I'm late to this but as someone who went thru a malpractice lawsuit and was found liable please, please take care of yourself: Although you can't discuss this with most people, try to get a counselor in whom you can confide even if just limited info. Take time away from work and your family responsibilities - just 30 minutes a week to get a cup of coffee with someone not connected to this incident can be helpful Understand that though YOU made a mistake, YOU are NOT the mistake. Don't minimize things but don't let it consume you (and believe me I know this is so much harder then it seems). Some days especially in the beginning will seem insurmountable. If you have a faith or a church, cling to that like never before. (For me, this was literally a Godsent) Be aware you might be in for a long haul. These things don't move fast. I wish you all the best - if I can help, please feel free to message me.

I have had NSO since 1990 (when I started nursing school). Yes, I did have occasion to use it twice - once with a work-related issued and then again with a possible interaction with the board of nursing. They provided me with a local attorney for discussion of both instances. I was very happy with the representation for both issues. I will say though that they became VERY expensive as I progressed in my career and last year they were at $2700. So, I did switch to ProLiability. No interaction so far.

I work in nephrology, not urology. However, I found this at the Society of Urological Nurses: Position Statement on Nurse Practitioners and Office Cystoscopy | Society of Urologic Nurses and Associates Hope this helps....

Why did you miss it? That would be the biggest concern probably of the recruiter. I'll be honest, they might be concerned that if you can't make a 48 hour window how will you make it to work on time.