Jump to content
2019 Nursing Salary Survey Read more... ×

My Reasons For Avoiding The Acute Care Hospital

Nurses Article   (51,873 Views 72 Comments 585 Words)

TheCommuter has 10 years experience as a BSN, RN and works as a CRRN, now a case management RN.

21 Likes; 1 Follower; 228 Articles; 315,329 Visitors; 27,607 Posts

advertisement

Some nurses have never worked one day inside a traditional acute care hospital during the entire length of their nursing careers. How could this possibly happen? While I cannot speak for other nurses, I will provide an answer to the question that multiple people have asked: "Why don't you want to work at a major hospital?" You are reading page 6 of My Reasons For Avoiding The Acute Care Hospital. If you want to start from the beginning Go to First Page.

ASPIRING2BGREAT works as a LPN.

18,088 Visitors; 316 Posts

The Commuter.......even rewind years in the past I enjoy anything you've written and write!

Always so on point and this one is exactly me, also. And just as expected people always try to convince me different but even after they exhaust all thier good excuses why......I still say I have no desire to work in a hospital.

I aspire you The Commuter!

Edited by ASPIRING2BGREAT
grammar

Share this post


Link to post
Share on other sites

martymoose works as a rn.

4 Likes; 20,739 Visitors; 1,849 Posts

Thank you for acknowledging that you don't like the liability of acute care nursing. I totally agree with you on that one.

Share this post


Link to post
Share on other sites

not.done.yet has 8 years experience as a MSN, RN and works as a Professional Development Specialist.

298 Likes; 4 Followers; 42,891 Visitors; 5,171 Posts

I did four years of acute care with some internal drive that made me continually feel like I wasn't good enough, needed to advance, needed to compete, get ahead, eye on the next rung. I was barely doing the stuff I became a nurse to do and I was stressed out of my mind, though I didn't realize how badly. I knew it was bad but I truly didn't know HOW bad.

This past Fall a former employer requested I return. The job offer was one of those "too good to be true" things that only happen once. I jumped on it and man, has it been an amazing eye opener ever since. I miss some things about acute care, but not nearly enough to want to go back. I get sucked into Type A stuff easily but on the squishy inside I am a Type B educator type who wants to have all the time I need to teach and support both coworkers and patients alike. I love my new job.

I don't regret my time in acute care. I learned a LOT about myself and this career and it benefits me greatly in what I do. I am not sure the avenues open to me now would be if I didn't have that experience. However, I am not ashamed that I am unlikely to ever do floor nursing again. Life is far more balanced now.

Share this post


Link to post
Share on other sites

2,252 Visitors; 68 Posts

I'm going to be graduating in December. So far I don't think I want to start in acute care for the same exact reasons as the OP said. I'm a very laidback person and the hospital to me right now seems intimidating because there is too many things going on at once. I also like rountine and Knowing what I'm walking into. I'm currently doing an externship in the hospital and I think it seems like an unsafe mess. I choose nights thinking it would be a good pace for me to learn once I graduate but the night shift nurses get more pts than days. As an extern sometimes I have 16 patients and I don't even know the admitting diagnosis for some of them because I barely have time to look. The nurses are constantly busy they pretty much only have time to give medictions and barely have time to assess the patients. They just pretty much keep them alive.

I don't mind acute care but I just want to work somewhere at slower pace that will allow me to learn and think and build my knowledge base. Any ideas anyone?

Share this post


Link to post
Share on other sites

TheCommuter has 10 years experience as a BSN, RN and works as a CRRN, now a case management RN.

21 Likes; 1 Follower; 228 Articles; 315,329 Visitors; 27,607 Posts

I don't mind acute care but I just want to work somewhere at slower pace that will allow me to learn and think and build my knowledge base. Any ideas anyone?
I spent the first six years of my career in long-term care (a.k.a. nursing homes).

One commonly overlooked option is group homes for the developmentally disabled. Other options include adult daycare, occupational health centers, psychiatric hospitals, jail intake centers, prison infirmaries, and blood banks.

Share this post


Link to post
Share on other sites

smartnurse1982 has 7 years experience and works as a Rn.

3 Likes; 24,017 Visitors; 1,775 Posts

Great Topic

I have to really sit down myself and think hard.

I am most likely going to stay out of non-acute care,and probably going to work Private Duty Nursing for a long time.

I really do not have the brain power(or will) to complete the Bsn.

So the question is this: Why do I want to rush to get a Bsn when I most likely won't work in acute care at all?

Share this post


Link to post
Share on other sites

Hoosiernurse has 10 years experience and works as a Registered Nurse.

5,690 Visitors; 158 Posts

Wow, this is an older article, but you sure match my feelings on the matter. I did 6 months in an inner city hospital solid organ transplant and med/surg, then almost three years at another city hospital in cardiopulmonary stepdown. That was enough for me! I loved the learning but couldn't stand the pace. I have worked long term care since then, currently in assisted living. I had a lot of people tell me that if I switched from acute care to long term care I was destroying my career and I'd be sorry. Really? What, you don't think long term care needs good nurses, too? Because I do! There needs to be some major changes done for the elderly care and I'm going to be getting my masters degree in gerontology to see if I can help make some of those changes. People don't stop mattering when they enter the "elderly" classification!

Share this post


Link to post
Share on other sites

MrNurse(x2) has 28 years experience as a ADN and works as a RN.

211 Likes; 2 Followers; 8,932 Visitors; 2,336 Posts

I wonder if part of the reason people are so adamant about new nurses needing to start out in med/surg and get that golden year of experience is because it's what they did...

I am a proponent of hospital experience. I totally understand Commuter's perspective, I too am laid back and like my excitement in small doses. I now work LTC and love it, however, critical thinking is not valued there. I would probably guess that critical thinking is not valued at many non acute settings. That doesn't mean that it isn't necessary, and your clientele is worse off for that. I would never go back to acute care, but I also would say that it is a necessary step in rounding out your education. I also experience the shock that nurses can't be nurses if they are not in hospitals, but I also have the luxury of age and decades of experience that give me a pass. I have found that LTC is every bit as demanding as acute care.

Share this post


Link to post
Share on other sites

603 Visitors; 17 Posts

Hi! I don't know if you'll see this since it's been so long but I am in your current situation. Except I had a chance to do psych but I went with the acute care setting. Now mind you, after working as a tech at the psych facility for 2 months I began to get somewhat bored with the routine & the emotional draining kinda got tiresome.. that quickly. & deep down I want so more but I think my anxiety & fear holds me back. It's like knowing what you want to do but having your fear overcome your ability to do so. Also I did want to have some type of hospital eclxperience. Anyways can you tell me did you ever transition? Or did it get better?

Share this post


Link to post
Share on other sites

Rocknurse works as a Emergency Medicine and Critical Care.

6 Likes; 26,602 Visitors; 1,351 Posts

It's interesting to read other's perspectives. I myself could not imagine working anywhere else but in an acute care hospital, and I gravitate towards the biggest level 1 hospitals and the highest acuity patient in the ICU. I'm never happier than when I have a super-sick patient who is 1:1, intubated, sedated and on a million drips. I would absolutely hate to work in a small outpatient setting. It doesn't appeal at all. I love walking in to a massive busy hospital with all the hustle and bustle. I've just applied for a job in the biggest and busiest hospital in my state and I can't wait to get back to the ICU. Good luck to those of you who like the quieter, smaller more predictable environments but I would be bored out of my mind. I guess I'm an adrenaline junkie.

Share this post


Link to post
Share on other sites

WestCoastSunRN has 20 years experience as a BSN and works as a CCRN.

44 Likes; 1 Follower; 4,398 Visitors; 365 Posts

It's interesting to read other's perspectives. I myself could not imagine working anywhere else but in an acute care hospital, and I gravitate towards the biggest level 1 hospitals and the highest acuity patient in the ICU. I'm never happier than when I have a super-sick patient who is 1:1, intubated, sedated and on a million drips. I would absolutely hate to work in a small outpatient setting. It doesn't appeal at all. I love walking in to a massive busy hospital with all the hustle and bustle. I've just applied for a job in the biggest and busiest hospital in my state and I can't wait to get back to the ICU. Good luck to those of you who like the quieter, smaller more predictable environments but I would be bored out of my mind. I guess I'm an adrenaline junkie.

I can relate to only wanting to work in acute care -- one of the many reasons I decided against FNP. I also really like the sick 1:1 patient. I like the team, the problem solving, and giving amazing nursing care to people because I can (with only 1 or 2 patients). On some level - I guess I like rising to the challenge when things are going wrong. But I also don't like when things go wrong (I get irritable and bossy) -- if that makes sense. And I am most definitely NOT an adrenaline junkie (many assume ICU and ED nurses must be). I'm thankful I can ramp up when the situation calls for it, though. And yeah, I really love working in the hospital. Takes all kinds, I guess.

Share this post


Link to post
Share on other sites

Rocknurse works as a Emergency Medicine and Critical Care.

6 Likes; 26,602 Visitors; 1,351 Posts

I can relate to only wanting to work in acute care -- one of the many reasons I decided against FNP. I also really like the sick 1:1 patient. I like the team, the problem solving, and giving amazing nursing care to people because I can (with only 1 or 2 patients). On some level - I guess I like rising to the challenge when things are going wrong. But I also don't like when things go wrong (I get irritable and bossy) -- if that makes sense. And I am most definitely NOT an adrenaline junkie (many assume ICU and ED nurses must be). I'm thankful I can ramp up when the situation calls for it, though. And yeah, I really love working in the hospital. Takes all kinds, I guess.

We must be twinsies! :yes:

Share this post


Link to post
Share on other sites
×