Need advice

52 Posts

I posted in the case management website the post below about needed advice about my second l&d job. Any input/advice on my situation? :

yes so far I really really love the new case management job! I love the rns and social workers in the department and i absolutely love my boss. i have never in my life had a boss that was so family oriented and understanding. she actuall told sat me down and told me my family comes first i was blown away. i mean of course we already know our families come first but how many of us actually have bosses that acknowledge that?!? i am learning the utilization review part first which i can honestly say i had no idea what UR really was a wk ago and today i just wrote my very first review using the interqual system and it actually matched the case manager's "real" review pretty well, much better then i thought. dont get me wrong i still have a WHOLLLEEEEEEEEEE lot to learn but im grasping the concepts much faster then i used to.honestly the only reason i would leave this job is for more money as you said or to be able to work from home with my son. I must say though I definitely have to get adjusted to working four days a wk though. (32hrs) i did not want to work five days a wk yet since my son is only one. however, now i am having other issues i actually am orienting at another very small hospital in labor and delivery to work one twelve hr shift a wk (so essentially between the two jobs i am working 5 days a wk). now i have 3 yrs of postpartum and nursery experience so im not new to OB but i am definitely new to labor and delivery. anyway i oriented for 6wks in labor and delivery almost full time but for the most part even though i am only hired for one day per wk but the hospital is just so small i feel like im never going to be able to be off of orientation. For instance, in the six wks i orientent to l&d and the 2wks i oriented to post partum, there were only 3 c-sections that i was able to witness even though like i said i was pretty much there full time. i took this job because i am still fairly a new nurse (graduated 4yrs ago) and i did not want to move out of bedside nursing all together so soon and my career and i do really love OB. anyway, now that i took the case management job (which my manager there waited 8wks for me to go through orientation and the l&d job after IMPLORING that i really did want the CM job i just said yes to the l&d job first and i didnt want to leave them high and dry after i already said i would take the job) four days a wk, i pretty much have to leave my other 3days open to be available for orientation at the l&d job leaving me no break. sorry this is so long but i really need advice on what to do. i do not mind working everyday for a few wks until i can get my LandD orientation done and i do feel comfortable monitoring a pt during their labor as long as i have another nurse doing the lady partsl exams and there if i need to ask a question, but my concern is when in the world am i going to be able to see a c-section and also i havent really ran the actual delivery part i have always had another nurse leading the delivery. And the worst part about it is they have called me off or put me on call on orientation until a labor patient comes in because they dont get patients everyday that are in labor. i just feel like im going to be on orientation there forever and i feel trapped and overwhelmed. i am actually a little upset she even hired me to work one day a wk knowing i didnt have any labor experience being that the census is just so low. If I had known any better during the interview I would have opted to go to a bigger teaching hospital so that I could really get my experiences in. Also, L&D is just soo much responsibility i just hate that part. i literally say a prayer of thanks every time the baby is born so that way i can do what im comfortable with: postpartum lol.

so basically i need advice on what to do. How long should i ride this out before i voice my concerns to the nurse manager in L&D and possibly quit? from a financial stand point for me if i just picked up one 12hr shift a month at some place I would be ok. so i was thinking of maybe just doing per diem mother/baby. She is kind of tough and a bit intimidating but at the same time the unit kind of has a high turn over of nurses so i'm sure she is kind of used to pple coming to her with these concerns. also as a side note, she said originally said that my entire orientation would probably only be 6wks.

sorry again so long and for all the typos i took my contacts off for the night lol