New grad RN in CVICU - offered Hospice Case Manager positon (less stress and more money?)

Nurses Career Support

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Specializes in CVICU, Hospice, Administration, LTC.

Hi all, 

I've been a LPN for 7 years with hospice and med/surg experience and just this year passed my RN boards and started working in a Cardiovascular Intensive Care unit this July. I applied to this job wanting that critical care experience and I also have a huge passion for cardio. It just clicks with me. Most recently I've been struggling with the alternating shifts and overall anxiety that comes with this position. I do struggle with anxiety and depression and take medications daily, and it seems to be flaring up recently due to this job (for obvious reasons). Medication adherence has been lackluster and I find myself constantly taking them at different times throughout the day due to this swing shift.  

Just today I was offered a position at a hospice agency for $6 more an hour and a M-F schedule with occasional on-call hours. Hospice has always been my second home and im naturally very good at it. 

I guess my dilemma here is im not sure what to do. They say wait 8-12 months to get your groove in the ICU. I do love this type of nursing, despite the anxiety. and nothing beats the feeling of making it through a shift. But I can't help but think if its worth the stress and money? As a 30 y/o with extensive debt and financial obligations, money is a huge factor. 

Part of me doesn't want to quit, but part of me knows the ICU isn't my be all end all - I don't see myself necessarily working in the ICU forever. I actually have a strong desire to pursue my masters and become a palliative nurse practitioner. 

I need experienced input and advice. im not a quitter - but how much is my mental health and stability worth? Do I tough it out and push through for a year and possibly switch to a different specialty? or do I go per-diem and work hospice full-time for more pay and less stress? 

Halp. 

Aaron 

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