NP trying to go back to RN in hospital/ and Pain Mansgement NP jobs

Specialties NP

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So I am a FNP-BC in my 3rd year of practice and I tried to see if I could get picked up as a RN in a hospital recently.., NOPE! Does anyone else find this totally ridiculous? During a global pandemic. Supposibly it’s the hiring managers that are so against this… Anyways, I wonder why there is a shortage of nurses in the hospitals. Anyone else tried to add a California license? I sent my stuff in back in late March and they are still saying they don’t have everything, and there is no one you can get ahold of to find out what’s going on either… So here’s what I wanted to get off my chest… Recently I took a NP pain management job because my career was going nowhere with the company I was working for and there are tons of NP jobs in certain places I am licensed to work and I got some experience. Anyways, the pain job was a quick start easy onboarding thing, so I took it and was all I will just bounce if it sucks. Sure enough the grass wasn’t greener. It was beyond anything I have ever heard of or seen. Let me know if you want to here about what it’s like going into pain management as a NP… and if you know anything about going back to RN once being a NP…I suspect it’s just hospital nursing politics and burnt out hiring managers stuck in 30 year mortgages and child custody battles and debt are afraid they will loose their overworked underpaid jobs if they bring on another nurse with a masters degree… any thoughts? BTW I got a better NP job and bounced out of that awful pain gig. Don’t go into pain management. You’ve been warned.

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Thanks for your candor and sharing your experience with the hospital. Sometimes I think of moonlighting in the hospital, but I kind of narrowly assume I'd be "hated" by nurses who might find out a I am a NP. Nursing fundamentally does not support professional growth or empowerment very sweetly.  Every addition of degree as a nurse I have swiftly and clearly established a new job (and happened to be higher acuity setting for my growth LOL).  So yep, here again worked through the fleeting emotion of returning to hospital for weekend pick-up!  Noted pain clinic!

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Specializes in ED, ICU, MS/MT, PCU, CM, House Sup, Frontline mgr.

OP:  I have worked in several settings in several places and I have never known a manager to pass on a NP with recent bedside work experience neither pre-pandemic nor now.  In fact, as a staff RN I worked on a floor where the number of bedside nurses with NPs out numbered the regular RNs on the day shift.  So, I doubt managers are afraid you may take their job, as you have jokingly implied.  How long have you been away from bedside?  That might be a factor. 

Another factor may be your area.  The hospitals in your area may be in emergency crisis staffing mode and are focused on hiring travel nurses.  With that said, you may want to consider travel nursing to get your foot back into the permanent door of a bedside position in your area.  Consider it a well paid working interview. Good luck.      

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Thanks.

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Specializes in Primary Care.
On 8/29/2021 at 10:04 PM, Jobhoppernomore said:

So I am a FNP-BC in my 3rd year of practice and I tried to see if I could get picked up as a RN in a hospital recently.., NOPE! Does anyone else find this totally ridiculous? During a global pandemic. Supposibly it’s the hiring managers that are so against this… Anyways, I wonder why there is a shortage of nurses in the hospitals. Anyone else tried to add a California license? I sent my stuff in back in late March and they are still saying they don’t have everything, and there is no one you can get ahold of to find out what’s going on either… So here’s what I wanted to get off my chest… Recently I took a NP pain management job because my career was going nowhere with the company I was working for and there are tons of NP jobs in certain places I am licensed to work and I got some experience. Anyways, the pain job was a quick start easy onboarding thing, so I took it and was all I will just bounce if it sucks. Sure enough the grass wasn’t greener. It was beyond anything I have ever heard of or seen. Let me know if you want to here about what it’s like going into pain management as a NP… and if you know anything about going back to RN once being a NP…I suspect it’s just hospital nursing politics and burnt out hiring managers stuck in 30 year mortgages and child custody battles and debt are afraid they will loose their overworked underpaid jobs if they bring on another nurse with a masters degree… any thoughts? BTW I got a better NP job and bounced out of that awful pain gig. Don’t go into pain management. You’ve been warned.

Hello there, Do you mind telling us what the experience was working in pain management?

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Guys that lost their licenses trying to tell me what to RX for in detail. Multiple bait and switches. Horrible support staff. 80% plus of patients were drug seeking. Fight broke out between two techs in procedure room… not sure if patient was on table at the time. No one told me a thing about it, some played it off like nothing happened or it was no big deal. Punches were thrown from what I I found out. No benefits, bad pay, another provider hit me up to write him some narco 10/325s etc and when I wouldn’t he cussed me out. But hey it was a quick start easy onboard. 

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Specializes in oncology.
3 hours ago, Jobhoppernomore said:

Guys that lost their licenses trying to tell me what to RX for in detail.

Could you elaborate on this? Why were unlicensed personnel even involved in patient care?

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I think this is par for this particular niche market. Nevertheless, I am no longer doing pain management and strongly discourage others from doing it as well.

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Specializes in Nurse Practitioner.

I've been in pain management as a new grad NP for only a few months and I completely hate it and the patients are a nightmare as well as the front end staff, my physician collaborator is very experienced however he runs 5 offices and I am on my own  for the most part. I have been grabbed by patients who won't answer my questions and just want a refill on narcotics and been threatened to watch my back by patients, I even had a patient as me for 240 pills instead of the 120 they currently get which I said no, I am not a push over but its stressful and I am forced to see 30 patients per day its just not worth it even though the hours are flexible, for me I would rather be back in a hospital being yelled at by physicians then deal with this BS, I have been doing nothing but applying to jobs and recently got offered a hospital rounding job with a multi-specialty group for cardiology consults and when not enough patients are for cardiology admitting internal medicine patients for a physician group who rounds 2 of my local hospitals, I am just waiting on the contract to get the hell out of the pain management drama, some of the patients are lovely and legit but some of the others I would rather stab my own eye out then continue to see them. I feel akward and bad for wanting to leave a job only after a few months but I come home crying each day I don't think I can manage to stick it out so I agree that pain management sucks, I know patients need help but they turn into raged drug addicts and I don't want to feel like a drug dealer I want to be a resepcted clinician that I was educated for. I used to work in cardiac cath lab as an RN and in clinical trials so even though I am a little scared of cardiology rounds I think it will be much better suited for my background and to help me continue to grow and learn as an NP

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We have 3 NPs working as bedside RN in my floor. They never had any issues finding jobs as RNs. 

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We RNs who became NPs and still working in their units in the hospital where I work. I think it's more of policy to hire an NP to the position of RN. They see it that you are over- qualified for that position. 

EveP

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