Published Feb 17, 2022
Familyof4
2 Posts
Hello ladies (and gents) ...I have been a PCU/Step-down nurse for a little over 5 years. Stressful floor, we do insulin drips (I hear some PCU floors do not do them and only ICU at some hospitals, its hourly glucose checks and titration) heparin gtts, pre and post open heart surgery patients so chest tubes, fresh TAVR patients, and just recently stabilized vent patients and of course many other patients, so point being it's a high stress floor we are 3:1 (California).
I am done being a PCU nurse, the patients are very critical and a lot of time ICU downgrades prematurely to get a bed open for another patient.
My goal is to be in Womens health but not sure at what capacity
Today I had an interview for L&D, the Nursing direction for Womens health interviewed me and stated she was impressed by me, not sure is she says that to all her applicants but regardless I feel it went well and I am expecting to be offered that job, although I am well aware its possible I don't, I am not trying to be boastful ?
Anyway, where I really want to be is postpartum, yes, I said it PP. I want the easy, less stressful job. Please don't be too harsh on me for saying it, I put my time in.
I am more than capable of doing L&D, I know I can push through it, enjoy it, make a difference, and do a good job. I really don't have doubts about my skills or patient care. My question to the nurse community here is, should I reach out to the director who interviewed me and state that I hope to be considered for PP and if I can't have it to have L&D? I will say this is a better way and more professionally, but I am not sure what to do. I interviewed for L&D because PP wasn't listed even though I know they are interviewing for PP.
Thank you all for listening and I really do appreciate any advice, thank you!
ThePrincessBride, MSN, RN, NP
1 Article; 2,594 Posts
I wouldn't say that PP is "easy"...think about it. You have to take care of mom AND baby/babies. If you have four moms, then that is 8 patients you have to chart and document on (more if there are twins). Many places are doing away with nursery nurses, so you will be responsible for both. Plus, there is always some sort of drama (baby mama, baby daddy, etc). Also, not of these mothers have had uncomplicated, lady partsl births. Some have had CS, some have had hemorrhages, HTN, gestational diabetes, so you will have to monitor. It can be very busy, so I don't want you going in there with that mindset.
No, you should definitely NOT tell the director that L&D is your second choice or that you are hoping for the PP job. Why give you the job if she can give the job to someone else who REALLY wants L&D and it is their dream job? I would keep quiet about your preferences until both jobs have extended an offer.
6 hours ago, ThePrincessBride said: I wouldn't say that PP is "easy"...think about it. You have to take care of mom AND baby/babies. If you have four moms, then that is 8 patients you have to chart and document on (more if there are twins). Many places are doing away with nursery nurses, so you will be responsible for both. Plus, there is always some sort of drama (baby mama, baby daddy, etc). Also, not of these mothers have had uncomplicated, lady partsl births. Some have had CS, some have had hemorrhages, HTN, gestational diabetes, so you will have to monitor. It can be very busy, so I don't want you going in there with that mindset. No, you should definitely NOT tell the director that L&D is your second choice or that you are hoping for the PP job. Why give you the job if she can give the job to someone else who REALLY wants L&D and it is their dream job? I would keep quiet about your preferences until both jobs have extended an offer.
Thank you very much for your input I appreciate it…I really should have said “easier” not easy. I don’t expect a RN bedside job to be easy but I know PP is easier than PCU (which is basically an extension of ICU to some degree) I have been a part of countless RRTs and I can’t even count how many code blues I’ve been in and really to be honest I’ve loss count of the number of beds I rush down the hall with fellow nurses because my patient was intubated at bedside and is on 3 drips to keep their blood pressure up maybe it’s more that my hospital downgrades ICU patient too prematurely too often and I’m burnt out? But I can say CS, postpartum hemorrhage, gestational diabetes, HTN doesn’t sound bad at all. I do know things can turn bad real fast and unfortunately women and babies have died in child birth or after birth. Hope I don’t offended anyone who works in women’s health. Thank you again for your input:)