rn_guy89

A good manager will understand that frequent pulls into the office causes anyone anxiety and will try to limit them and do alternative ways to communicate such as huddles and texts/calls. From personal experience, a manager that seeks out to make you feel uncomfortable is a bully and frequently calling you into the office over the most petty issues is a micromanager as well. This is the kind of manager I would try to find out when they were leaving/quitting or I would find myself a way out of there.

I am in the same situation in a toxic clinic environment and about to leave. I often to excuse myself to refill my water and take a breather/moment before returning if I start feeling panicky. Work with the same kind of providers with god-like complexes and am over it-hence why I am leaving. Manager will also take the providers side over mine any day.

Made the switch to go outpatient about 6 months ago and am regretting it. Everything I learned about in nursing school is a waste with what I do now. The clinic I am at has a lot of occupational medicine. It's the same thing day in and day out- pee in this cup, here's your TB test, read this vision chart, your BP is too high for your DOT exam, etc. I feel as if I work at a DMV with an endless amount of people in line. I came from a med/surg environment where the nurses frequently (including myself at the time) complained about having 5-6 patients. I am now missing having only 5-6 versus 80-100 a day. The short staffing is way worse than I ever imagined being outpatient. I miss seeing patients get better with my care, following plan of cares, critically thinking, and having autonomy. I fell into the trap of thinking at the time I was inpatient that "the grass is greener on the other side." I've interviewed with 2 inpatient positions so far and wasn't chosen for either one. Just at a loss.

I am in urgent care (ED's twin) and literally feel the same way- all I do is vitals, ECG, blood draws, urine sample, pain relief, and the odd catheter. I'm so f-n'in over it and the ATTITUDES form the staff. I miss the floor too! The MA's hate me b/c I'm a nurse and I make more than them doing the same thing they do and the providers want me to literally do their job for them while they sit on their rear end playing candy crush.

I totally agree with OP, I took an "outpatient" urgent care position and it was not what I was expecting. Nursing community makes outpatient out to be so great, but in reality, unless you've actually worked outpatient or know what it's really like, be careful of the hype. The work is monotonous and I miss the camaraderie an inpatient nursing floor has. Also miss the interaction with different clinicians and interdisciplinary team. Time seems to move so slow, but I manage to still work my *** off, if not more at urgent care. The icing on the cake to all this is I make LESS than what I was getting inpatient.

I am so ready for my transfer out of urgent care! Was originally med/Surg and was looking for 'greener pastures' and thought outpatient would be at a more calmer pace- WRONG! In hindsight, I miss just have 6 patients I knew about like the back of my hand versus having 80-100 come thru the clinic and doing non-stop mundane tasks like swapping noses, taking vitals, giving ibuprofen/Tylenol, etc. In my experience the short staffing is worse in urgent care than it was on my old inpatient unit. You'd be mistake thinking that Summer would ease the influx of patients into the clinic-its never ending. Cannot wait to get out!

M/S ratio 1:7 they will low-ball you on salary here since everyone in the entire continental US (esp the northeast) is eyeballing florida as somewhere they want to move. Whatever you're paid now in the northeast they will not match here. They can get away with it too because it comes down to basic supply and demand. Always someone from Ohio that sees greener pasture in fla willing to take over that nurse's position not happy with their 7 pt ratio

I'm about 1 year into working as a new RN and I've been on my med/surg floor for the whole time. I came in knowing that both of the clinical supervisors on my floor have been on that floor for 30+ years. I can honestly say that both of them are burnt out. The grumpiness/fussiness from both of them is unbelievable. They also have their favorites that, in their eyes, do nothing wrong. I frequently pass by them talking with other nurses/CNA's about other co-workers. It truly saddens me that supervisors which are supposed to uphold the unit's professionalism engaging in such petty, demeaning talk. One of them literally made me burst into tears one day (only day I cried ever at work) and she didn't care and didn't even say sorry. I had 3 back-to-back postop patients from PACU at the same time and the supervisor did not even help me whatsoever as she was indirect. As I'm running around, she decides its a great time to yell at me for needing to do some education modules as if now is the perfect time to bring that up. I lost it. We just transitioned to a new EMR and that has been stressful and also obtained a new certification for our unit (which means MORE charting). Nonetheless, it has been tense. I came to one of the supervisors the other day to tell her how I feel like I've been picking it up and feel like I'm getting it, and she literally shoes me off and tells me she doesn't need to know and it's not important to her. Like, sorry for being happy. This negativity from them has made other nurses gossipy, back stabbing, and overall creating a hostile work environment, even though everyone agrees that they don't help the unit when they are indirect and literally sit at the desk and will let a nurse drown and still engage in small-talk. I am ready to call it quits. I can honestly say its not the juggling a 6 patient assignment, but the co-workers that are making me want to find a new floor to work on. Not sure how common this dilemma or how other nurses have approached this issue. The manager does nothing about the issue as nothing is done about it still.

This is probably the worst advice, I'm sorry. Not a good idea to use a needle to try to open these meds, can already see the needlestick injuries now.

It annoys me when HR reps tell us to make sure to update them on whether or not we ultimately take a position, when they're the same ones doing stuff like this not responding back to us ?