Myruby

This willl likely not be a popular answer but.... I worked at Beth Israel for several years as an RN then went agency. I wanted to choose my own hours and days off. I did the same thing when I later became an NP as a travel NP. I also switched when I grew bored with a job, but always stayed a reasonable amount of time. So, I did IM, Geriatrics LTC. Research, Palliative Care, Homeless clinic and Infertility. When I switched to travel I worked Occupational Health, Student Health, Urgent Care, GYN etc. It helped me get through 52 years without burnout and I never felt used or put upon because I chose my own hours, work and even got to work in the Arctic, Alaska as well as my home state and other states.

Also, many IM docs bring home work and so do many many many NPs and PAs. I worked in IM. It is typical to work more than eight hours a day. Think about it, you have 15 minutes to see a pt, hear their history, do an exam and provide a plan of care. That is if they don't take a long time to answer your questions, be late, include other complaints etc. Then you have to chart while taking phone calls, reviewing incoming labs, contact insurance companies who have refused your medication, lab or imaging orders. Of COURSE you can't do this all in eight hours. Don't feel badly about it. It is unrealistic, but you are the backbone of healthcare. That is why there is a shortage of PCPs, including the lower pay that they receive compared to specialty MDs.

I only worked one day, a 12 hour New Years day shift for the money. I was told to wear pants, no makeup, don't brush my hair and tie it back with a plain rubber band. I went to the pods to give meds-the MD would not go there. A pod of orange suited prisoners was let out into the gereral area were I was and a guard started yelling "the nurse the nurse is out here" and they were all herded back into their pod. Next I was to see an inmate in the clinic for his monthly antipsychotic injection and also to change a dressing on his upper arm- he had been branded by his gang and it was infected. The guard that was with me took off his handcuffs and when there was a scuffle in the general infirmary left me alone with him. He came back about 2 minutes later and said, "uh, sorry" The whole thing wasn't for me but maybe I just had bad luck.

Granted, I started a long time ago, but I was terrified, so chose a very specialized job, infertility without the invitro side. Before awaiting my credentialing, I worked a few days in a homeless clinic. I gradually spread out to IM and stayed a year, but hated it. I also hated hospital nursing, LOL. What you could do is join the float pool where you used to work, or go through a temp agency... I did that for flexibility after my daughter was born and got lots of work. Good luck, you've worked to hard to give up. Have faith in yourself.

I have done Locum Tenens only for the past 8 years. I have a total of 32 years of NP experience and before that was a hospital floor nurse. I recently retired but loved it. The agency helped me get credentials for a new state, paid for all transportation/ housing, utilities, licenses, gave me a new car to drive and on one instance paid for meals meals. I typically took a month or two off between contracts. I was tired of long term jobs like IM, geriatrics, palliative care, and others and welcomed the chance to see patients on a one time basis, usually. I did UC, Occupational medicine, student health, gyn etc and was contacted every day about jobs. If you put your resume on Indeed it gets to be annoying. Don't take the first offer if you don't like it. I didn't work for under $70-90/hr with malpractice insurance and have the option for other benefits. At the end, $70 was low. During covid I earned $1100/day. I also didn't take jobs where my cat was not welcomed, LOL. I don't think I would have stayed if I was not given the chance to do part-time or temporary work.

They don't want a ticket? LOL

That's the crux of it. When I told her gently that was a prescription dose, she told me not to tell her how to do her job, as she is the Nursing Supervisor. Things went downhill from there as every sign off etc was telling her how to do her job. I recently retired after 32 years as an NP but still have my RN license. I have worked travel jobs for the last 8 years, winters as an NP, summers as an RN as I like the break and the outdoors. I told the Camp Director who stated "I trust her" and the camp doctor who stated "I don't know anything about that" Consequently, RNs are giving 600mg doses to staff, older campers and international staff. I don't want to be a %itch, but would you report her? I have left that camp. Thanks.

I never said I was an early bird. I'm a night nurse. I take my whisky neat. My coffee black and my bed at three People are too sweet for me. That's OK with me... (I get a good day's sleep and never arrive with more than a 0 BAC)

It sounds very unsafe. I doubt the people who administer understand when to hold meds, check BP and pulse, interactions, side effect or much of anything. If I am hospitalized I would not want them administering to me. It's a cost cutting thing made by admins to save money, like understaffing RNs

There is Epic now. I don't know what they have in the ER you would work in. I think it might be difficult to land a job in the ER without recent hospital experience. I don't think it's a matter of age, but of knowing the system and being able to learn quickly. I was asked at 40 if I would be able to "keep up." in an ER and at another job, "what would I do about child care on an odd shift" I retired at 73, but as an NP, the last 8 years as a travel nurse, so I kept up fine. It might be a good choice to start back on a medsurg floor to learn the system. Just my opinion, others here might be better qualified to answer.

No. I was a floor nurse then became an NP for the last 31 years. The last 8 years I did locum tenens only so I would have freedom. I started in Internal Medicine, and have done Geriatrics- LTC, Palliative Care before I switched to Locums. You would not believe the BS. I ALWAYS was pushed to see more patients by admin-you know how this goes even as a floor nurse- but as an NP it is actually counted. I was told to upgrade my diagnoses by one company- UHC of course, and often stayed late to finish charting. I switched to Locums and jobs where I could see a pt only one or two times, student health, gyn, Occ Healh, urgent care. It was not as bad, but I believe it was because I was there for only about 2-5 months so was not a target. The insurance companies dictate what you can do and prescribe, so you have 15 minutes to get a history, do an exam, review the chart, make a plan prescribe and refer. THEN later the ins co will deny and you have to do that later. My PCP, whom I love told me he is miserable and can't wait to retire. That's unusual that he would tell me this, but we have a good relationship and he has been my doctor for 14 years. Oh, and call. So no. Believe it or not, the hours are better but the BS is increased and I was just an NP I was very grateful for the knowlege I gained. I had a double major with MPH, epidemiology as my second. I think statistics gave me a way to look at things better, so any knowlege is not wasted, but, no.

I worked at an IM/UC setting before going U/C. It would be difficult to learn to suture, remove a toenail, abcsess, splint on your own. There are workshops that are very helpful. I asked that every pt with one of these be assigned to me and my Medical Director was glad to teach/ supervise. I can't imagine doing procedures without her. Other than those, you have probably seen most of the other infections etc, and know when to refer etc. My father was an MD and when I asked him how he remember all that stuff, he replied, " You don't have to know everything, you have to know what you don't know and where to find it." You sound like one of those. Good luck!

I worked as a Sub-Investigator for 7 years. I didn't really work for one pharmaceutical company, but for the Research Center, and we did studies for many pharmaceutical companies. I was burned out by patient care. My duties involved deciding whether a person met the criteria for inclusion (there were strict criteria) monitoring them and at times removing them from the study, reviewing labwork, EKGs and routine exams, addressing adverse events. There was an MD Investigator, I believe only Physicians can hold that position if I had a question, but he was there only once a week, but available by phone. There were IRBs and the studies were double blinded. I loved the job, but eventually wanted more flexibility so did travel NP work the last 8 years of my career. One was in Utqiagvik, formerly known as Barrow AK the northernmost settlement on the continent with polar bears sometimes coming into town. I hated hated hated Internal Medicine and if it were my only choice, I would have given up my NP.

Yes, I've helped three times. The first was post seizure and the crowd was trying to get him to sit up and drink water. (Why do they always do this) I told them to stop and put him in the recovery position till EMS arrived. Second was on a plane to AK a woman fainted and the crew asked me to monitor her till scheduled landing. I did and she was fine. (The crew gave me a bottle of wine) The third was at a public dance where a man suddendly fell and went into cardiac arrest. 3 paramedics and I arrived, I directed someone to call 911 and get a defibrillator. The paramedics took over. Unfortunately he later passed away. There was no defibrillator at the fairgrounds which later resulted in a law that there be one at all events in my state. I don't feel that I did anything major at any of these, but I tried to help.

The paycheck, but I'm fine without it. Other than that, nothing. It was time to leave.