pinkandpurple

Is there an increase in pay for DNP vs Masters level? I would probably do the MSN so you can start your family without a strenuous program.

Sounds like they are mad that you were resigning. Im not sure how documentation works in that role, but I would hope that you documented that you consulted with the office and they agreed the oncoming nurse could manage transport and that you gave report/counted narcs/officially handed the pt off. That is NOT abandonment. However, if you have no documentation to cover yourself and the oncoming nurse will not back up what you are saying, you may have an uphill battle in proving you did not just up and leave.

Many times, students are taking the test practically.. thinking what you would do in a situation in real time. The test is geared to make sure you know WHY you are doing what you are doing and that you know what to do FIRST. Focus on rationales as to why an answer choice is correct, it better helps you think how the test makers want you to think.

I've done my fair share of hopping, not necessarily for better wages, but to find the perfect fit for me. The best way to stop is to avoid looking at the postings just for fun. Try to find happiness and challenges in the position you are in, then only look at job ads when you have loss the happiness.

It is highly dependent on your state as to what you are expected to do within your role. In my state, we do not provide any skilled care. Nursing is only needed in memory care where an LPN or RN has to administer medications and RN have to perform monthly and comprehensive assessments and keep care plans up to date. It is designed to be a chill job due to the "stable residents" but keep in mind they are elderly and easily turn to unstable within the blink of an eye.. and this could happen when there is no nurse on duty. A nurse will always be on call, but it would mean coming back to work in the middle of the night for an assessment. I have spent many nights returning back to work for anything as minor as a skin tear or headache to true emergencies that I had to sent to ER. Pay is also highly dependent. I made more in SCALF than any other job I have had, but I also had the most responsibility there as the only RN. If your main concern is being the only nurse, do not take the role as that is the norm. In fact many ALFs don't even have a nurse at all because the residents are supposed to be high functioning and able to protect themselves from med errors so they use caregivers that have been trained to "assist" them with their medications. If you choose to give it a try, don't harp on the ratio. Truth is, the minute they become unstable you simply send them to the ER as you cannot perform any skills except basic first aid. You won't be providing care to x amount of residents a day. You will be overseeing the care for x amount of residents a day. Think of it like you are a wellness nurse and not a skilled nurse because the only skill you need is assessment in the SCALF role. ?

What is causing the anxiety? Minor anxiety is normal and expected, when it interferes with your life you need to have it treated. What you describe is debilitating anxiety. Find an avenue of nursing that causes you the less anxiety. Some people work better alone in an office. Figure out whats heightening your anxiety and find something that fits you.