Psychnurse1996

I didn't take it that she came here for advice. I think she came here to vent and have support and instead everyone offered their two cents without truly understanding the nature of the situation and OP has tried to explain to them over and over that she has looked into the options they are suggesting and it's just not a possibility. She stated multiple times that she cannot work a Monday-Friday job due to her exam schedule, which she has talked to her professors about and they have told her that her exam times are set. Yet everyone keeps commenting "do remote work. it's Monday- Friday" She has stated that she looked into home health but there are no services in her area and that her hospital has tried to set up home care and it has gone under several times. Yet people keep commenting "do home health". she has said many times the only healthcare provided within an hour and a half is her small hospital and a small doctors office, yet people keep asking, is there xyz in the area? Starting a business is extremely hard and time consuming, not too mention it costs a lot of money upfront, may fail, and a lot of legalities involved- yet many have commented willy nilly "just start a business" without thinking of all the logistics involved. In a town as small as 1000 people, there probably isn't enough interest in these services and that evident when she said the local hospital has tried to implement outpatient/home care and it went under. I know exactly what OP is going through because I am from a similar town in Iowa as she described. There's rural areas, and then there's the "boondocks" where you're miles from your neighbors and hours from civilization. There truly is not options in places like that and it is hard to understand unless you have experienced it. It is easy to say do xyz or have you looked into xyz when you come from areas where there's an endless amount of opportunity for a nurse, but it's a whole different world when you live out in the middle of nowhere. And being in school with set exam schedules limits your options even more. I am going through that now. It sounds like she has been looking for options and unfortunately the logistics of the limited options she does have in the area do not work with her exam schedule and with a baby about to be born. Just wanted to give my perspective. I have read through all the comments and I really do understand where OP is coming from because I have lived it. But it is easy to think she's just shooting down suggestions if you have never lived in a place lime the one she is describing. It sounds like she has looked into all her possible options and realized it is just not feasible at the moment and came her to vent and not too feel alone.

Hey girl! Wow a part of me feels like I could have written this myself. I am also a psychiatric nurse from a VERY small Midwest town where it's an hour from civilization in every direction. There are people in my hometown who don't know what the internet it and hunt and trap their dinner every night. My hometown is an a good hour from any hospital, and that hospital is just a small bandaid hospital like the one you described you work at, and the only medical care in my hometown is a walk in clinic with a doctor who was probably childhood friends with Abe Lincoln. Anything someone needs that's more than slapping a bandaid on is a 2 hour ride to the hospital. I think people have given good advice but truly don't understand the severe limitations that you are under, and they won't unless they have lived it. There's a big difference between a small town of 5000 people and a town in the country with around 1000 with a few stop lights, a few mom and pop restaurants, and a gas station that is from 1932. Trust me, I know from experience. And just like your town, there are no home services or any options. I get people are trying to give you advice but I can understand where you are coming from. I'm also in grad school and have looked at remote options and most of them are M-F 8 hour shifts which would not work with my set exam schedule, the same predicament you find yourself in. Starting a business is great but that also takes a long time, may or may mot be successful, and in the mean time you would have to juggle a newborn/work/school on top of trying to establish a business. I don't think that's a feasible option either for you. and if your town is anything like my hometown, there is no centers or opportunities to volunteer at-not that you would have the time with everything on your plate. In a town of 1000 people, 99% of which have no medical knowledge, there really isn't networking to be done. And I can totally understand where your boyfriend is coming from too. My dad is in the same situation- high paying job that he is grandfathered into benefits that don't exist anymore and is therefore stuck. Your partner does sound supportive, especially in offering to pay for your gas/hotel/ apartment if you wanted to work in the city for more money and opportunity, but I also understand the money issue after paying for the extra costs associated with this and the impossibility of it with a baby. I really don't have any advice other than to sympathize with your situation because that would have been me and I not have had the opportunity to move. If I would have stayed with my high school sweetheart, I would be you. My only advice is to stick it out for now and reevaluate your priorities down the road. The reality is, your partners job and opportunities is not changing anytime soon and the career options available in your area also aren't changing anytime soon. While you guys may love each other and neither one of you are wrong in this situation, I don't think it's fair for either one of you. It's not fair that you feel held back in opportunity and career wise and it's not fair for him to feel like he is holding you back through no fault of his own, just his personal circumstances he really can't help(and trust me, I'm sure he feels this way). There may come a time when you have to make a tough decision on what you want, relationship or career. My mom found herself in a similar situation. Best of luck to you!

So some backstory, we have a patient who frequently is on our unit and has assaulted almost every staff member at some point. This patient is young and 100% sound of mind and knows what they are doing but assaults staff "because there is nothing you can do about it." These are words that have came out of their mouth. Six nurses that have worked on my unit have all filed and been granted orders of protection against this patient after their last admission. So what I am asking is, would we have to accept this patient next time they come to our ER (which is inevitable) or could that patient be refused admission since there would never be a time a nurse who had an order of protection against would not be working and therefore be in close contact with them? I asked my boss and she said she did not know and would look into it but has never gotten back with me and I know it is only a matter of time before this patient comes to the ER for psych treatment

Hey guys! Long time lurker, first time poster here. So I have got myself into quite a pickle here and I am unsure how to proceed. I have been a travel nurse for about 7 months now. My original plan was to extend my contract for a second time which would have been until the end of September, and then I wanted to switch from psychiatric nursing to labor and delivery. I had planned to take the entire month of October off before applying for staff labor and delivery jobs. I also bought several concert tickets for this Summer. Once I signed my extension in May, I booked several vacations for the month of October. The facility also approved all my concert dates off as well. Then the day before my second contract was suppose to start, they cancelled my and all travelers contracts. I would love to apply for a labor and delivery staff job but I do not think they would approve all the time I need off. I have a concert July 21, August 11th and 16th. In October I am going to Cancun from the 17-21 with my sister, which is a non-refundable trip. I am then the maid of honor in my best friend's wedding October 29, and then I have a family reunion trip to Gatlinburg from October 30- Nov 3. I also have a cruise booked with my other sister from January 1-7th. Again all of these concert and trips are non-refundable (I have called and inquired about all of them). I do not think a staff job would give me all of this time off. I have been thinking about just getting a PRN job until the start of November. I am wanting to hear your guys thoughts and opinions on what you think would be best as I am unsure what to do. PS: I have been looking for another psych contract but I have not found any. I have to stay a few hours close to home for personal reasons. I live in Indiana and there are hardly ever any psych travel contracts, and I am surrounded by non-compact states- besides Kentucky which has horrible pay and notoriously dangerous psych facilities. By the time I applied for another states' license and got a contract, it would be cutting into my vacation with my sister.