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Nurse Beth MSN

Med Surg, Tele, ICU, Ortho

Hi! Nice to meet you! I love helping new nurses in all my various roles. I work in a hospital in Staff Development, and am a blogger and author.

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Nurse Beth has 30 years experience as a MSN and specializes in Med Surg, Tele, ICU, Ortho.

I love helping new nurses, and I blog about how to get hired and all things nursing at my award-winning blog,  http://nursecode.com. I authored the popular "Your Last Nursing Class: How to Land Your First Nursing Job" on Amazon! It's the ultimate guide with insider tips to land your nursing job!  Look for my latest book First-Year Nurse: Advice on Working with Doctors, Prioritizing Care, and Time Management,  published in 2020.

Here is a great & detailed review of my first book from Kyle Schmidt at BluePipes.com. http://blog.bluepipes.com/nursing-job-search-book/ I've worked Med Surg, Tele, GI, and ICU. I spent several years in Nursing Management, and currently work as a Staff Development Specialist. Plus a lot of fun side jobs 🙂

Nurse Beth - Career columnist and author

Author of Your Last Nursing Class - How to Land Your First Job..and Your Next!

Watch for my next book to be released in May 2020.

Nurse Beth's Latest Activity

  1. I would hate for someone to take what you just said as fact. It could put their career at risk. Every nurse should check with their own state BON/BRN. From CA: " Pursuant to Penal Code section 1203.4, you are required to report a conviction that was expunged. The law specifies that it does not relieve you from the obligation to disclose the conviction in response to any direct questions contained in any questionnaire or application for public office, for licensure by any state or local agency."
  2. Hello Nurse Beth, I recently sat for my NCLEX-PN in Illinois and was notified by mail that I passed my exam. I had submitted my LPN application to Illinois Department of Financial and Professional Regulation and today my account has a notification that my FBI Background check was Failed/Rejected. After doing online searches for why this would show on my account and speaking with someone at the regulation office, I was informed that I most likely did not disclose a criminal arrest on my application. I then realized that my record indicated that old misdemeanor charges from my 20's when I was obtaining a Bachelor of Science degree are most likely what they are referring too. My charges are from Indiana and are as follows: 1. Illegal consumption of alcoholic beverage 2. Public intoxication 3. Unlawful use of license I honestly forgot all about these charges since they happened 13 years ago when I was 20 years old. I NOW know that I needed to disclose these on my application, but failed to do so. Can you please provide me with advice on how to proceed further? I have requested my court documents from these charges and know I will need to write a personal statement when I am mailed my official denial from the board in the mail. Back when I got the charges, I completed a Defendant Accountability Program for the illegal consumption of alcohol and fulfilled all Pretrial Diversion Agreement obligations for the public intoxication and unlawful use of license. From what I remember, the public intoxication and unlawful use of license was dismissed. I am completely devastated that it didn't even come up in my mind that these where things that I had to disclose and that I hardly have a memory of stupid mistakes I made when I was 20 years old. Do you think that I have completely ruined my chances of obtaining my LPN license? I am also supposed to complete 2 more semesters before I obtain my ADN-RN degree and sit for the NCLEX-RN next Summer 2021. Please help explain me how to take accountability for not disclosing, since I was unaware that these citations where on my record. Lastly if it helps, I have since obtained my Bachelor of Science Degree in Therapeutic Recreation from Indiana University and worked as a Certified Therapeutic Recreation Specialist (CRTS) since 2010. I mainly have worked with individuals with special needs and left my last position in 2017, so I could continue my work with individuals with special needs as a nurse. I also have not been in any trouble with the law since the time that I have listed above. Thank you for any help and I appreciate you taking time to review my question. Dear Devastated, I'm sorry, yes, this is devastating. Failing to truthfully answer all questions on your application to the BON backfires. It can be considered a greater offense than your criminal charges. Over and over in my column I tell people that the FBI level investigation the BON conducts is different from the background investigation that nursing schools or employers conduct. Dismissed or expunged charges are revealed. I wish you had written in sooner, before you submitted your application. Everything from here on out will depend on how you present yourself to the BON, and this is important- they are looking to see that you take responsibility for your actions, including the fact that you did not disclose your criminal record on your application to sit for your Boards. It is in your favor that you responsibly completed all court ordered requirements, but your bigger problem now is taking responsibility for your more recent actions. When you write your letter to the BON, do not say "I honestly forgot about my charges" or it "didn't come up in my mind that these were things I had to disclose". They will take this language as not taking responsibility. Likewise, do not minimize your charges by saying "I hardly have a memory of stupid mistakes I made when I was 20". Your goal is to effectively show remorse over choosing not to disclose your criminal history, and hopefully to convince them that you were wrong, but that you learned your lesson. Consider getting an attorney to help you, but only if they are experienced in dealing with the BON. Read this article for tips in how to compose your letter I sincerely wish you the best, Nurse Beth
  3. Nurse Beth

    Can I be an RN with a DUI?

    Hi Nurse Beth, love your work. I'm a pre-nursing student who is currently working through the last of my pre-reqs, a new CNA, and active volunteer for Hospice patients as well as a trained active listening volunteer for an emotional support service. I have a BS in Finance (3.7 GPA) and an MBA degree (4.0 GPA) and making a career change to pursue more meaningful work in nursing through the ELM program. Embarrassingly, I had a DUI 10 years ago in CA (2010) - a convicted misdemeanor, with no further incidents since. The BRN Enforcement sent me literature on the new law (AB 2138) that this shouldn't impede on me receiving my license. However, it's come to my attention that nursing schools may not allow you to proceed to clinicals with a DUI when you receive a background check at that point. Even more heart-breaking is no one will give me a straight answer on whether I should even try to keep going. I know I'm going to be a great nurse, I would just hate to invest the time and money I've worked so hard to put together and hit a road block if this just isn't going to happen. I fully understand you aren't able to make that decision on a school's behalf, but would more than appreciate any advice or insight you could provide from your experience. Thank you so much for your time." Dear Worked Hard, Thank you for your kind words. You're right, and you've found out there's no guarantees, but there are plenty of RNs with legal issues in their past. Yours was 10 years ago, and it was a misdemeanor. There are 2 hurdles ahead for you. The first is nursing school. The school application may ask if you've ever had a conviction, or may ask only if you've had a felony. Either way, answer only what you're asked, and be truthful. It is not true that you will be rejected out of hand because of a DUI 10 years ago that resulted in a misdemeanor. Your next challenge is at the end of your nursing program, when the school submits an application for you to sit for your nursing boards- the National Council Licensure Examination (NCLEX). At this point, the BON (or BRN) conducts an FBI level investigation which is deeper than nursing school or employer background checks. The BON has a duty to protect the public. There is no guarantee that you'll be given approval to test after you graduate. Every case is evaluated on an individual level. The BON will ask the school to weigh in on your character. The BON will typically ask for a Letter of Explanation. They look for remorse, rehabilitation and responsibility. So understand that a school may accept you, but that doesn't automatically convey BON approval to test. The reason is that the FBI level background check cannot be conducted on every potential nursing student- just on successful graduates. I think you should go for it. Be sure and read Best wishes, Nurse Beth
  4. Hello Nurse Beth, My question concerns a nurse who has been in successful recovery from addiction for over five years with 100% abstinence and a clean legal background. What is the probability that this nurse could (legally) become a certified nurse practitioner with unobstructed prescriptive authority? Asking for an RN. Thank you, Anonymous RN Dear Anonymous, Nurse practitioners receive prescriptive authority in different degrees across the nation. Full authority includes Schedule II controlled substance drugs, such as oxycodone and hydromorphone. Scheduled drugs are classified from II to V, with Schedule II drugs having the highest risk for abuse. The application for prescriptive authority is separate in many states from that of credentialing. Additional educational requirements as well as supervising requirements vary greatly from state to state. Applicants must register with the Drug Enforcement Agency (DEA). It is the Board of Nursing that grants prescriptive authority. You need to consult your state BON. You don't say if your recovered nurse friend had any issue with her nursing license. If so, the BON would know about it and take it under consideration. I'm sorry to say, I just really don't know the answer to your question as there are too many variables. I do know that full prescriptive authority for an addict could be playing with fire. Does she really want to put herself in the way of easy access and temptation? Best wishes, Nurse Beth
  5. Nurse Beth

    Completely regret becoming a nurse

    Dear Nurse Beth, I have been a med-surg nurse for two years and although I really enjoy my teammates, managers, schedule, and vacation approvals, the actual work itself I find boring, overwhelmingly busy with unimportant tasks, I feel underappreciated and overworked. A lot of my coworkers say they like med-surg because the patient's are medically stable and it is not as emotionally taxing as the ICU or ED. I am in therapy because I suffer from anxiety. My counselor said I should go into a more strenuous and "exciting" nursing environment because I find my current job tedious. But I am worried that my anxiety will be greatly triggered and that I should aim for a more calm environment. BUT I love working three 12's per week. I don't want four 10's. I don't have kids and I love the schedule because of the freedom I have. I am completely regretting becoming an RN. I followed and listened to what people told me to do instead of listening to my own heart. I am not passionate about medicine or taking care of people, although it is rewarding I do not find the stress I experience worth it. Nor is the pay worth it. I have thought about pursuing higher education such as a DNP or PHD but I am hesitant since I dislike the bedside so much. I don't want to get into informatics because of the M-F 8-5PM. I don't want to get into education because of the pay and schedule. I want to use my creative outlets more in my life. If I could go back I would go to school for something like website design, writing, photography... I am writing in hopes you have some insight to share where I could possibly incorporate my creative side with nursing. Or maybe there is a field of nursing you think I should try before I give up on the career. Please let me know, thank you for your time. Dear Dislikes Bedside, Basically all 12 hour jobs are clinical, direct-care jobs. You may have to change your expectations. In other words, consider giving up 12 hour shifts to pursue something you'd find rewarding. Don't limit your opportunities by insisting on 12 hour shifts. You could adjust to a Mon-Fri 8-5 schedule if you had to. The majority of the work force works Mon-Fri 8-5 and you learn to make it work. If you are open to a Mon-Fri schedule, then that opens up a lot of opportunity. We all want satisfaction in our careers or it's just not sustainable. I find room for a great deal of creative expression as an educator in acute care. Content development and delivery call for skills in writing and finding ways to engage adult learners. Others find their passion in supervising others, problem-solving, and managing resources. Still others love the challenge of their work in Risk Management, Quality, Infection Preventions, Revenue Integrity, Documentation Specialist. There are almost countless career paths for an RN. I wouldn't give up on nursing altogether until you've pursued something away from the bedside. Register with Indeed.com and start looking at all the different postings. See what catches your interest. Best wishes, Nurse Beth
  6. Dear Nurse Beth, So, I recently had an interview and job shadow for a school nurse position. I received a call from the recruiter and she stated she had good & bad news. Bad news was that I did not get the job. Good news was that they really liked me. The recruiter wanted to know if I would be interested in them keeping my name for a future role for a school nurse. I stated yes and she said she would forward this information to the team. The recruiter then stated it is only a matter of time. Could this be a way for them to soften the blow or do you think they might consider me for a future role? Wonder what she meant by it is only a matter of time? What is the best way to stay in touch with the recruiter regarding the role? I just don't want them to forget about me if they are really interested in me. I'm probably just overthinking this because I really wanted the job. Dear Overthinking, I think this is more the recruiter being truthful than softening the blow. By saying "it's only a matter of time" it could suggest she has some information that she can't share, such as she knows of a position opening up, or for some reason she believes the person chosen fore the job may not stay long. At the same time, whatever information she has can also change quickly. For example, it's not uncommon for new positions to not be approved by a governing committee at the last minute. Of course this is all conjecture, and what's important is only what you have control over. Check in regularly with this recruiter. Obviously she thinks well of you. "Hi, I'm just checking in :). Any updates for me?" Good luck! I hope you get a job you love soon. Best wishes, Nurse Beth
  7. Nurse Beth

    CNA training during COVID

    Dear Nurse Beth, I actually am not a student yet. I want to get into nursing and work at a hospital. I was thinking I would possibly start as nursing assistant and then start nursing school as soon as I can afford it and then once I am finished with school I would work as an RN. A big problem I am running into is that just about every nursing assistant job wants the candidate to be a certified nursing assistant. I am not certified so I also have been trying to look up some CNA programs to get into so I can be certified and then get a job as a CNA. The problem with that right now is finding a program. I cannot seem to find any programs right now due to COVID-19. I was wondering if you had any suggestions on how I can best go about either getting a job as a nursing assistant or getting certified. I would love to be certified I just cannot seem to find any classes anywhere right now. Any help would be greatly appreciated. Thanks so much! Dear Wants CNA certification, Many CNA programs are temporarily shut down depending on location. Even if they could manage social distancing in the classroom, they will be challenged finding clinical sites. You're right, most hospitals hire only CNAs or second semester nurses. Your best bet is to start on your pre-requisites and land whatever you are able to right now. Sorry, I know that is not what you wanted to hear. In the meantime, keep checking back with the CNA training schools as this situation is very fluid. Best wishes, Nurse Beth
  8. Dear Nurse Beth, I was arrested in 1/17 for a DUI and had 2 charges 1 for the refusal which I went to trial and was found not guilty. The other trial for the DUI has been delayed due to the current pandemic and they are assuming trials won't start until 2021. My attorney did exhaust all appeals but they were denied. I am a nurse in FL and still working at my same job which does not know. When it first happened I contacted the BON and they told me I didn't need to self report until it was resolved. I followed up again recently and was advised the same. I have been offered a lower charge of Reckless Driving with a withhold (No immobilization, no DL suspension, no points, etc) but probation for 6 months which can be terminated early when I finish everything which is already done because I did everything in 2017 when it first happened. According to the BON website I have other steps to take if I accept the deal providing explanation letter and recommendation letters as well as court records. I have not shared my situation with many people so I'm not sure how to go about it and can't find information online. I was trying to find out how it will affect my nursing license and if I'll lose my job. Dear Arrested, If you accept the Reckless Driving plea, you must report it to the BON within 30 days. This would speed up the process for you if you think it sounds like a good deal for you. The law sees Reckless Driving as less than a DUI but the BON may or may not make that distinction. What's going for you is your offense was over 3 years ago. You have an attorney, but unless your attorney has experience with the BON, you must get one that does. Experience with DUI and experience with the BON are 2 different skill sets. When you respond to the BON, you should do so with the help of qualified counsel. Whether or not you accept a plea or are found guilty at trial, you will need to submit all court documents, proof of having met requirements, and police records. Your case will be investigated by the BON and the outcome is based a lot on your self-awareness and rehabilitation. They need to be convinced that you have taken responsibility and have changed- in other words, that you are no longer the person who would drive while intoxicated. Please read Criminal Infraction for essential tips on communicating with the BON. As far as your employer, read your employee handbook to see if you must report an arrest and/or convictions. Every organization is different but keep it to yourself unless required to divulge. Of course, if you change employers, you will be asked pre-hire and it will show up in LifeScan. Best wishes, my friend, Nurse Beth
  9. Nurse Beth

    ICU or IMCU for first job?

    Hi Nurse Beth, I need a career advice. I just graduated from nursing school and I have an offer as an ICU nurse at a trauma level 1 hospital that is 1 hr away from home I am a respiratory therapist and therefore has been easier to find a job in ICU, however, its a 2 year commitment and if I leave earlier I will have to pay 10k. The pay is low and I feel the training is being charged in every possible way I have another option in the IMCU at the current place of work, which is 9 miles away. The pay is better as well I am confused about what job to take because ICU is my dream job, but I didn't want to start in ICU at the facility at work so I applied for IMCU. My question is what should I do? Should I take the ICU job or the IMCU one? Dear Confused, CONGRATS on having 2 job offers! Intermediate Care Unit provides care for patients needing close monitoring and is a step down from ICU. You will get good experience but not with pressors, or continuous renal replacement therapy (CRRT), or other modalities. If you really want ICU, but don't want the ICU at your current facility, then go for it. Two years will go fairly quickly, and you won't regret good training and opportunity. Best wishes, Nurse Beth
  10. Dear Nurse Beth. What can I do if I graduate from a nursing program and can't pass my exit program? Dear If, You need to find out your school's position on the exit exam. Typically, even if you successfully pass the program and academics, but fail the exit exam, you may not be allowed to graduate. If you don't graduate, you will not be allowed to take the NCLEX. Check your school's syllabus and all documents provided by the college. One such exit exam is the HESI exam, given in the last quarter or semester of nursing school. The HESI exam is an indicator of how well you will do on the NCLEX. It's a computer-based, multiple-choice exam. One of the reasons for exit exams is that nursing schools want to ensure high NCLEX pass rates. Nursing program pass rates are used by the BON/BRN to evaluate the program's effectiveness in preparing students for the NCLEX. State board approval is required for nursing programs. Individual nursing program pass rates are easily found on the internet. There are many study tools out there to help you prepare for the exam. Consider forming a study group with your classmates to prep for the exam. The good news is you can repeat the HESI exam. Be sure to take a look at the HESI forum here on allnurses. Best wishes, Nurse Beth
  11. Dear Nurse Beth, I am a 25 yr registered veterinary technician veteran contemplating switching to human nursing for a number of reasons. Those include low pay, no career respect, lack of career recognition nationwide, no job opportunities, physical wear and tear on the body, no career advancement opportunities, as well as lack of benefits. My question to you is, how much more physically taxing on the body is nursing compared to the animal wrangling I have been submitting my body to over the past 25 years? Dear Veterinary Technician, Jobs that pay well as a registered veterinary technician are rare. Wages and benefits depend on the employer unless you are in a unionized or government position, such as working in a public city zoo. Many registered technicians complete their studies only to learn that employers can often choose to hire non-credentialed and lower-paid workers, even to place IV catheters and monitor anesthesia. By comparison, nursing is taxing on the body but the career opportunities are equal to non-other in my opinion. Once you gain your basic experience you can choose to stay at the bedside or go into teaching, sales, informatics, case management, and so much more. You will have to put in the time to earn your Bachelor's degree and work at least a couple of years at the bedside, so figure that into your plan. You will probably not be able to work once you're in the nursing program. Good luck with your decision, Nurse Beth
  12. Nurse Beth

    New grad RN

    I wouldn't worry about it. First of all, there's no need to list your clinical rotations on your resume unless there's a compelling reason to do so. It's a given that your BON/BRN required a certain number of hours and that you fulfilled them. Because new grads are all the same in terms of having passed the NCLEX and lack of experience, you want to include meaningful things that set you apart, not just words that fill the page. Do you know a second language that is spoken in your area? Have you done any community/volunteer work? Did you hold office? In previous jobs, did you receive any customer service training? Things along that line. Best wishes, Nurse Beth
  13. Hi Nurse Beth! I've got an interesting situation going on. I was recently fired from my place of employment on 11/2019 at a major hospital system. I was salaried (non clinical position) and accused of "stealing time" from my employers despite the fact that I actually worked on the days they accuse me of stealing time. I reported them to the Dep't of Labor(DOL) because they terminated me while I was on FMLA. The DOL is supposed to arrive to a conclusion soon to show there was either a) a violation b) non violation or c) inclusive/notice to sue. I also planned on following up with the EEOC as there was harassment involved but everything has been delayed due to COVID. During the tenure of my employment I actually went back to school and graduated nursing school. I'm currently waiting to take the NCLEX. Now I'm in a position where I'd like to work for the same company as they are one the major employers in my area. There is no chance of me interacting with my previous HR representatives or managers but I am concerned about my record which is why I'm fighting so hard. My question is this: What should I expect from the recruiting process? Does this ruin my chances of finding work as an RN with this system? Any advice on how to fight this issue more effectively? Dear Concerned, If you intentionally falsified time records to get more money than you were entitled to, then that is a theft of time. It's usually not prosecuted. Employees are simply fired, as you were. It doesn't make sense to accuse you of stealing time on a day or days that you worked, because salaried employees are paid for the day (typically 8 hours) whether they worked 2 hours or 12 hours. As far as your termination status, I don't believe you have recourse. An employer can list you as a "not eligible for re-hire" as they choose. You can be right, but it may not fix anything. Even if it was a wrongful termination, it's doubtful they could be required to hire you as an RN. It wouldn't hurt to apply, but the chances of an employer hiring you after you reported them to the Department of Labor and are considering bringing suit are slim. The most you could hope for is a 'right hand doesn't know what left hand is doing' situation, and get hired by slipping between the cracks. So sorry this happened, especially as they are your main potential employer, but you may do best by cutting your losses and moving forward. Good luck on the NCLEX. Nurse Beth Start your job search today!
  14. Nurse Beth

    New Nurse Exhaustion

    A 10/10 stress level, severe anxiety, sense of dread and not sleeping are all signs of a treatable medical disorder. All of these things you're experiencing are normal in some degree and at some times for new nurses. But not for 2.5 years and not all the time. The anxiety you are having will stay with you no matter what job you take to escape it. Anxiety prevents you from enjoying your job. See your doctor for uncontrolled anxiety. Even if you've been treated before, it's time for a check-in. Once you get the right treatment for you, lig gave you some great suggestions for finding the right job. You are very smart. Don't give up nursing. If ever there was a career with unlimited options, it's nursing. You can work with patients and you can work in informatics. You can teach, do case management, infection prevention, palliative care....you name it. Like you said, life is too short. You're too valuable and you do not need to suffer. Best wishes my friend
  15. Hi Nurse Beth, My long-term goal is CRNA. I got an ICU offer from Cleveland Clinic (#2 hospital in the nation), but not main campus. It's for one of their regional hospitals. It's not a trauma hospital, but the residency would still go through main campus. I would be moving from California and was wondering if the name of the hospital system and ICU experience with good 1 year residency would be worth it enough? The pay for is 28/hr for residents and I plan to do 2 years ICU then find a job in an actual level 1 trauma center in CA. Would this also be a good name to have on my resume despite it not being main campus and overall would it be worth the move for CRNA? Dear Wondering, I say go for it! and congratulations on the offer! This can be an excellent place for you, with lots of opportunities. No matter where your career takes you in the future, and plans can change, an ICU residency at Cleveland Clinic is an amazing start. You are looking down the road and planning your career all the way through CRNA, and it's good to have a solid plan, but for now, relax into your residency. There is so much to learn in your first year. Best wishes to you in your new job, Nurse Beth Start your job search today!
  16. Dear Nurse Beth, I'm not sure if I should be a nurse anymore? So maybe it is more of an anxiety issue or just completely want to let go of nursing. I am a 28 yr old whose got around 5 years of nursing experience. I have tried multiple areas such as LTC (6 months),complex continuing care/palliative care (maybe 2 years and half), neurosurgery (about a year), some medicine (6 months), L&D (4 months) and recently a nurse consultant at a worker's compensation insurance company (7 months). I feel like I just can't seem to find my niche or if I am interested in it, the acuity of the unit is too much for me to handle. I am a quite shy and introverted person and until now have a hard time talking to people, especially those in authoritative positions. I have tried to practice to be more assertive but my anxieties just get to me. I have been a charge nurse and even got awarded for a leadership and innovative practice award in my hospital as one of the 9 recipients which was very surprising to me. I am the last person to think of myself as a leader! I kept moving to different units and I really thought that L&D is where I would want to be at. Actually, I much rather want to do postpartum than L&D. It was going to be my plan to be in L&D for a couple months just to understand the basics then move on to postpartum. But it did not end up happening because I received a full time permanent position as a nurse consultant. It is pretty much almost every nurse's dream I guess with the consistent Monday to Friday hours, good benefits and security and no weekends or holidays. In my current role as nurse consultant, the only interaction is through a phone. So I thought with my social anxieties it would be a better option for my mental and physical health. Over time I felt like it ended up having the opposite effect. I don't feel physically healthy with the sedentary lifestyle and mentally I am even more anxious because I constantly think about what I should do next or what I should be doing the next day. I feel like treatments are often delayed because I can't make a decision whether I should cover for the treatment or not or if it is within the policy. Clients will be extremely mad at the phone conversation with me if I tell them I can't cover/pay for it or they can't be reimbursed for something. It's all about money. I feel uneasy when I think about health care and money. Even confrontations on the phone I ended up crying about later on. You would think my stress tolerance over the years would increase but I feel like I have gotten worse as a nurse. I am seeing a psychologist to help me cope but it has helped in some degree. But on top of my anxieties I seem to feel like I am just truly not enjoying it even though I know I am new and almost feel like I miss the hands on skills. I'm not the best communicator and I feel like I am able to truly show that I care for someone if I do things in a more physical manner like changing their wound dressings and giving them their medications and some teaching. I am thinking about going back to school to specialize in something but not sure on what (OB, Dialysis, palliative, OR). OR completely change my career path but still be in health care somehow like medical lab technologist but I feel like this will be a waste of time and become a disappointment to my family. Truly apologize for the rant... I just don't really know what to do and I panic when I think about work. I know nurses around the world do have it worst than me right now with the Covid because I get to work from home and I shouldn't even be complaining. But I kind of also want to be out there and helping everyone who is suffering. I definitely still have to work on my mental health and don't want to make any decisions I will regret. I have tried to be optimistic every time I choose to move to another unit and hope that this is where I want to be in only to feel even more disappointed Dear Disappointed, Your problem is not going to be solved by changing jobs, because your problem is not your job. Every time you get a new job to decrease your stress or avoid people, some other aspect of the job triggers you. This is not a career problem. It's a medical problem. You cry about work, experience anxiety, are worried and stressed. You find it hard to make decisions, avoid people and situations, and fear authority. You have loss of joy. It's good you are seeing a psychologist and it can only help you gain insight into yourself and perhaps gain some coping skills. It should give you a more realistic perspective. A psychologist cannot prescribe medications, however, and you most likely have a diagnosable and completely treatable medical condition-meaning anxiety and maybe depression. The important thing is, your medical doctor can help you. You do not have to keep suffering. I love what you said about how you show you care for others- by doing things for them in a physical manner, such as changing dressings, giving meds, and patient teaching. I think you describe the love language of nurses very well. Others see that you are a leader, and you haven't yet been the best you can be because your condition is holding you back from the best you. It's going to be amazing how much better you'll feel with the right treatment. Best wishes, Nurse Beth Related article: Confessions of an Introvert Start your job search today!

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