Szzzz

Sucks but you’re right, I am digging myself into a hole. My plan was to find one job and stay until done with NP school. Stepdown, ED, PACU were all within the same facility so they were more of transfers to different units but I do see where it raises red flags. I went per diem at my CVICU position that had so many learning opportunities. I didn’t want to leave that full time position, Unfortunately because of personal reasons I was in a position where I really had to. Yes it would totally reek if all this ruins my future prospectives. It’s good to hear from an outsiders perspective and I appreciate your feedback.

There are many different areas I can work in as an NP. I didn’t leave my positions because I didn’t like them or I would not have stayed per diem. I left them for more learning.

Where did you end up going? I would say OR may be the best option for you. In ER you do have the tedious things you don’t like from the floor just not as often. There are times when hospitals are too full to place patients so they’re your patient until there is a bed for them and that can last more than 24 hours so you may come back to them the next day. You often have a lot of residents if you are in a teaching hospital so you will be trying to find which doctor put in what order and you will be fetching sandwiches and drinks because of long wait tines. I once thought I wanted to be a CRNA so I worked CVICU and PACU and saw that it was not for me. In OR the nurses did have one patient at a time but they are often being pushed to roll the patient back whether the pre-op nurse has had a chance to review the whole case yet or not. We were often short CRNAs and Anesthesiologists so we always had new ones and some of them were really newbies that I had to intervene for because they were not competent in their critical care abilities. They work very long hours. Many of the OR nurses I worked with lacked critical care skills and knowledge. Even their most experienced nurses lacked these abilities unless they had previous experience. Just sharing what I saw ?. Every hospital is different in how it runs things. I did see many OR nurses move on to become NPs for the surgeons they worked with.

Idk how anyone affords it without working their lives away and living with multiple families under the same roof.

You must live in wine country?

You must live 30 mins away from me. I think i worked for the same conpany.

I believe it’s because everyone wants to live there. So they really don’t struggle too much with finding help.

Thank you for taking the time to respond. I live in a rural area so my options are limited to the hospitals I have already worked for. I like your idea of working per diem again but I am so exhausted from my long hours and school work, I may just have to suck it up and do it anyway. Thanks for all the tips, I will definitely keep them in mind.

I recently left my acute care positions (had a couple per diem jobs and full time), to go to outpatient dialysis. I left my per diem positions because I am in school and one of them I couldn’t complete my mandatory requirements because of personal issues but I really wanted to keep it just couldn’t make it to my classes at that point in time. I have changed positions almost every year Medsurg, Stepdown, ED, CVICU, PACU, and now dialysis. I have stayed on my previous unite as per diem, they all let me because they liked me (I think). Prior to accepting my dialysis position I had two other job offers back where I was per diem. I ended up choosing dialysis because it was something new, I love learning, and the pay is way better. I absolutely hate outpatient dialysis. The hours are ridiculous like 0430-2000, the staff ratio even with the techs is insane, I see about 35-45 patients a shift, the techs only help each other and there are tons of CVC’s. I cannot adequately and safely care for all these patients because I am too busy with all the tasks. I have been applying to acute care once again and have had a few interviews but no job offers. Most of them emphasize my movements. When asked my future goals I am honest and tell them I am in school for NP. Should I be lying in my interviews? I need out of dialysis ASAP and don’t know what to do. I keep calling in sick because I hate it so much.

Do you have any family that can help? Any savings? You will be losing out on much more finances within those 3 years than you would biting the bullet to pay for an attorney. Letters of reference can’t hurt. Sorry to hear about your situation. Best wishes.