OncMurse

I recently left a clinical RN position due to office politics and an inappropriate description of what my job duties were. I was told that I would have patient care requirements 1/3 of the time it was closer to 1/30th. On top of that the manager at the facility had now medical background just managerial. Also, an LVN was given the title of assistant lead and felt she had the authority to make nursing diagnosis which are out of her scope of practice. Ultimately, this made me apathetic to the clinic job so I found a position back on a hospital unit in Oncology. I started yesterday. Needless to say the clinic reposted this position as an advice nurse which is really all it was. I am extremely happy to have moved on as I didn't put myself through a BSN program to just sit at a computer terminal. I will never put my self in a position to work under a non-nurse manager again. I wonder if any other RN's or LVN's for that matter have experienced similar issues with management and positions which didn't match the description.

I think it is drilled into your head to rattle off everything. I particularly hate when an oncoming nurse gets bent out of shape when you don't know what antibiotic they are one for a UTI when it wasn't given on your shift and the oncoming nurse who arrived 45 minutes before shift change to prep already knows what drugs the patient is on from each shift. At the end of a NOC shift I just want to give report and go to bed it is not time to play quiz show and try to act superior to the NOC nurse.

Wow that is crazy. I'm sorry to hear that. It could have been due to money thought as I have heard crazy things. I know during a recent meeting regarding my role for which I was hired for the manager kept asking if they were things an LVN can do. Most of which they could do however taking calls and triaging them and making a treatment choice to have them seen at the clinic, urgent care or the ED is not within their scope of practice nor is the education of certain things when they are in the clinic. I didn't interrupt but it was those comments that struck a nerve for me and why I posted this note originally.

What amazes me is the MD's and mid levels seem to really like having me at the clinic but I simply don't trust this person.

I recently took a position as a clinical Nurse. I report to a site supervisor who is not associated with healthcare. I am the first RN this clinic has had the majority of the staff other than providers are MA's. I am finding it difficult to find my way and since the manager is non medical I am sure she may not understand how I fit in either. I also get the impression that this person for what ever reason feels threatened in some way. I have no idea why though as I have no desire to work as a manager with my over all goal being to become an FNP. Now I am now thinking taking this position may have not been a good choice. Have any other RN's experience d this.

There are days like that where you are nonstop from the second you take report. You'll have good days too so hang in there.