retirednotdead

Southwest Wyoming is 2000 miles from parts of the East Coast. I know because I drove two round trips when we moved from New Jersey. However, we are in an under-served area which can give student loan forgiveness. You won’t have to stay forever, but you will get marketable experience for when/if you return home.

Perhaps you are limiting your search areas in career and location. Are you willing to relocate? When I was job hunting I did not have the resources you have to day but I looked up a couple of sites and came up with and came up with these: Military depending on your age VA under served areas (Alaska or Wyoming) where student loans can be worked off quickly Job titles may include: Nursing Consultant. ... Research Nurse. ... Nurse Educator. ... Nurse Administrator. ... Advanced Nurse Practitioner. ... Clinical Nurse Specialist. ... More Opportunities and Higher Salaries. I hope you find the position you are looking for or better yet your perfect job.

You have been told that your assessments need improvement. Ask how you can improve; what you can do to improve your assessments. Ask for help. None of us were born being competent, but with time and help from ours peers and supervisors we learned. But we had to ask for help. Asking questions shows that you recognize that you need more information. One of the skills I learned to improve my assessments is being nosy. Ask "Tell me more about..." Also, you were asked to assess your strengths. This means asking yourself what your strengths are as a person as well as a nurse. This might give you a different perspective or direction for your career. Bedside and Office are not the only choices Guess the common word here is ASK. Best wishes on your journey.

Nurse impostors. I worked long and hard to get my BSN. I resent anyone who feels free to use any title they have not earned. I stopped going to a Dr who could/would not educate his staff. I wondered if he knew what the issue was.

Wants to relocate There are areas in the country where you can get parts of your student loans forgiven. Check with the Department of Labor. Can't hurt.

No one should have to listen to their family member/friend gurgling to death. There was little choice historically, but we have tools to promote comfort for all concerned. Why should we give care that was substandard in the early 1900s?

Dear I hate my job. Perhaps a change of specialty might help you. You currently work in a high stress area with a limited number of co-workers and your patients are usually asleep. If you go into direct care you might still have unpleasant co-workers and things might still be imperfect, but you also have more people for interactions. Wider interaction may be as good as your vacation. You might also consider travel nursing, psych, or home health. I would not recommend emergency services. Wow, three months vacation after just a few years? Many of us had to work years to get just 3-4 weeks, but it took me much longer to reach your level of burnout. I wish you luck and hope you make choices that are good for you.

Old Dogs: I have worked psych most of my career. My advice to you is, it's time to move on before you get so far behind in your psych skills that you won't be able to climb out of your rut if you want to. Something told the interviewers to "show you the door". You may want to consider your interview presented you and you skills. Applying for new jobs will hone your interview skills as well as giving you a good look at yourself. Just because you do an interview doesn't mean you have to accept an offer. Having followed my spouse's jobs around the country and making career choices of my own, I've had to learn new tricks every few years. Kept me on my toes for a while after each new facility. It also kept me out of "politics" until I knew my way around. Best of luck to you in our profession.

Second victim: I was immediately suicidal and fell apart in my best friend's living room. She is a "retired" nurse. I was hospitalized for a week and remained in therapy for almost a year. The event was only one factor in my decision to retire.

Dear Have Two Offers, Choosing a new job at any time is hard. Both Med-Surge and rehab will give you opportunities to hone your skills. Med-Surg will enhance your rapid decision making and observation skills; Rehab will allow you time to know your patients and their families as well as increasing your ability to recognize more subtle signs of problems. I'm a bit cynical. Why are they requiring you to give them two years? What are they giving you in return? What are the consequences for failing to meet the two year commitment. Some facilities pay your student debts in return for a designated commitment. The key word in your letter is "pre-employment". You must make your own decision, but you can change your mind mind at anytime until you sign your contract.

Dear Feeling like a Failure. This is must be awful for you. There may be a number of things at play here. At 46 you may be having some physiological issues that can impact all areas of your life. Menopause messes up our emotions as well as our sleep patterns, physical comfort. A good physical and some counseling can usually help. I found myself trying to mother, protect, solve problems for everyone around me. Relative to the job issue: Go to every interview with a positive attitude about yourself and your abilities. You may feel insecure and doubt yourself just now, but don't let the interviewers see that. Using a mirror practice holding your head up, smiling at yourself, and saying: "I am a good person and a good, capable nurse." Imagine yourself doing well during the interview and coming out feeling good about your performance It may seem hokey but it can work. as they say: "Fake it til you make it."Best of luck to you."

I hate to suggest this, but you sure your calling is in nursing? List the jobs you have had list the things you liked about each then look at the the things you did not like. Look for a pattern or patterns. You have to decide what you are willing to tolerate. (I once went back to school to get away from 11p-7a.) Then match your preferences to positions where you are or start looking for one elsewhere. That said: consider assisted living, public health, teaching (not clinical since you do not like close patient contact), other office-type nursing (medical practice offices.) Psych might be an option, but not acute admission units. If you can be objective, Clinical Chaplaincy could work--needs more education. Insurance companies use nurses for the other half a of your UR experience. I have experience in several of these specialties. All have their pluses and minuses. Best of luck

LollaPaupRN, BSN, RN Early in my career, I worked "General Medicine" when we didn't have all of the bells and whistles we take for granted today and patients stayed for long times as needed. Bed rails had to be put up on all patients over 65 to "prevent falls"; many were highly insulted. Putting an age requirement on requiring DNR/DNI is also insulting. I have seen many deaths,but I have also seen many miraculous recoveries with and without DNRs. I hope you are able to let time help you find your answer.

CNAbutLPN2be2017, CNA, LPN Report this employer to both the State Board of Health (or equivalent), the State or County office of Emergency Planning and the State Board of Nursing. The first two because lack of/poor planning for the safe evacuation of patients the other for unreasonable, possibly illegal, threats. As a shift supervisor, I sent coworkers home rather than have them make bad decisions because of family issues. Like most people, nurses take positions to support their families not replace them. Having staff quit short can be a real pain. As a DNS, it really annoyed me, but I had to deal with it even if it meant my picking up their shifts until adjustments could be made.