Shortcake_BSn

Thank you for the update. I live in Virginia and I applied for a couple of telephonic positions with Humana. I don't have my certification in Case Management, but my goal is to pursue my certification by the next texting quarter.

I know in this line of work that it is not particularly favorable to be a "job hopper" but since graduating a year and a half ago, on paper it looks like my career is job hopping. My first job was on a med surg unit. I worked there for six miserable months before I left and got a position at a physician's office. I felt like there was no room for me to learn or grow as a nurse so I left there after six months as well. I am now working in a ED for a non-profit hospital. The pay leaves a lot to be desired, but I love it. I felt like I had found my place in the world (the ED lol) and all was right. While again, the pay is not great, I really enjoy what I do. There is a lot of education and courses and I am currently waiting to be on the clinical pathway so that I can began my journey to become a Clin II. A few weeks ago a hospice company that I really enjoyed working for when I was a CNA reached out to me. The company was my last full time job prior to becoming a full time nursing student and I really enjoyed what I did and who I worked for. Anyway, they reached out to me and asked if I would be interested in interviewing because they were in need of full time nurses. I agreed to do an interview just to see what they were talking about. A week later I was offered a position with the company. They are offering me 12,000 dollars more than what I am making in my current position. I am seriously torn in regards to accepting this position or not. While my current pay is not great, I feel like staying in the ED would be beneficial for me in the long run in regards to certifications, education, and just anywhere else that I would want to go later on in life. Plus I am honestly tired of jumping around from job to job. However, I know that a 12,000 increase in salary is nothing to sneeze at, and it would be more income for my household. My husband told me that the money should not even be a factor and that he would support whatever decision I made. I did enjoy working in hospice, but I do not think that I loved it the same as I do the ED, not to mention the fact that I am quite sure that the nursing aspect of hospice is quite different that the CNA aspect of it. I am weighing my pros and cons, but the hospice company wants an answer by tomorrow. Any advice would be greatly appreciated!

So, I work in the ED and it was one of the requirements. I did not have it prior to employment, so I had to take the class within 90 days of employment.

Thats true too. Im sure that they are too busy having to learn their own roles without having to worry about someone else's. So who regulates who does what?

Yes. Everyone is referred to as a nurse. By the providers, patients, and other staff. That's what I meant by the use us and view us interchangeably. I know that it's wrong, I am afraid to speak up on it though because they look at you crazy if you say you're not a nurse. An insurance rep was treated very nasty by the phone nurse after he told her he needed to talk to a licensed nurse and not a cma. But they all call themselves nurses to the patients. I don't want to say anything because a lot of them have been there a long time and really know their stuff. I don't want to appear as if I think I'm better or to make a RN vs MA post. I just want to do what I'm qualified and trained to do.

Ive only been there for six months. And I just graduated a year ago. I really do want to work within my scope but I'm not sure if the higher ups don't know what a rn is capable of doing or they don't care. I'm mostly bringing back patients, getting vitals, and giving injections as needed.

The phone nurse at my job is a medical assistant. She handles triaged and PAs. This office is extremely busy as well.

What exactly should a registered nurse's role be in a physicians office? Sometimes I feel like an overpaid medical assistant. The RNs, LPNs, and MAs are used and viewed interchangeably at the physician's office that I work at. I honestly feel like the RN's are not being utilized properly but I could be wrong because I'm not sure. What should be the RN or LPN's role and what should be the medical assistant's?

I am a Registered Nurse at a doctor's office. The office is comprised up of seven doctor's, two PA's, four registered nurses, two LPNs, and six medical assistants. Most of the doctors have at least two "nurses" working with them. I use nurses in parentheses because the medical assistants are called nurses. We are all used and viewed interchangeably. Anyway, one nurse is usually assigned to do messages, and the other nurse is assigned to bring back and work up patients. I work with a medical assistant that has been working in the office for a really long time. I am fairly new. The medical assistant loves to take messages. That's pretty much all that she wants to do. The doctor that we work for has the highest patient load in the office. We really think that she needs three nurses but that's neither here nor there. After feeling burned out after constantly being the one to run back patients, I asked my nursing supervisor if we could rotate because it really is too much to keep doing day after day. My supervisor sympathized and said that she agreed and would rotate us with running patients. This went on for about a month. This week, I have been scheduled to run patients every day, while the medical assistant does messages. So I was already upset about this. On top of that, the medical assistant gets off of work an hour early everyday (because she has to pick up her child) so for an hour I have to be the runner and the message taker and whatever messages she doesn't get to, she dumps in my box. So today, she left at her time and dumped seven messages in my box. Today was the busiest day ever. Everyone was coming in with some type of respiratory issue. So for an hour I had to bring patients back and work them up. Respond to overhead pages, and do messages. On top of whatever vaccinations and documentation my doctor needed me to do. I don't think that this is fair. Everytime she does this, I'm late getting home to my own children. I want to say something to my nursing supervisor but honestly I'm just over it. Is it even worth mentioning? And if so, how should I go about it? I was so angry that I just left without seeking out my supervisor. I wanted to wait until I got home and cooled off and then called her, but I decided that I will just get to work early and pull her to the side. What's the most professional way to go about this?

Yes. She has the right to complain. Stating that "you dislike someone" isn't complaining about their actions. It's a direct attack against that person, which I believe fell under another person's definition of what bullying is...

Yes. I knew there was one more cute acronym that I was forgetting... HCAHPS í ½í¸¡ But I agree with Diane524 100 percent.

Speaking as an AA woman, I clearly understood what the acronym meant and I know that it was not used in a "racist way". I don't understand why people are so ruffled by the fact that she felt bullied. Clearly, the young woman did target her as non-English speaking person. She has a right to learn just as much as the next student. Everyone knows how hard nursing school is. I'm sure that it's amplified when it's being taught in a language other than your primary language. Yes. She could have tried to arrange one on one time with her instructors, but that still doesn't give anyone the right to give her grief because she wasn't comprehending. Furthermore, I get so sick of people stating that "the word bully gets thrown around too often." No, the victims of bullying get ignored too often by people who do not believe that they victimization falls under their criteria of what bullying is. Bullying is subjective and suicide is real. Never minimize the actions of someone that is clearly getting pleasure for making someone feel different.

I went to school to be "just a nurse." All I wanted to do was to help people and to save lives. I have been a cna for over ten years, so I'm definitely not afraid of hard work. After graduation, I only lasted six months in a hospital. It is a business. They care more about patient satisfaction more than patient care, and they run you right into the ground. The older nurses were miserable and made eating their young a competitive game. There's so much documentation and quality assurance measurements and cute acronyms for what the hospitals feel like nurses should be doing (icare and iwatch) which has nothing to actually do with the parient's health, that takes away from caring from the patient. I have been hiding out in a doctors office until I can go back to school to become a NP. Everyday it makes me sad that I'm not in the hospital setting saving lives like I originally set out to do, But I couldn't do it for my own mental health.

My husband just says that it's my decision and that he supports whatever choice I make. He was however, the one to point out the drastic difference in pay, but he's a realist that way.

Thank you so much Been there, done that! I really value your input. Thats my predicament. I was so broke as a nursing student. I have put my husband and children through a lot due to my inability to work while in school (evictions and repossessions to name a few). I swore to them that I would give them a better life. The money from the hospital allows that. There is a two dollar and change difference between the hospital job and the office job. Plus the benefits are cheaper and the hospital has tuition reimbursement which is going to come in handy when I go back like I plan to. But I am seriously missing my family. My days off, all I do is sleep because I'm so exhausted from being short staffed and overworked. My patience has worn thin. I overheard my six year old told my ten year old that mommy has gotten mean since ages started working nights. That honestly broke my heart. I don't want to lose out on quality time with them in order to make money, but at the same time I never want us to ever have to struggle again. I wanted to stay on PRN but my supervisor told me that I couldn't go PRN because they want you to have a years worth of experience before going PRN so it's either stay full time or leave. [quote name=Been there,done that]Do you NEED that pay and benefits... or just WANT it? If you can be home with your family on holidays, weekends, and evenings THAT is priceless. You could go PRN and work few days/month to keep your foot in the hospital door. Best wishes , whatever you decide. Again. Thank you so much.

Thank you so much for your fair and balanced input nutella. You definitely gave me a lot to think about. I really appreciate the advice.

Thank you NickiLaughs, BSN. I do think that I have come to the realization that I don't hate my job, just my unit. It's just a really negative atmosphere on top of he heavy patient load and short staff.

So here is the gist of my predicament. I am currently working nights at a small hospital on a med surg unit. I was unhappy with the work conditions and the fact that I realize that I hate all things med surg related. I gave my notice. I was offered a position in a physician's office. The main thing that attracted me to the position was that I'm a wife and mom and the hours were Mon-Fri 8-5, no weekends. I accepted the position because I figured the work wasn't too hard and I would have ample time to spend with my family. I even took a pay cut and am paying more for benefits (twice what I am paying at the hospital). I have been simultaneously working both jobs (don't ask me how!) Since I have began working at the physicians office. I have come to like it. It is a really laid back atmosphere. The hours are ideal. When I get off, I'm not too tired to spend time with my husband and kids. And best of all, I don't dread going into work like I do with my hospital gig. The cons is that the work is so mundane, I feel as though I'm not utilizing this degree and this title that I have worked so hard to obtain. Before me and a couple of other nurses began working there, the office was mainly staffed by medical assistants whom ALL call themselves nurses, which kind of irritates me. The office manager put me into the computer system as an LPN and when I asked her if it could be fixed in the system, she told me that it wasn't a big deal. The hospital that I work at is so rough. The patient load is rough. The patient's themselves are rough. Wounds from head to toe, and just really heavy. The census never calls for night staff to have a tech so I am doing everything on my own, which isnt always a big deal because I was a CNA/Tech before I graduated but on nights when I have five to six patients it can be overwhelming. I get seriously depressed just thinking about going in to work. The nurses that I work with are miserable and mean. one in particular always complains about how much she hates her job and her many "physical ailments" that prevents her from helping out the other nurses. But the pay is great. Its really great on top of my shift diff, but I had convinced myself that it wasn't worth the stress that I was experiencing. The other night when I got into work, I had a note stating that I had received a raise. It was almost a dollar raise. Now I'm second guessing if I made the right decision. Yeah, the hospital is rough but the pay and benefits are great. Plus its my first nursing job and I heard that the first job is never great. And I am still honing my skills. On the other hand, the office job is a dream job and I feel like I would be doing myself and my family a huge disservice if I let it go. I keep asking my husband for input but he keeps saying that he will support whatever decision I make, which really isn't helping. Suggestions?

I don't think that you were being judgmental at all. I actually left the hospital for this very reason. I worked on a unit of a hospital where the majority of the population of patients were drug seeking. I wasn't being judgmental or acting as a member of the moral police, but it was draining on me from the nursing aspect of it. The hospital where I worked at had pain reassessments that had to be done (1 hr after PO admin and 30 mins after IV admin). When you have four patients that are getting 4mg of dilaudid IV q3H and you have to pain reassessment, that's already two hours taken out of a 12 hr shift. Keep in mind these patients want the med as soon as it's due (some even set their phone alarms for the next time that it's due). It's extra documentation on top of what you're already documenting and, on top of everything else that you have to do. That alone makes me wary of narcotic administration.

It's all about magnet status. In order for a hospital to be considered magnet, one of the stipulations is that a certain amount of BSN nurses is required. But there are a lot of hoops for hospitals to have to jump to in order to become magnet. As far as differences in scope of practice, there aren't any. That was just someone trying to put you down. Don't have further conversations with this person. Good luck in nursing school!!!

I did receive an offer from the place that I wanted to work at and I accepted it. They actually offered me a better position in their doctors office. The hours are great and there are no weekends and holidays, so I will have that time with my children. I have been shadowing there on my days off from my real job and I honestly love it there. I did speak with my supervisors and like some of you said, they aren't going to let me work PRN because I am a new grad and the requirements for working PRN is at least a year of experience. I told them that I was really unhappy there and one of the managers was really receptive to my concerns and the other one was really dismissive. They asked me to give it a week and we could come back and talk about it. My mind is pretty much made up at this point. I'm sad because I did want to stay in the hospital so that I could keep my skills but I know that PRN is the only option that I could give them, or maybe part time. I'm just trying to think of what I'm going to say to them when it's time to sit down again.

I meant only two weeks

I have received one job offer from a prestigious hospital in the area. I am waiting to hear back from the place that I really want to work at. The pay is less but the hours are better and it would give me more time to be with my family. I also found out that I only have to give two months notice at my job, however I am considering staying on PRN just to stay on good term with the company and to keep my skills up since the other place is a lot less hands on.

Honestly I don't feel guilty because I hate my job. I just know that they invested a lot of time and energy into my training. I am considering going to an urgent care center where the hours are better and the work is less strenuous. I would be taking a pay cut but I know that I would be happier there. Plus I don't want to burn my bridges in case I ever need to come back.

I have been working on a medical surgical unit for about six months now. Unfortunately, it isn't working. Frankly, I'm miserable there. I have thought long and hard about this for months and I have decided to pursue other career choices. I know that the unit that I am working on has invested a lot of time and energy into me but I just don't believe that it will be beneficial for either of us for me to stay on. How do I break this to my unit and department managers? Also, is it required for a nurse to give one month's notice? I thought that it was two weeks, but all of the places that I have interviewed at asked me if I needed to give my job one month's notice. Any and all advice appreciated.