nishali78

I already have that . I switched jobs but within nursing to a different field. I'm liking it so far.

I've applied to all of those, no response yet. Hopefully I'll hear something this week

I'm going to apply to those roles. Most of them want experience but it doesn't hurt to apply.

I'm getting ready to leave the VA. I was in the transplant section before (which I loved but hated being oncall and I also couldn't stand one of my coworkers who was extraordinarily lazy) and I went to a clinic outpatient setting which is currently a nightmare. The minute I got off orientation in the clinic , the doctor with my team calls in sick for 3 weeks in a row! now she's on medical leave and they don't know when she is coming so that leaves me to deal with her patients. These patients have had canceled appointments on the same day as their appointments on more than one occasion. I literally go to work and get yelled at by at least 3 patients a day due to the clinics problems. They are in the process of getting contract providers but who knows how long that process will actually take. Meanwhile the medical director is the go to doctor for these patients however he himself sees about 6 patients a day and any walk ins will have to be seen after he sees his patients, he always starts seeing his patients late. For example a 10:30 patient will be seen at 12 or 1 . Therefore his walk-ins (if they come in the morning) have to wait all day to be seen by him and most end up leaving before they are seen. The clinic I work at is so horrible. I literally get sick before going in everyday.

i'm almost two years with the VA and I'm ready to leave. I love the Vets but hate the system. There's no accountability. If something needs to be changed, the process is painstakingly slow. There's no fear of being fired. I miss going to work and working with people that actually work. I'm not saying that everyone in the VA doesn't work (a majority of the employees are hard workers) but there is a good group of people that go just to kill time and get a paycheck.

I am considering and applying to roles which are non clinical like case manager or chart auditing. I'm even applying to coding jobs (even though I don't know coding) but I figure I'm a fast learner. I have my masters in nursing education but I've applied to the V.A. for those educator jobs but I never get even an interview. I think they know who they want for those roles. At this point I'm willing to take a pay cut for less stress and no patients. I literally get sick ( bad diarrhea ) before I go into work . I've been calling in a lot lately but everyone knows I'm about to leave. I guess I just needed to vent. Thank you all for listening.

I've been a nurse since 2006, I've finally realized I really don't like Nursing. I always stay in a job for 2-3 years then go to something different. My last job I liked, kidney transplant coordinator, the only thing I did not like was being oncall however that is part of the job. I transferred to an outpatient clinic job , which is a horrible nightmare. I work for the VA and I have patients yelling at me everyday because their doctor called in sick for 3 weeks in a row, their appointments have got canceled on the same day more than once. I feel bad for the patients and I know it's not my fault but I'm tired of this system. I refuse to be yelled at for a system wide problem. Now that particular doc is on medical leave but they are in the talks of getting a contract provider to see her patients. Of course who knows how long that will take. I've been applying to different jobs like clinical research associate, medical records and coding type jobs. Has anyone left their Nursing job for a different job that's not in Nursing?

Go to your union. If you don't have scheduling keys or access then you are not a scheduler. If you are doing tasks outside of your functional statement then they are using you. VA is not managed well. I know, I currently work there and my workload is insane.

So my point is she basically refuses to write ANY medications for the patient. I know its her right but she's getting paid as an NP/transplant coordinator. If the doctor has seen the patient and the patient runs out of immunosuppressant medications and I can't get a hold of the doctor , she still refuses to write medications. Where's the ethics in that. I know it is still her right but its annoying. Veterans deserve better treatment.

So she refuses to write any meds , transplant or non transplant related. At one time she was also refusing to do H & P on our transplant patients and she got away with it for a few months until they realized we were doing exactly the same job role except she was not having anything to do with any NP functions but was getting paid an NP salary. Then our boss had to say well you have to see patients for H & P for their initial visit. This same NP also doesn't like her patients to have her extension as she doesn't like too many unnecessary phone calls. She prefers them to have the main ext. and have our program support assistant take the calls for us. The other NP who is our post transplant NP will refill meds on patients that run out of their immunosuppresants by looking at our doctors last note and verifying with them the correct dosage and name of the drug that they need. If they are not sure and she has not seen the patient then of course she wont write it but at least she will refill Tacrolimus medications if our doctor is not there for the day. The other NP refuses to write ANY medications even on patients that she has seen. You can't get rid of her because we do not work for the private side and she's about to retire.

She does not want to write medications for her patients because they will call her for refills and she does not want that. She mentioned this in the beginning when I first started working here.

Right but she refuses to see patients who are post transplant. A few of HER patients have needed medications. One patient flew here from out of town and forgot his insulin. She would not write orders for one day's worth of insulin so I had to enter and have the doctor sign off.

Hi , I work at the hospital in Houston and I'm an RN but I work with an NP in a transplant center. The NP refuses to write meds for patients who need them and her excuse is that she doesn't feel comfortable writing medications for patients that she hasn't seen.....but she also refuses to see any post transplant patients. When she refuses to refill their medications the doctor always asks me to put the medication order in and he will sign off. The medications the patient needs are usually just refills on transplant meds. She gets paid to be an NP but refuses to write med refills or any meds at all. This is the first time I've encountered an NP who refuses to write meds at all for a patient. Is this common?