Quick advice

[Sweetlillove]

I have been offered a position with davita to do dialysis but two days later the hospital where I did most of my clinicalson called me for an OR position. I believe because they saw I did an externship in the OR during last summer. They offered me the job after a panel interview and gave me a few days to think about it.

The things is I didn't not really fit in with the nurses there while I was an extern. I do not know if I had social issues but I felt hated a little and ignore. It's hard to get a hospital and I am so thankful but I do not want to be miserable and stuck.

What do you think I should do? Do you think it will be better when I come in as an RN ? Also they pay will be significantly higher than the dialysis center.

Thanks in advance!

[AutumnApple]

I have been offered a position with davita to do dialysis but two days later the hospital where I did most of my clinicalson called me for an OR position. I believe because they saw I did an externship in the OR during last summer. They offered me the job after a panel interview and gave me a few days to think about it.

The things is I didn't not really fit in with the nurses there while I was an extern. I do not know if I had social issues but I felt hated a little and ignore. It's hard to get a hospital and I am so thankful but I do not want to be miserable and stuck.

What do you think I should do? Do you think it will be better when I come in as an RN ? Also they pay will be significantly higher than the dialysis center.

Thanks in advance!

You answered your own question.

To answer your second question: No, I do not believe things will change. In my opinion, you will receive a slightly different flavored version of the same cake.

I am saying that with very little detail to work with mind you. What jumps out at me though is, you were there on an externship and felt like an outcast. Chances are, if they treat externs that way, they treat everyone that way. I don't think being done with school means you've passed through some magical door where things will be different. Keep in mind, when one is on an externship (as opposed to an internship), the goal is to "exit" school. Bringing you on board afterwards is optional.

Now, I don't want to flip flop on you here but also consider: You said you felt "hated and ignored". There is a big difference between feeling that way, and actually "being" hated and ignored. If the OR position is tempting, do some serious self assessment and decide if you were the problem. If you decide you were, you must know what you will do differently before accepting the position. As I said, bringing you on board was optional. For them to offer you a position, the nurses you thought hated you probably didn't give a bad review of you (at least not who you were assigned to anyway).

My hunch though is that you should follow your instinct and avoid going into a place you already know didn't work well for you.

[westieluv]

Any hospital position will be better than Davita. Davita needs somebody with RN after their name to CY Davita's A while they make a gazillion $$$ dialyzing as many people that they can.

The hospital will train you to OR, if you don't like it ,you can transfer in 6 months.

Best wishes, whatever you decide.

Believe this. I just left a position at a Davita chronic unit after a fairly short time because I was the only nurse in the building for at least five hours each day with seventeen patients on treatments. I was expected to do assessments and pass meds on seventeen patients, make a ton of phone calls (someone's access is constantly needing attention, I don't know how many hours I spent just on the phone with vascular physicians' office staffs trying to schedule appointments), rounding with doctors, and basically putting out fires from beginning to end, all while being reminded regularly that I had better be watching and making sure that the techs are doing their jobs according to policy because they are working under MY RN license and if someone gets hauled into court because of a malpractice incident, guess who it will be...not those techs!

When I was the only nurse in the building and I simultaneously had a patient whose BP was crashing (60/30 and no amount of adjustment would bring it up), another patient with fever and chills because she was septic, another patient vomiting, another patient with a BP of 215/115 and a face the color of a beet, and thirteen more patients on their treatments, I decided that after being an RN for 26 years, I kind of like my license, so I got the heck out.

The feeling that I got was that the whole thing was completely profit driven and about the $$$$ and if something happened on my watch, they would toss me under the bus in a minute and move along to the next warm body with an RN after his/her name. No, thanks.