RN jobs with the most independence?

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I'm sorry to post another 'burned out nurse' post but I'm growing very tired of my RN position in the hospital. I'd love to find a position without the administrative garbage. I truly love and enjoy patient care--it's the other stuff I don't care to deal with. Could there possibly be a title or position or setting where I can just be a nurse taking care of my patients instead of just another pawn?

Specializes in Hospice, ONC, Tele, Med Surg, Endo/Output.

Try hospice or home health case management, pool, or on call. You will be alone in your car most of the time going from place to place, and politics are a lot less intimidating. Triage nursing, school nursing, urgent care, or working as an outpatient surgery or endoscopy nurse are also great positions which will allow you to care for patients without all the politics and ancillary staff and management in your face.

Specializes in ER, ARNP, MSN, FNP-BC.

If you hate administrative garbage stay away from LTC or subacute rehab. Areas that I have done and enjoyed with minimal bureacratic refuse :):

School nursing

corrections

wound care

ED

and, think about getting your nurse practitioner and working in primary/urgent care :)

The last post was right on as well, although I have never done ENDO, I hear those nurses LOVE their jobs :)

good luck!

I'll keep my eyes open for you. After 10 yrs of nursing I have discovered that there's administrative garbage everywhere. Sometimes you may not see it right away, but it has a way of seeping out the cracks.

Try looking at clinics, ambulatory care, hospice, home care/private duty, tele-health, informatics, quality management, travel nursing, or even consider teaching.

Another vote for school nursing, and clinic nursing.

Specializes in being a Credible Source.

I'm not one but from what I've heard, flight nursing fits that bill pretty well. They also have probably the broadest scope of practice except for the APNs.

Specializes in pediatrics.

In my state, there are private duty nursing positions that provide care to medically fragile clients in their own homes. Currently, I care for 2 clients, one a 3 year old with a rare condition who is medically fragile, the other a teenager who has a trach and seizures. These families are so grateful for good nurses that help support them in keeping their child at home with them. The state has realized that by giving these families support through nursing care, they save money in institutional care costs. Check with your state's medicaid program to see if there are positions available like this in your state. I know not every state offers this. No bennies though, so you'll have to obtain this on your own. For me, the independence is worth it. You can work as much or little as you want. In my state, I'm allowed to work up to 60 hours per week.

Specializes in LTC currently.

Perhaps u want to look into correctional nursing. From my understanding from nurses working in county jails and state prisons that the work is relatively easy as long as you have good assessment skills. The pay tend to be great and the benefits are EXCELLENT. The pay is elevated because there is a somewhat high turn over rate of nurses. However, when you get over the fact that you are working in the jail you will be fine. I also heard that working as a correctional nurse inmates will actually be more thankful of your services to them versus the patients that come into the hospital. Also, you do have to fake it with the smiling and apologizing for things that aren't your faught.

I recently bailed from a home health position with a major HH specialty provider. With all the medicare and new regulations hitting the industry, the paperwork and oversight has become horrendous. I used to tell people, and without exageration, that I worked on case management 2-hours for every 30-minutes I spent with patients doing what I love. :confused:

You don't event want to hear about the many hours every night at home working on paperwork after a full day of visits.:mad:

Thought of a whole other avenue to consider-nursing from a different view point

nurse aesthetician

nurse electrolysis/medical laser

You would need to find out what not only the RN board requires

but also the board of hairdressing (aesthetics and electrology are licensed by boh)

That said, your own business, your own hours in many cases.

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