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Found 6 results

  1. nursetxaz

    Help getting out

    Hey guys! So I need advice on how to transition out of my unit. I dont know whether it is best to quit or try and talk to someone who can help me move units Background: I've worked at the same hospital since I was a new grad. For the first year & 7 months I worked on a Med/surg unit and recently got a new job in the ICU. I have worked there for almost 3 months and basically I HATE it. I thought ICU was what I wanted but turns out I was very wrong. I spoke with my manager about my feelings and she reassured me that everyone feels this way at first and that I should try and stick with it. However, I am pretty set that I would like to get out of this job. My dilemma is trying to figure out how to go about doing this - I originally thought I would just put my 2 weeks in & then try to apply to new PCU jobs (at the same hospital or hospitals around within the same company) but I am worried that doing so will burn bridges within the company. Also worried that I won't be able to find jobs easily due to COVID. My other thought is to try to find someone (who?) to talk to and bridge me into a PCU, which I know my hospital needs RN. I know I could talk to my current manager about this, which I will probably do, but I dont think I would be able to ask a favor of her to get me a PCU job after I tell her I'm quitting her floor. Wondering what everyones thoughts/advice are to do. THANK YOU
  2. Hello Nurse Beth, I’m in the middle of a career dilemma. I became a nurse after having a difficult birth experience with the nurses taking care of me in the hospital with my first born child. I had a home birth with my second, and then decided to go back to school and get my BSN (from scratch 5.5 years of school) because I want to become a nurse midwife. I got my career start as a float pool new grad, which was quite a challenge, and a great learning experience as I got a variety of training in many different med/surg/Tele environments. After two years in med/surg/Tele I made the move to labor and delivery. I have been in this role for a year. I realize I’m still “new” and I have so much to learn, but, I’m finding that I really am unhappy with hospital based bedside nursing. Even with a bachelors degree, our pay is not stable, and we are forced to use our PTO when they cancel our shifts with 2 hours notice, and if I run out of PTO I can’t take a planned week off unless I take it without pay. They run us fairly short staffed and constantly make us worry about the budget. My unit is also very cliquey. I’m experiencing burnout very quick. I felt it on medsurg when I left medsurg and now I’m feeling it again in my more ideal environment. Switching to day shift is a seriously significant pay decrease, and as the primary provider, that’s just not a reasonable option. Here’s my question: I have been approached by a home hospice for RN case management salary based position that has more of a work life balance. I realize it’s more of a med/surg role, as well as a more personal, and highly invested care role-as it’s not acute care, and I know it’s not the same as what I’m doing now. I’m scared to leave my role in labor and delivery, would it be career suicide if I figure out that home hospice isn’t for me? I am not ready to return to school just yet, as my children are still growing, as well as the market where I live does not have a good nurse midwife market. We just moved to our area 3 years ago and love it, so I’m not ready to move all of us again to a new area. I just don’t want to make the wrong choice. Dear Wants to Make Right Choice, It is a big decision. I hear you about the being made to use up PTO issue and running short staffed. If hospitals paid more attention to dissatisfiers like these, there might be less turnover. Cliques can happen anywhere, but they do tend to thrive in specialty areas for some reason. It sounds like you are leaving the hospital more than you are choosing hospice nursing. Hospice nursing can be very rewarding, but it can definitely cause burnout as well, because of the emotional strain. Is it possible for you to shadow a hospice nurse as you decide? I'm also concerned about the role being salaried because you could end up working long hours without any overtime. With documentation requirements and long hours, the work-life balance you are looking for may not materialize. In addition to the salary, look at the entire benefits package, such as health insurance, tuition reimbursement, and employer savings plan. What you do know is that you're not happy where you're at. You have been in L&D for one year. But let's say it turns out you don't like hospice care. You don't want to start a pattern of one-year tenured jobs. Once you leave the hospital, it can be a challenge to get back in. My advice is to find out as much as you can about the role, and talk to some hospice nurses so you will feel more secure in your decision. Best wishes, Nurse Beth
  3. Dear Nurse Beth, I was working as a Med-Surg RN more than 15 years and got tired of heavy workload and routines. I want to try psych floor and am going to go for interview. I do not have strong reasons for this change if they ask me during interview and i am not sure if I like it. I also do not want to lose my skills. If I accept to work in the psych floor I have to work for 6 months before switching to another floor. What is your suggestion about my interview session and my choice? I would be appreciate it if you can answer me. Dear Tired of MedSurg, You don't know if you'll like Behavioral Health, you are unable to answer why you are applying to this specialty, and you are already planning your exit after 6 months. See if you can job shadow to get an idea of what it entails and if it's for you. You don't want to waste your time and the unit's resources on a job you don't want. There are many other choices besides MedSurg and Behavioral. If you have your BSN, there is Case Management, Infection Prevention, Regulatory, Risk, and Clinical Documentation- just to name a few. If you don't have your BSN, there are less physical clinical settings, such as GI Lab, Cath Lab, PACU. At some point in your career, to make a change, you have to face "losing your skills" in order to learn something new and to gain different skills. Fifteen years on MedSurg is a long time. Broaden your horizons. Read the job boards and entertain more possibilities. Good luck on your next chapter. Best wishes, Nurse Beth Author, "Your Last Nursing Class-how to land your first nursing job...and your next!"
  4. penny186

    Job change?

    Advice please! I've been working as an RN on the floor and supervisor at the long term care facility I was a CNA at for 7 years since this past July. I wanted to get some experience and im glad I did but I feel its time for me to move on. There is total lack of respect as well as laziness and incompetence from the CNAs. You can't get then to do their job. The Lpns can't do their job right either. No one cares. I work 11 to 7 and waste time fixing mistakes on paper and physically on the residents. The company was bought out in October but things such as staffing are getting worse not better. Management never disciplines anyone and doesn't take you seriously when you complain again and again. Its the same thing day after day in a nursing home. Ive been rotating with 3 to 11 recently but it's getting old. I want to apply to the VA since they pay for your education, extra $ from 6p to 6a and more holidays , get 5 weeks of vacation, 12 HR shifts , and a better working environment from what I've heard from my mother who works there. There's 2 jobs open in ICU and psych and I want to apply but am nervous to leave where ive been so long. I feel a strange sense of attachment and comfort since I know the job so well and enjoy it at times. However, Things will never change and I feel sorry for the residents who live an awful life not getting care. I get aggravated everyday and know as a new nurse I should move on. Im a team player and hard honest worker but no one is the same. Is it crazy to go from nursing home to ICU? All the people I graduated with went to hospitals and I feel its my time. Just nervous to make the necessary switch!
  5. Annaline97

    Already Changing Jobs?

    Hey everyone! I am a newer nurse who graduated in December 2018 and started my residency program this February. I work on a tele unit and just don't enjoy it. I dread going to work and feel like this job in general (in addition to working nights and having no life...) has made me feel depressed. I was hoping the longer that I worked here it would get better, but it really hasn't. I feel lost with what to do. I am debating changing jobs and even possibly switching to a completely different specialty. My dream has always been to work with kids so I feel like I should give Peds a try, but I have also been considering OR. I'm also worried nursing just isn't for me, but I hate to give up so soon into my career. I want to start looking for other nursing jobs, but I don't know when I should start my application process and don't really know what I should do job wise. My residency is up mid January. Does anyone else feel the same way about nursing!? I would appreciate any input anyone has!!
  6. sweetydarling

    Changing directions at age 46

    I've been a RN since 1998 and obtained my BSN in 2000. I worked in telemetry/PCU/step-down units, took some time off in 2003 (four years) when my second son was born. I returned to work in a PCU and then landed a job in outpatient cardiac rehab. Cardiac rehab has served me well, especially with raising young kids. I took a pay cut when hired at cardiac rehab. The manager stated, "I can't pay you that much for taking blood pressures." I agreed because I wanted the job. In retrospect I should have negotiated. It took a long time to work back to where I was and currently only make 3 dollars more than my PCU hourly rate. I have worked in cardiac rehab since 2007. For about six months I was working in both cardiac rehab and PCU and decided to transition to cardiac rehab only. I've been breezing along in cardiac rehab ever since -- 11 years of full-time cardiac rehab. Cardiac rehab is a desirable job in many ways. 8-hour daytime shifts, no weekends, no holidays. I work 7a-3pm Mon, Wed, Fri and sometimes work pulmonary rehab on Tues, Thurs 9a-1p. I work in a private hospital and while we are busy we don't have a lot of employees. The few employees we have tend to stay for years because cardiac rehab is allegedly a highly coveted position where nurses come to "take it easy". We have three employees that have worked for over 25 years in cardiac rehab, one of these employees recently retired. I mostly work the "floor" of cardiac rehab and my job duties are to hook patients up to tele, take BPs and pulse ox, and assist patients on exercise machines. We address patient complaints of pain, SOB, BP changes, rhythm changes, etc. We also call new referrals and set up appointments and do a lot clerical stuff. Mostly our days are uneventful with the random rhythm change or c/o chest pain or dizziness or lightheadedness. The majority of our patients are s/p CABG or PTCA/stent, many have heart failure, some have LVADs, some have multiple medical problems. It does require some brain power and I have learned a lot in the cardiac realm, but it's mostly easy stuff and uneventful. Mostly all of our patients are stable and well, or they wouldn't be in cardiac rehab. I haven't hung an IV or gave a med in over 11 years. Cardiac rehab is a friendly and low-key environment. We get to know our patients because it's a 12-week program. It's fulfilling because I enjoy getting to know my patients and seeing them improve their fitness and confidence after a cardiac event. My manager has been sort of spiraling in the last few years because she is burnt out and doesn't want to work. She's disorganized and hyper and doesn't manage the department very well from a clinical standpoint. She goes through the motions and focuses on productivity. She counts herself as an employee but often is so distracted that I pick up the slack. Most cardiac rehabs have several employees that work on a given day. Usually 4-5, at a minimum three. We have only two each day. It can get hectic and quite busy. With practice I have learned to handle the chaos and I'm pretty good at it. I have had a desire to change directions in nursing. The older I get the more I feel like I can do anything. Sometimes I want to go back to school and work towards a NP or CRNA. Sometimes I want to try to work ICU or the Cath lab (or maybe the ED) but I don't know if I can get back into these units with my lack of floor experience for the last 11 years. I don't know if I'll regret it. The cardiac rehab lifestyle is wonderful but I don't work that much and my paycheck isn't that stellar and my kids are getting older (ages 15 and 18) and I'm thinking of making a change. I'm feeling a bit burnt out and feel the need to challenge myself a bit more and make more money -- possibly even doing something PRN and keeping my cardiac rehab job. I have a great work ethic and people skills and I feel like I am a quick learner. My manager says I can have her job when she leaves but I'm not too interested in proving that I'm making money each month and endless meetings. I don't know if I'm cut out for management. Thank you for reading this long story. Would you willingly return to the floor or ICU? Any advice on what paths to follow? Maybe something else I'm not thinking about? I know the grass isn't always greener, and healthcare can be understaffed and frustrating just about everywhere, but I'm been feeling this desire to switch things up and challenge myself a bit. Thanks for any advice or suggestions.

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