Used Nurse: Part Deux

It's finally happened. The Grim Reaper has struck my workplace, and I'm one of his unlucky victims. Nurses Announcements Archive Article

Three fulltime nurses and a medication aide who once held secure jobs, now stand figuratively on the trapdoor of the gallows, shaking our heads in astonishment at finding ourselves here and wondering how the hell we're going to get out of this predicament.

It's not like we got fired. We're just not on the schedule anymore. Our facility's census, which can be as high as 135, has been hovering at around half that for the past year or so; now, thanks in part to Medicare cuts, our management has slashed staffing basically in half. In the blink of an eye, I went from 32 hours per week down to eight, with only a minimal chance for more during the course of any given week. The decisions were based on seniority; another nurse even lower down the totem pole than I has been placed on PRN status, and still another has been let go entirely, while the CMA's hours have been cut to one 7.5-hour shift per week.

Wait, it gets even better. This is a small town surrounded by other small towns. There are few nursing jobs open, if any, and most of what is available is either part-time or on-call..........no health insurance or other benefits, of course. That is bad news for anyone, but especially for a nurse with a bad knee (that's about to be operated on) and a couple of chronic health problems requiring daily medications.

Don't get me wrong; I'm not giving up THIS easily. But I can already see the possibility of winding up in a job where, instead of asking folks to rate their pain, I'll be asking them how they like their eggs.

If I were a better person, I would foreswear bringing up politics here; but since it's my blog, I'm going to say what I think. And what I think is, if this is the kind of "help" our government officials meant when they claimed that healthcare reform would benefit everyone, they can put it in a place that's accessible only by endoscope.

I was never unemployed when I was "helping" myself. Does anyone really think they have plans to "help" all of us who are losing our jobs, especially those of us in later life who find ourselves starting out at square one again? At fifty-one, I'm not even sure how many more times I should HAVE to start over; I certainly don't appreciate being forced to now.

But I have no choice: I can't live on one shift per week. I also can't afford to retire, not that I really want to (although I'd give my collection of hundred-dollar work shoes for a 3-day-a-week job that would let me eat AND pay all the bills in the same month). So I've got to polish up a resume that hasn't seen the light of day since 2006, dust off my one pair of dress shoes, and try to arrange my face AND my thoughts in more attractive lines before hitting the pavement.

This is, of course, not what I'd expected to be doing at this stage of life. And I'm alarmed at how rapidly my self-confidence has dissolved in light of these developments. Suddenly, I'm horribly depressed and anxious.....and here I'd finally gotten comfortable with who I am and where I fit in this world; I'm also experiencing that sickeningly familiar rollercoaster ride after having found the right balance between life and work. And while I'm reasonably sure I can find another job, the pickings are so slim here that I'm afraid I'll wind up taking anything just to put food on the table.

Just in case you're wondering: No, going back to school is not in the plan book. I'm still paying on my old student loans, and I have absolutely NO desire to tackle O-chem and statistics. Moving out of the area is also not the answer; our roots are here, and so are our grandchildren. I would be willing to travel a little to get back and forth to work---I've done it before---but with gas prices near $3 a gallon, I'd rather not if I can avoid it.

Now for the absolutes: I can't handle more than the very occasional 12-hour shift. I can't work Med/Surg for any length of time......both are far too hard on me physically. Nocs are not really an option either; I had trouble with mental fuzziness and confusion when I worked 11P-7A in my early 40s, so I can't even imagine how I'd perform now. And the types of nursing I will never, ever do in this lifetime are NICU, corrections and mental health/psych---I think I'd sling hash at Denny's before taking a job with critically ill babies or in any facility that locks the staff in with the inmates.

Other than that, I'm open to suggestions. ? Don't mind me if I just "hang around" for a while and see what you all come up with!

Specializes in LTC, assisted living, med-surg, psych.

Now, THAT just made my day. Thank you!!! :yeah:

Specializes in PeriOp, ICU, PICU, NICU.

Viva, I am very sorry to read such news. I've enjoyed your knowledge/advice and posts throughout the years I've been a member of AN. This economy really sucks. I had a similar situation at my last place of employment. Too many low census days and the benefits were being cut left to right, they came in one day and got rid of all the aides (to save money), never replaced damaged equipment, and if you sneezed a little too loud, people disappeared as well.

I personally decided to take the leap and move to another state and it has been difficult as a young, single mom of an infant. It has been difficult finding a full time job, so ended taking a float pool position between all the sister hospitals (long commute). Turns out, it has been a blessing in disguise. I am working 40+ hours, in various departments. Never a dull moment. No politics, no drama. I get to do my job and go home. No meetings. I do flip flop between nocs and days but it is ok. Of course, no benefits but as long as my daughter has healthcare through her father, I am happy (I do worry about being uninsured) but I will (god-willing) land a FT position in what I love (NICU) soon. I am praying things turn around for you, me and all the new grads struggling out there. It is very hard to keep your head high when you are struggling but it does and will get better my friend.

You are a wonderful nurse, writer and the man up above always takes care of his children. Hang on there. I will be praying for you.

Specializes in ICU, PIC, BURN UNIT, PEDS, MED SURG, PSY.

Hi, I wonder if any of you can help me?

A while ago I wrote a book called "The Nurse's Story" which became a best seller because it spoke to the problems nurses were having at the time. I did a cross country media tour and tried to change the image of nursing by telling the public how important nurses were to their well being.

I revised it in 1997 but many of the issues still seemed the same. Pay was a little better but recognition was still not equal to the kind of responsibility we had to take. And many of the frustrations were the same. Now I'd like to revise it again or do a new book with new voices of nurses to keep up with nursing as it is now.

That's why I need your help. I was a nurse for 26 years. I started off as an aide, became an RN, went on to get a Bachelor's and a Masters. I know now even more how a nurse can impact a patient's healing. So I have 3 simple questions to ask.

Can you share with me....

1-Your biggest challenge or fear as a nurse in the current healthcare system?

2-Can you suggest one change (or more) that you would effect if you could as far as hospital nursing or health care goes?

3-What gets in the way of your helping your patients heal more effectively?

Thanks so much. I'll send you the results as soon as I compile them so you can learn what I have.

Thanks again for all you do,

Carol Gino RN MA

The Hopeful Healer

[email protected]

I also have a Facebook fan (issues) page called Hopeful Healer which I'd love your input.

Marla,

I feel your pain.

I was laid off from my last job in home care fourteen months ago---and cannot find a job as a nurse anywhere. I was told following my last interview for a position at a doctor's office that they didn't 'need' a nurse, despite my offer to work for less money. I guess I should feel fortunate that I even got the interview to begin with, for it was one of only two interviews I have been invited to from dozens of applications I have sent out. I'm beginning to wonder if I am even employable, anymore. One thing's for sure: If I am unable to find another job in healthcare by the time my license comes up for renewal again in 2012, I'm done.

You (on the other hand), wear a "coat of many colors", my Dear, and will do well in anything that you pursue.