2 week notice guilt. Need insight.

Nurses General Nursing

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Basically got hired back in February for what felt like a dream job in a behavioral health hospital on the adolescent unit. It was to be my first nurse job (I graduated in May). I started in May & was immediately sent to orient & work on the adult unit. I tried to give the benefit of the doubt, I was hired months ago & maybe staffing situation changed, etc. Well on top of an orientation that was full of unnecessary headaches, I found out a good chunk of the hospital (nurses & techs) was hired expecting to work on the kids unit but ended up being put on the adult unit. It was almost a running joke among us all. Anyway, I settled in & enjoyed my co-workers & the overall routine of my job on nightshift. Trying to get to the point: I hate this job. The hospital runs it so people with behavioral are mixed in with people also detoxing. There used to be separation but to save money the 2 units were combined. So now I feel like I'm a detox nurse who deals with the same people coming in every few weeks / months to "detox" (read: get subutex or ativan). And theres homeless people who come in when they run out of a place to stay or money (which I don't actually mind, just mentioning to add to my point later). Anyway, on a whim I applied to a residential adoloesent rehab program. I got accepted, offered day shift, better scheduling options & ill make $3 more an hour base. Current job has plans to move me to day shift in October but that also means a pay cut. New job base pay would be the same pay I make working nights on current job. New job wants to start orientation in a little over 2 weeks. Otherwise I have to wait a whole other month. I know people who work at the new job's facility who speak highly of it & I like that im actually a) working with kids, b) better pay + schecule, c) really focusing in on behavior & mental health versus detox (not knocking people who struggle with addiction or detox nurses but if I wanted to be a detox nurse I could have went to a facility that specializes in such & got better pay than current job's low ball pay). 

There's no doubt I'm going to start in a couple weeks. Only problem is I'd be leaving in the middle of the schedule (still time to give proper 2 week written notice which is hospital's policy). Monday im calling my supervisor to let her know my plan. Two possible outcomes: she allows me to stay PRN & I work new facility's orientation around my current schedule (would be a rough week but doable) & I finish out the rest of the schedule through October while working minimum at new facility then in November go full time at new facility & PRN at current job. I like this option. I like my coworkers, the setting but just can't do this current facility 3 shifts a week every week. 

Option 2: she rejects my desire to stay on PRN & I submit my 2 week notice right there as theres no point putting myself through a week of nightmare scheduling just so I can convienance them by finishing out the last 3 weeks of the schedule.

I'm prepared to walk but hope supervisor allows me to stay on PRN. I always pick up shifts(they are short staffed on top of several planned maternity leaves coming up, 2 people leaving & another going PRN due to personal issues). Im just done working full time for a setting I didn't sign up for. I just feel general guilt for feeling like a job hopper & my supervisor is one of the better ones, usually open to communicate. Hate in general leaving them hanging with their staffing issues. 

Specializes in Psych, Addictions, SOL (Student of Life).

Just a word of caution and I'm not trying to influence you negatively at all but IMHO and I've been doing it for also 20 years but adolescent psych is one of the hardest psych jobs there are.  I'm not sure if you have ever worked with adolescent psych patient's but some of them are very sick people and they are not kids. They are often Old beyond their years from being physically and sexually abused. Many of them use drugs so there is detox in some cases. I'd say about 50% of my patients are what we call 100% Axis II (behavioral) very difficult to fix when they don't want to change. Then there are the ones on very powerful antipsychotics, also there are super aggressive ones and the one's with intellectual disabilities that don't seem to respond to any medications. Then especially with Covid we have whole groups who manipulate their way into the hospital so they can hang out with their friends. 

For all that I love my adolescent patient's  Iremember back in nursing school when peds was discused and the concept that the whole family is the patient? Well wait until you meet the families of these young adults. In my experience a young person does not go sideways in a vacuume and very often doesn't fall far from the parental tree. These parents often take no ownership over what they have created, expect hospital staff to fix their kids almost overnight. But I even love these parents, I just don't have the time to talk to each of them. 

Your ratio at the new job sounds great. I rarely have less than 14 in a multigenedered environment, some times as many as 18 as we don't turn people in crises away. Even at 18 we are staffed with 1 RN (me) 1 medication nurse (LVN ot PT) and two floor staff. It's not just the kids and their parents but you also have to deal with Hospital Admins, Case mangers and some of the most spoiled doctors on the planet. It took about 6 months for me get all the docs to play nice with the care staff so as to get the best results for our patients. One of my Co-workers recently commeneted that a physician who had been particularly rude in the [ast had become polite and respectful to my staff and I said "He has been a special project of mine." 

Working with adolescents is incredibly rewarding especially when we reach one and see some positive change, but sadly most return to the exact environments that created the crisis in the first place. 

I used to do adult psych and think about going back from time to time - more freedom to medicate and I don't have to talk to any family members at all. 

Hppy

Specializes in retired LTC.

hppy - very expressive post. TY

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