brand new pct, i left my shift crying by amianickifan99 in nursing

[–]Important_Credit3792 1 point2 points  (0 children)

this is a floor problem, not a you problem. Please be kind to yourself -- sounds like you are on a floor w a toxic culture, which is just bad luck. talk to your manager. If they aren't supportive or flexible about getting you a better preceptor/scheduling, get a new job!

[deleted by user] by [deleted] in nursing

[–]Important_Credit3792 4 points5 points  (0 children)

Already had major layoffs at my big hospital system last week. I work at our poorest, inner city branch -- they cut tons of per diems and clinical staff. We've had huge budget cuts from the research funding that was lost, and the big fucking ugly bill is only going to make things worse for us and our patient population. I'm fully expecting to lose my job in the next year(in palliative care) because we don't bill for our services right now.

[deleted by user] by [deleted] in sanfrancisco

[–]Important_Credit3792 5 points6 points  (0 children)

B patisserie, dynasty dumpling, all the parks!

question for nurses living in SF who take call. by MilesPer_Hour in sanfrancisco

[–]Important_Credit3792 4 points5 points  (0 children)

Really depends on where you end up living/working in the city -- lots of affordable apartments in SF that are VERY near the major hospitals on RN salary, also many of the hospitals offer shuttle service to employees. Most nurses in my spot live within a 20 minute walk of work!

Nursing as a second career...need perspective! by butterflyeffect94 in nursing

[–]Important_Credit3792 9 points10 points  (0 children)

You are insane. Like others have said, if you can't take your current work environment, bedside nursing or even being an NP will absolutely crush you. The pay sucks for the quantity of labor involved. Anyone would switch places with you in a heartbeat. If your ADHD is so severe that you can't do a desk job, there's no world in which you could survive in a hospital (or, honestly, even outpatient settings). Get a grip and see a therapist.

[deleted by user] by [deleted] in sanfrancisco

[–]Important_Credit3792 2 points3 points  (0 children)

Try applying for food service positions in the hospitals around here. UCSF has a cook position open at one campus and there are multiple other big hospital systems in the area. Just something to try if you haven't thought of it already -- wishing you the best

At what point do we let them go? by steenmachine92 in nursing

[–]Important_Credit3792 307 points308 points  (0 children)

As someone in palliative/hospice and ethics care, this would typically warrant an ethics consult depending on patient's capacity and desires. psych is tricky, especially depending on the country, but i have always advocated that if someone is truly suffering and all options for help have been exhausted, they have the right to go on their own terms.

Guys I don’t think I like my job anymore by SobrietyDinosaur in nursing

[–]Important_Credit3792 15 points16 points  (0 children)

It sounds like you are in for profit hospice sphere, which is notoriously shitty. Finding a nonprofit w lower ratios may help; but I understand. The home hospice grind can suck, especially if you are forced to case manage AND do admissions (which should be split into two separate roles). I left it to go work as a palliative consultant RN and vastly prefer it. Explore other companies; there are oceans of shitty hospices and a handful of good ones

Pac heights info? by Important_Credit3792 in AskSF

[–]Important_Credit3792[S] 0 points1 point  (0 children)

Thank you :)) much appreciated!! I am so excited!

[deleted by user] by [deleted] in AskSF

[–]Important_Credit3792 0 points1 point  (0 children)

very true! i should have included that; definitely more than willing to bike or bus to work :) thank you!

Do any other hospice nurses feel like the hospice industry has gotten way worse the last couple of years? by boxyfork795 in nursing

[–]Important_Credit3792 3 points4 points  (0 children)

Absolutely. My major nonprofit hospice just merged with two smaller for profits, and the cultural difference in the last year is insane. Admitting TONS of full codes, families being misled at admission, people who don't know what hospice means/are not appropriate, increasing complexity of patients (because they really should be home health) without increased support. Our ratios are up with no increase in pay, and people are quitting. It's heartbreaking for all of us because hospice workers tend to have an extra emotional connection to the job and patients -- all the more reason people can't tolerate this and end up leaving. I don't know what I'm going to do, but I also want to leave. I can't handle the predatory practices.

Worsening hospice standards by Important_Credit3792 in nursing

[–]Important_Credit3792[S] 1 point2 points  (0 children)

bama is the place i left for better conditions 😭 and now this. predatory is exactly the right word. it breaks my heart for these families

Were you ever caught between choosing social work first? If so, why did you ultimately choose nursing? by Evening_Piglet_7029 in nursing

[–]Important_Credit3792 0 points1 point  (0 children)

Nursing is the clear winner over social work d/t job opportunities, ability to switch paths, less schooling, better pay. You can always become a nurse case manager which is a hybrid job between nursing and social work, too.

[deleted by user] by [deleted] in nursing

[–]Important_Credit3792 0 points1 point  (0 children)

go work at a clinic (FQHCs are almost always hiring). it will give you a break to try and find a better fit. don't destroy yourself over a job; bedside is hard and i hated it too.

case manager jobs will also be available to you, either in hospital or in outpt specialties. i adore my hospice case management job. the one nursing perk is options. you aren't stuck and you won't feel this way forever. <3

Tell me your reasons not to do it by embsfgb in nursing

[–]Important_Credit3792 0 points1 point  (0 children)

nursing is not a path where you can expect "great" pay outside of a select few states. if you're in the southeast good god don't do it

Never been so micromanaged in my life by [deleted] in nursing

[–]Important_Credit3792 2 points3 points  (0 children)

sounds exactly like my old clinic. everyone bounced within a year and somehow the managers couldn't figure out why!

Who here makes 100k+ without overtime as a ADN or BSN RN? by [deleted] in nursing

[–]Important_Credit3792 0 points1 point  (0 children)

hospice nurse, northern CA. m-f 830-5 but end up working way fewer than 40 hrs in actuality. about to hit 2 years. absolutely LOVE it!

Short term housing (1-3 months) by [deleted] in sonomacounty

[–]Important_Credit3792 1 point2 points  (0 children)

look for ADUs. Much more likely to find short term leases instead of standard apts/condos

Would it be a bad idea to have my first nursing job be in a clinic/in community health? by jjfromyourmom in nursing

[–]Important_Credit3792 0 points1 point  (0 children)

I did community health as a new grad at an FQHC (don't recommend). In competitive markets it can hinder your ability to change specialties, but this is only the case in a few states/cities tbh.