I'm paralyzed. I spent a year in '09,'10 intermittently applying to hospital careers and giving up. I eventually gave up and got a home health RN job. There is no where to advance. I've wasted 12 years of my life and don't have a resume or even references to hope for a real job. the industry is so corrupt I've literally had HR laugh in my face when I told them they owed me OT, which they wouldn't respect even after getting a letter from a lawyer. The legal responsibilities are high and time consuming but after 5 employers, I've given up hope of actually being paid to DO my job. The pay incentives are for you to do as many visits as possible. Full time is measured illegally and require 60 - 100 hr work weeks to safely perform so I've just been working 40 hrs and classified as exempt part time. since I'm part time, I take the hit if new referrals are low with full time employees getting overburdened and me broke. And there's plenty of nurses willing to forge paperwork and bilk the medicare system for as much as they can to do the job like we are paid to do it. Even If I wanted to start cutting corners, my ADD leaves me spun - I need to organize everything and make a to do list I can check off for each patient.
Part of me is burning rage, wanting to join Amazon in unionizing. Part of me is inspired hope, wanting to get inside medicare and help make Home Health effective. Part of me just wants to change careers to ANYTHING hourly so I can survive and give up hope of being fulfilled. All of me goes flaccid at the prospect of moving towards any of these goals. My co-workers are alienated and don't care and I'm an introvert not a social organizer. I have no idea how to even knock on medicare's door. d 5 minutes of looking at job postings online leaves me confused by job descriptions that don't say anything and deflated by experience metrics that make me less than a new grad even though I know I have the knowledge if I could just get past the computer algorythms.
mortgage is due in 12 days.
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You have to be able to do the job you are hired for. Being paralyzed, it is time for you to look at other jobs you can do with your education, training and work experience. Contact your local state office of vocational rehabilitation. You might could work for a insurance company from home answering calls from patients. I know there are other jobs for RN's that can no longer work on a floor or tolerate the physical demands of traditional nursing
I CAN do my current job. I mean, I have some problems, but what the tax payer expects from medicare - assessing needs and meeting patient care goals, I'm WAY better than my peers. My ADD causes problems professionally, but my admittedly time consuming solutions mean I actually do the job as mandated by medicare. I have been a chart auditor and would cover lots of other nurses' visits PRN since I would sit in the office reviewing documentation. I know for a fact that nobody is doing my job, and doing it in a time frame that is livable.
The paralysis comes when I consider the alternative that you suggested. Try reading job postings for nurses. They have bulleted lists of BS like "the [title] will perform appropriate duties as indicated by [title]." I'll look at job descriptions for MY JOB and I feel like I'm looking at a foreign language.
I look at the reference section and only have vague acquaintances I would occasionally talk to on the phone.
They have experience requirements that you already have very specific experience. It's all computerized so there's no way to even talk to someone about the value of experience that the algorythm throws out before anyone sees your resume.
I misread part of your original post. I sincerely apologize. Do you take medication for your ADHD ? Would further education in the part technology plays help ?
I'm sorry you are going through this crisis. Regarding algorithms, my daughter was taught to write up loads of stuff in a white coloured font as it gets picked up by more of the searches. It doesn't matter what it is as it never gets seen by humans, just by the machine. I admire that you want to change the system and yes, it's a nightmare, but you might need to step outside it to make changes happen. Is there another bread an butter type job you could do instead? Here in the UK good carers are in high demand and the more successful generally work freelance, using online listing sites. If you're single, would a live in care arrangement work for you? Or perhaps you could (you sound capable enough if this) set up your own agency in the future, providing a fair deal for your workers?
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