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Next week I start a new job.  In the past I have been an inpatient nurse in medical-surgical units, critical care units and primarily in the emergency department.  I have been an educator and then a manager for a medical-surgical unit.  This new job I am starting next week is in a clinic.  I am making a complete change in what I will be doing in nursing.

Next week I will be in orientation.  I haven’t been in a real orientation in many years.  Whenever I would change jobs in the past, I would move from one ED to another ED.  I would get a week or less of orientation to learn their paperwork and policies, otherwise, ED nursing is ED nursing.  Now I have to completely learn a new way to practice nursing.

I just got off the phone with my new manager.  I am going from being the manager to back to staffing; I kind of like the idea of that.  I am going to be orienting for about two months.  I will be going from seeing 20 to 30 patients per day, to seeing a handful per day.  I will be going from being on my feet all day and running my tail off to talking to patients on the phone and triaging patients over the phone.

I actually loved working in triage as an ED nurse.  Meeting with a patient for just a few minutes, getting their history and really trying to determine what is happening with them.  Being able to look at a patient and determining how sick they are and using my nursing judgment to help them.  Now I will be doing the same thing, but over the phone.  How am supposed to determine how they look…all those things I could assess on a patient as soon as they walked through those doors?  Now I have to figure out those things on the phone.

It’s scary but exciting.  I am looking forward to all the changes I am making in my life and the challenges that come along with it.

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Rob Cameron

Rob Cameron is currently a staff nurse in a level II trauma center. He has primarily been an ED nurse for most of his career, but he has also been a nurse manager for Surgical Trauma and Telemetry unit. He has worked in Med/Surg, Critical Care, Hospice, Rehab, an extremely busy cardiology clinic and pretty much anywhere he's been needed.Prior to his career in nursing, Rob worked in healthcare finance and management. Rob feels this experience has given him a perspective on nursing that many never see. He loves nursing because of all the options he has within the field. He is currently a grad student working on an MSN in nursing leadership, and teaches clinicals at a local university.Away from work, Rob spends all of his time with his wife and daughter. He enjoys cycling and Crossfit. He is a die hard NASCAR fan. Sundays you can find Rob watching the race with his daughter.

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2 Responses to Changes

  1. kitty west

    Rob, I am also changing my direction in Nursing. I have been working in a long term facility and will begin work next week as a home health nurse. Good luck

  2. Kimmie

    I recently left the EC after 4yrs to go back to Agency nursing. I was so burn’t out on so many of my co-workers constantly complaining about the patients! I also became annoyed with the “super Nurses” that just knew the EC practice, they could not look beyond and where so judgemental which lead to serious mistakes! I now enjoy going to work because I am placed in different hospitals on different floor,units, ec ete,, NO DRAMA do my work and leave and go back to facilaty if I like it.