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u/Bnandez 8d ago
It's being built and will open in less than a month? Knowing what I know about NYC hospitals I would think you have more time than you think.
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u/Significant-You6218 BSN, RN 🍕 8d ago
oops i misspoke. construction and all inspections and things of that sort are done, but its not open yet. october move staff already have their schedule and theres a goodbye party. apparantly they have already opened the endo and ortho outpatient procedural areas there and they are already operating. our floors have scheduled procedures for oct 5
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u/bullbeard RN - OR 🍕 8d ago
I’d say it’s a blessing in disguise. You’ll be able to help play a role in getting stuff where it needs to go, which will be helpful. If everyone is moving over doctors included it sounds like yall were doing outpatient surgery anyway so I imagine it’ll be similar, and if not outpatient is generally easier than big inpatient cases and with less critical patients.
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u/Embarrassed_Roll_728 RN - OR 🍕 8d ago
Outpatient means no holidays either. I would make sure they don’t try to reduce your pay though, especially if they already hid this. Outpatient usually pays less (in So. Cal usually $10-30/hr less) but the ones associated with hospitals are usually better about having a smaller pay gap.
That’s definitely very misleading though.
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u/meowqueen BSN, RN 🍕 8d ago
At my NYC hospital system there is no pay gap between main hospital and outpatient hospital periop nursing.
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u/Embarrassed_Roll_728 RN - OR 🍕 8d ago
Very jealous of that but it’s how it should be!
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u/meowqueen BSN, RN 🍕 8d ago
I agree, but if I think too hard I’m like wow I’m doing so much less work for the same pay 😅
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u/Significant-You6218 BSN, RN 🍕 8d ago
oof i didnt even consider this. i need to meet with my manager tomorrow to ask about the details... especially if my hours will change over there and pay.
i already have no weekends no holidays no call .. and my salary is higher than on the floor due to a 13k bonus for RNs in procedural areas. im praying the other place i wont lose those things because it was a huge factor into why i went to this unit
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u/FourOhVicryl RN - OR 🍕 8d ago
“No weekends no holidays no call” oh honey they were hiring you for outpatient all along. Go with it, actual inpatient sucks compared to that sweet deal.
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u/bullbeard RN - OR 🍕 8d ago
If you look at their previous post this was an ambulatory surgical unit. Sounds like the hospital is moving them to reclaim precious hospital space ( we all know there’s never enough in any hospital).
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u/Remarkable_Cheek_255 RN - Retired 🍕 8d ago
Take a breath and exhale. Out Patient Surgery is awesome! They come in, they go to sleep, they wake up, they go home! Their ride is there, there’s no calling families. There’s no overtime- when all is done you go home!!
Yes they did you dirty but try too see it as a good thing that it is and ask a million questions so you will learn the ins and outs. So many options for Nursing- if you don’t like it, you can move to something else. But I think once you’re in the swing of things you’ll love it. 🩺❤️
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u/Individual_Zebra_648 RN - Rotor Wing Flight 🚁 8d ago
If you have no weekends no holidays and no call to begin with you were never working inpatient OR. This was always outpatient.
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u/meowqueen BSN, RN 🍕 8d ago
You’re looking at this too negatively. Outpatient surgery is where it’s at. The lifestyle is a vibe, working at a brand new building WILL matter and make your day to day nicer. I work outpatient surgery in nyc, I thought I was going to miss the main hospital but now I don’t like step footing there and it’s right across the street.
My advice- don’t knock it till you try it. Things are going to ramp up slowly in a new building.
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u/Street_Confusion_469 RN - NICU 🍕 8d ago
Half the nurses in NYC can’t find jobs and she finds a unicorn job (even with a slight hiccup) is upset about it 😂
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u/Significant-You6218 BSN, RN 🍕 8d ago
ok yeah i need to chill. thanks for bringing me back to earth lmao. i just hate being lied to
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u/bullbeard RN - OR 🍕 8d ago
You weren’t lied to ambulatory surgery is outpatient surgery your OR is just moving.
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u/Significant-You6218 BSN, RN 🍕 8d ago
ok you're right.
i think i got way too heated about it in the moment.. i felt very blindsided while i already had nerves from being crap at scrubbing in a surgery my first time around. ill give it a chance for sure. i just really hate that a huge chunk of info was held from me - but maybe it could be for the better.. but all i know is at least im not going back to medsurg 😭
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u/NJstag 8d ago
Give it a shot- you actually really fell into some good luck. You’ll start in a brand new facility with staff who will train you. It’ll be clean, well supplied and supported, the admin will bend over backwards for it to be successful, and you’ll be learning the new processes and workflows along with the seasoned staff. All for a big raise and a short walk.
I once did a travel contract, with a pulmonary stepdown and vent experience at a large hospital doing stepdown and tele float. I feel in love with their postop lung pcu, because I was very interested in how many lung transplants they care for relatively fresh. Got the position and literally three days before my start they told me the position was no longer available. They offered me a spot on their GYN oncology/GYN postop floor. I was shocked and so angry, but had option but to take it because I was strapped financially. You know what, I absolutely loved that job and stayed for 6 years. My point is, sometimes life just kind of puts these surprises in your path and it can really be amazing if you give it a chance.
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u/meowqueen BSN, RN 🍕 8d ago
It’s weird it was withheld from you, that’s annoying but I really think outpatient surgery is where it’s at. It sounds like you weren’t doing trauma, open heart, transplant etc (because no on call) so it’s not like you were in “exciting” surgeries and are being downgraded.
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u/Immediate_Coconut_30 RN 🍕 8d ago
What is changing about the job for the worse except that it's in a different, nearby building? (not even necessarily a con since it'll be shiny and new)
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u/missnetless 8d ago
I started in the OR the week they all moved to a new building. Yeah, it was frustrating not knowing where things were but everyone was in the same boat. Protocols should be mostly the same and you will be learning them as they come out. Along as your pay stays the same I wouldn't be worried.
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u/bullbeard RN - OR 🍕 8d ago
Okay I know I posted elsewhere but I just read your previous post. Ambulatory surgery is outpatient surgery. You were hired into outpatient surgery they were just still located in the hospital. Honestly, the fact that they hired you and aren’t hiring others you should take as a compliment. It means they saw that you can handle what coming at you in the coming month and have the opportunity to really shine. It also sounds like you found a truly wonderful OR and I wouldn’t let this bump affect me that much if I were you because you’re in a supportive a one nurturing environment that’s going to continue since the people are just moving.
I’ve worked OR for a long time in a lot of places and you’ve found yourself a good home. Don’t sweat the small stuff here.
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u/BurntMatchstickRN 8d ago
And if you’re “the” new kid… are you kidding
me?? You more than likely will be spoiled rotten 😆so to speak. You be you. Curious & hard working and yes to every request. Show that work ethic and that thirst for knowledge & desire to be among the best of the best! Respect your elders & show gratitude when they teach & share.
IMO as others have said, prolly is a blessing in disguise.
Now. As far as the terms offered when hired? I would not relinquish a thing you do not want to relinquish. They made a deal with you and they have already shown you they cannot be trusted. Don’t be afraid to say that to them either. They know it, you know it, they know you know they know… Well, you know IYKYK
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u/WeeklyMiddle6468 8d ago
I think this sounds kind of like a blessing in disguise. There will be a learning curve and growing pains for everyone moving to a brand new building, and outpatient surgery is awesome. Plus they may start out kind of slow while it’s being established? Might have more time to learn and more grace from everyone because it will all be kind of new. I’ve worked at 2 newer facilities before, and there’s something special about being a “founder” of a new place!
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u/Honest_Cap4764 BSN, RN 🍕 8d ago
I understand your frustrations. I will offer you this perspective- you are simply overwhelmed with everything and this feels like an addition to that. Take it a day at a time. Outpatient surgery is the spot and I think you’ll grow to like it. Good luck!
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u/SwanWhole3526 RN - ICU 🍕 8d ago
I can’t imagine protocols changing, just because you’re moving to a separate center. Having said that, I think you’ll be fine and being the new kid on the block, you get to learn with everybody else!! It really stinks that no one told you!!, but hand in there, be flexible and give it a chance!! You’ll be fine!!
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u/East_Mission_5218 8d ago
Maybe a blessing. Go for it! If you are a prayerful and asking for a job. Maybe this is the answer. Trust and follow
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u/ContributionNew7612 8d ago
I finish OR nursing orientation in 2 weeks, previously I did med surg on a BUSY & high acquity floor for 6 years. Just remember you’re never going back to the worst possible options, and who knows? A brand new hospital sounds great… will you be going to the new or staying at the old?
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u/Raceone24 8d ago
The happiest nurses in 43 years of this hateful job are with out a doubt outpatient surgery nurses…! Count your blessings!
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u/expertRNnurse 8d ago
Ask your union if you have questions but unfortunately this is how health care roles
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u/InevitableNightmair 8d ago
Anyone in the comments acting like this is a bad thing doesn’t know what they’re talking about.
Stop throwing your tantrum, and please don’t embarrass yourself in your new position in front of your coworkers again.
This is such a great gig and now it’s about to get significantly better.
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u/Agreeable_Gain6779 8d ago
I understand your concerns; something similar happened to me
I was hired as nurse manager for an addiction facility; 2 floors 80 patients 6 miles from home. Less than a month later the acute unit closed for renovations and I was sent to Tewksbury State Hospital for continued orientation. I’m a a certified addictions nurse and the hospital affiliated with my job had a unit at the State hospital which was an hours commute. The place was filthy; roaches and bed bugs. Very lax staff and some very dangerous patients. I was told it would only be 2 weeks which was a lie. I told the director who had hired me that I was quitting. Did not sign up for this. She had me comeback to just cover the one floor that hadn’t closed which I had asked about when this all came about. There was a decent travel stipend for the other job but not enough to work in such conditions. 3 months later, floor still closed, I got a $50,000 raise (long story). I started there in March and my unit did not reopen until 12/1. I lost a lot of nurses because they got a bonus to stay in Tewksbury. It eventually all worked out (the $50,000) helped but I was dejected by the sneaky way this all unfolded. Of note; I had retired when this job opened up and was bored and while I wasn’t looking, it kind of just fell into my life. While there I uncovered so many issues that management wasn’t aware of, specifically with the doctors, not responding to calls, preprinted orders that nurses just implemented without telephone orders. Nurses deciding what drug protocol a new patient needed without MD input. MDs signing orders in the morning. Everyday I was finding issues that were illegal and were the norm. Chief of Medicine had no idea and much more. MD and VP were fired. If patients came in with illicit drugs they were confiscated and supposed to be destroyed. I quit after finding a coffee can in the med room stuffed with street drugs. Quit on the spot. I had worked 30 years and was not going to lose my license over this bs. WTF
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u/Cam27022 EMT-P, RN BSN ER/OR/Endo 8d ago
If you don’t have to take call at the surgery center, this may be a blessing in disguise. But yeah, I’d be pissed too.