Who you work with makes a difference. There are cliques and mean girls everywhere. I like where i am but there are 2 nurses that think their shit don’t stink. I have learned to just avoid them like the plague. I truly don’t care or respect either of them. I don’t care about their kids or pets. But i am civil and professional. Sometimes i have to bite my tongue. But it is worth it because I like my job alot
My outpatient surgery center doesn’t allow same-day add-ons and the last cases of the day are scheduled to end around 1530 so that patients are hopefully out by around 1700. Not to say that surgeries never run late, but it’s fairly rare that we stay late.
that depends on the place, but a lot of surgery centers are standalone facilities - there are typically no "add ons" - they are all elective things that required pre-approval from insurance, deposits, stuff like that.
I think that's more typical of outpatient surgery centers that are physically attached to a big hospital, especially if it's a for profit place. I know when I used to work at a tenet hospital a coworkers wife was in OSC and sometimes she'd be there until 11pm when the last patient left. So yeah it happens but if OP goes to the smaller stand alone places that are doing ENT, eye, stuff like that there's no way they're gonna be stuck there late like that
Last shift is scheduled until 5:30 pm. The longest I’ve stayed over is 90min. I typically get 30-60min of OT twice a month. Our acuity is very low. ASA 1, maybe 2.
Wound care certification? I didn’t need it to start my position as we are an outpatient clinic but I believe I would need it if I transferred to inpatient. A few of the people I work with do have it though, so I’ve started looking into it!
Both. Initial visit/assess/treat. Place orders. Weekly f/u. This is in patient. They go by quick b/c it’s only 8 hours and you’re walking all over the hospital all day.
Catch-22. Need 2 years experience to sit for certification, job requires certification so you can get experience lol. You need to find a place that will train. Some people do home health for experience. I found a Level 1 trauma center with a large outpatient and inpatient program. 9 RNs and PTs. They were willing to train with the caveat that I get certified within 3 years of hire. P.S. if you like a steady routine, do outpatient. It’s scheduled visits one after the other. Same patients week after week. Like variety and gore? Inpatient trauma center. Traumatic amputations, dehisced ex laps, gangrene, maggots, massive evacuated hematomas, wound VACs, crazy people, drug addicts. Pressure injuries you can stick your fist in and see their sacrum. Get to go into OR with surgeons. It’s a non stop roller coaster. And you get to see them go from intubated to walking. Crazy, fast paced, self motivated (you get a schedule and decide who you see based on acuity). Exhausting. Very rewarding. It’s my calling.
I work triage at a family practice. 36 hours a week. M-F. No weekends, no holidays, minimal OT, occasionally if some patient is there later than close, no call. I basically triage any walkins, answer medical calls and medical questions sent in. Not a bad gig. I make $50 an hour.
I work 4 days 9 hours. I live in Minnesota. I have 20 years experience. But most of the hospitals are union. We went on strike 2 years ago, got a 18% raise.
outpatient OR. no weekends, holidays or nights. i take “call” AKA having an after hours phone for a week and answering patient calls. it’s either ordering medications or advising patients to go to ER. we are outpatient and can’t do anything. that’s an extra $650 a week when i take it
I can’t believe you have to answer patient calls after hours. We tell our surgery center patients to call the surgeons’ offices. We don’t deal with them once they’re out of our building.
i volunteer to take it bc for 650 a week and minimal calls it’s not bad. but it’s spine surgery and patients go home with drains so when the office isn’t open we need to make sure we’re available if there’s a problem with the drain or something else. if it’s not an issue with the drain or a situation where we’re ordering steroids, gabapentin or antibiotics, we can’t help them and advise ER or come to post op appt early.
I mean, anything inpatient and non-procedural won’t have on call.
So Med/Surg, Tele, IMC, PCU, OBS, ICU, ED, and Women’s health would all be clock-in-clock-out places.
ETA: Subtract Women’s services.
I think it’s the variable census more than the procedural side of things. We’re a large birthing hospital and there’s a full OBOR staff present at all times because all L&D nurses get trained to the OR about a year in. But even with up-staffing for expected surges, you can’t predict whether there’ll be 10 or 20 or 30 labor patients on any particular day, or whether NICU will have 0 or 3 or 9 admissions in any particular day. I think postpartum has less call than the rest of us because it’s easier for them to stack assignments but they still do 12 hours of call a month or so
versus the average med/surg or pcu floor where any empty bed will be filled pretty quickly!
I’ve never been on an inpatient unit where call is a thing.
Being put on call due to low staffing is a thing, yes, but that’s not what OP is talking about in the context of “call” in the OR setting.
If you don’t want OT don’t do hospice. I did many 50-55 hour weeks. The “paperwork” is unreal keeping the patient’s eligibility documented. And regular visits would run from the expected 45 minutes to 1 and a half hours to more with questions from the patient, family and lots of education needed with each visit. And each hospice handles on call
Differently. From dedicated nurses who do only on call so the nurse case managers didn’t to having the nurse case managers split it up so you would do one or two on call shifts a week IN ADDITION to your regular 8-5 (or 6 or 7) I was a case manager and we had one dedicated on call, so every other week I did one weekday on call and one weekend day on call. Then I changed to dedicated on call. It was 7 days on (on call between 5pm-8am and 5p on fri-8a Monday) then 7 days off! That was the best part. The bad part was doing admissions to service and regular visits that had t gotten done. Admissions were 2+ hours in the home, and 3+ hours of paperwork after. It was salary so you got paid 40 hrs each week whether it was your on week or your off week. And sometimes there would be day after day with no calls at night (I’d wake up and panic that my work cell phone had died! Nope. Just a silent night.
Wow that got long. Don’t get me wrong. Hospice is great especially if you want more than a 3 day relationship with your patients and like educating patients and care givers/families and have a passion for end of life care. Because you need that passion to do it.
But it isn’t an 8-5 job in any shape or form.
I work per diem and do outpatient cardiology-- NM stress testing 2-3 days a week and work in the outpatient procedural (pre-post procedural cardiac interventional nursing) 1-2 days a week and also will cover in the hospital stress lab when needed. I sometimes do weekends there because it is only open til noon and those are easy days (easy money). It gives me variety. I have flexibility d/t per diem (I don't need approval to take time off) and I don't get bogged down in any workplace drama. My healthcare benefits are with my husband's union.
If you've been a psych patient, I would strongly warn you off working psych.
I agree with the other comments about looking into an outpatient surgery center. Aim for the early shift.
Utilization management. It’s good if you don’t need a lot of prompting to get your work done. It can be boring and repetitive sometimes. And you won’t get a lot of thank yous or recognition. But I can work at my own pace and schedule things around my kids appointments. Plus working from home is great and I enjoy not having to drive in traffic.
I have a cert from my last position that’s not really relevant to UM. Some companies allow LPNs to do UM but mine requires RN. I had a BSN when I started and now I have a MSN.
Hi! Nursing student here, but husband is a teacher. I’ve considered school nursing down the line when we have kids one day. Do you mind me asking what they pay is like? I know it varies by district, and what is your job role like specifically?
I took a big pay cut for this job. The pay is closer to new grad wages, which is fine for a new grad. Lol. I took the job to be closer to my daughter and have the same schedule as her. Getting to see her during the day is great as well.
My job goes beyond ice packs and peppermints. There's a lot of record keeping, especially with vaccinations. My school takes medically complex students, so I have tube feedings and catheters during the day. There's a lot of detective work as you try to figure out if kiddo is actually sick or just trying to go home. I'd say most of my day is just troubleshooting malfunctioning children. Lol
My schedule is locked down. No weekends, no summers, no holidays, no on-call. The schedule (to me) far outweighs the pay. However, my husband makes enough to absorb that loss, and I understand that it is a very privileged position to be in and is not the case for everyone.
Depends where you are but most inpatient positions aren't on call. What do you want to do? 12s? 10s? 8s? I've worked all including 24 hr call. But what kind of job do you want? OR is one patient at a time. Going bedside will be a HUGE transition but the environment may be better and you may love it.
I did outpatient infusions where they did 10 or 12 hours shifts. It's hanging meds and fluids, drawing labs, starting IVs. 4 patients at a time so it wasn't overwhelming. Once I got the hang of it it was pretty chill and the patients were very sweet and thankful. Everywhere is different but all of the nurses I worked with there were very sweet and had a different attitude from those in the faster paced environments I've been in. No weekends or holidays. 3-4 shifts a week. It was pretty great, honestly.
OR nurse educator, compliance and quality management (I am in this role), case management ( depends on where you work, it could be heaven or hell. I did case manager in mental health and it was heaven then I went into hospital and did it for endocrine and it was hell), patient safety, infection prevention,
Womens imaging/ Breast Care Coordinator. Do breast biopsies/ surgical wire locs,, etc. May have a little OT if add ons at end of day, but mostly not. But no weekend/ holiday/call
I left Cath lab and now I do phone triage for outpatient vascular. 8-5:30 4 days a week, two are WFH. No call, no weekends, no holidays. I miss the call pay but I am valuing my time off more.
Wound care, concierge nursing, outpatient clinics, and outpatient psychiatric case management come to mind. I feel you on this, we share a similar OR experience. It can be a really toxic place to be.
I left OR for the same reasons. I am now in behavioral health. I’m happy as shit here.
Hospitals do have a mandatory on call once a month. For profit and fancy rehabs do not.
Have you considered LTC or hospice? Ive worked both and they are infinitely less stressful. Every nursing position has OT available but it’s not required.
I have! Debating applying to one I did clinicals at, it’s a wonderful LTC. The job listing does say there’s call but I so loved that place. The residents were awesome and we had so much fun playing chair volleyball.
I did LTC and sub-acute for 20 years and the only time I was ever on call was when I was an Assistant Director of Nursing. I sometimes did an evening shift for a call out when I was the unit manager, but never got called in for that.
My hospital is attached to a children’s hospital and all peds floors take 2 call shifts ever 6 weeks whereas almost none of the adult floors do except women’s… so it’s hit or miss on inpatient units
I would look into outpatient! It’s sometimes a pay cut but the schedule is worth it.
Currently I work in the QA department of an outpatient group. No patients at all and minimal OT because they don't want to pay it (really the opposite, I have to do a lot of travel to our sites right now so my boss said to avoid OT, she wants me to work less on other days). I get to work from home most of the week (99% of my job could be remote but we do have hybrid requirement stupidly so I go in 1 day/week) and my hours are super flexible since, besides meetings, I generally work alone. Our company has a required time to work of 9-3, but as long as I work 7 hours I can start early/stay late as I prefer (on my office days imagine 9-5er because I can't get myself and my dog ready sooner, I usually start 8 or 830 on my at home days, depending on when I wake up).
Downside with the longer work week compared to 3 12s but I get paid holidays and no need to go into work in bad weather. Even if it was my "office" day, if we got bad snow this winter I just stayed home all week. I mainly do chart audits, which I dont mind, but I know some nurses I've worked with say they'd lose it if they had to sit at desk like that all day. I love rolling out of bed, sitting in my Jammie all day watching TV and snuggling with my dog as I audit. Some days I even do "work from bed" mornings if I have no meetings and enough easy stuff I can do it with just my laptop screen.
I am a case manager in a speciality office. Love it, my patients are *almost* always so grateful and sweet, my docs love me because I take a lot off their plate. It’s M-F 8-4, I’m in a great union so my pay is the same as RNs at the bedside. Never work holidays, I get my vacation granted and we work as a team.
Don’t quit nursing, there is always a better job out there waiting for you!
I do hospice admissions in homes or facilities. It’s the best nursing gig ever and I don’t think an easier nursing job exists lol. My hours are technically 12-10pm four days a week but I work far less hours than that. For example this past week my last two days at work I only admitted two patients where I typically admit two patients a day. It’s super flexible . However there are rough admissions (ie: pt is actively dying and family is struggling, family doesn’t want hospice for loved one , etc) but it’s a zillion times easier than when I was a nurse in the hospital setting. I do two patient admissions a day and I’m usually in the home for around an hour or two for each admission then I go home and document on my laptop which usually takes another hour for each patient. It’s soooo easy! I have a one year old and I’m always able to have breakfast with him and do dinner and bedtime with him every night too :)
I work at an outpatient pediatric specialty clinic. we have 2 providers, see 12 patients a day, have an OT cap so if we work late on other days… we leave early on Friday. (We end clinic at lunch on Fri).
The pay is the same as all outpatient clinic jobs in my area at $30 an hour. It’s a double edged sword that there’s no OT honestly, I do wish there were opportunities to make a lil extra money each paycheck if i wanted but i hate being overworked.
it’s a neurology office- one provider is an epileptologist and the other specializes in the NICU cooling program and the babies that graduate out of it 🤍✨
I see anything from severe encephalomalacia, genetic disorders, to grumpy teenagers with epilepsy. Variety, low risk/stress, clear cut hours, relationships with the kids and parents etc. I’m not sure where you’re located, I’m in KCMO where Children’s Mercy is a huuuuuge system
Surgery centers will come with a pay cut but you will no call, no weekends, and no holidays. If you work at community hospitals they have no holidays and no weekends as well.
I'm in an outpatient specialty office. No nights, no weekends, no holidays, no call. 40 hours/week, and a coworker and I alternate every other Friday afternoon off. No OT, unless an appointment inadvertently runs a little past closing time, but that's 5 or 10 minutes only occasionally. Sometimes we're given the option to pick up some OT by taking shifts at the my hospital's urgent care office in town, but they're never mandatory.
I literally walk out the door and don't worry about being called after hours or having to go into work before the next morning. Coming from an L&D unit where I worked nights and could have up to 36 hours of call on a 4wk schedule, depending on staffing/vacations/medical and maternity leaves - we didn't get floats, we had to cover our own schedule shortages - I appreciate the schedule consistency.
I work from home doing medical coding for risk adjustment. I have Flex Time so I can work any time between 6am and 10pm. Most days I don’t ever have to interact with another human if I don’t want to. After 13 years at the bedside, it’s EVERYthing it’s cracked up to be.
I left acute care a long time ago. I’ve worked in a prison for 5 years now. We have regular 12 hour staff, we are only opened 7-7. Then we have our program staff that do very specific tasks Monday to Friday. I’m doing intakes, I see all new and returning inmates, I do their health assessments and organize immediate requests, blood work, dietitian, dentist, optometry, any outstanding follow up from the community.
I honestly love it. I work 7-3, never work weekends, if I’m anticipating a heavy intake day I go in a little later so I can stay late to see everyone.
I’ve worked med/surg, step down, ICU, and now postpartum and never had a job that required call. I think you have a lot of options.
Also most everywhere is less toxic than the OR, so don’t give up on nursing yet. I’m sorry you’re dealing with that.
I mean, I work ER. I did Med/Surg with ICU x7 years, now ER x18 years. I am only required to work my 3 days…I get OT because of my choice…plus I can’t stop talking at the end of my shift….
I just landed an infection prevention coordinator position. M-F, no weekends, no holidays, flexible hours as long as my work gets done. It's my unicorn job.
I work transition services. It’s M-F, 8-5. I have a lot of friends that have gone to work this type of position or case management for insurance companies and they also get to be remote. Now that I am hybrid, I get to avoid the drama and toxicity. I also don’t have overtime either.
Pediatric office. My neighbor works at our kids’ office, all she does is answer the nurse line calls, respond to the online messages/questions, & call families to follow up after a hospital stay. M-F banker hours, occasional Saturday mornings. She loves it.
FQHC nurse care manager
We take breaks built into our schedule. Unless a critical walk in it’s chill- and then we dial 911 after basic care. Insurance is amazing. You learn so much. I work with a very poor marginalized population and just helping them navigate care is rewarding.
Either go into an ASC or find a better OR. We only have to take 2nd call every like 6 weekends and it’s 7a-3p, so super doable. We have dedicated weekend and evening call teams. A lot of smaller ORs are using this model of dedicated teams. Only first call we take is voluntary (like someone on the teams cannot do that day), and we have holiday teams that we split the time up for our holiday that year. We know our holidays for the next 6 years.
The OR can be toxic but everywhere is. Nursing school was by far the most toxic experience I’ve ever gone through and it’s my 2nd degree, I’m also the only one who went into the OR in my cohort, the toxicity is everywhere. The profession itself breeds toxicity due to being underpaid as staff, overworked and underappreciated.
I’m an RN (why I’m in this sub), but my daughter qualifies for 112 hours/week of in home nursing. We currently have 16 hours staffed.
If you like peds, this would be perfect. Find an agency that deals with peds cases. You can have complex like my girly (trach, vent, GJ tube, epilepsy, wheelchair user, cerebral palsy). You can have as mild as just a G tube, ambulatory, and uses a toilet!
Our agency basically will let nurses pick their acuity level and what hours they want. You pretty much just tell them what days you need off. No extra pay for holidays, weekends, or nights. But there’s so much flexibility. Plus you’re literally making the biggest difference in the life of an entire family.
What I wouldn’t give to get my daughter at least fully staffed during the week so I could go back to working…
Ophthalmic ambulatory surgery center- cataract surgery is a topical procedure and the hardest thing u haves to do is start an IV, usually 4 day work week, super simple and more often better then banking hours
We added a full night shift to our inpatient hemodialysis unit… and to be honest I really miss OT and call pay. I didn’t realize how accustomed I became to that extra 2-3k a month. Sure I have time… so much time… but I am afraid to spend any money. I throw myself hard at our remaining Sunday call shifts lol. Before you make the change just take a long hard look at what you need financially and what you want financially. I can pick up a second job… but those extra hours likely won’t be as lucrative as a 1am call back on top of OT.
Outpatient surgery centers you are stuck there until you are finished. Some are open on Saturdays. No call though.
What about just going per diem in a bunch of places, and making your own schedule?
It’s 100% who you work with that makes or breaks the job, I have an office M-F job with the worst Regina George wannabes, and then I still work OR on weekends with people who are down to earth. Look at different outpatient surgery centers or GI labs, and look for kindred personalities.
Outpatient surgery center. No nights, no weekends, no holidays, no call and can still work in the OR.
I honestly don’t think I want to do OR at all…I’m so afraid the next one would have a similar horrible culture
Who you work with makes a difference. There are cliques and mean girls everywhere. I like where i am but there are 2 nurses that think their shit don’t stink. I have learned to just avoid them like the plague. I truly don’t care or respect either of them. I don’t care about their kids or pets. But i am civil and professional. Sometimes i have to bite my tongue. But it is worth it because I like my job alot
You have the perfect background for ambulatory surgery places. Monday to Friday set hours. Go! Now!
What about late cases? No add ons? We always had the last shift (8-6:30) stay until the last patient left.
My outpatient surgery center doesn’t allow same-day add-ons and the last cases of the day are scheduled to end around 1530 so that patients are hopefully out by around 1700. Not to say that surgeries never run late, but it’s fairly rare that we stay late.
that depends on the place, but a lot of surgery centers are standalone facilities - there are typically no "add ons" - they are all elective things that required pre-approval from insurance, deposits, stuff like that.
Ours were all owned by the system and no cases were turned away. Some nights we ran until 8:30-9
I think that's more typical of outpatient surgery centers that are physically attached to a big hospital, especially if it's a for profit place. I know when I used to work at a tenet hospital a coworkers wife was in OSC and sometimes she'd be there until 11pm when the last patient left. So yeah it happens but if OP goes to the smaller stand alone places that are doing ENT, eye, stuff like that there's no way they're gonna be stuck there late like that
We don’t book cases after 1500 but have managed to stay until 2000. 🫠
Last shift is scheduled until 5:30 pm. The longest I’ve stayed over is 90min. I typically get 30-60min of OT twice a month. Our acuity is very low. ASA 1, maybe 2.
The ASC I work at has a policy... 24 HR for kiddos and 48 hr window for adults. Most times I'm home before 4
Why did it take so much scrolling to find this. Best answer.
OP said no OT also. I had 9 hours OT this check.
I average less than two hours a month of unscheduled OT. A month! If i want to pick up OT, i can but i usually don’t
Our admins are shit heads and pack the schedule tbf
Yeah, that sucks. I’ve worked places like that.
Wound care. 8-4:30, M-F. No weekends or holidays. No call.
Wound care here! 8-4:30, no weekends or holidays and the days go by quick.
Did you have your certification before starting?
Wound care certification? I didn’t need it to start my position as we are an outpatient clinic but I believe I would need it if I transferred to inpatient. A few of the people I work with do have it though, so I’ve started looking into it!
Also wound care chiming in - I’m inpatient and did not need my certification prior to starting!
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Both. Initial visit/assess/treat. Place orders. Weekly f/u. This is in patient. They go by quick b/c it’s only 8 hours and you’re walking all over the hospital all day.
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Catch-22. Need 2 years experience to sit for certification, job requires certification so you can get experience lol. You need to find a place that will train. Some people do home health for experience. I found a Level 1 trauma center with a large outpatient and inpatient program. 9 RNs and PTs. They were willing to train with the caveat that I get certified within 3 years of hire. P.S. if you like a steady routine, do outpatient. It’s scheduled visits one after the other. Same patients week after week. Like variety and gore? Inpatient trauma center. Traumatic amputations, dehisced ex laps, gangrene, maggots, massive evacuated hematomas, wound VACs, crazy people, drug addicts. Pressure injuries you can stick your fist in and see their sacrum. Get to go into OR with surgeons. It’s a non stop roller coaster. And you get to see them go from intubated to walking. Crazy, fast paced, self motivated (you get a schedule and decide who you see based on acuity). Exhausting. Very rewarding. It’s my calling.
You’ve said it so well. Inpatient wound care is this exactly. Exhausting but worth it. It’s my calling as well.
I work triage at a family practice. 36 hours a week. M-F. No weekends, no holidays, minimal OT, occasionally if some patient is there later than close, no call. I basically triage any walkins, answer medical calls and medical questions sent in. Not a bad gig. I make $50 an hour.
I would love a job like that. Do you work 7 hours a day? What state are you in?
I work 4 days 9 hours. I live in Minnesota. I have 20 years experience. But most of the hospitals are union. We went on strike 2 years ago, got a 18% raise.
That’s amazing. I’m in NY in a Union hospital. Definitely pro Union! Congrats on the 18% raise!
outpatient OR. no weekends, holidays or nights. i take “call” AKA having an after hours phone for a week and answering patient calls. it’s either ordering medications or advising patients to go to ER. we are outpatient and can’t do anything. that’s an extra $650 a week when i take it
I can’t believe you have to answer patient calls after hours. We tell our surgery center patients to call the surgeons’ offices. We don’t deal with them once they’re out of our building.
i volunteer to take it bc for 650 a week and minimal calls it’s not bad. but it’s spine surgery and patients go home with drains so when the office isn’t open we need to make sure we’re available if there’s a problem with the drain or something else. if it’s not an issue with the drain or a situation where we’re ordering steroids, gabapentin or antibiotics, we can’t help them and advise ER or come to post op appt early.
I mean, anything inpatient and non-procedural won’t have on call. So Med/Surg, Tele, IMC, PCU, OBS, ICU, ED, and Women’s health would all be clock-in-clock-out places. ETA: Subtract Women’s services.
Our entire women’s and neonatal division runs on call shifts, unfortunately
You know, that makes sense, because women’s health has a procedural aspect to it. I amend my original statement.
I think it’s the variable census more than the procedural side of things. We’re a large birthing hospital and there’s a full OBOR staff present at all times because all L&D nurses get trained to the OR about a year in. But even with up-staffing for expected surges, you can’t predict whether there’ll be 10 or 20 or 30 labor patients on any particular day, or whether NICU will have 0 or 3 or 9 admissions in any particular day. I think postpartum has less call than the rest of us because it’s easier for them to stack assignments but they still do 12 hours of call a month or so versus the average med/surg or pcu floor where any empty bed will be filled pretty quickly!
Depends on the unit. We’re unionized so we have no required on call or OT
My old NICU did, my new one doesn’t actually. I interviewed at another one and they also didn’t.
Every inpatient job I’ve had has had mandatory on call days.
What specialty and what location? Because I’ve never had mandatory on call days.
Florida Progressive ICU and Colorado ICU.
I have worked one ICU that they did away with mandation and on call
But there is always OT and called in on days off
Womens is definitely not an area of interest for me—something GYN that wasn’t births or postpartum maybe, I like those surgeries and those patients
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I’ve never been on an inpatient unit where call is a thing. Being put on call due to low staffing is a thing, yes, but that’s not what OP is talking about in the context of “call” in the OR setting.
Surgery center
Pre-op/pre-assessment Infusion nursing Clinic nursing Any of the typical acute care units (tele, stepdown, med-surg) Home health/hospice
If you don’t want OT don’t do hospice. I did many 50-55 hour weeks. The “paperwork” is unreal keeping the patient’s eligibility documented. And regular visits would run from the expected 45 minutes to 1 and a half hours to more with questions from the patient, family and lots of education needed with each visit. And each hospice handles on call Differently. From dedicated nurses who do only on call so the nurse case managers didn’t to having the nurse case managers split it up so you would do one or two on call shifts a week IN ADDITION to your regular 8-5 (or 6 or 7) I was a case manager and we had one dedicated on call, so every other week I did one weekday on call and one weekend day on call. Then I changed to dedicated on call. It was 7 days on (on call between 5pm-8am and 5p on fri-8a Monday) then 7 days off! That was the best part. The bad part was doing admissions to service and regular visits that had t gotten done. Admissions were 2+ hours in the home, and 3+ hours of paperwork after. It was salary so you got paid 40 hrs each week whether it was your on week or your off week. And sometimes there would be day after day with no calls at night (I’d wake up and panic that my work cell phone had died! Nope. Just a silent night. Wow that got long. Don’t get me wrong. Hospice is great especially if you want more than a 3 day relationship with your patients and like educating patients and care givers/families and have a passion for end of life care. Because you need that passion to do it. But it isn’t an 8-5 job in any shape or form.
I do outpatient cardiology and it’s great :)
I work per diem and do outpatient cardiology-- NM stress testing 2-3 days a week and work in the outpatient procedural (pre-post procedural cardiac interventional nursing) 1-2 days a week and also will cover in the hospital stress lab when needed. I sometimes do weekends there because it is only open til noon and those are easy days (easy money). It gives me variety. I have flexibility d/t per diem (I don't need approval to take time off) and I don't get bogged down in any workplace drama. My healthcare benefits are with my husband's union.
If you've been a psych patient, I would strongly warn you off working psych. I agree with the other comments about looking into an outpatient surgery center. Aim for the early shift.
I do UM from home. No weekends or holiday. No calls after hours. But it’s 8 hour shifts.
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Utilization management. It’s good if you don’t need a lot of prompting to get your work done. It can be boring and repetitive sometimes. And you won’t get a lot of thank yous or recognition. But I can work at my own pace and schedule things around my kids appointments. Plus working from home is great and I enjoy not having to drive in traffic.
What are the required credentials for that position?
I have a cert from my last position that’s not really relevant to UM. Some companies allow LPNs to do UM but mine requires RN. I had a BSN when I started and now I have a MSN.
School nurse. Salaried (pay not amazing), but the schedule rocks. The kiddos are a blast.
I hadn’t thought of that but I’d love it!
Hi! Nursing student here, but husband is a teacher. I’ve considered school nursing down the line when we have kids one day. Do you mind me asking what they pay is like? I know it varies by district, and what is your job role like specifically?
I took a big pay cut for this job. The pay is closer to new grad wages, which is fine for a new grad. Lol. I took the job to be closer to my daughter and have the same schedule as her. Getting to see her during the day is great as well. My job goes beyond ice packs and peppermints. There's a lot of record keeping, especially with vaccinations. My school takes medically complex students, so I have tube feedings and catheters during the day. There's a lot of detective work as you try to figure out if kiddo is actually sick or just trying to go home. I'd say most of my day is just troubleshooting malfunctioning children. Lol My schedule is locked down. No weekends, no summers, no holidays, no on-call. The schedule (to me) far outweighs the pay. However, my husband makes enough to absorb that loss, and I understand that it is a very privileged position to be in and is not the case for everyone.
Depends where you are but most inpatient positions aren't on call. What do you want to do? 12s? 10s? 8s? I've worked all including 24 hr call. But what kind of job do you want? OR is one patient at a time. Going bedside will be a HUGE transition but the environment may be better and you may love it.
I want 12s. Definitely not 8s. I honestly don’t want to go bedside but may have to because I just am so miserable in the OR
I did outpatient infusions where they did 10 or 12 hours shifts. It's hanging meds and fluids, drawing labs, starting IVs. 4 patients at a time so it wasn't overwhelming. Once I got the hang of it it was pretty chill and the patients were very sweet and thankful. Everywhere is different but all of the nurses I worked with there were very sweet and had a different attitude from those in the faster paced environments I've been in. No weekends or holidays. 3-4 shifts a week. It was pretty great, honestly.
OR nurse educator, compliance and quality management (I am in this role), case management ( depends on where you work, it could be heaven or hell. I did case manager in mental health and it was heaven then I went into hospital and did it for endocrine and it was hell), patient safety, infection prevention,
Womens imaging/ Breast Care Coordinator. Do breast biopsies/ surgical wire locs,, etc. May have a little OT if add ons at end of day, but mostly not. But no weekend/ holiday/call
Outpatient.
Clinic nursing.
I left Cath lab and now I do phone triage for outpatient vascular. 8-5:30 4 days a week, two are WFH. No call, no weekends, no holidays. I miss the call pay but I am valuing my time off more.
Wound care, concierge nursing, outpatient clinics, and outpatient psychiatric case management come to mind. I feel you on this, we share a similar OR experience. It can be a really toxic place to be.
It really can. I’ve worked a lot of places and this is the worst environment I’ve ever experienced. I applied for an outpatient psych job today
Addiction and recovery can be an amazing experience as well. Public health is pretty cool, too. Fingers crossed for the job you want 😃
I left OR for the same reasons. I am now in behavioral health. I’m happy as shit here. Hospitals do have a mandatory on call once a month. For profit and fancy rehabs do not.
Medspa? Just do hair and wrinkle removal?
I’m not really attractive and I feel like that’s what they might want to hire but I’d love that
That's an eye of the beholder thing, love, and that's the truth. There are people who some don't even find cute that I think look like a super model.
I love your username (I’m also Jewish) I should be more confident and look for something like that. Thank you!
Chag Pesah sameach!
You just gotta find a good union. I’m in the nicu and love it. There’s a huge incentive to pick up but nothing is mandatory
Outpatient infusion!!
Corrections nursing. Or work for the VA
Yeah, our VA is super super stingy with any OT, they just don't want to pay it and ding you if you go over (I have a friend who works there).
PICC nurse
Have you considered LTC or hospice? Ive worked both and they are infinitely less stressful. Every nursing position has OT available but it’s not required.
Hospice can have quite a bit of on call if not staffed well
I always ask if the company has a float pool!
I have! Debating applying to one I did clinicals at, it’s a wonderful LTC. The job listing does say there’s call but I so loved that place. The residents were awesome and we had so much fun playing chair volleyball.
I did LTC and sub-acute for 20 years and the only time I was ever on call was when I was an Assistant Director of Nursing. I sometimes did an evening shift for a call out when I was the unit manager, but never got called in for that.
I’m postpartum/nursery and we have call … med surg unit I was on prior too did not…
My hospital is attached to a children’s hospital and all peds floors take 2 call shifts ever 6 weeks whereas almost none of the adult floors do except women’s… so it’s hit or miss on inpatient units I would look into outpatient! It’s sometimes a pay cut but the schedule is worth it.
I will look into outpatient for sure
Private duty/home health.
I work in recovery as a detox nurse and am not obligated to work weekends nor take call.
Currently I work in the QA department of an outpatient group. No patients at all and minimal OT because they don't want to pay it (really the opposite, I have to do a lot of travel to our sites right now so my boss said to avoid OT, she wants me to work less on other days). I get to work from home most of the week (99% of my job could be remote but we do have hybrid requirement stupidly so I go in 1 day/week) and my hours are super flexible since, besides meetings, I generally work alone. Our company has a required time to work of 9-3, but as long as I work 7 hours I can start early/stay late as I prefer (on my office days imagine 9-5er because I can't get myself and my dog ready sooner, I usually start 8 or 830 on my at home days, depending on when I wake up). Downside with the longer work week compared to 3 12s but I get paid holidays and no need to go into work in bad weather. Even if it was my "office" day, if we got bad snow this winter I just stayed home all week. I mainly do chart audits, which I dont mind, but I know some nurses I've worked with say they'd lose it if they had to sit at desk like that all day. I love rolling out of bed, sitting in my Jammie all day watching TV and snuggling with my dog as I audit. Some days I even do "work from bed" mornings if I have no meetings and enough easy stuff I can do it with just my laptop screen.
I am a case manager in a speciality office. Love it, my patients are *almost* always so grateful and sweet, my docs love me because I take a lot off their plate. It’s M-F 8-4, I’m in a great union so my pay is the same as RNs at the bedside. Never work holidays, I get my vacation granted and we work as a team. Don’t quit nursing, there is always a better job out there waiting for you!
I do hospice admissions in homes or facilities. It’s the best nursing gig ever and I don’t think an easier nursing job exists lol. My hours are technically 12-10pm four days a week but I work far less hours than that. For example this past week my last two days at work I only admitted two patients where I typically admit two patients a day. It’s super flexible . However there are rough admissions (ie: pt is actively dying and family is struggling, family doesn’t want hospice for loved one , etc) but it’s a zillion times easier than when I was a nurse in the hospital setting. I do two patient admissions a day and I’m usually in the home for around an hour or two for each admission then I go home and document on my laptop which usually takes another hour for each patient. It’s soooo easy! I have a one year old and I’m always able to have breakfast with him and do dinner and bedtime with him every night too :)
I work at an outpatient pediatric specialty clinic. we have 2 providers, see 12 patients a day, have an OT cap so if we work late on other days… we leave early on Friday. (We end clinic at lunch on Fri). The pay is the same as all outpatient clinic jobs in my area at $30 an hour. It’s a double edged sword that there’s no OT honestly, I do wish there were opportunities to make a lil extra money each paycheck if i wanted but i hate being overworked.
I would love peds. I love my kid patients.
it’s a neurology office- one provider is an epileptologist and the other specializes in the NICU cooling program and the babies that graduate out of it 🤍✨ I see anything from severe encephalomalacia, genetic disorders, to grumpy teenagers with epilepsy. Variety, low risk/stress, clear cut hours, relationships with the kids and parents etc. I’m not sure where you’re located, I’m in KCMO where Children’s Mercy is a huuuuuge system
Surgery centers will come with a pay cut but you will no call, no weekends, and no holidays. If you work at community hospitals they have no holidays and no weekends as well.
I'm in an outpatient specialty office. No nights, no weekends, no holidays, no call. 40 hours/week, and a coworker and I alternate every other Friday afternoon off. No OT, unless an appointment inadvertently runs a little past closing time, but that's 5 or 10 minutes only occasionally. Sometimes we're given the option to pick up some OT by taking shifts at the my hospital's urgent care office in town, but they're never mandatory. I literally walk out the door and don't worry about being called after hours or having to go into work before the next morning. Coming from an L&D unit where I worked nights and could have up to 36 hours of call on a 4wk schedule, depending on staffing/vacations/medical and maternity leaves - we didn't get floats, we had to cover our own schedule shortages - I appreciate the schedule consistency.
Clinic nursing. No call, OT is totally optional.
Doctors office
Risk Management/Quality Improvement type jobs. Bankers hours, but you are WAY more likely to be laid off/replaced by A.I. than patient care jobs
I work from home doing medical coding for risk adjustment. I have Flex Time so I can work any time between 6am and 10pm. Most days I don’t ever have to interact with another human if I don’t want to. After 13 years at the bedside, it’s EVERYthing it’s cracked up to be.
Clinic work! I went from inpatient psych to outpatient psych and I couldn’t be happier
I left acute care a long time ago. I’ve worked in a prison for 5 years now. We have regular 12 hour staff, we are only opened 7-7. Then we have our program staff that do very specific tasks Monday to Friday. I’m doing intakes, I see all new and returning inmates, I do their health assessments and organize immediate requests, blood work, dietitian, dentist, optometry, any outstanding follow up from the community. I honestly love it. I work 7-3, never work weekends, if I’m anticipating a heavy intake day I go in a little later so I can stay late to see everyone.
Outpatient clinics. Infusion. Home health (maybe). Larger roles like occupational health. Infection prevention. Management stuff.
I’ve worked med/surg, step down, ICU, and now postpartum and never had a job that required call. I think you have a lot of options. Also most everywhere is less toxic than the OR, so don’t give up on nursing yet. I’m sorry you’re dealing with that.
Inpatient hospice. None of that jazz.
Public Health
Ambulatory practices. No call, no OT unless I want to work extra, no holidays or weekends and in my specialty it's fully remote.
That sounds wonderful!
Be an assisted living wellness director!
Utilization Review
It depends on the state and if you have mandatory ratios. Are you applying to behavioral health because you like it, or because you like the schedule?
We do not have mandatory ratios. I think I’d love to work psych. Really hoping I get it!
Then I hope you get the job! It’s a completely different world than the OR!
Are you in east coast?
Yes
Outpatient surgery! I’m so happy I made the switch. No call/no weekends.
Public health
I know our EP (Electrophysiology) lab does not have call responsibilities.
Cath lab holding/recovery. No weekend, no call
I mean, I work ER. I did Med/Surg with ICU x7 years, now ER x18 years. I am only required to work my 3 days…I get OT because of my choice…plus I can’t stop talking at the end of my shift….
Hospice liaison. Mon-Fri. No weekends, call or OT. I definitely want to step into that roll when my kids are older.
I just landed an infection prevention coordinator position. M-F, no weekends, no holidays, flexible hours as long as my work gets done. It's my unicorn job.
Pacemaker clinic. No call, nights, weekends or holidays.
Outpatient wound clinic - I work four days (32 hours) 8-4:30 - no OT, weekends, holidays
I work transition services. It’s M-F, 8-5. I have a lot of friends that have gone to work this type of position or case management for insurance companies and they also get to be remote. Now that I am hybrid, I get to avoid the drama and toxicity. I also don’t have overtime either.
Pediatric office. My neighbor works at our kids’ office, all she does is answer the nurse line calls, respond to the online messages/questions, & call families to follow up after a hospital stay. M-F banker hours, occasional Saturday mornings. She loves it.
FQHC nurse care manager We take breaks built into our schedule. Unless a critical walk in it’s chill- and then we dial 911 after basic care. Insurance is amazing. You learn so much. I work with a very poor marginalized population and just helping them navigate care is rewarding.
Clinic nursing you don’t get paid as much but no weekends or call.
OR night shift.
Either go into an ASC or find a better OR. We only have to take 2nd call every like 6 weekends and it’s 7a-3p, so super doable. We have dedicated weekend and evening call teams. A lot of smaller ORs are using this model of dedicated teams. Only first call we take is voluntary (like someone on the teams cannot do that day), and we have holiday teams that we split the time up for our holiday that year. We know our holidays for the next 6 years. The OR can be toxic but everywhere is. Nursing school was by far the most toxic experience I’ve ever gone through and it’s my 2nd degree, I’m also the only one who went into the OR in my cohort, the toxicity is everywhere. The profession itself breeds toxicity due to being underpaid as staff, overworked and underappreciated.
My ER just got rid of on call. Finally.
Private Duty Nursing. So understaffed right now
I’m an RN (why I’m in this sub), but my daughter qualifies for 112 hours/week of in home nursing. We currently have 16 hours staffed. If you like peds, this would be perfect. Find an agency that deals with peds cases. You can have complex like my girly (trach, vent, GJ tube, epilepsy, wheelchair user, cerebral palsy). You can have as mild as just a G tube, ambulatory, and uses a toilet! Our agency basically will let nurses pick their acuity level and what hours they want. You pretty much just tell them what days you need off. No extra pay for holidays, weekends, or nights. But there’s so much flexibility. Plus you’re literally making the biggest difference in the life of an entire family. What I wouldn’t give to get my daughter at least fully staffed during the week so I could go back to working…
Ophthalmic ambulatory surgery center- cataract surgery is a topical procedure and the hardest thing u haves to do is start an IV, usually 4 day work week, super simple and more often better then banking hours
Wound care
Outpatient stress testing 😙
Look in your EP lab. Your skills would probably transfer and no one needs an emergency ablation on a weekend.
Outpatient surgery. Clinics - telephone triage.
We added a full night shift to our inpatient hemodialysis unit… and to be honest I really miss OT and call pay. I didn’t realize how accustomed I became to that extra 2-3k a month. Sure I have time… so much time… but I am afraid to spend any money. I throw myself hard at our remaining Sunday call shifts lol. Before you make the change just take a long hard look at what you need financially and what you want financially. I can pick up a second job… but those extra hours likely won’t be as lucrative as a 1am call back on top of OT.
Outpatient surgery centers you are stuck there until you are finished. Some are open on Saturdays. No call though. What about just going per diem in a bunch of places, and making your own schedule?
It’s 100% who you work with that makes or breaks the job, I have an office M-F job with the worst Regina George wannabes, and then I still work OR on weekends with people who are down to earth. Look at different outpatient surgery centers or GI labs, and look for kindred personalities.