Going from a twelve bed hospital to a city system. What will bite me?
Sol at the critical access hospitalThe question
Eight months rural, moving for family reasons, and I have been warned that the two jobs share a title and very little else.
At my place I do a bit of everything because there is nobody else on. I am told a big system will hand most of that to a department I have never met.
If you made this move: what did you have to unlearn, and did anyone give you credit for the range or did it read as no real experience?
The conversation
2 replies- Quinn moving statesRN, 1 year in, moved states in April
The unlearning is mostly about calling for things instead of doing them. I kept solving problems that belonged to a department and it read as not knowing the escalation path rather than as competence.
Credit wise, the range landed well in interviews and badly in the first month on the unit, where what people notice is whether you know their process. Both fade.
- Bex in the float poolRN, float pool, 18 months
Learn the phone list before you learn anything clinical. In a big building the skill is knowing who owns a problem, and that is the thing your current job never had to teach you because the answer was always you.
I walked into a new unit most weeks for a year and that was consistently what separated a smooth shift from a long one.
What would you tell them?
Answer from what you have seen. It posts without your name.

