Three weeks ago, I changed jobs. I left a high-tech, high-volume teaching hospital in one of the largest medical centers in the U.S. for the greener pastures of a small, private community hospital. Why? I needed a less stressful position, lower acuity patients and to be rid of the madness of commuting.
I am a registered nurse with experience in emergency and trauma nursing, critical care, electrophysiology and cardiovascular surgery. I was offered the position after a 2-hour conversation with the director of critical care. We had a meeting of the minds and were in agreement about many topics related to patient care, integrity in our profession and clinical advancement. We discussed the hospitals nascent cardiovascular surgery program, the current climate of the unit and accountability.
I’ve had a few weeks to settle into my new position. Some important pieces of this narrative to note are: I am working in a hospital with less than 100 beds that is privately owned by a group of physicians. The unit where I work is growing a cardiovascular surgery program, so we are caring for patients that are not overly complicated. The intentional selection of these patients increases the odds of excellent outcomes. Good outcomes without complications are harbingers of success; they ensure reimbursement and generate referrals.
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