Hi all! I graduated with my NCLEX in December of 2024, passed my first NCLEX Jun of 2025 and have since been working pediatric home health (I also have my ACLS, BLS, PALS, and am starting to volunteer as a street medic) I have an interest in going bedside, ideally in peds er, peds icu step down, or peds oncology but will be applying to any and all positions.
I am writing because I have been with my current family for almost a year now (quadriplegia/severe TBI, respiratory issues, routine suctioning/respiratory treatments and behavioral regulation) while it’s going well now, a couple months ago it was very rough (for a multitude of reasons including a possible med error made on my end, some heavy projection of emotions being put onto me by one of the parents because I remind them a lot of the other (they are getting divorced); manifesting as passive aggressive comments at times, and gossip by parents). It got to the point where I was terminated with 2 weeks notice and then offered my job back a week later under the guise of losing me being a significant loss to the family and pt. I took the job back (needed the money) and things have been going well since.
I just got an offer for a new kiddo that is stable but on a trach and vent and my manager (a previous medical parent who I cared for their kid) really wants me to take the case and is prepared to fully train me thoroughly (will come with me for as many shifts as it takes for me to fully feel comfortable providing care).
I want to end up in a hospital new grad program (ideally within my preferred specialty) ASAP but I am aware that it will likely take time especially because I am in Chicago and have an ADN degree. I am hoping it takes between 2 - 6 months.
My dilemma is this:
- while I dedicate all of my free time to apply to hospitals, should I stick with my current patient (who on paper gives me a lot of specific skills but not necessarily hard nursing skills)? and has been tumultuous in the past but is ok now.
- should I take this new case under the assumption that it will benefit my resume at least somewhat(because of the trach and vent) and potentially boost up my chances of being accepted into a hospital? (My manger is aware and supports I that will be leaving once I get a hospital offer).
(Other things to think about; 1) this new case is a couple hours away so I would be traveling a couple hours a week to my old college town and essentially spend half my week in the city and half my time with this kid in a small town 2) taking on a new case will eat up some of my free time that could be spent applying to hospitals learning about trachs/vents, charting, traveling, etc).
Thank you for reading and for the input!!