I love being a nurse and especially in the ER. I love to take increasing amounts of responsibility - to the point where now I cannot envision just staying as a nurse. I like to manager and take responsibility for not only good medicine but managing resources and people in a very challenging environment. In short . . . I want to do so much more so I can have a greater impact.
My style is inclusive and consultative. Meaning I don't make unilateral decisions. I weigh people's opinions, gather information from diverse sources, look for creative 'out of the box' solutions constantly but I not afraid to make the tough call. If I have done my work responsibly then I know what I am doing is best for the patient, team and ultimately for myself.
All this being said I have been looking for work in Hawai'i. Ideally we would like to return to a place I have called home and where we can be together. I absolutely love my job at the VA and would not mind continuing to work for the VA in Hawai'i but I am also talking with Hospice Hawai'i and I am very impressed with them - would love to work with them too. As much as I love the ER . . . hospice is dear to my heart as difficult as it can be at times.
I have not given up my goal of becoming a Nurse Practitioner or Physicians Assistant. I could join the State Department in that capacity. But I am not sure that I 'have' to do that to either be happy or fulfilled. Still, I wish to practice at a higher level - to have the capacity to do more as needed. I continue to learn so much at the San Francisco VA but am just not sure I am content to stay put in one place.
For now . . . .
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