tag:blogger.com,1999:blog-5594674.post-13124178877544520642007-09-19T06:08:00.000-06:002007-09-19T06:38:47.259-06:00<h2>Changing Jobs</h2><br />The season is changing and so is my employment. After nearly 16 years at the hospital, I am moving on. It is funny how things happen. I wasn't really looking to move, but all at once I had a choice between 3 jobs. There was the one I had; there was the administrator position at my hospital, and an opportunity with the State of Louisiana.<br /><br />My hospital was looking for an administrator so I applied. The next day, I heard from someone who worked at one of the state mental health clinics telling me about a crisis counselor position that was open. I went through the interview process with both jobs, weighed the options, pros, and cons - and then decided.<br /><br />It wasn't an easy decision. On the one hand, being the administrator meant more money, an ego boost, and the challenge of a demanding position. However, to whom much is given, much is expected. Administrators longevity approximates that of pro football coaches. What have you done for me lately? I am well liked and respected now, but the honeymoon ends when the census goes down. I would be responsible for lots of things I have no control over.<br /><br />Lots of stress, no win situations, being the blame for everything that happens, and on call 24/7. I knew I would be throwing myself into the pressure cooker.<br /><br />On the other hand, I could work for the state in a clinical position. I would still make more money - 6K more a year. I would have better benefits, 8 to 4:30 hours, and no on call responsibility. <br /><br />Maybe if I were 40, I would be up to the challenge of administrator. It would be good for the resume, blah, blah, blah. But I am 50. With the state, I am eligible for retirement in 10 years. I would be doing the kind of work I have been trained to do and the work I chose years ago.<br /><br />How many times have you seen someone promoted to his or her area of incompetence? How many times have you seen someone who is good at a job take a job they are not so good at because it pays more or because it is management? I suppose I went against conventional wisdom and turned down more money and prestige. I think I chose a path that will still provide for our family financially, but keep me in the area I know best and I am best at.<br /><br />So now I will be working with people who walk in to the clinic and in some sort of crisis. I evaluate them and refer them to the level of care they require. I also have the option to keep seeing them - up to 2 times beyond the initial evaluation.<br /><br />I was getting tired of the inpatient population. Patients are getting more and more disrespectful, angry, and violent. Maybe that is because of crack cocaine. About two weeks ago (after I had turned in my notice) I was stabbed in the ear with a ball point pen by one such individual. The pen went clear through my ear. That little incident only confirmed to me I was making the right decision.<br /><br />I suppose someone could walk in off the street and be violent too, but odds are the ones who walk in on their own volition want help and are not out to attack a therapist. I am starting to get used to it though. Since last October I was attacked in my office, bitten by a patient I was trying to pull off of a nurse the patient was attacking, and now stabbed by a patient who didn't want to be in the hospital - that's quite a trifecta.<br /><br />Monday is my first day at the new job and I am excited and energized by the change. I will have a whole new group of folks who haven't heard my jokes.<br /><br />As they say, one door closes; another door opens.<br /><br />Until the next time<br />John StrainJohn Strainhttp://www.blogger.com/profile/05453617294405385771noreply@blogger.com