Balancing RN Nursing School, Childcare, and Family Health Crisis: Advice Needed
I have a small support network where I live, consisting of my mom, my ex, and their mom. I also know some of the neighbors since my children spend time with them at the pool during the summer.
I am currently separated and in the process of going through the legal routes for divorce and custody.
I applied to a program through my hospital where they pay for me to bridge my LPN to an RN. My mom offered to help watch the children while I am in school. Over the summer, it was one 12–13 hour day every other week, plus 6 to 7 hours once a week. It was a lot for her. This semester, the commitment is 12–16 hours every week—the longest being Wednesdays, when she watches them for 10 to 12 hours.
Things were set, though there was some miscommunication: my mom thought fall clinicals would be at the same time as my summer clinicals, but they are four hours longer this fall.
The major issue now is that the week before school started, my mom was diagnosed with squamous cell carcinoma in a lymph node. At the moment, it doesn’t seem to be spreading according to her ultrasound. However, she has to go for a PET scan on a day I have school. I am probably going to take off that day, but we are only allowed two absences a semester. Fortunately, school was able to allow me to make up my clinical hours this Thursday.
The school wasn't able to change my clinical hours, which I had a feeling would happen. Over the summer, they wouldn't switch someone whose workplace wouldn't accommodate them, and that person had to drop out. There are day and evening cohorts. The day cohort has clinicals on Tuesdays and Thursdays, while the evening cohort has them on Wednesdays and Saturdays. The reason they wouldn't switch me was that information had already been sent to the clinical sites.
Standard daycare is not an option for my family. My youngest child has a resolved heart condition but cannot walk, requiring specialized in-home care and mobility support. My oldest child struggled emotionally with school last year due to recent moves, the divorce, and family illness—which contributed to them being retained. They desperately need routine and emotional stability at home right now.
A classmate suggested I reach out to the Department Chair of the Nursing Program, which I did yesterday. I’m not sure if I should also reach out to my program liaison at school. The majority of the clinical sites are at my place of employment or another site affiliated with the hospital where I work.
I’m feeling stuck on what to do next. Should I give up and accept having clinicals on Wednesdays? I am open to doing off-site rotations and simulations on Wednesday if I could just be added to a Thursday clinical (though that might be hard, as it’s the only group at a facility not affiliated with my hospital) or the Saturday clinical group.
Financially, I am currently rebuilding my savings and do not have out-of-pocket funds to hire private care. I applied for FAFSA, grants, and scholarships at the start of the program, and I am relying on those funds arriving to afford a nanny who can handle my youngest child's physical needs. Because the tuition itself is paid for by my employer, I signed a contract obligating me to stay with them for a year after I graduate or pay back the money if I withdraw.
Am I missing anything, or have I done all I can do? Any advice?