Love/hate relationship to my work.

Specialties Emergency

Published

There are things about my work that I absolutely love, and things that just drive me crazy. I know every job is probably like that, but I feel that I have more bad days than I do good days.

Since even before I entered nursing school, I have been pushing myself hard. All but one of my jobs has been incredibly stressful. It's affecting my relationships because I get so burnt out on people and their less than admirable qualities that I become antisocial and don't make efforts to keep up my end of friendships. As a result, I feel socially isolated. When I do get together with friends, I have nothing to talk about. With my spouse, I complain about my job a lot, and it isn't fair for him to have to hear it all the time. I don't like the kind of person I become when I work a few days in a row.

For a while now, I've been feeling like I want a change. But, is this a "grass is greener" sort of thing? Will I regret leaving the ED? Will it be a big mistake?

I love the detective work of the ED. I love the critical care. Trauma, cath alerts, RSIs, conscious sedations, these are all exciting to me, and I like the one on one patient care I get to do in these situations. I like the high level skills I get to practice. I like it when I have good interactions with patients and their family members.

I hate the complaining, the impatient behavior, the demands, and the stat pillow/blanket/snack/water/bedpan requests when I'm in the middle of something critical. I don't seem to have the ability to let this aspect of the work roll off of me like some of my coworkers do.

I've tried to adjust my attitude and focus on the positive, but that only seems to last about halfway through the first shift of my long stretch on.

Don't get me wrong; I am nice to patients and coworkers, and try and treat everyone as I would want to be treated. But sometimes, it takes a lot of energy to keep it up!

I vascillate between dreading going to work and being really excited about getting my CEN and maybe even my CPEN. Yep, I'm an (over?)achiever, and I always push myself and challenge myself. At the same time, I feel like that is taking its toll and maybe I need to give myself a break.

I do participate in hobbies, but I have stopped exercising regularly, and I think that might be part of my problem.

I've been thinking of getting out of the hospital completely and doing something else, like home health or hospice, but I'm afraid I'll miss the hustle and bustle of the ED. I'm afraid I'll miss the critical care and detective work aspects the most.

I know that nobody can tell me what the right choice is for me. I'm not asking for that. But, I'd be happy to read your stories about choices you've made and how they affected you.

Specializes in 1 PACU,11 ICU, 9 ER.

I echo the other posters who recommended a change. I spent 11 yrs in ICU and then had burn out and went to ED. Travelling as in Travel nursing is a great way to relive some stress and have a change of scenery.

Hang in there.

i appreciate this post very much. i wonder if maybe i am just not cut out for this stuff. the patients will take take take every last drop. even when you stop giving. for me when i think i need a change then i think of another area, travel, etc i immediately think "same stuff different location'

it doesnt spark a feeling of hope. it sparks dispair to think of changing hospitals, shifts, hours or niche. does this mean i am totally burnt out? or just the edges are burned...

i am finding myself feeling tired of the same diagnoses and it takes a little bit longer for the "oh wait this is a patient in crises" when that used to be my first reaction. i am feelinlg 'sick' of dealing with peoples problems for 12 hours straight!

sometimes i feel like floor nursing is inhumane. like at the very last hour of a long shift you get a new admit with a whole new set of anxiety and acute issues and you have to dig real real deep to get it together and get them settled.

how do nurses out there find the strength when that 'end of shift admit who is not doing that well' comes rolling on up???

sorry for the long post.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
i appreciate this post very much. i wonder if maybe i am just not cut out for this stuff. the patients will take take take every last drop. even when you stop giving. for me when i think i need a change then i think of another area, travel, etc i immediately think "same stuff different location'

it doesnt spark a feeling of hope. it sparks dispair to think of changing hospitals, shifts, hours or niche. does this mean i am totally burnt out? or just the edges are burned...

i am finding myself feeling tired of the same diagnoses and it takes a little bit longer for the "oh wait this is a patient in crises" when that used to be my first reaction. i am feelinlg 'sick' of dealing with peoples problems for 12 hours straight!

sometimes i feel like floor nursing is inhumane. like at the very last hour of a long shift you get a new admit with a whole new set of anxiety and acute issues and you have to dig real real deep to get it together and get them settled.

how do nurses out there find the strength when that 'end of shift admit who is not doing that well' comes rolling on up???

sorry for the long post.

sounds to me like you're way beyond "burnt edges." the first thing you ought to do is book a nice vacation. if you cannot get the time off, trade shifts or use holiday time or even (and please don't tell my manager i said this) call in sick for a week straight and sit at the beach. or in the mountains. or wherever heals your soul. take a good long look inside and try to determine how you feel -- just need a break? burned out totally? maybe suffering from depression? maybe you'll need to call your pcp for a prescription for an antidepressant. journalling helps me. i sit down with a blank screen and a timer -- write for 20 minutes, even if i can't think of anything to write about. (i've written for a good long time about how there was nothing to write about.) usually, i find me feelings starting to emerge and the longer i write, the more in-touch i become. often, i had no idea i was feeling a particular way until it emerged in my journalling.

if, after your time off, you can come up with a strategy to manage your burnout, so much the better. if you cannot, maybe counseling can help. career counseling, marriage counseling or a good psychologist -- whatever it takes. most of us cannot afford to just up and quit our jobs because we're burned out, and luckily burn out -- if managed -- is temporary. if you need to change jobs, try to find the new one before you leave the job you have.

good luck. let us know how it works out.

Specializes in Emergency.

Maybe try exercising on a regular basis before leaving? You mentioned that you had stopped working out. Do whatever gets the endorphins flowing. Good luck.

For those who may be interested, stay tuned for an announcement in the next few days! :nurse:

Update: I applied for a different position within the same organization, rocked the interview, had every reason to believe I had it in the bag, was really REALLY excited. Could not WAIT to post my big announcement that I had gotten a new job.

Turns out, the person vacating the position changed their mind, so I did not receive a job offer, just a phone call telling me the job was not available after all.

I am devastated. I thought this new, exciting change was going to happen for me, and it's not.

Specializes in geriatrics.

Just keep looking. Something will come up :).

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
I am devastated. I thought this new, exciting change was going to happen for me, and it's not.

I am so sorry.

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