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Stress/Panic Before Going to Work



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No. 10
Old Jun 05, 2009, 06:23 PM

Default Re: Stress/Panic Before Going to Work
Wow, this is exactly how I usually feel going to work, too. I can't sleep or relax before work at all, and my heart is pounding so fast when I approach my unit... I don't know what to do about it. Otherwise, I'm a happy person besides work and don't experience any stress in other areas of my life. Sometimes I think nursing is a devastating profession, we are supposed to teach others about health, but in the meantime we develop physical and emotional symptoms that can have serious consequences on our health. Most of my coworkers agree that nursing is a sucking profession, at least in the hospital setting.
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No. 11
Old Jun 05, 2009, 06:27 PM

Default Re: Stress/Panic Before Going to Work
I think every nurse has had this experience. And every time you stretch yourself with a new skill, job or dept the anxiety can creep back into your life. I like you started in the ER about 3 yrs ago and for the first year I was often anxious before work. In fact I used almost all of my PLT time by offering to be the first to go in the first 6mo. But after I experienced the same critical care scenarios again and again I increased my confidence and the anxiety went away. I have since started traveling to stretch myself once more and I am all the better for it. This job isn't easy and it is full of the unknown. I think you should forge forward and master the skills you need. You might just one day turn around and realize you are now the teacher and you are mentoring others going through these struggles. You will never know it all just talk it out with your confidants and find yourself some mentors.
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No. 12
from tobesmartt
Old Jun 05, 2009, 06:45 PM

Default Re: Stress/Panic Before Going to Work
Are you in the Education field or patient care .?? Now I am very curious after reading some of the responses. I to do patient care.. my co-workers drive me nuts with all the drama and bull. Let me know . Thanks

Originally Posted by oramar View Post
I think your body is sending you a message that is time to make some changes.
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No. 13
from hherrn
Old Jun 05, 2009, 07:41 PM

Default Re: Stress/Panic Before Going to Work
Originally Posted by pennyaline View Post
Off the top of my head: Sounds to me like you're on the right track looking for a job with less stress. Take your ED experience and break into ICU, OR/PACU, surgical center...

Life is too short to put up with stress. If you're dreaming about work and dread going to work, make a change. It'll be good for you.

FWIW, I find ICU a lot more stressful than ER.
I agree with the other posts that if you aren't generally anxious, and ER makes you that anxious, you might look for a better fit.

With your background you have great skills that might be well used in another ER, or another department.

Good luck.

hhern
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No. 14
from BrightEyes
Old Jun 05, 2009, 08:20 PM

Default Re: Stress/Panic Before Going to Work
I used to feel the same way. Panicky, nervous, wondering what on earth the shift was going to bring. It got better the more experience I gained, so hang on in there. I eventually did switch to a less stressful position purely to save my sanity and home life!

Good luck!
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No. 15
from mwboswell
Old Jun 06, 2009, 03:12 AM

Default Re: Stress/Panic Before Going to Work
Originally Posted by loricatus View Post
If your nurse to patient ratios are too high, you can find yourself stressed to the max. The ENA recommends 1:4. If you have anything greater than 1:5, you may just need to find a better place to work.
Are you sure about that - it would be kind of hard to take care of 4 pts on vasoactive drips/vents.....?
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No. 16
from rn-n- 2005
Old Jun 06, 2009, 07:50 AM

Default Re: Stress/Panic Before Going to Work
Thanks to all for the support and advice! I find that the anxiety is all before work. Once I'm there, even the most high stress pts, situations, etc, do not make me particularly anxious. I will admit to having a rough month. It seemed that for every shift I worked I had severely ill people all come into my zone at the same time. Like a 90 year with a subdural bleed and then a pt with a variable HR of 140's-200. Our ratios are good and I work at a good place. Management supports their nurses and the Dr's are good to work with for the most part so it's just me getting anxious about all the bad things that could go wrong!!

The thing is I really love the ER and all the craziness that sometimes goes with it!! I'm going to stick with it longer and see how things go. It's nice to know that I'm not the only one that feels this way.

I worked last night and after posting this the night was good. I went out to triage and it was a nice change of pace.
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No. 17
from loricatus
Old Jun 06, 2009, 07:58 AM

Default Re: Stress/Panic Before Going to Work
Originally Posted by mwboswell View Post
Are you sure about that - it would be kind of hard to take care of 4 pts on vasoactive drips/vents.....?
Ha. I had to manage up to 6 of those type of patients, along with 6 other bays/beds at one place in NYC. I got through those shifts by repeating to myself "NO ONE IS GOING TO DIE ON MY SHIFT" After leaving there and going to another state that had 1:4, it was a walk in the park, even if they were all critical patients.
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No. 18
from ERnewbieRN
Old Jun 06, 2009, 09:09 AM

Default Re: Stress/Panic Before Going to Work
I could have written your post! I have basically been anxious since I started nursing... I have been doing ER nursing for 2 years now and I still feel anxious before I go in to work, not because I don't feel confident in my abilities, but because I don't know what the night's going to bring. It could be total unruly chaos, or it could be nice, controlled chaos, which I don't mind. I too go home from work and sleep lousy because I keep dreaming about scenarios at work, etc. Then on my days off, i can't sleep worth anything... like tonight I went to bed at 3am and woke up at 630 am. Yeah, I feel real rested after doing 3 night shifts, 2 nights off, then 3 more night shifts in a row. And no, I don't like that schedule but I'm kind of given a "too bad" response. Blah, I am done commiserating, I feel terrible right now and I really would like to get a better shift somewhere, possibly not ER since there are pretty much no mid or day shifts available anywhere, and definitely not on the floors or ICU because I am just so sick of working in hospitals and the lousy hours!
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No. 19
from rn-n- 2005
Old Jun 07, 2009, 08:33 AM

Default Re: Stress/Panic Before Going to Work
ERnewbieRN,
I feel the same way as you about the shifts. I work straight nights ,7p-7a, and do 3 nights a week but other shifts looks better and better all the time. I sleep best now during the day even on my days off!! I feel part of my anxiety is due to the fact that I've been nights for 3 years straight. I sometimes think that maybe 8 hours during the day might be heaven!! 5 days a week seems like too many days though!
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