bedside nursing, is it really that bad? - page 3
by OCRN3 8,561 Views | 29 Comments
So I have been reading a lot about nurses hating bedside nursing lately. I know that at some point in my career as a bedside nurse I really wanted to throw in the towel. That is why I went and got my FNP. I still have my bedside... Read More
- 1May 1, '13 by HouTx GuideKudos to the OP!!! Very positive and inspiring.
Just wanted to add - many hospitals (mine organization included) are beginning to create NP jobs in their acute care settings. NPs have a lot to add, but their primary value is in serving as a buffer between medical staff and nursing staff. They can easily move back and forth to ensure that nurses have the 'medical' support they need to provide timely and effective care at the same time that they can help translate nurse needs in a way that physicians will respond better.
Acute care NPs - a wonderful asset for everyone!
- 1May 1, '13 by sonia211Quote from OCRN3I like what you have to say but then again every personality is different. Everyone has to find their own niche. I know nurses who have moved through many many different depts, informatics, Dr. offices, etc before they found what they liked. In the end this life is a journey my friend not a destination.So I have been reading a lot about nurses hating bedside nursing lately. I know that at some point in my career as a bedside nurse I really wanted to throw in the towel. That is why I went and got my FNP. I still have my bedside nurse job and let me tell you that I have focused so much energy in trying to leave the bedside, I figured out that it is not really that bad. I have done teaching, Clinic NP, and bedside nursing. Now I liked the teaching but my job never ended at the end of the day. It was not physical but it seemed to be less freeing. I had to teach students and grade their work and a lot of times I didn't get paid for any extra time I put into researching for the kids. Any extra time I did was not paid. I also dealt with students who where unappreciative Just like unappreciative patients, but the thing was, at least the patient was sick and demanding, the student was not sick and demanding. In my head that makes a difference at least. I still work as a clinic NP and floor nurse both part time, the clinic NP is a nice job yes, but it is like being a doctor you give prescriptions and do assessments. If there is an emergency you call 911 or an ambulance and that's it. As a clinic NP I it can be satisfying although we still have to deal with demanding people. Here too my work does not end at the end of the day. I have to do chart reviews and things of that nature when im not seeing patients.
My point is that as a floor nurse I have so much support from my other floor nurses. We see emergencies call doctors, we call the shots most of the time on the floor. We bath patients and make them feel good. We feed the old person who can't feed them selves. Dressing changes, wound vacs, Traumas, there is a lot of variety .
Sorry for the long rant but I have focused so much time and energy into getting all the way to the top of the nursing food chain, that in reality, I still feel more at home on the floor. I like ranting and grumbling about bad patients/doctors, I like to talk about how hard management is treating us. I like to make fun of the silly things that happen on the floor. I miss being part of a team. I love being the person that the new grad comes to to start an IV. Love spoon feeding that patient untill there food is all gone. Love shaving the long beard of the homeless man, who now looks 25 years younger.
I still work on the floor but not as often and sometimes I think that I wasted so much time looking for something better, when in reality it was in from of my face. (lets not mention all the days I can get off in between 12 hours shifts) I can literally take a vacation every month if I wanted to. I know it really depends on where you work, some floors are an absolute nightmare to work on, but if you find the right floor and the right staff, you will never regret being a floor nurse. If you heart is in it, floor nursing might be right for you. Please don't disregard floor nursing as the entry level, "that's the only job you could find" kind of job, its not that at all. I have a masters FNP and still love the floor.
- 1May 1, '13 by mochamI just started floor nursing about 6 weeks ago. I am into my 12 week orientation and I am having a bit of culture shock, and am conflicted myself. While I absolutely love the interaction I have with "my" patients, I abhor the management where I work. They consistently short staff our floor (which I now understand, many hospitals do), and the seasoned nurses are jumping ship because of the workload. At least, they say they are going to (and some have). This is my third career choice (I am 47) and want to be a well rounded, skilled nurse in a year or two. I don't hate floor nursing, but I can see why they told us in school that it is a serious adjustment to make after graduation. I am very fortunate to have a preceptor who really knows her stuff, but unfortunately, she is not happy either. Right now, I feel "protected" while working with her, as she picks up my slack. In fact, I see all of the nurses on my floor helping each other. But, when there is a consistent shortage on the floor, and the census is high, it is seriously scary to a new nurse who is just learning the ropes and wondering how on Earth I will be able to "do it all" when I am on my own. I can see why there is burn-out.
- 0May 1, '13 by megank5183I'm glad there are nurses like you, OCRN3! I would want someone like you to take care of me if I were sick. I personally can't stand bedside nursing. I feel more like a waitress/stewardess than a professional. Although I did really like helping people and making their days better, floor nursing just does not suit my personality. It takes many different types to make up nursing but I understand your perspective of always searching for the next best thing....
- 2May 1, '13 by MyUserName,RNI'm glad some people like floor nursing. I know a few nurses that work on my floor that also love floor nursing. But most of them are here to get somewhere else and are not happy. I love my job as a floor nurse for the good that I feel when I know I give good care to my patients. I love the team work between most of us nurses on my floor. I love the funny little experiences etc and all of the things that the OP mentioned.....However....I hate my job as a floor nurse for the many days that I don't have time to be as good of a nurse to my patients as I want to be or think they deserve. There are a few very good days where I go home feeling good about my day, but those are very few and far between. Most of the time I feel like I'm being pulled in 5 thousand different directions all day long and can only spend enough time with each patient to do what quickly needs to be done and then move on to the next patient, issue, problem, etc. Half the time I don't even have time to do those tasks without being interrupted or pulled to do something else. My mind has to be in 10 different places all at once. I don't like how everything is always the nurses fault when things go wrong, but never the nurses fault when things are going well. I don't like how our doctors get amazing gifts from admin during doctors week and gifts from us nurses, but we are told to donate can goods for nurses week and get a candy bar from admin, when we are a huge part in the care of the patient. If it wasn't for us the doctors orders wouldn't get done! I don't like the fact that you are made to feel like this job is to be priority over your own health or your family. I've been made to feel like I can't leave when I'm sick (only happened once), most the time we all work sick. I've been made to feel like I need to visit the ER when calling out to stay home with a sick child, just so they know that I'm not playing hooky. A coworker a few weeks ago was made to feel like she couldn't leave work due to her son being in a car accident (he was okay, but still...) Nobody comes out and says you can't leave or call out, but they guilt you into knowing that's what they want. I like 12 hr shifts for the reasons the OP stated, having 4 days off, flexibility in scheduling etc. But I don't like the 12 hr shifts for the fact that during those days I get to see my kids for maybe 30 minutes if that. That's pretty much 3 days a week of me being completely absent from my kids lives. Anyways, I'm 2 years in and trying very hard to get out of floor nursing. I'm glad there are people that like it, but this is my reality.
- 0May 2, '13 by OCRN3Username RN, you have great points, also same reason why I left the floor at some point when I thought it was not worth it. Same point happen to us, where I work the floor. Sometimes though, the good outweighs the bad. I worked per diem on a really bad floor for a few years, and if I had to work there full time I would absolutely hate it. To this day, mAnagement there is horrible and treat their nurses like work horses. They care more about patient satisfaction scores then anything else. I am sure there are far worse floor jobs then good ones. If that is the kind of floor you work on, you will get burnt out in a week. That's the sad part of our job, no one care about us nurses as much anymore. Many floor nurses are even scared to open their mouth to this unfair treatment. I agree that there is good and bad in nursing, mostly bad on the floor. Hopefully you can find your niche soon.
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- 3May 2, '13 by NJnewRNEh, to each his own. I can say that floor nursing by far has given me some great and horrible experiences. With just my nursing diploma, I have to two options: Ship out (turn in the license) or go back to school (get an advance degree). Maybe something is wrong with me, but one of the very last times I worked on the floor, it took me out for months. Sorry I can't handle 14 tele, post-op, med/surg patients. I call it traumatizing. This is not an isolated issue as I used to be a travel nurse. For me the it's the lack of control when you are maxed at 8 to 9 pts and they keep sending admissions. Next thing you know someone falls, RRT, codes... Who gets blamed? Yes, I can't live like that. To each his own. I have no problem with bedside nursing when safety is NOT an issue. Since I've come to realize that will never happen, I'm choosing to go back to school. Like I said, to each his own.
- 0May 2, '13 by MyUserName,RNQuote from OCRN3Thank you, I'm hoping to find my niche soon too. Sorry my post was so negative after your very positive one. I had just got home last night after a very hard day.Username RN, you have great points, also same reason why I left the floor at some point when I thought it was not worth it. Same point happen to us, where I work the floor. Sometimes though, the good outweighs the bad. I worked per diem on a really bad floor for a few years, and if I had to work there full time I would absolutely hate it. To this day, mAnagement there is horrible and treat their nurses like work horses. They care more about patient satisfaction scores then anything else. I am sure there are far worse floor jobs then good ones. If that is the kind of floor you work on, you will get burnt out in a week. That's the sad part of our job, no one care about us nurses as much anymore. Many floor nurses are even scared to open their mouth to this unfair treatment. I agree that there is good and bad in nursing, mostly bad on the floor. Hopefully you can find your niche soon.
Sent from my iPhone using allnurses.com
- 0May 2, '13 by PCTJonHey guys,
I am currently working as a CNA in a nursing home and will soon (if my interview go well) start working as a PCT in a hospital. I don't have hospital experience, however I can say that I was surprised by the work nurses do at nursing homes. It seems that most of their time is spent on paperwork and meds. Also, it seems like EVERYONE of the nurses stay 1-2 hours after their shift to finish paperwork. Plus they don't get paid for those hours. As a nursing student (starting this fall) I wanted to know if this was true for nurses in the hospital. I am particularly interested in hearing about the ER and ICU. Thanks.