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I don't think I hate Med-surg, but I think I do.



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Mar 13, 2007 12:41 PM

I don't think I hate Med-surg, but I think I do.

by Wheaties Premium Member

I've been an RN for 7 months now in a Med-Surg unit. I'm just so burned out with it all so far working in med-surg . Our hospital's med-surg unit has your typical med-surg patient but throw in inmates, telemetry, and OB patients there as well, and patients who are just there and they are DNR and just waiting for their time to pass.

I'm tired of patients asking for pain meds around the clock, especially the inmates who are always in pain and want their morphine or other opiate-type pain meds or patients with a hx of drug use and a sa result they want their opiate pain med on the clock as it is ordered.

I'm tired of rude families who are so demanding sometimes.

The amount of paperwork in med-surg is just too much, and I spend most of my time giving meds, doing paperwork, and not enough time with the patients, which is very frustrating.

Plus, sometimes I end up passing work I didnt do to the day-shift nurse, which I hate. I really hate it, because I want to finish all I can so I dont pass what I didnt finish to the next-shift nurse.

Most of the time, i am assinged with an LVN, I get my 5-6 patients, the LVN gets their 5-6 patients as well. But really, the RN is responsible for all those 12 patients, and sometimes I give report to all those 12 patients to the next shift because some of the lvns i work with are slow and dont finish their work before the day shift staff comes in.

I only take 30 minutes or less for a lunch break, and I dont even take my two 15 minute breaks.

The last 2 hours are the busiest because anything will go wrong and the patients can get demanding. IV's will go bad and the sorts, you name it, anything that can go wrong will go wrong.

I dont think time management is the issue for me. I have a decent average time management skills. When I work by myself where I am assinged my own patients, I can get everything done no problem. But when I am assinged with an LVN, its hard especially if those patients require a lot of work.

My plan was to spend 2 years in med-surg, but now I am considering just 1 year.

But i'm not a quitter, I enjoy working with the patients, but majority of the time, those above situations that I describe above happens almost every night.

Any tips and suggestions how to deal with the stresses of working in Med-surg and how I can deal and cope with it all?


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17 Comments
No. 1
Old Mar 13, 2007, 12:44 PM

Default Re: I don't think I hate Med-surg, but I think I do.
Wow 5-6 Patients Is A Gift, Although You Are Responsible For The Lpn/lvn.. I Think That Med-surg Is Overwhelming, And They Try To Put A Lot Of New Grads There And Many End Up Quitting Nursing All Together, After A Couple Of Months Of The Same Sort Of Stuff You Are Talking About. Maybe You Should Try Something Else, Would Be A Shame For You To Get Burnt Out On Nursing All Together!
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No. 2
from jamato8
Old Mar 13, 2007, 01:08 PM
Updated Mar 13, 2007 at 01:15 PM by jamato8

Default Re: I don't think I hate Med-surg, but I think I do.
With as sick as patients are these days I do not think 5 or 6 pts is a gift at all. I worked in a cardiac pccu and 4 was too much though we used to have 5 and 6 and that was over the top. With all the paper work to do now, the added responsibilities of the RN that have moved into the lower end of what a doctor used to do, I think the proccess of what an RN should do in relation to her/his pts needs to be overhauled. In 10 more years there is a projected shortfall of 500,000 nurses in the US, gee I wonder why? Not only is it becoming more difficult with an aging and sicker community, the requirements are increasing on what an RN is responsible for. Burn-out will only increase until there is some sort of real meaningful change.

On the note of med-surg, I never cared to do it though in a cardiac unit, where I have always worked, you get everything. Safety first, right?!
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No. 3
from Wheaties
Old Mar 13, 2007, 01:32 PM

Default Re: I don't think I hate Med-surg, but I think I do.
maybe its the team nursing approach that my hosp. uses that I hate, which is more than likely.

nothing beats working with 5-6 patients on my own with a CNA and having time to be there with the patients. I dont feel rushed when I work by myself.
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No. 4
from jamato8
Old Mar 13, 2007, 01:41 PM

Default Re: I don't think I hate Med-surg, but I think I do.
Originally Posted by Wheaties View Post
maybe its the team nursing approach that my hosp. uses that I hate, which is more than likely.

nothing beats working with 5-6 patients on my own with a CNA and having time to be there with the patients. I dont feel rushed when I work by myself.
What is your team approach? With a good CNA the pt load can be changed, without a doubt.
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No. 5
from oramar
Old Mar 13, 2007, 02:19 PM

Default Re: I don't think I hate Med-surg, but I think I do.
Sounds like you are doing great. Your concerns are valid. Med/surg has all the problems you say it does. If you are ready to bid on another job go ahead. I hope all those people that are considering going into nursing or in nursing school read your post because your feelings and experiences are pretty average. If you are going into nursing because you think you will feel good think again. Most likely you will feel just like this newbie. However, that does not mean two years or five years down the road you will feel this way. Most people move around a bit in early years till they find their gruve. PS Managment can make med/surg a good experience for everyone(newbies and golden oldies like me) anytime they want to they just don't want to. How do I know? Because there are places that do it, unfortunately they are in the minority.
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No. 6
from wooh
Old Mar 13, 2007, 03:12 PM

Default Re: I don't think I hate Med-surg, but I think I do.
It may not be the med/surg you hate, but the way work is divided on your unit. Perhaps try another hospital where it's you and a CNA (although warning, you may get 6 or 7 or even 8+ at night, but at least the work is "your" work, and not half you and half the LPN, which may suit you better).
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No. 7
Old Mar 13, 2007, 03:56 PM

Default Re: I don't think I hate Med-surg, but I think I do.
I am also sick of Med-Surg, and will probably leave the bedside for good this summer. Our hospital, a Magnet hospital (big deal), has just raised our ratio from 5:1 to 6:1, although they still say that they have wonderful ratios. It seems that bediside nursing is like taking a test with 3000 items, and if you miss one item, you flunk

Our manager drags people into her office all the time to chew them out about various transgressions, most of which are just documentation oversights because they are passing meds, starting IVs, assisting in codes, calming irate families, etc. etc. She suspended one of our long time nurses, but when that nurse came back, she was charge. One of our new grads left her office crying the other day. This is insane.

I will have 2 years hospital experience in June, and then I am outta there. Enough is enough.

Oldiebutgoodie
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No. 8
Old Mar 13, 2007, 04:07 PM

Default Re: I don't think I hate Med-surg, but I think I do.
[quote=oldiebutgoodie;2109412] It seems that bediside nursing is like taking a test with 3000 items, and if you miss one item, you flunk

Couldn't say it better myself!
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No. 9
Old Mar 13, 2007, 04:28 PM
Updated Mar 13, 2007 at 04:30 PM by dmarie (GA)

Default Re: I don't think I hate Med-surg, but I think I do.
Most of the time, i am assinged with an LVN, I get my 5-6 patients, the LVN gets their 5-6 patients as well. But really, the RN is responsible for all those 12 patients, and sometimes I give report to all those 12 patients to the next shift because some of the lvns i work with are slow and dont finish their work before the day shift staff comes in.
It's my understanding that LVN/LPN's work under their own license, not yours, and are responsible for their own patients. Why are you taking on the workload of the LVN/LPN? That's too much. No wonder you're burned out.
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