I have a negative attitude - I must leave - page 2
I have been in med-surg night shift for 7 months. When I started I knew that I would feel reality shock and this would improve as my skills grew. Well it has been 7 months and I hate my job. I... Read More
Aug 17, '03Time for you to move on.
If your job is making you ill,time to go.
Management just dosen't care about you or the patients.
Keep us posted,good luck to you!
Aug 17, '03"My friend on day shift told me hospital nursing is like this everywhere. "
Your friend is right more often than not. The turn over rate for RNs last year was 26% in the US.
Aug 17, '03Just something to think about and explore. I worked for 2 yrs in a LTC NH and I loved it but the staffing was deplorable. Drop by a few times unexpectedly and check out how many nurses and how many aids are on, on the various shifts compared to how many residents there are. It will give you a good idea of what the environment is truely like. I would also agree that you should maybe stay on PRN at the hospital incase you dont like the NH or incase the hospital improves. JMHO
Aug 17, '03I am saddened to hear of the conditions in which you are beginning your practice. There is alot of anguish in your words, but I hear loud and clear that you want to be a nurse and you want to do a good job. I think many of us in this profession are facing different circumstances but the same senario--the inability of practicing our profession to our satisfaction.
I do not, even for myself, have many answers. I feel that the hospitals have contracted with the community that they serve to provide safe and efficient health care. Nursing has been placed in the precarious position of making this commitment work.
I have been in nursing for some time now. I have recently resigned from a hospital that I have been a part of for over 18 years. I want for myself more control over how I practice my profession. I want to work for a facility that will do everything necessary to give me the tools to provide excellent nursing care. Over time I have found myself overwhelmed with paperwork and increasing patient care loads. I find that the hospital has more control over what I do than I. Well, I can't change the management (tried), but I can change myself.
Good luck in your quest--may we both find our niche.
Aug 18, '03Originally posted by CactusFlower
[B]I feel that the hospitals have contracted with the community that they serve to provide safe and efficient health care. Nursing has been placed in the precarious position of making this commitment work.
Best wishes to all of us in finding our 'niche'. For me and so many of my nurse friends, it has become a question of which place we can tolerate with the least personal frustration, and the least legal liability.
Aug 18, '03I personally believe that this is a nation-wide problem for Medical-Surgical nurses and the attitude is quite understandable with the workload. Many cannot handle the floor and most cannot handle the low job satisfaction that comes with the territory. I started in this area 21 years ago and keep going back to it because quite simply, no other nursing area challenges me like Med-Surg! However, I do understand the dilemma of being an agency nurse and the unwritten word that one does not complain while in that role. I have been working agency all summer in a small rural community hospital who is mostly staffed with agency nurses...and they wonder why?
Let me give you an example of what happened to me last night at work...I was caring for two patients on this Med-Surg unit who belonged in ICU. One was a new admit with a BP of 220/110 who came directly from the ER and the other was a patient having chest pain with two known blocked vessels waiting for transfer to an out-of-town medical center for CABG. I was lucky that I only had two other patients. My shift started at 7pm but I did not begin to receive report until 7:45 pm...then, I ran from 8:15 pm-11 pm when I transferred the patient with angina to the ICU. I was so upset with myself for not critically thinking during my runs between the two patients that I had forgotten to administer O2 to the patient with angina. When the overweight, lazy supervisor saw me running for hours, she did not assist but when I transferred the patient to ICU...she wanted to know where the O2 was...I felt horrible for my lack of automatic intervention, but I was so overwhelmed that I was not thinking clearly and I have no other rationale because I know better. I could think no further than (a) relieve the chest pain and (b) get the other patient's BP lowered before he stroked. Once I gave report to the ICU nurse and transferred that patient, I checked my other patient and his BP was WNL. I walked up to the desk where the supervisor and every staff nurse on the floor were sitting and I threw my clipboard down...and loudly stated that I was taking a break. I was so furious at myself and at them that I could have walked right out that door and never returned. I was ashamed of the care I had provided to the patient with angina, but I was mostly angry that I could not do it all and do it well. I decided that I am not returning to that hospital as an agency nurse and I don't care how short they are either. I also will think twice before I sign up for Medical-Surgical units because it is basically the same everywhere. The worst part of all of this is that I am a professor who is one who believes in keeping my critical thinking and technical skills up-to-date...what a warm reception I receive when the staff nurses realize that I am a Masters-prepared RN...NOT! So, this is how I see it from my perspective, I will consider joining the numerous other professors that don't choose to work actively as a staff nurse and the worst part of it all is that it is a shame for the patients. But, to keep my sanity, I will have to choose another practice setting. So, trust me, I do understand and to prevent myself from burning out or developing a bad attitude, I just move on...Last edit by barb4575 on Aug 18, '03
Aug 18, '03Originally posted by SmilingBluEyes
Run Forrest Run!
I couldn't have said it any better!
Aug 18, '03Barb- don't be so hard on yourself! I think we've all been there at one time or another. It sounds like you did the best you could with what you had to work with. They should have been glad you were there to help them. What a bunch of jerks!
Aug 18, '03Thank you both for your support...and yes, I am being hard on myself, but that is what motivates me to change as well. The ironic part of one of your replies is the patient with angina is waiting to go have his CABG in Louisville, KY...and should not be in this rural hospital at all. I asked the supervisor the rationale for the wait and she said, "they have no open beds". Hmmmm wonder if that is true?
Aug 18, '03Any "health promotion" practitioner will tell you that exposure to chronic persistent stress leads to a wide variety of problems that if left unchecked can lead to serious consequences to one's health.
In nursing we learn about the concept of ineffective coping and the negative outcomes this has on our patients.
Nursing practice today can be described as an environment filled with chronic persistent stress so it is no wonder nursing practitioners everywhere are fed up.
The reality is that we as a society tend to be reactive and not proactive and thus things have to get really, really bad before the "powers that be" are motivated to change things.
Aug 18, '03Thank you for all your replies. I have read each one at least twice so that I would not miss a word of advice and experience.
After my interview at the LTC facility the DON dropped me off at the desk and told me to stay as long as I liked to "get a feel of what we are like". I stayed for 4 hours and followed an RN who was quite happy and proud to show me the routine. The staff asked me alot of questions and I felt they were interviewing me as well. They seemed to care about what type of nurse they were going to be working with. They seemed very proud of their facility and the care they gave the residents. The residents were all cleaned, dressed and most out of their rooms for activities and socialization. One patient in for rehab told me " I'm leaving tomorrow-but let me tell you this is a nice place".
This morning at work one of the doctors stopped to talk to me. Out of the blue she asked me "Do you think you will stay here?" We are friendly so I confided in her about leaving. She told me that she would be sorry to see me go but this hospital is the worst. She said she feels bad for the nurses who work here and doesn't blame me for wanting to leave.
So I will take the advice to drop in at the LTC (have to think of a good excuse) to see if it is a nice as my first impression. I will give nursing another chance because it is really all that I want to do.
I would also like to humbly thank all of you for responding to this new nurse who looks to your experience to help me find my way in nursing. I know you from your posts and threads and know that you are happy and fufilled in your careers. You share your vents and accomplishments, you describe your jobs as challanging and demanding, and you say that there is nothing more in the world that you want to do then to be a good nurse. I wish to feel the way that you do. Thank you for helping me make my decision.