What's the issue with med surg? - page 2

by BABYJADE06

5,129 Views | 32 Comments

The title says it all! Everyone in my nursing program hates med surg and are hoping to have more option besides med surg when school is over. I extern on a med surg floor and most of the new nurses tell me that they only work med... Read More


  1. 7
    It's difficult and it doesn't have the "glamour" or the respect of the other specialties.
    ProfRN4, LTCangel, ktliz, and 4 others like this.
  2. 24
    Quote from eriksoln
    4. People in general don't get it that when you go to M/S from another unit, it is usually because you are better and getting close to going home. So, you have this patient from the ICU who is used to having a nurse with 2 total patients come to you.
    ICUitis. Other related psychosocial disorders include NICUitis, PICUitis, CVICUitis, BICUities, TICUitis... Primary symptom is overuse of call light. Other symptoms may include inability to independently pull up covers, reach tissues, or change tv channel related to an apparent loss of motor function of the arms.
    Savvy20RN, ProfRN4, mrsmamabear2002, and 21 others like this.
  3. 9
    Quote from wooh
    ICUitis. Other related psychosocial disorders include NICUitis, PICUitis, CVICUitis, BICUities, TICUitis... Primary symptom is overuse of call light. Other symptoms may include inability to independently pull up covers, reach tissues, or change tv channel related to an apparent loss of motor function of the arms.
    I've said it before and I'll say it again (or, rather, ask it again):

    How in the world did good "customer service" and safe healthcare get interpreted as............pretend you are a quadriplegic and have as much done for you as possible?
    Savvy20RN, wooh, DarkBluePhoenix, and 6 others like this.
  4. 7
    because its a no win situation when you have that many patients and are expected to provide exceptional customer service while praying that your insulin gtt guy doesnt go hypoglycemic, or confused patient with the unrepairable broken hip doesnt crawl out of bed because you cant watch him, or the other confused lady falls and breaks a hip because she "didnt want to bother you - you looked so busy", dont even go there with the etoh'er and the q 1 hour iv dilaudid drug seeker that some stupid doc wrote the order for.etc etc etc.a no win situation that puts YOUR license on the line each and every time you work.
    wooh, LTCangel, Ruthfarmer, and 4 others like this.
  5. 5
    Agree with the other posters on my med-surg floor we frequently get patients from the ICU as transfers with no change to their orders, Q1 hour CMS checks, Q1 hour neurochecks, Q2 hour accuchecks, pain meds ordered q1 hour with 4 other patients. And then everyone acts like anyone can do med-surg and that its nothing special, the time-management alone makes us a specialty.
    Savvy20RN, wooh, Ruthfarmer, and 2 others like this.
  6. 16
    I firmly believe the med/surg is one of the most demanding, least appreciated specialties of all. Too many people believe it is nothing more than the default setting if you don't have something more exciting picked out. They are sooo wrong. Med/surg is a marathon and a sprint and a stake-out and a juggling act (with chains saws) all at the same time.

    MED/SURG NURSES ROCK!!!!
    Last edit by rn/writer on Jul 11, '11
    Savvy20RN, wooh, ProfRN4, and 13 others like this.
  7. 3
    I am so grateful that I worked on a regular floor before coming to the ICU. As has already been stated, time management is the number one skill I took from it. There is no way to care for 6 -8 or even 10 patients withouit it. Now I come here to the ICU and my job is sooooo easy compared to that. Some of the nurses I work with came right out of BSN programs that had an internship in the MICU so they were offered jobs. They have NEVER had to manage more than 2 patients. A few of these nurses are perpetually behind in their work. Med surg requires crazy skills. It is hard work. People for the most part do ot want to work as hard as is necessary therefore medsurg gets a bad reputation. This reputation incidently has nothing to do with the level of nursing skill in assessment and pharmacology thta is required to care for 6-8 patients all of which may have different reasons for being in the hospital.
    wooh, Orange Tree, and Tait like this.
  8. 1
    I love being a med/surg nurse. Our unit is typically staffed at 1:5-6. I do weekend nights, and our charge is great about splitting up isolation pts. We do mostly GI illness, GI surgery, bariatrics, mastectomies, thyroidectoy, vascular surgery... Etc

    So in the post surgery world, we don't fluff pillows. The goal is to get you ready for D/C. We having a saying on our floor for people who wont use IS, walk, or TCDB. "if you think it hurts now, not complying can lead to pneumonia or clots" they usually get moving after that.

    Of course we do medical overflow, too. So you have to be on your toes and know about most diseases.

    We also get PCTs that are usually nursing students, so they want to do a good job and assist in anyway they can. (love our current techs).
    Tait likes this.
  9. 1
    Quote from jrwest
    because its a no win situation when you have that many patients and are expected to provide exceptional customer service while praying that your insulin gtt guy doesnt go hypoglycemic, or confused patient with the unrepairable broken hip doesnt crawl out of bed because you cant watch him, or the other confused lady falls and breaks a hip because she "didnt want to bother you - you looked so busy", dont even go there with the etoh'er and the q 1 hour iv dilaudid drug seeker that some stupid doc wrote the order for.etc etc etc.a no win situation that puts YOUR license on the line each and every time you work.
    Quote from rn/writer
    I firmly believe the med/surg is one of the most demanding, least appreciated specialties of all. Too many people believe it is nothing more than the default setting if you don't have something more exciting picked out. They are sooo wrong. Med/surg is a marathon and a sprint and a stake out and a juggling act all at the same time.

    MED/SURG NURSES ROCK!!!!
    @jrwest I have had all of those in one day! Talk about a work out!

    @rn/writer: "Here! Here!"

    Med/Surg is hard, unpredictable, and in the end pretty darn fantastic if you can handle it!
    healthstar likes this.
  10. 2
    I think that all new nurses should work in Med Surg before being allowed to specialize. It is a great foundation to build on.
    ProfRN4 and healthstar like this.


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