I've been on med/surg as a RN for a year next month. WOW! I made it a year, unbelievable. I was a LPN for 3 years before, 1 in subacute and 2 in a failry busy Urgent Care. I can't imagine how I would have done it without the excellent LPN experience.
Med/Surg is H-E-double-toothpick and I love it. Well, I loved it after 7 months, it finally fell altogether, until then I was ready to quit.
I think it's a combination of many things. 4-5 patients on eve's and 6-7 at night, all with completely different diseases/illnesses, and all we're supposed to be experts on all of them??? Some are new admissions, some are discharges, some don't speak English, some have major family issues, some are mentally ill, or developmentally delayed in addition. You walk into a patient's room and they look at you and have complete trust in you and think you know their entire history and outcomes for their disease process, and uhhh..... we just read 5 minutes of their history before we hit the floor. Most days I can barely keep straight if Terry in room 2200 is a male or female, or wait, is that Pat is 2201???
There's just not enough time to do everything. We ALWAYS leave feeling we forgot to do something, check a coccyx, reinforce that dressing on a wound, give emotional support, all that little stuff we thought we'd do when we were in nursing school
. There's always a crisis, a fire to put out. Charting sometimes is minimal at best. And helllo???? we're actually supposed to update the careplan? yikes... We wake up in the middle of the night remembering we forgot to pass onto next shift an important detail. OR if we work nights, we wake up at noon remembering this important detail and then, well, forget it, our sleep is wrecked for the rest of the day.
But... when we do a good job... and we actually get a chance to make a difference.... doesn't it feel incredible???!!!
Rock on med/surg nurses, we rule!!!