CrazyGoonRN 8,937 Views
Joined Aug 14, '09.
Posts: 422 (30% Liked)
You're right. I guess because I didn't answer your question on a forum I must be incompetent. You're not even in nursing school and first thing you ask me is about salary and the lifestyle. Don't go into it just for the money and in regards to your post it showed you don't have a clue about your future goals which is why I said get your nursing degree first and see how you like it before worrying about optometry and anesthesia. Sorry you got butt hurt. You said you were accepted into an ADN and wanted more info now for when you complete a BSN which would still be 3-4 years from now then another 2 years working as an ICU nurse. Trust me there's no need for you to worry about it right now.
So you worked Friday night and still didn't sleep by Monday morning? If you truly haven't slept in almost 2 days then yes, you should call in. You should also see your MD and maybe try something for that kind of insomnia. You should also not call in for lack of sleep. That level of tired would legitimately make you feel lousy, so better to call in sick. Your co-workers would very likely not be pleased at having to cover your shift just because you didn't get enough sleep the night before.
I have to say I though that I find it highly unlikely that you haven't slept in that long. Friday night to Monday morning should have been more than adequate time to rest before you work again.
I would be comfortable with a classmate going under my shirt to listen but I would not be okay with taking my shirt off in front of a classmate.
Former LVN here, run for your RN. RUN. I wish I had done it sooner. The amount of doors that opened was amazing.
I’ve been crying all morning coming from a pain so deeply repressed and locked inside me. I watched my last patient die three days ago and leave in his wake a broken family truly taken to the depths of misery and suffering. It was unexpected as most seem to be in an Intensive Care Unit. A hopeful wife of 20 years who claimed to have found her soulmate blindsided by her husband’s death.
I remember the daughter’s face when she came to the bedside while I was performing futile CPR, a gasp of horror unknown to most people. Empty eyes and an instantly drained soul. They both, the wife and daughter, threw themselves on his body begging him to return from the dead.
How many times have I seen this? Too many to count. Each time, I myself have felt the distinct pain of death and sorrow and stuffed in a vault deep in my psyche hoping to never release it. How many times have I been bestowed the “privilege” to give people the worst news of their lives.
“Hi, I’m so and so, we’ve done everything we can, I’m sorry.”
“Hi, I’m so and so, your husband’s stroke was catastrophic and unrecoverable. He may not make it through today.”
“Hi, I’m so and so, you are going to die and I’ll be here to help you and make it as smooth as possible.”
Ever had a day where you got sent home because both of your patients died?
Ever cleaned a dead body for the morgue, then gone to your 30 minute lunch break (and you only get 30 minutes, no more)?
Several deaths I pin on myself. I lost two patients last year which I “know” I had a hand in. I should have known this, I should have done that. Of course, people tell me it wasn't my fault. Does that help? No….it’s a deep knowing and a horde of permanent memories I will take to my grave.
Then there’s the clinical stress.
Am I doing the right thing? Do I know what I’m doing? Ever looked at a med vial 5 or 6 times because you keep second guessing what you’re giving? I used to go home after a shift and read up on things I encountered during a shift that I was unsure of. I used to read textbooks for leisure. I’ve got ACLS forwards and backwards. Pretty sure I can interpret rhythms better than some of the residents. I’m not trying to toot my own horn; just pointing out that this drive (which according to popular belief is a good thing) has driven me off the cliff into a world of immense suffering.
Maybe I just don’t know how to cope.
I thought having a couple beers or glasses of wine was the way to do it. Laughing with your coworkers about how messed up your day was or just venting to your innocent spouse. OR MAYBE, there’s a better way to do this so that able people like myself aren't lost in this dark forest of despair. I’ve heard of certain facilities offering post-death huddles or post-major event huddles. Now I understand that’s not plausible on a unit where 2-4 people die or have a major event a day, but something has to give. You’re supposed to “buck up,” or my favorite I’ve been told is “this is a sink or swim place.” HA!!! What a joke. No wonder I’m where I’m at today. People aren’t meant to be able to handle these kinds of stresses at their full-time job. I do remember a clinical instructor I had (a critical care guru) telling me that ICU nurses typically have a two year shelf-life before changing disciplines. I remember thinking, “what weaklings, two years is nothing; I can do it.”
It’s torn a hole in me. I quit my job yesterday. I don’t sleep. The formerly strong, I can do anything, level one center, highest acuity, give me the sickest of the sick gunslinging cowboy has changed. I’m having trouble leaving my apartment. Time to get a good psychologist. I don’t know if I’ll be able to ever touch a patient again. This is hands-down the hardest thing I’ve ever done. I hope I can heal. I hope this reaches someone else out there experiencing something similar. Burnout and PTSD are real. Don’t let them steal your life.
Another Broken Healer
Call HR and follow it up by a written complaint. You want it on file for your protection. Such language is unacceptable under any circumstances. Do not reply to him , do not entertain him, do not add a comment. Just walk away and do the above.
Why does your husband drive you to work appointments? You don't drive? I read your post and thought it was a little controlling on your husbands part but I didn't say anything because maybe it's too judgmental and not my business. But now you're saying he also drives you to jobs? Do you go anywhere by yourself?
Yeah... I don't think he's being controlling. I think he just doesn't want her to get in trouble at work. Which is understandable! My boyfriend is the same way. He's always like... I'm not gonna get you in trouble right?! I would just assure him that no... you will not get in trouble and that you will be careful. The bad thing about social media is that it can come back to bite you in the butt professionally, so you have to be mindful about what you share. Maybe he would feel better if you let him read a few of your posts before you post them and explain how its okay to post. Some people just need to be reassured.
My husband is concerned that I could say too much; he is definitely the more cautious of the two of us. We are close, we discuss issues easily, and we look out for each other. I never meant to imply that he ordered me around.
My agencies are fairly strict. I can't even have my husband drive me to work unless I have the client's permission. He's not supposed to know where they live. I'm vague in my descriptions. "I'm going north of (this city)", or, "It's in town." I don't do HIPPA violations.
It's good to know that others have also had to work out a balance between spouses and the ALLNURSES crowd.
Thanks for the responses.
Your husband won't "let you". ??!
i'm sorry, but I really don't understand this.
You are a grown adult and should be able to participate anywhere anyplace you want.
You might want to re-think identfying your previous employer, there might never be any repercussions, but the nursing world is smaller than you think, sometimes past managers get hired at current workplaces and it can be awkward.
Were you doing home care in a high-crime area? Providing care to violent, psychotic patients? Threatened by co-workers? Exposed to chemical toxins? Dealing with sub-standard or faulty equipment? I am really curious about the 'danger' element also. Could be totally legit.
I am quite unsure of the context on a few of the responses, mostly by yhthr. The context of his/her posts seems rather difficult to follow and am I not sure of the point he/she is trying to provide. I do not really get involved much in the NP/PA/MD/DO etc debate. I do not feel we will lose any or much ground if that is what many of my counterparts are worried about. But back on topic, it does seem that many of the nurse practitioner programs do not offer a few of the rudimentary skills that psychguy describes. This probably does vary greatly, but it does answer my question. At least now I will know what to expect and will be wary on many new graduate nurse practitioners and attempt to give them the guidance they may need when they are pulling shifts in the ER. As others agree with, the problem of overconfidence does spam all professions, and I think I stated that earlier on to show my impartiality toward the topic. As previously stated there are great providers out there of all sort, but when it comes down to pulling teeth, it is very difficult to be prepared for any provider role in 700 hours or so. I also do agree that much nursing experience prior to does help. Often times the ER nurses at the facilities already have everything done before one of us provider type enter the room. And many of them are almost always correct on what to do and many could probably run the ER if needed.
I know most people also know that there are many doctors that are rather “not excellent” in a way to put it and often not motivated. This is very true, but the major difference is to be able to make it through medical school and residency without sinking into a subpar depressive state, is one must enjoy what he/she is doing. By forcing us through the tens of thousands of hours of residency, they are able to pound the needed information so thoroughly into our brains that even the least motivated physician will have the needed background to perform decently. The lack of motivation would provider a larger detriment toward the pa or np who has not been forced through this ringer quite as long and where each hour must be cherished to maximize knowledge gained.
The self-motivated will always come out on top, and again, the self motivated nurse practitioners are excellent, and can do almost all of what we can do within a year or two of practice and mentoring. But it is somewhat concerning that one can come out prescribing thousands of different medications without the solid knowledge of what most of these chemicals do to the body.
All in all, with the experience you all have described it seems once a motivated nurse practitioner gains footing there is nothing to worry about, if they are motivated. The general consensus seems to be that (again) education is very school specific, some are good, some are not so good (the online schooling part is rather terrifying). I am simply attempting to sum up what I have read so please excuse me if my response does not flow perfectly, but by putting it in my own words it allows me to understand it better and also portray my train of thought to you all, since we are all hopefully on the same team, at least theoretically.
Talk, Discuss, and Share your experience at your favorite Nursing School.
Advertise With Us