Why Nurses Don't Want to Be Identified in Public?

This is a true, dramatized story to help highlight something important I learned in my first year of nursing. I remember hearing nurses tell stories about being in the public and not wanting anyone to know that they are a nurse. I always thought that was strange, because I've always been so proud of being an RN. But maybe things have changed. Nurses Relations Article

It's funny.

I remember hearing nurses tell stories about being in the public and not wanting anyone to know that they are a nurse. I always thought that was strange, because I've always been so proud of being an RN. Throughout nursing school, I liked the idea of some stranger asking me for medical advice, and being able to bless them with my expertise on the subject. Even as a new grad, I loved to show off my new found knowledge of all things human body. I am now officially no longer a new grad, although I'm still a new nurse. I've just finished up a little over my first year of nursing in a busy step-down unit at my local hospital. It's funny how much one year can change you...

Having just gotten off the last long 12 hour night shift of another long stretch of days, I decided to stop at my favorite hometown breakfast joint for a perfectly delicious Belgian waffle adorned with sliced strawberries and just the right dollop of whipped cream - yum. Talk about unwinding. There is nothing like slaving over patients all night only to gorge on some award winning breakfast and then slip quickly into a coma afterward. I took my normal seat at the breakfast bar and stared day-dreamily into, and almost through, the wall, until my server brought me my water and asked what I'd be having.

"The usual" will actually order me a heaping plate of biscuits and gravy complete with a side of wheat toast, so this time I had to specifically tell her what I wanted. You've gotta switch it up every now and again.

My eyes, as if in a cardinal fields of gaze test, subconsciously followed the waitress as she went to the order window, ripped off my order slip, and then walked back to the bar to pour the man who was sitting near me a cup of coffee.

"How are you doing?" She asked him as she poured.

Casually, he responds "I'm okay. Yeah, I'm just headed up to see my mother at the hospital shortly. She's getting some X-ray done, cause she's got lung cancer."

Mildly stunned at the man's suddenly sobering retort to what seemed like just a simple greeting, I began collecting bits of information to attempt to analyze the situation.

Did this man know the waitress, thereby being contextually appropriate in his depressing update on his mother's condition?

Based on some body language cues and the lack of eye contact, I don't think so. These waitresses know all of their regulars by name, and she didn't address him as such.

Did the waitress know his mother, somehow then making his comment relevant?

It would stand to reason if the answer to question 1 is no, then this one's answer is no as well.

If they truly did just meet and their relationship is strictly waitress/patron, then how will the waitress respond to this blunt, and relatively out-of-place, oddly intimate retort?

I looked up to see what she'd say. She had already had her back turned by the time he finished saying it, and was hastily preparing other people's breakfast items. It dawned on me that she may not have heard him.

This is when it happened.

A flash of fear fell over my body as I realized that I was the only one looking at him, and at the same time, obviously rocking my scrubs and other medical items including a huge name badge with the enormous initials "R.N." on it. "No!" I thought to myself. "He's going to continue the conversation with... ME!"

Visions rush my head of me obligatorily making polite, uninterrupted eye contact as he shells out his sad story - meanwhile my waffle rapidly cools in front of me like an arctic sun patient. He'll ask me an obnoxiously impossible question like "How long do patients like my mother usually live?" and I'll be forced to deflect and ask him more about her disease which he'll know nothing of the specifics. I'll ask what they're doing with her today. He'll be unsure. I'll offer him some vaguely hopeful cliche like, "Well, you never know..." in regards to her condition which means nothing if you actually think about it. We'll get nowhere. I'll apologize for his troubles. He'll thank me. I'll then be socially permitted to pick at my therapeutically hypothermic breakfast, all while awkwardly uncertain if the conversation is truly over or not.

In a desperate attempt to avoid this catastrophe, I immediately turn my head to the empty counter directly in front of me. A pause.

The waitress, finally finishing the task she was conducting, turned around and simply responded, "Awww, that's too bad," before delivering her goods to another table.

And just like that, it was over.

And, just like that, it dawned on me why those nurses didn't want to be identified as such in the general public. All at once, I felt a little guilty, and a little great. I felt as if I had grown up! What happened to me? The old me would have probably gone all Nightingale on him to try to heal his hurting heart STAT. I realized however, that there is maturity in recognizing that this was neither the time nor place to attempt this discussion. I knew what would happen. He would go to the hospital, and if he had a decent nurse, he'd get the comforting he may or may not need. He'd get his questions answered factually and appropriately. He'd get listened to. He'd do it the right way, and it would work, all without me needing to be involved.

I'll soon be starting a new position in the Surgical/Trauma ICU at a huge level 1 trauma center in another city. With any transition, it calls for some reflection on where you've come from, and hopes for where you'd like to go. I've learned a lot over the past year. I've learned that there's a vast amount of information that I don't know, and in turn, to be humble. I've learned not to care so much about people's opinions, or whether or not people are nice to me. "Screw 'em," I occasionally remind myself. I've learned to respectfully tell it how it is, and how to respectfully stand up for those who need it. And, among other things, I've learned not to identify myself as a nurse when I'm outside of the hospital unless absolutely necessary.

I wonder what I'll learn next year.

I always carry a backpack to work with an extra change of clothes. I like medicine, but I dont always like to talk about it. I need a break now and then. I like to keep work at work. I know this isn't always possible.

I wonder why they would change the name of an article, it's not like you were asking a question and they thought changing it would get better responses... I like the original title as well!

I'm sure the OP would have been happy to talk to him had he approached her. I see nothing wrong with what she did.

The whole point of the post is that she would NOT be happy to talk to random strangers who invade her privacy when she is off the clock. And, nearly everyone who has posted agrees with this perspective.

I think the demands of nursing and 'compassion fatigue' are why so many feel this way. Trust me, after shifts like mine last night, I do understand the feeling.

I don't mean to attack the OP personally. My point is that we need to rise above it and remember we are all called to compassion for our fellow human beings, whether they be strangers or not, whether we are tired from work or not- it's our duty.

My argument is against a very common attitude among healthcare professionals when off the clock.

The whole point of the post is that she would NOT be happy to talk to random strangers who invade her privacy when she is off the clock. And, nearly everyone who has posted agrees with this perspective.

I think the demands of nursing and 'compassion fatigue' are why so many feel this way. Trust me, after shifts like mine last night, I do understand the feeling.

I don't mean to attack the OP personally. My point is that we need to rise above it and remember we are all called to compassion for our fellow human beings, whether they be strangers or not, whether we are tired from work or not- it's our duty.

My argument is against a very common attitude among healthcare professionals when off the clock.

Part of compassion is recognizing when you do not have enough energy to commit. If you are too tired to give your all in such an interaction it's kinder to avoid it than to struggle to listen and respond "just because you are a nurse".

Sometimes you just can't, and I think the point here is that just because we are nurses, doesn't mean we should, or are even able to, be there for everyone else at every waking moment. Sometimes it's kinder to recognize when your intervention would be potentially more harmful than helpful.

After a night shift, or a busy day, I need to turn off my inner nurse and just be, and that's not selfish, that's just a fact. I'm tired. I honestly cannot give that man what he deserves. My need to have quiet time is as essential as that man's need for somebody to listen, and in that instance, I know I can't listen. If I had to be "on" 100% of the time simply because of my profession, I would be on the fast track to a breakdown.

So I disagree that it is our duty to always give to others regardless of our circumstances. Obviously each situation is different. For me, if I can't shut down and have that time for me, I would not be able to be there for others when it matters.

That guy at the restaurant, sure, he likely needed somebody to listen, but it was not going to ruin his life if that nurse wasn't it. If I came across a horrific accident scene on my way home, you bet I would be there for the wife whose husband is receiving CPR. You pick your battles and you pick your moments, and you recognize that you can't always be present in every instance, and you do what you have to do "for you" so you can do for others when it's needed.

I would not have engaged that conversation either, and I don't think that means I lack compassion. I don't think it means I haven't done "my duty" as a nurse.

Specializes in MDS/ UR.

I believe we are all free to determine 'our duty' in this situation.

I grow so weary of someone else having self-appointed themselves as the spokesperson for me and other nurses. Unless, I missed the election.

It might also be considered that the gentleman was just answering a question in a factual manner without thought or intent otherwise.

More than anything, this makes me want a Belgian waffle.

I would not have engaged that conversation either, and I don't think that means I lack compassion. I don't think it means I haven't done "my duty" as a nurse.

It's not your duty as a nurse...its your duty as a human being.

Specializes in MDS/ UR.
It's not your duty as a nurse...its your duty as a human being.

You are dictating the moral compass of everyone. What gives you the right, may I ask?

You are dictating the moral compass of everyone. What gives you the right, may I ask?

As a confirmed Catholic, I am obligated to provide good counsel when the situation arises.

You, of course, are free to exercise your own will as to whether or not you choose to listen.

Still it is my duty to speak up, though I realize I will be expressing an unpopular belief.

It's Sunday. I hope you all have a peaceful day and try not to take my words as a personal attack- they were meant to challenge an attitude. Much like a Sunday homily does.

The whole point of the post is that she would NOT be happy to talk to random strangers who invade her privacy when she is off the clock. And, nearly everyone who has posted agrees with this perspective.

I think the demands of nursing and 'compassion fatigue' are why so many feel this way. Trust me, after shifts like mine last night, I do understand the feeling.

I don't mean to attack the OP personally. My point is that we need to rise above it and remember we are all called to compassion for our fellow human beings, whether they be strangers or not, whether we are tired from work or not- it's our duty.

My argument is against a very common attitude among healthcare professionals when off the clock.

I think engaging with complete strangers about such deeply personal matters is ill-advised.

Doesn't really have anything to do with "compassion fatigue" or being a nurse, it would just be a very uncomfortable and awkward experience.

It's not your duty as a nurse...its your duty as a human being.

And it's my duty as a human being to recognize when I can't help a situation. Tired, hungry, and post night shift is not when I can just give of myself to another except in an extreme case.

My point is, we can't be "on" all the time and I don't believe that means I lack compassion as a human being, either.

The whole point of the post is that she would NOT be happy to talk to random strangers who invade her privacy when she is off the clock...My point is that we need to rise above it and remember we are all called to compassion for our fellow human beings, whether they be strangers or not, whether we are tired from work or not- it's our duty.

Huh. So you're saying that it's my duty as a human being to be happy to talk to random strangers that invade my privacy? That to do otherwise means I am lacking in compassion? Interesting. I wonder what Ted Bundy's victims would think of that?

At any rate, since we're all throwing in our two cents, it's not really listening to a stranger's sob story that makes me not want to be identified as a nurse while off the clock. I can do that, that's easy. My biggest fear is having to do the Heimlich maneuver. Now that scares me.