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.

Specializes in RETIRED Cath Lab/Cardiology/Radiology.

Oh, and putting on my moderator's hat:

Please keep comments to the topic of the article.

If you wish to engage in conversation about a different topic, feel free to start a new thread.

Thank you!

Specializes in Geriatrics/family medicine.

I could relate to your story been a nurse for over two years now but I am expected to take action even when I don't have report on the situation or I am not even at work. One time a lady demanded I go see what someone wanted as soon as I stepped foot on the floor. She was like that man needs something and I cannot tell what he wants. The "man" was actually a lady and all she wanted was some tissues. Whenever someone is sick I am expected to know how to fix the problem, I usually don't offer up in public what my profession is, I am trying to get a hospital job but I can't get one

Hey I've got it! For anyone who prefers to not answer strangers' questions: Tell them you work at a veterinary hospital!

Stranger: Hey nurse, I been havin' these tarry stools, and my abdomen is firm and distended! What d'ya think it is?!

Nurse (reaching up and touching stranger's nose): Hmmm, you seem healthy enough to me! Why don't you come by the vet clinic where I work tomorrow and we'll set you up with a course of wormer medication just to be sure! :roflmao:

Specializes in Geriatrics/family medicine.

lol thai is an interesting answer in case someone is really bothering you

I've always had a horror of having someone collapse or need medical attention and being expected to tend them outside of the hospital. I can do CPR but without my medical equipment and colleagues around me, I suppose I have a fear of failing to save them. Earlier this year, I pulled a woman out of an overturned car and waited with her and some bystanders until EMS and police arrived. I never told them I was a nurse. As far as I'm concerned, I'm not one off the clock. Just a bystander.

Specializes in Wilderness Medicine, ICU, Adult Ed..

When asked to talk about general medical stuff, I have no problem. I also have no problem saying “I don’t know.” However, the issue here seems to be when an invisible line is crossed and the other person is actually requesting professional services. I have a big problem with that.

In a casual context, my usual response is, “that’s very interesting. Please disrobe and lay down on this table and we’ll look into that.” Usually brings out a little chuckle, and a change of subject.

Obviously, I would never say that to a lady around my own age, as it would come off as a very impolite suggestion, which is not my intent. I would also not say anything so flippant to someone who is anxious about their health or the health of a loved one. Context is everything.

You really are an amazing writer. Some people have a natural gift, you're one of them. When you're finished caring for folks, well... you know what you can do!

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

I think if you have a nice watch, you should WEAR it. If you have a nice ring, you should WEAR it. And if you own a beautiful bright red designer handbag, you should carry it. Life is too short to not use things because you're afraid something may happen to them. They can get stolen right out of your home, and then you won't have them. If we're talking about not wearing rings and watches because your hospital won't allow it, that's one thing. But not wearing them because you don't want to lose them or "something might happen to it" is something else again. Use your nice things and enjoy them! And don't let someone else's judging you interfere with the pleasure you take in it.

Specializes in Wilderness Medicine, ICU, Adult Ed..
It's not your duty as a nurse...its your duty as a human being.

I see this from a different point of view. Part of my duty as a nurse is to provide services that are at least equivalent to the standard of practice in my community. This is rarely possible in a restaurant. There is no privacy, no other personnel to whom I can refer the enquirer, and no resources with which I can properly assess him or her. I would be providing substandard care, which could actually harm the patient. The best service I can offer this hypothetical individual is to refer him or her to the treating provider.

Specializes in CMSRN.
I think if you have a nice watch you should WEAR it. If you have a nice ring, you should WEAR it. And if you own a beautiful bright red designer handbag, you should carry it. Life is too short to not use things because you're afraid something may happen to them. They can get stolen right out of your home, and then you won't have them. If we're talking about not wearing rings and watches because your hospital won't allow it, that's one thing. But not wearing them because you don't want to lose them or "something might happen to it" is something else again. Use your nice things and enjoy them! And don't let someone else's judging you interfere with the pleasure you take in it.[/quote']

I think this was posted on the wrong thread.

Specializes in CPN.
I'm tiny, and I'm certain it'll be the 6 foot tall 300 pound man choking on his steak. I just know it.:( THAT's why I don't want to be identified as a nurse.

This!!! Though for me, my triggers are (1) kids coughing (2) old people (sorry, 'the elders') with an unsteady gait. Makes me hold my breath every time...

**I have developed great respiratory reserve

Also, this is where I thought the story was going when OP said:

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...
Specializes in CPN.
I began collecting bits of information to attempt to analyze the situation.

1. 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.

2. 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.

3. 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.

Mully-

I get that the part I quoted you on was not truly your focus for this article--based at least on the majority of the comments received. However, I, for one, thoroughly adored this running dialoge that feels a lot like a Nursing Assessment.

I'm about a year into nursing, too, and I've found that this whole Thinking-Like-a-Nurse thing is becoming more and more second nature--as it seems it has for you, per your in depth, yet instant, analysis of the man/waitress interaction. It's a part of nursing, I've found, that really doesn't leave you, whether you're off a shift and still wearing your scrubs + badge (+ clogs + stethoscope + pen light + .... ), or not.

Thanks for the great piece!