Can't handle the hospital environment. Need suggestions

  1. 1 Hi everyone,
    I'm writing this because I'm hoping one of you can give me some insight into a good new field of nursing besides the hospitals. I have ADD and take Adderall. Lately I have had some issues where I can't chart on time, being late with certain things, and some other issues. I have found a report sheet that works for me and I do my best to organize my day and prioritize as much as possible. My question is this: Have any of you that have worked at hospitals quit because you couldn't handle the stress and found another venue that you enjoy or even love? I really hope I'm not alone in this. It was a hard realization but I'm glad I discovered that the hospital environment is not appropriate for me at this point of my life now rather than 4+ years down the line. Any suggestions are appreciated! Thanks.
  2. Visit  sdupnik profile page

    About sdupnik

    Joined Jan '06; Posts: 8; Likes: 1.

    13 Comments so far...

  3. Visit  merlee profile page
    2
    You don't say how long you have been working, so it is hard to make a good call. I apparently also have ADD, but we didn't have a name for it 50 years ago, just called it 'ants in the pants', or the Yiddish term 'shpilkes'.

    I worked in ICUs, a variety of med-surg floors, acute dialysis, and home health, over the course of my 30-years + career. Somehow, I devised ways to get through.

    You made it through school, and passed your exam.

    Everyone has an adjustment period in every job, and what you've stated seems typical.

    Give us a bit more info, and maybe we can guide you.

    Best wishes!!!
    subee and loriangel14 like this.
  4. Visit  49virginia49 profile page
    0
    Hi sdupnik,
    Have you thought about being a wound nurse?
  5. Visit  Pfiesty profile page
    0
    Check into your state. They are always looking for facility surveyors because they pay so poorly, but the work is very easy. Your only hurdle will be dealing with the boredom.
  6. Visit  Two Sheds profile page
    0
    I'm an RN, working at a prison medical facility with the Correctional Medicine Division and I love it!!!
  7. Visit  kcmylorn profile page
    3
    One would think that with all the nurses jumping the hospital acute care ship these days due to poor work environments, Nursing Management would take the hint and be proactive to correct it. We all know that just as many nursing managment read these forums as us "worker bees" do, yet they walk around playing stupid.
    If I were managment/adminsitration, It would take this as the writing on the wall and the shape of things to come when the economy gets just a tad better, but I think it has started already. Nurses leaving aka the nursing exodus. And as far as those new grads that were not able to find jobs- I hope they didn't think they were just sitting around waiting for that phone to ring with school loans to pay. I wouldn't count on them either. If they are in any kind of a job, not nursing, don't think they are going to leave them for the nursing bandwagon. Guess what nursing managers- a waitress in a nice upscale restaurant can make the same wages, if not better( $200-400/nite in tips- do the math OH great ones!!) And waitresses don't get cancelled in those restaurants, they can always pick up extra shifts. And they don't have to be exposed to body fluids or the threat of a lawsuit!!

    My vote and suggestion- go waitressing- still have the nasty patients/customers, no pee, poop,blood, meds to give out, doctors or lawsuits. same money, probably better. Plenty of nurses working with my daughter in a restaurant.
    tiredbeatupRN, leslie :-D, and elprup like this.
  8. Visit  VivaLasViejas profile page
    0
    I can sympathize with the OP, as I had to leave the hospital environment for many of the same reasons, although my MH issue was undiagnosed bipolar disorder rather than ADD.

    I've actually been quite successful as a Director of Health Services in assisted living, despite not being dx'ed till very recently. On days when I can't focus well, I spend a lot of time with the residents just catching up with them and doing informal assessments; and on days when I want to isolate myself, I'll put my headphones on and do paperwork in my quiet little office. There's a lot of flexibility in this job, which is absolutely essential to my ability to do it well, and my evaluations have been great so I must be doing something right. The trick is to work within your limitations on any given day, because there will be high-stress days in this field too and you have to have some coping mechanisms in place to withstand the pressure. But the physical demands are few and the hours are generally 8-5 Monday through Friday, which is really good for anyone who tends to be scattered and erratic, as I am at times. Good luck!
  9. Visit  elprup profile page
    1
    I can sympathize with OP as well. Do what is best for you always, because the managers certainly do not care if your current job kills you, as long as you are there working.
    VivaLasViejas likes this.
  10. Visit  sdupnik profile page
    0
    No offense, but I would hate to have to go back to waitressing (I did that too). I just don't see that as a fulfilling long term career goal. I think my long term career goal would be to be a flight nurse but unfortunately that won't be for a while as I have no ED or ICU experience. =(. I think I would love to go back to the hospital in some capacity at some point. My mom suggested I apply to be an IV nurse. Unfortunately I haven't seen any job postings for that in my state.
  11. Visit  sdupnik profile page
    0
    Sorry, I don't think I could handle working with prisoners. =(
  12. Visit  sdupnik profile page
    0
    Yes, I have thought about it, but I'm not sure how to go about obtaining my wound care certification, as that is required for many facilities to be a true wound nurse. I don't think it's my first choice but if that was my only option, I would do it.
  13. Visit  sdupnik profile page
    0
    To merlee:
    I've had ADD since I was about 10 or so. I'm 27 now. I thought that by being more organized at work when I was working in the hospital environment, it would reduce a little of the stress, but it really didn't. As I stated in another reply, I would love to go back to the hospital environment at some point but probably in a different capacity then I was working in before as I think it would be awesome to be a flight nurse. Unfortunately they will only hire nurses who have approx 3+ years of ED or ICU experience and many of the EDs and ICUs here prefer nurses who already have that experience. I currently work in home health which is pretty fun, but I'm afraid the longer I wait to go back to the hospital, the harder it will be to remember how to be a hospital nurse. Any other suggestions are greatly appreciated! =)
  14. Visit  Compassion75 profile page
    0
    Quote from sdupnik
    Hi everyone,
    I'm writing this because I'm hoping one of you can give me some insight into a good new field of nursing besides the hospitals. I have ADD and take Adderall. Lately I have had some issues where I can't chart on time, being late with certain things, and some other issues. I have found a report sheet that works for me and I do my best to organize my day and prioritize as much as possible. My question is this: Have any of you that have worked at hospitals quit because you couldn't handle the stress and found another venue that you enjoy or even love? I really hope I'm not alone in this. It was a hard realization but I'm glad I discovered that the hospital environment is not appropriate for me at this point of my life now rather than 4+ years down the line. Any suggestions are appreciated! Thanks.
    Dear Fellow nurse,

    If u find home health works for you I would stay in that. I am also a current home health nurse and have been doing home health and hospice for the last 13 years. I for other health reasons such as chronic fatigue syndrome and fibromyalgia, diabetes, as well as recently diagnosed hypothyroidism and another pituitary disorder that also calls for lifelong injections of human growth hormone, cannot tolerate a hospital environment either. home health has its stresses but its worse day wil never be as bad as the hospital. Real nursing is not just in hospitals there is a whole world open in community health and ambulatory care settings. Plus you learn alot of administrative skills such as case management which can parlay into careers with insurance companies and other settings. When I get discouraged because of all the paper work and bleary-eyed nights documenting, I remember that I basically get to work from home, make my own schedule, work basically 8-5 m-f, enjoy music and my favorite sermon tapes while I am driving in a peacefully quiet new car, enjoy beautiful scenery and sunshine, and get to work with one patient at a time. To me u get to practice true nursing in case management and community health because the nurse basically creates and directs the wole plan of care and the physicians truly respect and collaborate with u because u are their eyes and ears in the home. I recently had a little setback in which I had to have medication adjustments and had been out of my human growth hormone due to lack of insurance. So I had to battle with chronic exhaustion and fatigue and poor concentration and got behind in paperwork cause I couldn't focus and slept alot. But now with a few medication changes I am feeling better and catching up. I also rely on extended release Ritalin and caffeine pills to help keep me awake, but my doctor is switching me over to Nuvigil because it will decrease chance of heart palpitations. I am saying all of this to say God put u there for a reason so resist the urge to job hop and stay and get good at what u are doing. And trust me u are not losing skills as the patients are now th ICU patients I had 10 years ago. I have managed Primacor and Dobutamine drips, PT/INR fingerstick checks, telehealth patients, pts with external defribillator life vests awaiting AICD/Pacemaker implantation, IV's, central and picc lines, complex wound care/wound vac, plus various med surg diseases such as copd, chf, diabetes, parkinsons, cancer and a whole host of other condtons. So on the contrary your med surg skils and assessment skills will become very strong as u are forced to become very astute and creative in problem solving in the home setting as u work as part of a multidiscliplinary team, but u also work alot alone and autonomously. So take heart! I believe that if u enjoy your current job you are in the right place! Plus a strong resume and longevity shows, stability, dependability, and expertise and will open up a whole lot of doors later on. Start looking into all the careers u can go into into case mangement, disease management, health and diabetes education. I hope this helps!


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