Anxiety has taken over

Nurses Stress 101

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I'm in my 2nd career and have been a nurse for 4 years. My first job was in the ER and I have worked the past 2 years in a critical care unit at a different hospital than the ER. I have a very challenging patient population and these past 2 years have been tough. Sure, the patients can be difficult at times, but they're easier to deal with than the staff and management.

I had a difficult transition to my current job and was beaten down by my peers for what I didn't know. Given my age, I think many of my coworkers expected me to be much more experienced, but I'd only been an RN for 2 years. It seems they'd rather tell on you than teach you something if you do something wrong or not to their liking.

About a year and a half ago, I started having anxiety. It got so bad that I went to the ER and they were concerned as my SBP were 160's, mildly tachy, SOB, and I was diaphoretic, which are far from the norm. I did the whole workup of a stress test, troponins etc. All negative, but they did give me some ativan and that was the only thing that calmed me down at all. (It's the first time I ever had any benzos)

All of this anxiety stems from the constant "beatdowns" I was taking and to the point I've made it seem as though everyone is saying stuff despite the fact I do my job. Nobody has said anything to me (nor would they ever because the culture where I'm at is that mgmt wants to field the hearsay and gossip rather than encourage adult behavior and engaging in mature conversation between us. If I've seen co-workers I've followed do something wrong, I talk about it rather than escalate something that doesn't need to be escalated. The whole thing is way out of control and I have bouts of insomnia, binge eat, and just plain sucks.

I feel like I can't approach mgmt because they really don't care and are unapproachable about such matters. I would go to a new positions, but the only thing keeping me here is the $ I'd lose to not work weekends, which is a pretty substantial cut on a single earner household. Would the typical EAP program be something that would be beneficial? Anyone else been through the same cycle?

Specializes in Flight, ER, Transport, ICU/Critical Care.

Cut your losses.

Its really hard to change folks perceptions of you.

If you KNOW it's bad,

👣👣GO...WALK OUT THAT DOOR 👣👣

You deserve BETTER. GO FIND IT.

Some workplaces are TOXIC.

Sometimes it's just not a good fit.

Either way, you know what you know, now you need to act & go.

Good luck..

Leave on good terms. Keep it quiet and be professional. Don't burn bridges.

Specializes in Psychiatric Nursing.

Talk to EAP, stop the Ativan. Find a therapist to help you figure out how to manage your anxiety and move on. Put together your resume. Figure out who you will use as references. And start interviewing. You have 4 years experience. You have options. Best wishes.

Specializes in Float Pool - A Little Bit of Everything.

Sorry for what you are going through. I can very much relate to you as I am a second career nurse as well. I wish I had any good advice for you, this is definitely a difficult circumstance to navigate. Feel free to PM me if you ever need a listening ear!

Specializes in Med Surg, ICU, Infection, Home Health, and LTC.

I have used EAP in the past. It is covered by most employers and allows a person 5 or 6 visits and I have found that it helped me get a better perspective on my situation. If your facility has an ethics and compliance officer or phone number it may be worthwhile to report the problem as well. Good luck.

Specializes in Ortho/Spine, Telemetry, SNF/Rehab.

I just saw this the other day, I hope it helps...

"Your value does not decrease based on someone's inability to see your worth."

This totally put things into perspective for me as I'm coming off orientation at a new job and the anxiety comes often! Good luck. If its too toxic to take, hit the road. You have some great experience under your belt now, you'll find something!

When I had anxiety as you described while working in ICU which was a toxic environment , I resigned. That cured my anxiety and I no longer had to take my prescribed ativan.

Some of these posts are pretty sad. If the person only needs medication due to the stress of the job, that's different. But the size of the nursing population is enormous. Nurses are people, and many of them have psychiatric conditions.

I take antidepressants and low doses of alprazolam because it's what I need to function like an average person. I was in and out of hospitals since I was a teenager for suicidal ideation/depression/anx/eating disorders (in recovery from eating disorder for 4 years). The meds and regular therapy get me to a place where I CAN function like a normal human being. And while I'm still new-ish, I know that I am (and will continue to be) a very good nurse. My psychiatrist and I talk often about safe doses/meds to take that won't make me impaired. I don't pop 4mg of xanax a shift- I might take .25mg if I'm finding that the anxiety is taking over and making me "freeze". I also reach out often to my coworkers/management.

TLDR- just like a nurse with diabetes, nurses with psych conditions need to carefully monitor their health and yes, take safe doses of meds to be healthy. Nothing wrong with it.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

Indy, I agree with those who are saying the problem is your environment. It sounds like the one I had to resign due to many of the same circumstances you describe, and I had a lot of experience at that point.

I went through the whole mental thing of wondering if it was my fault, maybe it will all be OK if I just find the right approach . . .etc. In the end I got out of there to a less stressful and toxic environment. Then I was able to see the bad place in the proper perspective. I brushed those people off and never looked back. We all need to be self-directed, but I know feeling as if I add value to any endeavor I'm involved in is a key part of feeling peaceful in general, and knowing that doesn't make me "needy".

I really hope you're able to find such a place. Wishing you all the best.

I say definitely start assembling your resume and looking for jobs elsewhere. Your sanity is more important, and it doesn't sound like that environment is very healthy regarding management and the way they are handling the situation.

I worked at my previous job for only a year until I couldn't take it anymore from my manager. I never had any complaints about me personally, but she loved the drama per say and sounds a lot like your management. she would be 2 faced and didn't encourage dealing with conflicts directly. I left that job scared because that hospital paid more than my current hospital.

At my new job, I had a circumstance where a coworker was being openly rude and disrespectful to me, which created a hostile work environment for me. I took it to management and they handled it properly, totally unlike my previous job. So I think a new place would be the best thing for you! Don't put up with that just because of the money. I'm much happier where I am now, and I know you may be too if you found a place that actually supported its employees!

Specializes in ICU.

I know what you mean. At some places, newcomers aren't treated well.

A lot of the coworkers at my FT job see anyone with experience as a threat. New grads are welcome, people changing specialties are welcome... but I took a ton of flack coming in from an outside hospital with the same type of experience and specialty certification. I got talked down to a lot my first few months out of orientation. However, after working there for about a year, I adjusted to my coworkers and they adjusted to me. I get along with the vast majority of them now.

If you've been there for two years and the cattiness hasn't stopped yet, I'd say it's probably not going to. You should get out of there.

Specializes in Educator.

It seems like you are battling on several levels. Your anxiety is real and manifesting in ways that are detrimental to your health. You work in a high stress environment with less than supportive co-workers. I cannot believe this is the only place you can take your skills and make enough to be economically stable. Just as others have said your health (mental and physical) is priceless and sometimes a change is as good as a rest. Brush up your resume and see what else is out there, don't put the keys to your happiness in someone else's pocket.

Hi, please i need your advice. I am still in the college for my RN but my wife had her nclex on March 30. We saw on breeze.CA.gov her RN number and profile Registered Nurse. But the mail we got todayy said that she failed. What should I do? Should I contest it? I can upload the evidence to this. Thanks

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