anyone else feel this way?

Nurses General Nursing

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Hi everyone, I am new to this website and board. I have a big dilemma that I need some feedback on. I moved down south last July to take a nursing job in an Open Heart/Surgical ICU. I had 4 years of nursing experience, 3 in cardiopulmonary stepdown. I moved my two children and myself to an area where I had no family and friends, in order to take this job. I thought this would be a great opportunity..better job, better salary, better climate, and a HOUSE of my own for the first time in my divorced life. The problem I face is that some of the more senior nurses expect the newer nurses to be at the same working knowledge as they are. The doctors (99% of whom have no respect for the nurses) have NO respect for the new nurses--it is a big anxiety time when they make rounds in the morning. If I don't turn my wrist the right way to cut a suture, he snaps at me in front of the patient..etc etc. You get the point, I am sure. Obviously our mind reading capabilities are not quite up to par with the more senior nurses..haha. I feel the new nurses are "being tested"..to see if we can take it. I had a charge nurse (who isn't in charge very often because of her lack of ability and poor attitude) who basically let me drown with a dying patient, then reported to the dayshift charge that I "couldn't handle it". I waited a week to calm down and discussed it with my manager, and told her my side of the story. I asked her if there was a problem with my work--the answer was no. The manager offered to intervene, and I declined, as I have found that "discussions" with management usually do no good in matters like this. I told her I would practice avoidance for now, and thanked her for her offer. I switched my weekend schedule around (which I had already planned on doing prior to this), and am just avoiding that nurse in general. I guess I feel that the job is just too hard to have to deal with people like that.

There have been a few other things go on, but the core of my question is this---what do the new ICU nurses have to do to survive? I'm not a new graduate, I have knowledge and experience to offer. But how can I succeed when a charge nurse feels that "her" way is the only way? At this point, I took some vacation time this week to relax, and have done a lot of thinking about this job. I don't even want to take care of open heart patients anymore, if it means having to go through this on a daily basis. My confidence has been undermined, and if I felt comfortable in my knowledge and skills in ICU, I would just laugh it off. But I only have 6 months worth of ICU experience under my belt and know that there is sooo much more to learn and absorb. Unfortunately, the learning environment is structured more like "throw them to the wolves". I talked about this with some newer nurses that have been in this unit a bit longer than myself. What they told me is this---you will get to a point where you don't care. That is the answer?? To not care? A little kindness goes so far, and it takes so much less energy to be nice. So, could anyone please offer up some advice to me? Maybe I need to grow some bigger shoulders...Thanks.

Originally posted by Mijourney:

Hi yankee. Welcome to the South. Brutal, eh. The physicians and other practitioners in the South seem to enjoy putting on some type of macho masquerade especially when a migrant is in town. This is pretty much anywhere, but is more notable in the South where you still have alot of hero worship from nurses to physicians and the nurses as well as physicians and other practitioners tend to be frequently overly territorial.

I agree with you that you keep things superficial with your coworkers for now and practice some avoidance maneuvers. Do the best you can and try to stick it out. There may be some other alternatives you can apply for job wise. If there are certain things you don't know, you can discuss with your manager since she says you don't have any work problems as well as a supportive critical care educator. He/she can review with you care activities that you may not be familiar with.

I'm sorry you're being eaten alive. It tends to be a sport in nursing. Best wishes for your success.

AVOIDANCE I am good at...haha. It goes against the grain of who I am, but it is necessary. I can keep totally busy and to myself for the entire 12 hours. I am trying to get more acquainted on Swans (more of clinical applications) so I can read if I have free time at work. It is a sad state of being when you prefer reading about Swans rather than interact with humans!! This has been a tough journey for me, and although I hate to admit it, moving south may have been a mistake. The South seems to be brutal everywhere, not just in the hospital setting.

Less whining, more action! That's my motto!

thanks for your support!

Hi Yankee!

I am devastated and haunted by your story.It made me think again of the emotional abuse I sustained while in a CCU for 8 years!The abuse was unreal and disgusting.I started this CCU with 3 years MSICU experience and a 3 month post basic critical care course.I am a jolly person with alot of friends.I couldn't even breathe right,they pounced mercilesssly every chance they got!Nurses like this are everywhere and a disgrace to our profession!I can tell you right now those social morons are intimidated by you.You are obviously smart and eager ,and they can't stand it!They resent your knowledge,they resent your triumph(moving to start a new life after a divorce)If you listen carefully I am sure all they have to talk about is squeezing out their kids 10 years ago and picking at other cooworkers,period.Unfortunately there are people who feel big by making others feel small.I had to do some soul searching first.I was lucky.I was able to fall back on previous experience,and realized I had alot of friends and great evaluations before I moved to CCU.Then,patients were asking where I was,leaving cards for me,and then... my worklife came crashing down.I was teaching patients and enjoying their company too much?

I love mentoring new nurses and students....so they would make sure I never got students!I was stuck because at the time there were no jobs in nursing(hard to believe eh?LOL)Anyways,the nurse manager pulled me in the office for something stupid for the last time!I freaked out!I said...I am sick and tired of Jennifer T's bull@#$#!How about next time she comes to you about this stupid foolishness you send her to me instead?This is abuse and harassment and you two better find a new hobby or I am filing a harassment charge!She swallowed crow and looked embarassed.Then,as soon as a job hit the board I left.The bad news is...their scapegoat left,the good news is the problem has mushroomed and blame has fallen back on them.The CCU lost 20 nurses after I left and the average experience base now is less than 1 year!Now even the float team refuse to go there.These "experienced" miserable backstabbers have been exposed for the nasty people that they are.I am in a MSICU working with great people(there will always be some everywhere).You can't change how they treat you...you can only change how you react to them.I would even go so far to say...."Oh thanks...do you feel better now?"next time you are undermined!My advice is stick to critical care(you went there for a reason!)but GET OUT OF THERE!Please,if you want mentoring feel free anytime to E mail me

[email protected] Luck and be grateful that you are you,instead of them.

Dear Friend,

As a former Yankee myself(I am steeped in the South for 20 years now) I can understand how the challenges and changes of being new to the South can have you turned upside down...in addition I'd like to say to you---

Wow !! a few things struck me as I read this...you are dealing with a new house(CONGRATS!),a new area,a new job, 2 children who need extra TLC as they adjust,plus trying to connect and make new friends...well, on a stress scale, you are off the charts !!

The Nurse you described is something all Critical Care Nurses deal with at one time or another..you have met the "I know what I am doing and you don't,nah nah" there is one in every unit. I have been in critical care 7 years now and I have also had the pleasure of dealing with this one. What you come to realize is that after you get your sea legs...and trust me you will...you look at that nurse and realize everyone else around you is on to her as well. What does her actions of watching you drown and then saying you couldn't handle it say to those around her??? Do you really think that makes people think highly of her?? Think again. They probably have a red light going off in thier heads --she'll do this to me too. they will also be less inclined to help her out in the future too. The Manager sounds like she is too much part of the "IN" group to discipline..she should have reprimanded her for not being a team player. May I also say that in the first 6 months of this new job, you will cry,question why you are a nurse,and learn all kinds of new stress levels..as you navigate CCU.But one day, the tears and frustration cease, and you go along and have a day where you have conquered the beast of the unknown..and realize you will be okay. You have survived the hazing the older nurses are now doing. And you will laugh at the nurse who made you so stressed you changed weekends. This is a period of intense learning...revel in it. And leave work at work. Learn your new city and customs. Take time out each day for just you. Play some Kenny G, take a bubble bath, learn yoga. laugh out loud. Each nurse should take care of themselves FIRST before they take such good care of others. You sound like a sweet,caring nurse who really is sincere. YOU WILL BE FINE...just follow your heart and your instinct. Choose your new friends in the unit carefully, avoid the gossip and politics. Help everyone who needs it. And smile...life is good. Best wishes,and I hope to see a followup to your dilemma in six months!!!!!!

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