i dislike med surg

nurseprnRN, BSN, RN · Jun 15, 2015

I think you should keep an open mind. Just about nobody does as a grad what s/he planned to do as a student, because life happens AND you learn more so you make different decisions as you develop more mature and nuanced opinions.

By all means, ask every nurse you see why they do what they do, and perhaps more importantly, why they don't do what they don't do. You will get a far more well-rounded picture of the options our profession affords you.

Newbie_RN17 · Jun 15, 2015

Hated med-surg as a student. Took a job on a med-surg floor and LOVE it. It's completely different for me than my school experience! :)

windsurfer8, BSN, RN · Jun 15, 2015

I think you are in nursing school and Nurses work in Med/surg. You say "I know I would hate working med-surg" ok??? "always calling the MD" and "patient families are overly demanding" Those are some serious generalizations. Those things are called "NURSING". Do you plan to have a nursing job where you don't deal with patients families? Maybe they are not "demanding"...maybe they are "concerned". Nursing isn't about YOU..it is about your patients. Why exactly do you want to be a nurse?

dcwang · Jun 15, 2015

No i'm not a nurse yet, but those are things i've seen and i'll keep an open mind, as jobs are hard to come by that i'll probably take any in CA. different nurses have told me why they chose their specialized field.

yes, i want to be a nurse because i want to take care of ppl and provide patient care,making a difference for others, and most of all for financial ability. the level of acuity on the med-surg floor i rotate at is very high. sometimes i wonder, how much can we still do for the patient, they are so sick end of life care would probably relieve their pain more than trying to treat them.

the family is concerned, yes, but sometimes they do not treat the nurses politely or with courtesy/respect, and forget that the nurse has other patients as well. i like taking care of people, but am naturally an introvert, and like devoting my time to just one patient, and therefore, currently i've an interest in OR/PACU, but who knows where i'll end up.

@windsurfer- what specialty are you in? notice i'm not a nurse yet, and i posted in the nursing STUDENT forum... just clarifying

Newbie_RN17 · Jun 15, 2015

and therefore, currently i've an interest in OR/PACU, but who knows where i'll end up.

That's kinda "funny" to me because that's EXACTLY where my interests were before I took my current job. I did my precepting in recovery services at a small hospital and applied to/was accepted for an OR internship around here that, unfortunately, wouldn't have worked out for me with scheduling. I wish you the best of luck in figuring out just which area of nursing is right for you, and I can honestly tell you that (as a VERY new grad) being a nurse is much different than being a nursing student :)

TheCommuter, BSN, RN · Jun 15, 2015

A nurse has 4 pts max (I'm in CA).

Actually, nurses who work in general med/surg have a legally mandated maximum of five patients in CA. It's the specialty med/surg floors such as telemetry or cardiac that staff four patients to each nurse.

However, you do have a choice to not work med/surg. In a decade of nursing I've managed to avoid the acute care hospital altogether. I simply do not see why so many new nurses would willingly submit themselves to the craziness of med/surg and bust their asses for so very little in return.

I couldn't care less if I never learned another procedural nursing skill for the rest of my life as long as I have good work/life balance and steady income.

dcwang · Jun 15, 2015

my instructors remembered back in the day when they had 10, 15 pts. how's that possible???

TheCommuter, BSN, RN · Jun 15, 2015

my instructors remembered back in the day when they had 10, 15 pts. how's that possible???

Patients were not as acutely ill back in the day. 30+ years ago, it was normal for a patient to spend a week in med/surg for a diagnosis such as 'bed rest' after an open cholecystectomy, but nowadays these patients get their bed rest at home after a same-day surgery. If your patients have a low acuity level, you can safely provide care for more of them.

The patients you see on today's med/surg floors would have been sick enough to qualify for an ICU bed 20 years ago. Today's ICU patients would have been dead 20 years ago.

nurseprnRN, BSN, RN · Jun 15, 2015

A CNA can have 12-15 patients for basic baths, toileting, feeding, walking ... I did it all the time. The RNs/LPNs did the meds and treatments. You get really good at time management and assessing what people can do for themselves while you do something else. Invaluable experience.

RescueNinjaKy · Jun 15, 2015

Well, I work on a cardiac floor and let me tell you, you're calling the MD a lot about electrolytes, rhythms, incisions, and order clarifications. And every unit will have their "needy" patients. So it isn't just med surg.

dcwang · Jun 15, 2015

finding a job these days in CA as a new grad is very very hard that i'd take any job offered when i graduate.

eventually for me, lifestyle/pay/job satisfaction will be hte most important for me. does anyone have any experience about NPs in pain management? i've volunteered at a pain management clinic, and sometimes the MDs would get off very early in the afternoon.