Jump to content

Do you get really nervous before a shift?

Posted

Has 4 years experience.

I've worked for several years and STILL get extremely nervous right before I start a shift. My heart rate shoots up (like 110-120 bpm) and I have to go to the restroom. It's a total "fear of the unknown" thing - the unpredictability of the job. Every day is different. 😣

malamud69, ADN, BSN, EMT-B

Specializes in Emergency. Has 11 years experience.

Not once I began to always...always I say...expect the worst....all else is GRAVY once you realize that ideal!

emtb2rn, BSN, RN, EMT-B

Specializes in Emergency. Has 21 years experience.

Nope, I work emergency where we signed up for not knowing what was going to happen next. That's part of what I enjoy about the job.

Is there any specific unknown that you fear encountering?

j0yegan

Has 4 years experience.

Nope, I work emergency where we signed up for not knowing what was going to happen next. That's part of what I enjoy about the job.

Is there any specific unknown that you fear encountering?

Man, I CANNOT do ER. Wayyyy too stressful. And too much liability.

I just like to plan everything and know what's gonna happen and what to expect. I know it's impossible, but that's just who I am. Am I gonna be floated? Are we gonna have enough staff? Are we gonna have 8 patients? Am I gonna have half my patients constantly on the call bell? Am I gonna be so busy that I will stay late just to chart? Am I gonna have help if I don't know how to do something? Am I gonna have a code blue? What if I stand there and look stupid if my patient asks me a question I'm unsure about? What if I forget to do something? The list goes on, my friend.

Miss Infermiera2b, BSN, RN

Specializes in Med/Surg, Oncology. Has 2 years experience.

I'm not a nurse yet, but I work in the emergency department as a scribe. I get extremely nervous before every shift because I have no idea if the physician I'm assigned to will be in a good mood or if I'll be able to complete their charting in time. Hopefully the feeling will eventually fade and when I'm a nurse I'll be able to manage the anxiety better.

Mocha92, BSN, RN

Specializes in Case Management. Has 7 years experience.

Yes! It's been a year I've been an RN. I guess I'm just nervous in the beginning of the shift because I don't know what kind of team of patients I'll have, or how busy the day will be. But once I get report and go about the day, I'm totally fine.

Sent from my iPhone using allnurses

j0yegan

Has 4 years experience.

Yes! It's been a year I've been an RN. I guess I'm just nervous in the beginning of the shift because I don't know what kind of team of patients I'll have, or how busy the day will be. But once I get report and go about the day, I'm totally fine.

Sent from my iPhone using allnurses

I agree. Once I know more about the patients and get a better idea about what my day will be like, I feel better. It's just before I get my assignment. I get so extremely anxious. I try to talk myself down, but apparently it doesn't work. I get all the physical symptoms of anxiety and stress.

emtb2rn, BSN, RN, EMT-B

Specializes in Emergency. Has 21 years experience.

Man, I CANNOT do ER. Wayyyy too stressful. And too much liability.

I just like to plan everything and know what's gonna happen and what to expect. I know it's impossible, but that's just who I am. Am I gonna be floated? Are we gonna have enough staff? Are we gonna have 8 patients? Am I gonna have half my patients constantly on the call bell? Am I gonna be so busy that I will stay late just to chart? Am I gonna have help if I don't know how to do something? Am I gonna have a code blue? What if I stand there and look stupid if my patient asks me a question I'm unsure about? What if I forget to do something? The list goes on, my friend.

Maybe more stress than the floor, maybe not. We always have doctors around and quite often the specialists there too. I do a lot of informal consults where I'm just asking for an opinion, not the specialist to actually do anything.

Maybe, probably not, probably, yes, chart on the fly, maybe, "good question, let me check on that", can't remember everything.

I've been a nurse for 4 yrs and the fear and dread feeling has faded, but I still get the moments of anxiety right at the start of a shift. Like you said, it's about not knowr what is coming your way. Once I do first round I am usually better.

LadyFree28, BSN, RN

Specializes in Pediatrics, Rehab, Trauma. Has 10 years experience.

I work in the ED...don't get really nervous either-I learned very early into my career to expect any and EVERYTHING... I've worked LTC, Acute Rehab, Sub Acute Rehab, Private Duty Home Health and visit Home Health and Specialty Clinic with Pedi Orthopedic Surgeons; each have their own stressors, so I've learned to get myself ready with the right type of music, eat a healthy snack, hydrate well, and meditate and deep drew the before entering my unit or workspace; I did this more as a supervisor in LTC and especially as a supervisor in a Sub-acute Rehab because I was going to be responsible administratively for a whole building-that was stressful, to say the least. :)

wannabecnl

Specializes in PACU, presurgical testing. Has 4 years experience.

I work PACU, and even though we do the same sort of thing over and over with each post-op patient, the patients themselves bring a huge variety that gives me fits many days!

I do have issues with anxiety, and I experience a lot of the symptoms you mention on a daily basis. Have you talked with your PCP or an EAP person at your institution about how you're feeling?

Curious1alwys, BSN, RN

Has 9 years experience.

What you describe is driving me out of hospital nursing. I need a "chill pill". LOL

whichone'spink, BSN, RN

Has 3 years experience.

Not anymore. I've been working in PACU for nearly 3 months now and I don't have too much anxiety, not like I did when I worked in ER and med-surg. I work weekends and on Saturday and Sunday I'm the only one there. So if I am expecting two patients at the same time, then I have to worry about logistics such as where to recover the patients and giving adequate notice to the nurse on call to come in. Also some anxiety about getting a patient out of PACU (wherever PACU may be) back to their rooms. Nothing like dealing with the crap in ER or med-surg.

Yes! I just got back from a short vacation and I just couldn't understand why I was shaky and my heart rate was in the 130's! I just did not feel right. I checked a pregnancy test, checked my caffeine intake, nothing seemed out of place! My coworker finally pointed out it sounded like a panic attack. It's been happening for the past 4 shifts since and idk why since I like my job and although it is a high intensity floor it's never a problem since my coworkers are always willing to pitch in to help. It's never happened to me before too and I've been on my floor for years. If it continues I'll probably go talk to my PCP. Ugh not fun!

Julius Seizure

Specializes in Pediatric Critical Care.

I work in ICU and I only get anxious when I'm coming back after a vacation. And then I think it's probably more dread than anxiety. :)

Even though I never know what my shift will be like, I guess by now I walk in expecting that I float a lot, and that it's not unheard of for the crash cart to be sitting outside of a room. Just another day living the dream I guess [emoji57]

I experienced that for about the first 6 months or so. It would disappear once I got on the floor and got busy. I still get it from time to time, if I've had an especially bad shift or a string of tough shifts. Again, once I get out on the floor, I'm ok. Hang in there, it gets better.

NYbabyRN, BSN, RN

Specializes in General Surgery, NICU. Has 5 years experience.

I usually felt a bit of anxiety before almost every shift when I worked in med-surg; there was just so many variables and how the shift could go! It usually got better one the shift started.

Maevish, ASN, RN

Specializes in ICU, Postpartum, Onc, PACU. Has 9 years experience.

The only thing I get nervous (and it's more like anxious) about at this job is them floating me, since I've told them I won't go anywhere unless it's in a "helping out" situation. It's already too scary here most of the time and I'm not compromising my license by actually taking pts out on the floor:no:

I would be nervous if I had to take a pt with a balloon pump right now, though, since it's been a couple years since I've had one (they don't usually let travelers take super sick pts) so that's a bummer because I liked them.

xo