Does it ever get better?

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I got into nursing later in life and thought I knew what I was doing but now I am not so sure. The past 4 years of this life transition have been brutal. My first year out of a tough nursing program I worked on a med/surg floor. The nurse to patient ratios and patient acuities were high with no aides and management accepted nothing but 100% on customer satisfaction scores. I loved the work but hated how nasty some patients could get despite the disgusting things you did for them. One night, I started the shift with 2 patients coming, 2 patients going, a patient load of 8 patients, and two patients in crisis. The one crisis patient had an escalating blood pressure issue. During an attempt to give the patient meds for the BP, it was discovered the patient had been hoarding meds all day including some potent narcotics. The patient had a history of suicide. The other patient in crisis had DKA. I was in and out of the patient room all night trying to stabilize the patient. In the morning, the patient's roommate complained to management. The complaint cost me two days pay. Three months ago, I transferred to a trauma level 1 emergency center hoping to avoid being called off 1-2 times per pay. It was a huge mistake. Only processing 38-58 patients during a shift, I was considered too slow and it was recommended I "continue my journey as a nurse" elsewhere. I've loved nursing but hate the beating I've taken as a new nurse wondering if it ever gets better. Firemen, Policemen are treated like heros for sticking their neck out for another person. People will tip a waitress or hairdresser. For some reason, no one ever thanks a nurse. Instead, for some reason, people think they have the right to literally beat the crap out of a nurse without just cause and that is OK.

Some patient groups see you doing those things and then instantly lose any respect for you. Just because it's in the scope of nursing practice doesn't mean you have to enjoy everything. I would be worried if she didn't find it disgusting. She/he is just being honest.

Some patient groups see you doing those things and then instantly lose any respect for you. Just because it's in the scope of nursing practice doesn't mean you have to enjoy everything. I would be worried if she didn't find it disgusting. She/he is just being honest.

No-one expects a nurse to enjoy, for example, cleaning up diarrhea, but performing these activities with a good grace as nurses is part of caring for our patients. If a nurse cannot put themself in the place of a patient who is very sick, and has, for example, uncontrolled diarrhea, knowing that the patient (who is very often unable to assist themself, and who is forced to lay in their diarrhea until someone comes along to help them) is suffering because of their illness and because of the indignity and great discomfort that goes along with uncontrolled diarrhea, then that is a big problem as the nurse's attitude is not good for the patient. Patients pick up on the nurse's feelings of revulsion, and it does not help with their healing process. That is why it is necessary for a nurse to have the ability to feel compassion towards his/her patients. Patients want to feel cared for, and they value nurses who show caring towards them, who do not express revulsion or detachment when assisting them in these ways. When a nurse behaves as though he/she is personally offended by having to assist a patient who is incontinent, as happened to a family member of mine, it is very harmful for the patient and for their family as they register this immediately.

I think that the OP's words that I quoted in my earlier post above may be a large part of the problem they are having with being a nurse: namely, that they do not really have the ability to feel caring towards their patients who cannot control their bodily functions, and feel burdened and offended by the care they are required to provide. If this is the case, I suggest seeking employment in another setting, where such intimate patient care is not required.

Specializes in Med nurse in med-surg., float, HH, and PDN.

Since I hang out more in the General/Off-Topic section of this site (being silly), whenever I come across this particular thread, "Does It Ever Get Better?" I have to fight the urge to answer the thread's question with a terse "NO! NEVER, EVER, EVER!"

...But I reckon that would come across as being mean. I know OP was serious, and it is a serious subject of great concern to many. I am hoping by admitting my urge for mischief I can expel this idea from my mind.

(I now return you to your regularly scheduled program!)

The only thing that gets a little easier is that you get more confident in your skills. The politics, paperwork, brown nosing and work load do NOT get easier. I have been a nurse on a med surge telemetry floor for 7 years. I have hated every second of every minute of every hour of every day and night that I have been there. If I could find ANYTHING else to do where I could make as much money, I would leave in a heart beat. If I could turn back the hands of time, I would study something else. At my hospital, you only work days or nights. I worked days for 3 years and then moved to nights because I could not handle the physical and mental stress anymore. On days, I never got out of work on time. 12 hour days were really more like 14, finishing charting after my shift ended. And forget eating or drinking all day - no time. The night shift is somewhat better, but then you deal with adjusting your body back to days with your family on your nights off. It's 2:40 in the morning and I'm wide awake, having slept off and on most of the day as I worked last night. Transferring to any other unit is out of the question as it would require being a "full time" employee again to go through orientation. I am currently a PRN employee, and although I work full time hours (3 shifts a week), I work the nights I want. ALL of the nurses I work with complain of wanting to leave too and nurses that come from other hospitals say it's the same everywhere. I don't know where these nurses work that love their jobs. Wish I could find out. If I where you, I would not waste anymore of my time studying nursing and would study something else. I would, but I'm in my 50's and hope to only work another 10 years.

Thank you for your response...It was obviously a bad day when I made this post and it helps to have support from someone who understands.

Specializes in Med nurse in med-surg., float, HH, and PDN.
Thank you for your response...It was obviously a bad day when I made this post and it helps to have support from someone who understands.

That's why we're here! :)

Specializes in Peds, PICU, NICU, CICU, ICU, M/S, OHS....

I agree with many other posters and feel that you've had crappy jobs, in crappy hospitals, with crappy managers/trainers.

I suggest finding a hospital that has high scores already so you are not tasked with trying to raise them. Get off the floor and ED and go into a specialty like ICU or cath lab, something with a low nurse to patient ratio.

Or, get out of the hospital all together and go someplace else. You'd be surprised how many nursing jobs are out there in places you'd never expect!

Good Luck!

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