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Question

Early burn out?

Hi guys, I guess I just need some advice for my situation. 

I am a newer nurse, I have been working as a nurse for 13 months now. I worked the first 5 months on a general med-surg floor at one hospital, and then quit during my new grad residency because I was feeling depressed and overwhelmed with work. I worked day shift with a 1:6 ratio, and felt I was unable to provide good patient care. The assignments were not split fairly, there were times I'd discharge all of my patients and get all new admissions in the same shift. They tried floating me to another unit my second week off of orientation. I left work with pre and post shift anxiety. There were also some bullies on the unit so I didn't feel supported. I was not content with the work I was doing, I never really had a passion for med-surg but I knew that's where new grads got hired. After I quit, I struggled to find another job for four months. I applied literally everywhere, outpatient, inpatient, LTC/SNF, corrections, etc. Eventually I got hired at a different hospital and I've been there for 8 months now. It's another med-surg unit but specialized neuro/trauma. I thought I'd enjoy the neuro/trauma specialty since I've always been more interested in critical care nursing and thought that would be a good bridge to the ICU or ED. However, now I'm just feeling exhausted altogether and thinking about leaving the hospital. The role I'm in now is night shift, and the acuity on our floor is pretty high. It feels more like an ICU step-down but our ratio on nights is 1:5 or 1:6. Again, I'm feeling overworked and fatigued 24/7. I miss spending the holidays with my family, I'm missing out on weekend events. I sleep away all of my days off. I'm starting to think hospital nursing isn't worth it? 

I just feel really unhappy. I'm not getting the satisfaction I thought I would from my career. I'm going to try to apply elsewhere in an ICU or ED and hopefully that fixes where I'm lacking passion for my job. On a med-surg floor, I just feel like a pill pusher and servant. 


I'm concerned I won't even be a good candidate for a role change since my resume shows I haven't even completed one year at one facility. It's just so frustrating that in order to get into these specialty areas, med-surg experience is required. I just feel so burnt out already.

I'm also wondering if maybe I should just seek a position outpatient. Maybe bedside/hospital nursing just isn't for me. I want to help people but I don't want to sacrifice my wellbeing, weekends, holidays, health, and time with my family and friends. I really care about a good work life balance.

I just feel so stuck, and being a newer nurse in this predicament, I feel like I'm failing. Does anyone have any advice for me or even relate to how I'm feeling?

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  • Experts

We typically begin working in new areas feeling inadequate and it usually takes about 6 months to feel somewhat comfortable. Knowledge of our duties and the routine decreases stress and allows us to build our experience. Jumping from pillar to post keeps the tension and anxiety at a high level, affecting our mental and physical health and our professional and personal lives.

It is said "You've got to pay your dues if you want to sing the blues" and "a hero is just someone who hung on five minutes longer". Working through trials and tribulations will allow us to experience illuminating revelations with a subsequent higher consciousness.

"When we come upon an obstacle, we work through it, go around it, go over it, go under it, we do not give up!" -Maurice Minnifield

Agree with everything the very wise Davey Do says above.

You've been there 8 months. Not long now until you make it to a year. Then re-evaluate. You may well feel  you can stick it out even longer by that point, and before you know it you'll be at the point where you can start to apply for your ICU or ER jobs.

A year seems like a long time when you're young, but believe me, it's nothing over your whole career. Honestly, it will fly.

It's also very normal to feel tired when you work night shift. Try to pay more attention than you normally would to getting adequate rest, eating healthily, going easy on caffeine and alcohol etc.

I was an LPN for 6 years, became an RN about 7 months and started in a big hospital. After 6 months, I was completely burnt out and went back to be an LTC ADON with my 6 years of LPN LTC supervising experience. I think I found my niche.

That being said, maybe the hospital isn't for you, like it wasn't for me. I would look into different fields of nursing, and see what you like. Do some YouTubing on different specialties, and ask yourself questions.

You brought up that you had 6 patients in one day discharged and got 6 new patients the same day. I assume you had many similar days. This brings up a great question; do you like taking care of the same people every day? Or do you like the changing patients, and it was just overwhelming that you had so many discharges? Do you enjoy day shift 7a-7p, night shift 7p-7a , 7-3, 3-11, or 11-7? What works best for your life and sleep schedule? I did nights all my LPN and RN life up until now, and I loved it. But now being in day shift, I actually learned to love it all over again, after going 7-ish years without it back since when I was a CNA for 7 months in LPN school.

How about office work? Do you like office duties? Filling prescriptions? Rooming patients like MAs? I did it for 3 months as an LPN, and one month after transferring from the hospital after a huge mental health breakthrough involving hospitalization I had while working at the hospital (Feel free to message me if you need to talk by the way, I probably get how you're feeling!). Found out it wasn't for me and didn't pay enough.

What about money? Would you rather work in a more stressful environment with more responsibilities for more pay, or a less busy setting for less?

My point being is that you need to look deep inside. Look into different specialties. See what attracts you. There's a lot more to nursing than just hospitals out there. ?

Good luck!!

I always knew when I decided to become a nurse that I wanted to work in a specialty clinic or be an administrative nurse and not what I call a "hands on" bedside nurse so to speak. I never had any medical training/background when I went into nursing; therefore, was very inexperienced as such. Then after years of hard work & determination from ground zero, I got my nursing PHN degree & was expected to  know literally everything because I had that title behind my name and in fact was told at my first job, "this isn't a nursing school, you will be shown how to do something once and then be expected to know and perform it." The problem is everyone does things differently, so one person shows you something, the next person that you're on training probation with tells you that way is wrong. Long story short, I didn't defend myself & got fired because I continually chose not to throw others under the bus by saying "so-&-so told me to do it that way." Had I known it would take YEARS to get the job I wanted (specialty clinic or administrative because those nursing positions were not readily available in my area and required years of experience) and had I known there would be so many cliques, backstabbers and so much bullying in nursing, I NEVER would have went into the nursing profession, just my 2 cents.

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