Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

First Few Weeks on Unit and Feeling Overwhelmed

new-nurse-twelve-hour-shifts-killing-me-tired.jpg.e082c3fe1986b532ead136708aef9de5.jpg

I’m a graduate nurse that just started working on a med/surge floor beginning of August. The first few days were pretty exciting as I was learning the ropes and basics of how to chart and see my first few patients under my preceptor and things. But the 3 12-hour shifts a week I’m doing has really started to hit me hard. I wake up after 7+ hours of sleep now feeling like I got none, and I’m trying simultaneously to somehow cook for myself and keep my apartment clean, and just generally take care of myself but I just can’t do it all. These 12 hour shifts are awfully long and with all of this other transition I’m undergoing with living on my own and just trying to make a living, it feels like too much and I’m thinking about just quitting already.

I can’t keep up with all of these things I’m trying to juggle and I’ve come home many times now in tears from how overwhelmed and stuck I feel in the place that I’m in. Should I just give this all up and quit on my residency? Cause if I don’t do something soon I’m afraid I’ll just collapse.

Featured Replies

3 hours ago, Brianna Borden said:

I’m trying simultaneously to somehow cook for myself and keep my apartment clean, and just generally take care of myself but I just can’t do it all. These 12 hour shifts are awfully long and with all of this other transition I’m undergoing with living on my own and just trying to make a living, it feels like too much and I’m thinking about just quitting already.

You are okay.

You are adjusting to a new phase of life. It's very common to feel all these different things, none of the phrases used to describe it really captures it, but it's something like what did I get myself into + culture shock + uncertainty + lots of other feelings.

You need some time to adjust. 

You don't have to do everything. Right now you need to concentrate on your role transition and getting adequate sleep and nutrition. Your apartment doesn't need to be spic & span, just minimally clean and orderly. Keep your bills paid. Talk with your loved ones and spend some time relaxing on your days off.

Not a fan of cliches but I do believe that having and achieving good things is often not easy.

Don't panic. Things will come together.

Nobody died r/t dirty dishes in the sink!! There are ways to work around household chores.

Just take care of yourself. Experiment re sleeping arrangements. Good protein food avail and keep hydrated.

You'll figure things out. This is a tough time for new jobs - any jobs

And welcome to AN. I tell new members to consider anonymous screen  names here. You don't want everybody & anybody to know your personal life. And they do visit here (think employers).

The mods can help you change your name.

Good luck. 

 

  • Author

Thanks so much. Any suggestions then, as to how to get around chores around the house in the midst of a busy schedule?

If you work (3) 12s, decide what day is going to be grocery shopping day, decide what day is going to be laundry day. This won't be the same each week. But you can make a plan for the week and say, "I'll get my laundry done on Thursday since I have to work this coming weekend." Same with grocery shopping. Etc.

As far as keeping your apartment clean: Do an hour of significant cleaning, straightening and de-cluttering once a week and then just spot clean to maintain. Clutter is a significant problem. Throw things away or put them in their place--that one thing will get you a long way in feeling that your place is clean and orderly.

If you can, get yourself a multi-surface stick vacuum that is small enough to fit in smaller spaces. Some people also prefer a swiffer (or similar wet mop). Make yourself some all-purpose cleaner or buy some. Have a stack of cut up old towels or flour sack towels, which are sold in packs. These items will make it feel easy to do the spot cleaning. Keep your counters, appliances and furniture wiped and that's another easy way to feel that things are generally tidy.

Get a small tub to store bathroom cleaning products (scrub brush, toothbrush, cleaning rags, cleaning product for fixtures and tub/counter, spray for your mirror, toilet bowl cleaner and brush [which will be stored separately, obviously]). Do your bathroom once a week -- it'll only take like 5-10 minutes to get everything sparkly and then you can just maintain throughout the week.

If you have a dishwasher, rinse things and put them in. Run when full. If you don't have one, it's much less overwhelming to just quickly wash things right after your meal.

If you combine laundry and cleaning day then - - yay. You shouldn't have more than a couple loads of laundry and you can definitely get your decluttering and cleaning done while laundry is running.

As you can see, you can consolidate things that seem overwhelming (like cleaning and laundry) and have them only take up 2-3 hours of your week altogether. You can do this! ?

Once you have learned your new position and are settling into a routine, you can branch out do doing some cooking and meal planning.

Sorry if this is more info than you wanted. ?

 

Firstly, give yourself time to adjust to the new job. Personally, I think those 3 - 12 shifts are killers! Dang! You're just learning a new job! That'd be a chore unto itself. As things start to settle, then hone in on domestic tasks.

You're NOT Martha Stewart so be easy on yourself!  Putz along, little by little, to keep ahead of the major things. Then plan out a bigger task or 2 Take advantage of any family assist.

Just remember to rest, eat sensibly and hydrate while working.  And cut yourself some slack!

PP JKL33 offers some really good advice. Just to add, if you can, cook double quantities. Use a crockpot - just sleep while it cooks. And cook BIG amts. Some grocery stores are doing shop-from-home services. There's a fee sometimes, but it is a time saver!

You can do it! You need to prioritorize your new job. Dirty dishes can wait.

  • Author

This is such great advice, thank you. Definitely not more than I asked for, I greatly greatly appreciate it! After a few more days here on my unit and having to work three 12 hour shifts in a row this last week I’m really wanting to give it all up, but I’m still going to try to figure out what I’m going to do.

Let us know how things are going for you during orientation @BDluvsNursing!

I'm confident you will be able to do this. You sound like a conscientious person and that will work in your favor.

Getting up to speed in the first nursing job is very do-able but not necessarily easy -- many other people are feeling what you're feeling on any given day. You will look back in 3, 6, 12, 24 months and be impressed with how far you've come.

 

There are so many really good new nurses around me who say the exact same thing in the beginning but grow to really like it after a while. I think you need to just allow yourself to be very lazy on days off and don't worry about chores too much. Make sure you are taking care of physical needs like going for a short walk, getting healthy snacks and drinking water. You absolutely can not do it all during this phase. Just the basics. I have this thing where if I am down or anxious on days off I do DTLBP

 Dishes, table, laundry, bed, and plants. Just the chores that make me feel at a basic level of control. Takes no more than a half hour. (Folding laundry is left for another day, so all I gotta do is wash and dry it.) Cooking wise, you don't need to be making these big meals, just very easy ones. Keep it simple and place all the other emphasis on resting and self care. 

I always command my orientees "go home and do not leave the couch or bed until you have to come back!" It cracks them up and when I come back I find out they did sit around most of the time but they are always refreshed. Also, definitely no chores at all on work days!!

On 8/28/2021 at 8:37 AM, BDluvsNursing said:

new-nurse-twelve-hour-shifts-killing-me-tired.jpg.e082c3fe1986b532ead136708aef9de5.jpg

I’m a graduate nurse that just started working on a med/surge floor beginning of August. The first few days were pretty exciting as I was learning the ropes and basics of how to chart and see my first few patients under my preceptor and things. But the 3 12-hour shifts a week I’m doing has really started to hit me hard. I wake up after 7+ hours of sleep now feeling like I got none, and I’m trying simultaneously to somehow cook for myself and keep my apartment clean, and just generally take care of myself but I just can’t do it all. These 12 hour shifts are awfully long and with all of this other transition I’m undergoing with living on my own and just trying to make a living, it feels like too much and I’m thinking about just quitting already.

I can’t keep up with all of these things I’m trying to juggle and I’ve come home many times now in tears from how overwhelmed and stuck I feel in the place that I’m in. Should I just give this all up and quit on my residency? Cause if I don’t do something soon I’m afraid I’ll just collapse.

Everything you just verbalized is completely normal. If you’re new to 12 hour shifts and nursing, there’s going to be an adjustment period. I worked nights for 6 years and my body still has to adjust from time to time.

Stop trying to do it all. Focus on work when you’re at work. When you’re at home, focus on you. Let the dishes pile up until you can deal with them. Prioritize sleep and self-care. Give yourself permission to be new at something…it’s OK to not know it all from the beginning. It’s OK to lean on others. It’s OK to be overwhelmed from time to time. Med-surg is a hard specialty at first but you’ll eventually get the hang of it and find a way to make sense of it.

 

Girl- you work hard, so try using the grocery delivery services or the meal kit services for a few months to make things easier.  I know a lot of new nurses that hired a cleaning service as a splurge the first 3 months - then, plan your days off to do fun, relaxing things you deserve to do after nursing school, NCLEX and hours of care plans.  Check out your Human Resources for discounts on tickets, employee perks.  

Mbc - I like your thinking!!

  • Expert

BDluvs....... if I could wrap you up in my arms, I would.  But that would be weird :)  Listen, it sounds like you're having a crisis of soul and mind.  I'm going to suggest something I did for my BFF in nursing school.  She's the one who suggested we do a residency in her ICU where she had worked as a nursing assistant during college.  I didn't want to, but if we were going to do something we should do it together, right?

Every shift, either 7a or 7p, she would spend pre-report throwing up in the locker room.  Remember, this was her idea and an ICU full of friends and colleagues who knew her so well.  This was her jam man, and yet she's throwing up every shift.  Ultimately, she had to be able to look herself in the eye in a mirror and give herself affirmations.  That sounds lame and felt even lamer at the time, but she had to remind herself that 1) this career was her dream 2) she paid for her education with her own hard work 3) and most importantly, she had to forgive herself for not knowing how this was going to feel.  I mean really, putting yourself out there where the rubber hits the road - you're going to get road rash.

Look up "crisis of confidence".  If you have done all this work and you're at the point where the rubber hits the road - working at night when everybody else in your sphere is tucked in and sleeping - walking to your car and saying "Just put one foot in front of the other"... you know, it's so isolating, yes?  Being a nurse can be terribly isolating.  

Recommended reading.  The House of God Author Samuel Shem, M.D., Ph.D. Copyright 1978.  It's a diary of his residency at Beth Isreal in Boston,  Believe it or not, healthcare from a resident in 1978 is remarkably, exactly what it's like now.  Humans and disease haven't changed all that much.  There's even a glossary of terms and "The Rules of the House of God"  Rule #1:  Take your own pulse first.  Best wishes my friend.

 

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a Comment

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.