First year nurse. Thinking about leaving field altogether.

Nurses General Nursing

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Hey y'all. I've been a nurse for almost 9 months now and I'm seriously considering leaving the profession altogether. I graduated in December of 2018 and was ecstatic when I got a position as a new grad RN in a med surg residency program starting July of 2019. Packed up all my things and moved three hours away to a very rural community knowing no one.

From the moment I started, I struggled heavily, mostly due to anxiety which I was clinically diagnosed with two years ago and take meds for. I made a lot of mistakes and was constantly on the radar of my nurse educator and supervisor. Two months later, I got called in to my boss's office and she let me go over lying to my preceptor over charting something which I didn't. They felt as if they couldn't trust me anymore.

My options were get fired or be forced to resign. I was devastated. Moved back home to my parent's house and began looking for a new position.

Luckily, I landed another job in a psychiatric rehabilitation facility. Even before starting nursing school, mental health was my passion. I knew I wanted to work psych in the long term. I started this position late October of 2019 and lasted 3 1/2 months until Valentines day. I worked NOC's and was the only licensed staff for that shift. I was overwhelmed, had virtually no support and had to deal with toxic coworkers.

On February 12th, I made the mistake of covering an AM shift and was responsible for pulling meds from a med cart in sheets the old fashioned way and giving them to 50 patients. The next day my boss found out I made a ton of med errors and I seriously thought I was going to be fired on the spot. He gave me another chance to my surprise, but I had had enough and decided to quit.

My current position is in an acute psych facility which I started per diem in January of 2020. Here I feel like I have tons of support, charge nurses who are constantly checking up on me. I've only been called into my boss's office once in 5 months over messing up charting. I feel as if this is less hectic than my last job but I am very unhappy with it.

Psych nursing is not what I glorified it to be. What I thought psych nursing was vs what it really is is not what I expected it to be. What I feel like I really want to do is more in the line of social work or clinical psychology.

On top of all this I screw up constantly and have this fear of getting fired every time I step into the hospital. Today, I made a med error and sort of freaked out and stormed outside the patient's room after realizing I gave meds to the wrong patient. My coworkers tried to comfort me but now I feel like they feel like I can't be trusted.

I'm starting to think nursing is just not for me.

I'm fed up, burned out and I've come to the point where I just don't care anymore and I feel numb. I've had 3 jobs in 9 months which says a lot.

Opinions?

Specializes in Nursing.
On 5/12/2020 at 6:58 PM, mhadvrn34 said:

Hey y'all. I've been a nurse for almost 9 months now and I'm seriously considering leaving the profession altogether. I graduated in December of 2018 and was ecstatic when I got a position as a new grad RN in a med surg residency program starting July of 2019. Packed up all my things and moved three hours away to a very rural community knowing no one.

From the moment I started, I struggled heavily, mostly due to anxiety which I was clinically diagnosed with two years ago and take meds for. I made a lot of mistakes and was constantly on the radar of my nurse educator and supervisor. Two months later, I got called in to my boss's office and she let me go over lying to my preceptor over charting something which I didn't. They felt as if they couldn't trust me anymore.

My options were get fired or be forced to resign. I was devastated. Moved back home to my parent's house and began looking for a new position.

Luckily, I landed another job in a psychiatric rehabilitation facility. Even before starting nursing school, mental health was my passion. I knew I wanted to work psych in the long term. I started this position late October of 2019 and lasted 3 1/2 months until Valentines day. I worked NOC's and was the only licensed staff for that shift. I was overwhelmed, had virtually no support and had to deal with toxic coworkers.

On February 12th, I made the mistake of covering an AM shift and was responsible for pulling meds from a med cart in sheets the old fashioned way and giving them to 50 patients. The next day my boss found out I made a ton of med errors and I seriously thought I was going to be fired on the spot. He gave me another chance to my surprise, but I had had enough and decided to quit.

My current position is in an acute psych facility which I started per diem in January of 2020. Here I feel like I have tons of support, charge nurses who are constantly checking up on me. I've only been called into my boss's office once in 5 months over messing up charting. I feel as if this is less hectic than my last job but I am very unhappy with it.

Psych nursing is not what I glorified it to be. What I thought psych nursing was vs what it really is is not what I expected it to be. What I feel like I really want to do is more in the line of social work or clinical psychology.

On top of all this I screw up constantly and have this fear of getting fired every time I step into the hospital. Today, I made a med error and sort of freaked out and stormed outside the patient's room after realizing I gave meds to the wrong patient. My coworkers tried to comfort me but now I feel like they feel like I can't be trusted.

I'm starting to think nursing is just not for me.

I'm fed up, burned out and I've come to the point where I just don't care anymore and I feel numb. I've had 3 jobs in 9 months which says a lot.

Opinions?

Thanks for sharing. I’m sure your story can relate to many nurses out there. I highly suggest just slowing down. Try working day shift, get plenty of rest, exercise, and reflect on the fundamentals that were taught in nursing school. (I.e five rights, Documentation) don’t be afraid to ask questions if you are unsure.

Specializes in LD, MOBA, TRAUMa.

Who in the world thought that loading cups for 50 freakin patients at a time was a good idea? That’s insane! Damn, I can’t imagine thinking that I’m going to do that EVER! Not one supervisor owns the rights to my nursing license.

nurses should be able to load beds 1- 7 (typical med surge load) at the most and go reload, without higher ups saying a word.
I can’t believe this whole mess.

Do not work a job without a scanning system, I don't and won"t. If I had to pass meds to 50 people, I wouldn't do it. Demand calling in another nurse be called in. When you need help, ask for it. Know your limitations. It sounds like you need to work something lower stress which is not easy to find in nursing. A clinic setting may be a better fit for you.

Specializes in LVN.

Check out clinical nursing. I work in a urology, OB/GYN office and I love it. I get paid well. I only give meds as ordered per patient as seen. Monday-Friday. Holidays and weekends off. I realized early in my nursing career that I didn’t like bedside nursing so I stayed away from it. With nursing you have so many options. There are outpatient psych clinic. Try to find one. All you do are assessments, education and give long acting medication injections.

Specializes in Mental Health, Med-Surg, Hospice.

To start with you already have a problem with anxiety and you move 3 hours away to a rural hospital knowing no one. You then were suspected of lying and returned home. You got a position in a psychiatric facility, not a good chpoice considering you already experience anxiety and take meds for such. Giving meds to 10 or 50 patients you should not be making TONS of med errors. Although 50 patients is a bit much, how did you have time to do anything else ? In your present position you were called in to your boss's office once in5 months. You say you have a lot of support but aren't happy with your job. You say you screw up constantly and then admit to another med error. 3 jobs in 9 months.....honey you need to get out of nursing before you hurt someone.

Specializes in Nursing.
3 hours ago, meg5 said:

Do not work a job without a scanning system, I don't and won"t. If I had to pass meds to 50 people, I wouldn't do it. Demand calling in another nurse be called in. When you need help, ask for it. Know your limitations. It sounds like you need to work something lower stress which is not easy to find in nursing. A clinic setting may be a better fit for you.

Agree

I recall learning in nursing school that nurses eat their young. If you are inexperienced, I'm going to assume that many may perceive you as still tender enough to eat.

With regard to making mistakes... It is important that you care enough about mistakes to not repeat them, but not so much that it makes you react like a deer in headlights. Don't be paralyzed or overly stressed about making mistakes. A SLIGHT bit of anxiety can help us stay alert and perform better. If you are working NOC and then work AM, you are putting yourself through an adjustment to your activity and rest pattern. Only you know if this can impact your performance. Also, people often speak as if they are the best and never would make mistakes... If you are performing the same task for 3 consecutive days and have not improved or created "muscle memory" of the neural and muscle tissue type, then you may need more practice and a mentor.

I feel that the best nurses are the ones that learn from their mistakes and become life long learners. Having empathy for our patients also means that we must go through the journey of compassion given to ourselves.

Perfect people don't make perfect nurses, they make people with critical spirits and harsh judges.

Keep your head up, be present for your patients, and persevere with love in your heart.

Specializes in Occupational Health; Adult ICU.
On 5/12/2020 at 9:58 PM, mhadvrn34 said:

I'm starting to think nursing is just not for me.

I'm fed up, burned out and I've come to the point where I just don't care anymore and I feel numb. I've had 3 jobs in 9 months which says a lot.

Opinions?

Opinions?

Sure, listen to yourself.

Anxiety alone can screw you up big-time. Jenevalj suggested clinical nursing, (working in a doc's office). I think that's a great idea. Find a job that's more linear--here, here's a patient, do this. That's not: "Here, here's 50 patients--make sure all get everything exactly on time and no, if you have a heart-attack, you still must do it right.

You're on rack being flogged, but nobody has tied you there. Get up, get off. Find something that might pay less but might be more manageable and more enjoyable.

Specializes in LTC,Med Surg, HH,CM-BC,DON,Nurse Consultant.

That’s also descriptive of a system failure . I follow nurses on med passes as part of my job. Remember your patient rights, Slow Down and one patient at a time. Your med pass may take 3-4 hours but that is the correct way. And unless someone is coding or having Chest pains your med pass should never be interrupted!!!

”Slow down, One patient at a time while using the 5 Rights. Read the order and compare to drug AT Least Three Times!!

Specializes in LTC,Med Surg, HH,CM-BC,DON,Nurse Consultant.

And stop beating yourself up!!

trust me nursing will do that for you, from family members to tyrant staff members to Doctors to some of your fellow nurses. Better thicken your skin or you won’t make it. And all that hard work you just flushed it down the drain.. Don’t let them do it to you!
These nurses in here acting like they never made med errors , ?.

I bust nurses on a regular basis and the older ones that think they do no wrong.. and the ones who think they know it all are the worst.. You learn everyday and being teachable is another thing!
But if I came to your facility I would tell your DON that putting Pre pulled meds is against federal regulation..

Specializes in Corrections, Public Health, Occupational Medicine.
On 5/12/2020 at 8:03 PM, Numenor said:

Probably not a good idea to go into a field with more responsibility though LOL. I saw a post on here once saying how they made med errors and were super stressed about being a bedside RN. Then they talked about being a NP....LMAO. Yup totally less stressful.

Right! I don't know why people think this. I am a NP all week long and pull in some ED shifts as RN some weekends and OMG I'm on autopilot at my RN job.........can't say the same thing abut being a NP!!

Some people here are kind of toxic; I guess it is true that nurses eat their young. Nonetheless, I think you just need to find better coping mechanisms for your anxiety, and possibly try working in a field that is less stressful for you. You passed nursing school so you aren't "dumb." I think that if you find the right balance for your mental health and work-life, things will turn out better for you. Also, don't beat yourself up. Your only advocate is yourself!

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