For Sale: Used Nurse. Dirt Cheap!

It's taken me a dozen years to get here, but I have finally decided that I'm no longer a "new" nurse. Nurses Announcements Archive Article

I'm not sure if it's because I was a good deal older than many of my classmates when I graduated from nursing school and found out very quickly that I was nowhere near as smart as I thought I was, or if it's merely because I'm in awe of nurses who are around my age and have practiced for many more years than I. But whatever the reason, the road to success in nursing has been a lot harder, not to mention longer, than I expected. And I'm sure there are those who wouldn't call me successful at all, seeing as how I'm back to where I started, as a charge nurse in a long-term care facility.

I, on the other hand, see it as having come full circle.

As a newly-minted RN, I was ambitious and eager to move up, and with some life experience going for me, I progressed swiftly through the ranks in the years following licensure. I sampled nursing much like a smorgasbord, starting out in LTC but then "graduating" to the hospital, then to a mid-level management position in residential care, and on to senior management in LTC. I returned to med/surg nursing for a few years, but then went right back to management---this time in assisted living---and there I believed I would remain until retirement. I missed using my nursing skills, and I wasn't fond of the 24/7 nature of management, but overall, life was good; I was earning more money and assuming greater responsibilities, and some of my superiors were beginning to talk of my potential as an administrator.

Unfortunately, I was missing the whole point..........only I didn't know it until my career basically crashed and burned in the fall of 2008. I'd left a job I was more or less contented with to take a similar position with another company that lured me with promises of increased prestige and the kind of salary I'd only dreamed of. At first, I was literally wined and dined with expensive meals, a showy all-expenses-paid seminar, a trip to San Francisco, opportunities for advancement. I was wooed with flattery and given stock options.

But as I've learned many times, when something sounds too good to be true, it almost always is.......and when reality set in, a mere two months into the job, I realized that I had been set up to fail by both my immediate supervisor and the company itself. It was inevitable---I was working 50- and 60- hour weeks, scrambling to keep up with impossible demands............and most of them had nothing whatsoever to do with nursing. I might as well had "Public Relations Person" on my name badge instead of R.N. To say that I hated this with a pink and purple passion would be an understatement; I hadn't gone into nursing to kiss VIPs' rear ends, conduct tours, or take orders for lunch with a cloth napkin draped over my arm. I hadn't gone through the rigorous training of nursing school so that I could sit behind a desk, answering the phone with "It's ALWAYS a great day at (blank) Assisted Living, how may I direct your call?" instead of teaching the care staff how to administer medications correctly.

So when I made the decision to get out, I went to see an old friend who had just taken the DNS position at a local nursing home, and begged her to put me to work. At this point I didn't even mind going back to the floor, even though I was certainly not in good shape physically and wasn't sure how long I'd be able to do it, if indeed I could at all. I didn't care about the pay, the hours, the weekends...........all I wanted was a job. My friend, being a nice woman who just happened to be in need of staff, obliged by giving me one. And as it turned out, a chance to be a nurse again.

Life, as most of us discover at some point, is really weird sometimes. Just about the time you think you've got everything wired, the proverbial rug gets yanked out from under you and you find yourself questioning every assumption you ever had. I thought I was supposed to be ambitious. I thought I was supposed to want more responsibility, more money, more everything. I didn't. I wanted to take care of people. I wanted to be able to turn over the keys at the end of a shift and not worry about it until the next day. I wanted to do a good day's work and accomplish the goals for that day instead of always worrying about the long term. And I wanted to know my residents as people again..........not as names on a checklist.

Who knew that one could find redemption in an old, rundown building that sits on what must be the West Coast's largest ant colony? But that is exactly what's happened in the seven months since I shook the dust of Snootyville from my feet and returned to nursing as I first practiced it, twelve years ago.........only better. The bloom is long off the rose---I know what the workload is---and I'm OK with the lack of glamour in it. However, I also find myself much more patient with residents, staff, AND bureaucracy than I used to be. I never call in. I don't leave stuff for the next shift. And my fears about being too old and out-of-shape for floor nursing have evaporated in the reality of being over 40 pounds lighter.

I don't know what the future may hold, or how long I'll stay where I am---hospice nursing has been calling to me for some time now, and its voice is becoming both louder and more insistent. But for now, I'm "too blessed to be stressed": I'm doing something I love, and my time off is all my own. Wealth and position are lousy substitutes for golden afternoons playing with the grandbabies on the freshly-mowed lawn, eating supper with the family, and enjoying these last precious weeks before my youngest child embarks on adulthood. I missed so much of life when I was spending all of my waking hours either at the job or thinking about the job; nowadays, I have less money, but what I've been given in exchange is well worth the cost!

So while I'll probably never retire---I can't afford to now that I've given up my souped-up 401(K) and my stock options---I have essentially retired from the rat race. But if you're a hospice agency and you need a good used nurse, dirt cheap.......well, I could be just the one you're looking for.

Specializes in LTC, assisted living, med-surg, psych.

Regrettably, understaffing in LTC is the rule rather than the exception. My facility staffs better than almost anyone around, but it's still 1 nurse to 25-30 residents, along with a med aide (shared with another unit) and 2.5 CNAs on my shift. (Our CNA-to-resident ratio is 1:8 on 7-3, 1:11 on 3-11, and 1:18 on 11-7.) There are days when it's adequate, and then there are some when you could have 15 people running around that floor and it's not enough......it all depends on what's going on at the time.

Generally, I have little to no problem completing my assigned work in the time allotted, although I do sometimes have to stay over to chart if there's been a couple of admissions or falls (LOTS of paperwork there). I'm efficient, if not particularly speedy on my feet, and I'm thorough; yet I usually have time to do a little extra..........so I don't really have a whole lot to complain about.:D

Specializes in Case Management, Home Health, UM.
You are right, you're too old---and life is too short---for bad jobs. Don't put up with it a minute longer than you have to. I wish you the best~:heartbeat

You got that right.

I was fired today.

No reason was given other than I was not a "fit" for the job.

Am filing for unemployment benefits tonight. That will give me 26 weeks to find my "bliss".

I'm DONE with nursing, I know that for a fact.

Specializes in psychiatric, UR analyst, fraud, DME,MedB.
Regrettably, understaffing in LTC is the rule rather than the exception. My facility staffs better than almost anyone around, but it's still 1 nurse to 25-30 residents, along with a med aide (shared with another unit) and 2.5 CNAs on my shift. (Our CNA-to-resident ratio is 1:8 on 7-3, 1:11 on 3-11, and 1:18 on 11-7.) There are days when it's adequate, and then there are some when you could have 15 people running around that floor and it's not enough......it all depends on what's going on at the time.

Generally, I have little to no problem completing my assigned work in the time allotted, although I do sometimes have to stay over to chart if there's been a couple of admissions or falls (LOTS of paperwork there). I'm efficient, if not particularly speedy on my feet, and I'm thorough; yet I usually have time to do a little extra..........so I don't really have a whole lot to complain about.:D

Thank you ---- appreciate the peek over the LTC duties. What are the main RN function for the 3 shifts? I know any emergent case you can call the paramedic. and I think it depends if it is purely LTC or a combination of rehab.;)

Specializes in LTC, assisted living, med-surg, psych.
You got that right.

I was fired today.

No reason was given other than I was not a "fit" for the job.

Am filing for unemployment benefits tonight. That will give me 26 weeks to find my "bliss".

I'm DONE with nursing, I know that for a fact.

Aw, sheesh..........I'm sorry, CseMgr, that's a lousy break you didn't deserve.:down::crying2:

I can't help thinking, though, that this will turn out to be a blessing in disguise. From your recent posts in this same vein, you've described a corporate mind-set that demands total allegiance to the job and a willingness to sacrifice anything, and everything, for the job. That's not what most of us go into nursing to do; it's when we become businesspeople first and nurses second that everything pretty much goes into the toilet, IMHO. I don't know about you, but I never envisioned becoming a corporate automaton who, when some administrator says "frog", I jump. :devil:.

Please keep us posted during your journey. I am sorry that this happened to you, and wish you the best no matter where you go.:heartbeat

Staffing depends on your state. In Ohio, it is legal to have one LPN per 50 patients, and as RN (agency,) I would cover 100 patients (2 LPNs and 6 STNAs for the 100 patients.) And this is one of the better facilities. I recommend trying agency for awhile - it will let you see the facility as it really is, rather than how HR says it is. You can see if you like it before you apply.

Specializes in psychiatric, UR analyst, fraud, DME,MedB.
Aw, sheesh..........I'm sorry, CseMgr, that's a lousy break you didn't deserve.:down::crying2:

I can't help thinking, though, that this will turn out to be a blessing in disguise. From your recent posts in this same vein, you've described a corporate mind-set that demands total allegiance to the job and a willingness to sacrifice anything, and everything, for the job. That's not what most of us go into nursing to do; it's when we become businesspeople first and nurses second that everything pretty much goes into the toilet, IMHO. I don't know about you, but I never envisioned becoming a corporate automaton who, when some administrator says "frog", I jump. :devil:.

Please keep us posted during your journey. I am sorry that this happened to you, and wish you the best no matter where you go.:heartbeat

Yes, it is a journey. Consider this as another chapter and go to the next one. I've been there and when I look back I felt that the place that fired me told me , & actually helped me find a better place to work. We can do anything even in a new area....if you have an employer who can mentor and train you right. I look back at those places and realized I would have never stayed there long enough if it was left to me. So do not take it personally..... brush it off your shoulder and start again and do not carry the weight of their decision. :redpinkhe

Specializes in Case Management, Home Health, UM.
Aw, sheesh..........I'm sorry, CseMgr, that's a lousy break you didn't deserve.:down::crying2:

I can't help thinking, though, that this will turn out to be a blessing in disguise. From your recent posts in this same vein, you've described a corporate mind-set that demands total allegiance to the job and a willingness to sacrifice anything, and everything, for the job. That's not what most of us go into nursing to do; it's when we become businesspeople first and nurses second that everything pretty much goes into the toilet, IMHO. I don't know about you, but I never envisioned becoming a corporate automaton who, when some administrator says "frog", I jump. :devil:.

Please keep us posted during your journey. I am sorry that this happened to you, and wish you the best no matter where you go.:heartbeat

This Corporate mindset was EXACTLY as you have described, Marla.

Long before I was demoted and and fired, there were ominous and troubling symptoms of an oppressive and dictatorial Corporate modus operanti:

My Manager could not get through the day without (as you have just said), receiving at least one directive from the ED to "jump". "How far do you want me to jump?", I could almost hear her ask, as she had to stop what she was doing, in order to carry out the ED's insatiable need for instant gratification.

There was also an incident involving the welfare of a Client in which she was unjustly reprimanded for. I have since removed the details from this post to protect his/her privacy.

Fast forward to a few weeks later: My sister has become desperately ill with a potententially life-threatening, flesh-eating bacterial infection and my BIL has just been told that his cancer has returned and invaded the wall of his bladder, requiring

immediate radical surgery. As with past employers, I did not hesitate to inform my supervisor(s) that I had a true

family emergency and needed time off. This request was unconditionally approved and in advance by my

Manager.

One can only imagine how dumbfounded and flabergasted I was (my BIL had just been discharged home from the hospital and was not doing well at all), when I was summoned to my Manager's office and reemed out by the ED for "demanding" to be off. When I attempted to defend myself by reminding my Manager in front of her that she

had approved my time off, the ED scathingly (I still get chills, when I think about it), and with a sinister silkiness essentially

blackmailed me into making a choice between "keeping my job or caring for my family".

I should have stood up right then and there and told both of them that if they think that this is a contest

between keeping this (censored) job and caring for my family, guess who just won and walked out.

Instead, I remained slumped back in my chair, near tears and reduced to feeling like utter crap, as the ED moved in for "The Kill". She had me right where she wanted me, for she knew how I desperately needed this job. How was I to know beforehand that asking for time off to be with sick family members was not allowed...unless my Manager had told me? She didn't.

That was two weeks ago.

On Thursday, I am (once) again summoned into my Manager's office and terminated.

"Just tell me what I have done wrong, so I can correct it and not do it again", I pleaded.

"You have a bad attitude", The ED responded.

Huh??

"Can you give me an example?", I asked.

She wouldn't (or couldn't)...take your pick.

"You're not a 'fit' for this job", I am told.

I am then instructed to turn in my key to the office and leave....now.

As I am gathering my personal items, the ED makes a hasty retreat, exiting the office VIA the front door (she usually leaves VIA the back door, where the Nurses' Room....and I am located.

Coward.

A few minutes later I march myself into my Manager's office, key in hand. I am standing in front of her desk and as she looks up and her eyes meet mine, I give her a look of utter disgust, drop the key with a loud "plunk", turn on my heel and leave. I am not done, as I slam the back door behind me.

I made up my mind yesterday as I lay in bed all day with a sick migraine that I am far from finished with them.

For starters, I am going straight to my local Unemployment office on Monday and file for benefits. If they fight my claim, I will appeal....and win. Why? Because the only disciplinary action they have on file which has my signature on it was for an ommission of documentation issue which had been amicably addressed with my Manager weeks before the "time-off" issue came up. Secondly, I am going to discuss with whomever is handling my claim whether or not I may have a valid Workplace Harassment complaint against my former employer. It wasn't just the way I was treated from the day I was punished for taking time off to be with my family during a series of unforseen medical crises, but also the often (and vulgar, I might add), profanity used in that office by my former Manager. Though the profanity was not directed at me or the two nurses I worked with (they were aware of it, too), it made me feel uncomfortable, just the same.

I have also made up my mind, Marla, that no matter what the future may hold for me, I am through being a

victim of the blatant and cruel treatment of employees which is so pervasive in today's Corporate culture. I blame myself for allowing it to happen, lest I risked losing my livlihood. Not anymore. I have little left to lose...and I

am going to preserve what little dignity I have left, by ensuring that this company never treats someone else again the way they have treated me.

Specializes in crit care, tele, M/S, informatics.

RE: For sale: Used Nurse. Dirt Cheap!

You have reminded us that the bottom line for anyone in nursing is simply "I am a nurse!" I believe it is good and wise to make a trip to the bedside periodically, to get an infusion of what it's really all about. Who ever went into nursing not wanting to take care of people? (OK, maybe an occasional student wants to skip the bedside and go straight to the office in the Admin wing...) The ambition, sense of wanting to be powerful, even the belief that we can change the world, and certainly the quest for more money can all obscure the wish to take care of people, but they rarely smother it completely. I look for opportunities to get my hands on a patient:)

I hope your return to the bedside is fulfilling and fruitful.

Specializes in LTC, assisted living, med-surg, psych.
This Corporate mindset was EXACTLY as you have described, Marla.

Long before I was demoted and and fired, there were ominous and troubling symptoms of an oppressive and dictatorial Corporate modus operanti:

My Manager could not get through the day without (as you have just said), receiving at least one directive from the ED to "jump". "How far do you want me to jump?", I could almost hear her ask, as she had to stop what she was doing, in order to carry out the ED's insatiable need for instant gratification.

There was also an incident involving the welfare of a Client in which she was unjustly reprimanded for. I have since removed the details from this post to protect his/her privacy.

Fast forward to a few weeks later: My sister has become desperately ill with a potententially life-threatening, flesh-eating bacterial infection and my BIL has just been told that his cancer has returned and invaded the wall of his bladder, requiring

immediate radical surgery. As with past employers, I did not hesitate to inform my supervisor(s) that I had a true

family emergency and needed time off. This request was unconditionally approved and in advance by my

Manager.

One can only imagine how dumbfounded and flabergasted I was (my BIL had just been discharged home from the hospital and was not doing well at all), when I was summoned to my Manager's office and reemed out by the ED for "demanding" to be off. When I attempted to defend myself by reminding my Manager in front of her that she

had approved my time off, the ED scathingly (I still get chills, when I think about it), and with a sinister silkiness essentially

blackmailed me into making a choice between "keeping my job or caring for my family".

I should have stood up right then and there and told both of them that if they think that this is a contest

between keeping this (censored) job and caring for my family, guess who just won and walked out.

Instead, I remained slumped back in my chair, near tears and reduced to feeling like utter crap, as the ED moved in for "The Kill". She had me right where she wanted me, for she knew how I desperately needed this job. How was I to know beforehand that asking for time off to be with sick family members was not allowed...unless my Manager had told me? She didn't.

That was two weeks ago.

On Thursday, I am (once) again summoned into my Manager's office and terminated.

"Just tell me what I have done wrong, so I can correct it and not do it again", I pleaded.

"You have a bad attitude", The ED responded.

Huh??

"Can you give me an example?", I asked.

She wouldn't (or couldn't)...take your pick.

"You're not a 'fit' for this job", I am told.

I am then instructed to turn in my key to the office and leave....now.

As I am gathering my personal items, the ED makes a hasty retreat, exiting the office VIA the front door (she usually leaves VIA the back door, where the Nurses' Room....and I am located.

Coward.

A few minutes later I march myself into my Manager's office, key in hand. I am standing in front of her desk and as she looks up and her eyes meet mine, I give her a look of utter disgust, drop the key with a loud "plunk", turn on my heel and leave. I am not done, as I slam the back door behind me.

I made up my mind yesterday as I lay in bed all day with a sick migraine that I am far from finished with them.

For starters, I am going straight to my local Unemployment office on Monday and file for benefits. If they fight my claim, I will appeal....and win. Why? Because the only disciplinary action they have on file which has my signature on it was for an ommission of documentation issue which had been amicably addressed with my Manager weeks before the "time-off" issue came up. Secondly, I am going to discuss with whomever is handling my claim whether or not I may have a valid Workplace Harassment complaint against my former employer. It wasn't just the way I was treated from the day I was punished for taking time off to be with my family during a series of unforseen medical crises, but also the often (and vulgar, I might add), profanity used in that office by my former Manager. Though the profanity was not directed at me or the two nurses I worked with (they were aware of it, too), it made me feel uncomfortable, just the same.

I have also made up my mind, Marla, that no matter what the future may hold for me, I am through being a

victim of the blatant and cruel treatment of employees which is so pervasive in today's Corporate culture. I blame myself for allowing it to happen, lest I risked losing my livlihood. Not anymore. I have little left to lose...and I

am going to preserve what little dignity I have left, by ensuring that this company never treats someone else again the way they have treated me.

Holy moly.........you just described MY last ED, to a 'T'!:eek::eek::eek: I swear the woman is bi-polar, and a rapid cycler to boot---one minute she's all sickly-sweet and loving on you, and the next she's berating you for something you didn't even do and knew nothing about. She also can't stick with any one course of action longer than a bird can stay on one telephone pole---you'll be working on one project, e.g. auditing the next month's MARs, and suddenly she breezes into your office wanting you to go do some "fluff", NOW, because some family member thinks Mom should be getting showered every day instead of only three times a week. (Like that's going to happen in ANY care facility.)

My hubby still works for her (he's in maintenance), so he's been suffering the tortures of the damned; if the economy weren't so bad, he'd have been out of there shortly after I left, but with so few other options available to him he is basically stuck. Yesterday she wrote him up for wearing a wet towel around his neck while he was shampooing carpets, on a 90-degree day, in a building with no air conditioning. :angryfire He's almost 60 years old and prone to heat exhaustion, and the facility nurse had already voiced concerns about him; but apparently Miss Thing couldn't care less if he collapses.:devil: If we could make it on my wages alone, he'd be out of there tomorrow.........I told him to just keep wearing the towel and doing whatever he needs to in order to keep cool so he can do his job and LET her write him up. LET her fire him for that. Then he can draw unemployment, and I can get on the phone with OSHA and the NLRB and see how she likes what THEY have to say.

Sheesh. Why do so many "corporate types" act like this? And why, oh why, do they keep getting away with it??!!

Neither you nor I can fix that, CseMgr, but we can do one thing, and that's vote with our feet. Just think, if everyone were to refuse to work for managers like this, eventually they would have to be replaced, because businesses can't keep their doors open without employees to do the actual work. But things don't work that way, and all we can do individually is to decide that we will NOT put up with this sort of treatment.

Good luck to you. You've got a lot to think about here, but I believe you'll emerge from this stronger than ever.:up:

Oh you poor nurses, my heart goes out to you. Really. I went through my own 'dark night of the soul'. It took me a long, long time to get over it, but it changed me, really changed me, changed my belief system and changed my life, all, I now know, for the better, even if I have given up forever any dream of some material things that I was brainwashed into thinking were part of achieving the 'American Dream'.

How come these people get away with this and we are helpless to open our mouths and ask for fair, respectful treatment as American workers?

The health care system provides services that we will may all someday require. How dare these corporations make money off the backs of providing for human needs as if they were comodities.

When I work in a hospital where it is demanded that the bed be changed every day, or every time a patient takes a shower, (even when the linen is clean and has been on the bed less that 24 hours) I think to my self that this is not just abusing staff, LOOK at those notices in hotels these days- "help save water, leave your towel on the rack if you intened to use it again".

Not only do these corporations "use" the very heart and soul of their employees to try to make a buck ("love for sale!"), they 'use' the very resources that actually belong to us all and to the earth.

In a lot of places in the world you are expected to provide for you own towels in the hospital and the beds are changed on a certain day of the week, period. (Unless they are soliled, this of course is something different.)

How many people do you know who change their linen every day, or even old people who shower or bath EVERY day, if they havent done any work to get themselves dirty or sweaty. It's not even supposed to be good for the skin.

American health care corporations use all the resources and the very 'guts' of their employees to make a buck, in very few cases does this behavior have anything to do with 'providing health care'

Remember, all you nurses who have been around awhile, the old cry 'continuity of care'? Do you notice that you never hear this any more?

This is why 'agency nursing' has taken the nursing field by storm. Nurses, who once felt loyalty to an employer, have gone through an experence such as those described over and over here, and have said 'the heck with it, I have a skill and I have to use it to make a living for myself and my family'.

And in spite of the treatment delt out we STILL have a need to feel this loyalty. Psych nurses out there what IS this in the human psyche? Look at the soul searching that nurse who started this thread went through to call in sick one time to take care of her family! Guess what, you created an opprotunity for another nurse to make a buck because the agency had to send someone at the last minute.

OR, more likely, your patients and the staff all suffered because they had to work short handed because the (money loving ) corporation did not want to put out a couple of bucks to call in an agency nurse. Well, if some things fell apart during that shift you did not go to, guess what- sometimes a system has too fall on it's nose in order to correct course.

YOU are not responsible for the bad planning of todays health care systems. The misplaced priorities and money grubbing mismanagement are problems that must work themselves out on levels way, way above our heads. Don't fall for that 'you are the one the patients depend on, you have to be there for them'. SOMEONE has to be there, enough someones with marching orders that can actually be carried out, and thats managements problem.

You ARE responsible for keeping yourself current in your professional knowledge and skills and in providing safe care to the best of your ability on the shifts you accept.

You are also responsible for keeping your livestyle in line with reality so that you don't have to sell your very soul to a system like this to keep up with the insanity that fuels this money grubbing insane behavior that feeds, like sharks in the water, off the sick and weak.

Wow, do I ever sound pedagogic above! I mean I, and We (because of the 'continuning ed requirments) and especially Me!

Also I don't want to sound like I am dictating lifestyles to anybody. I just know when I got 'removed' from my job I had debt- over 8 thousand dollars of debt-it took me for ever to pay it off, and it hurt when I lost my American Express Card, but now, because I only have one of those cards where they won't even LET you charge, you can just slide it through the machine like a charge card (gotta have something like that if you take agency assignments!) It hurt when I lost my house, but now I have a little paid for house and heat with wood and do without TV, just so I don't have to work so many shifts in these hell holes to pay for extras.

Sometimes I rue haing my own house, if I didn't I would qualify for some of the 'poor folks' bennies!

Also, I remember the first time I went into the thrift shop to shop, it felt kind of demeaning, because I didn't have any other choice. Now I am a bargen hunter par execelence!

Also I know that I don't have young children in the house, and for those of you who do your financial requirements can be entirely different, and when you loose your income it doesen't just hurt you.

And loosing a life style and having to redefine yourself hurts...I know that and I don't want to sound like if you just make this or that change things will be easier. It HURTS, I am sorry for all that have to go through it, may you come out stronger in the end.

Specializes in LTC, assisted living, med-surg, psych.

I'm glad you've had the chance to vent, quezen. :icon_hug:

You are clearly in a great deal of pain. You also sound very angry........but there's a good side to that. While hard on our bodies and our loved ones, anger is sometimes the only thing that sustains us through a particularly trying time of life and gives us the strength we need to change our circumstances. My hope for you is that you will harness this extra energy and use it to your advantage!

Thank you for sharing your story. The sad thing is, there's a gazillion others out there who have been through what you have and what I have, and worse.......many of them abused so badly that they end up feeling completely powerless to change their lives. :cry: