I'm So Over Nursing. I would rather work at Costco!!

The joy of making a difference in my patients' and family members lives is being overshadowed and diminished by the organization's politics and their #1 priority: keeping the physicians happy and making money. Our purpose as nurses is to provide excellent care and customer service. Our patients are our #1 priority not only just 12+ hours a day or an 80+ hour paycheck, they are always our main concern. Nursing is not patient care anymore, we are becoming the host(esses) of the medical field. Nurses General Nursing Article

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I am ready to leave the nursing profession after 6 years. I have a bachelor's degree in biology and got my associate's in nursing. In high school, I decided that I wanted a career in nursing. By the time I entered college, I decided I wanted to become an OB/GYN. Halfway through college, I realized I didn't want to be a doctor. I wasn't sure what I wanted to do but I wasn't going to change my major and start over. Fast forward about 8 years, I considered nursing and applied to nursing school and here I am.....back at square one. I wish I had sacrificed and endured one or two more years of college by changing my major and pursued something else.

I often-times cringe when I think of going to work. My attitude changes, my heart races, and anxiety sets in. My coworkers are nothing less than awesome. Most of my patients rock. Both have been unexpected blessings to me and I thank God for our paths crossing. But management, the physicians, and the facility at which I work have made nursing a profession that I wished I had not entered. I never have to wonder how devalued I am when I'm at work. Our voices are not heard, and as a matter of fact, our concerns are considered complaints.

Not only am I a caregiver, but I am the business office, auditor, waitress, maid, logistics, IT, quality assurance, babysitter, personal assistant, and the list goes on. When doctors fall short, it is our job to clean the mess up.....and, no, I'm not speaking of mistakes that affect patient care. I speaking of simple documentation that they are supposed to take care of. I understand the importance of having all "I"s dotted and every "T" crossed, but when will the physicians be held accountable? I can't be chasing down physicians when they forget to check the correct box especially when it has little or nothing to do with a patient's outcome. That's not my job. We nurses are stressed, afraid, furious, and just plain depressed as a result of these added responsibilities. We already worry about our patients even after quitting time. After leaving work, many of us call back up to the floor or unit checking on our patients. We are genuinely concerned about them, but it is very obvious that management's agenda is not the patients. Whatever management's agenda is becoming our agenda, right? WRONG! I'm here to take care of patients, not physicians.

There are so many nurses, YOUNG, fairly new nurses, that I know that started their nursing careers with a clean bill of health. They are now on antidepressants, benzos, blood pressure meds, and others due to the stress and unhappiness. Nursing has gotten away from patient care. It's about making money for the organization which is about making the physicians happy. If that means being stripped of our dignity, we are to do what it takes. I feel as though it is second nature to provide excellent care to our patients. WE have saved many lives anywhere from observing changes in our patients to discovering mistakes made by others (physicians) and correcting them or directing attention to the oversight. I wish they would let us do OUR jobs and provide care and management can run up behind THEIR "customers". If we can keep those two jobs separate, that would be great.

We are a vital part in patient care, but yet, we are so underappreciated and taken for granted. We make a positive impact in many lives, but we are the first ones cursed out because someone is having a bad day. Not only are we unappreciated, but we are very disrespected, and in many occasions, we are unfairly belittled and we are just supposed to accept those words because "it's part of the job." I'm done accepting it. I'm reminded every day there are replacements waiting in line. I'm reminded that any fool can do my job. I don't want a pat on my back every time I do a great job, just acknowledge that I am a vital part of the team. I understand human resources has a stack of nursing applicants on their desks. I just don't have to be reminded of that everytime all my paperwork isn't on the chart (because I'm still working on it), or if I come back from lunch two minutes late.

I am not cut out to take jabs and low-blows without throwing them back. I have so many responsibilities that I take on from the time I punch the clock to the time I punch out and I refuse to be disrespected by someone with a title because I happen to not move fast enough or I am having to clarify an unclear and, most of the time, an unfinished or incorrect order. I'm helping YOU out!! We genuinely worry and care about our patients that it often consumes us. When a patient codes or expires, we are crushed. I once had a patient who got stuck at least 15 times by various staff members, including physicians, to get IV access. The patient took those sticks like a champ, but I still went home and boo-hooed because I hated to see him go through that. We hurt when our patients hurt. On top of carrying out our responsibility as nurses, we are holding in so much emotion associated with our patients.....yet we get very little to no respect. Don't get me wrong, there are some physicians that I'm in contact with whom are polite and value my opinion and I do appreciate them. Of course, I'm not always right or may not make the most intelligent statements, but they acknowledged my voice. Again, I don't want a cookie. I just want to be acknowledged as a professional.

I understand customer service includes dealing with angry, rude, and the dissatisfied. But when I have poured my heart, soul, and emotion into my job and my customers and I am still allowed to be mistreated and insulted, then that becomes a problem. I feel I have no rights as a nurse. Who is protecting me? Who is my voice? Who is standing in my defense?

So at this point, it's time for me to bow out from the nursing profession gracefully and while in good standing with the organization, my family, and myself before I am forced out or OD on my meds(or somebody else's). My family, happiness, health, dignity, and peace of mind is worth leaving. They tell me Costco employees never leave.

I'm-so-over-nursing-I-would-rather-work-at-costco.pdf

HA!!! I found that out the hard way!!!

Well I have been studying to take my boards as a hairdresser..I am at that point.i will still do nursing part time to pay bills but that's about it

rnfrombama, I wish you the best on finding that transition route that you will enjoy.

NuGuyNurse2b said:
didn't even know they were opened that long! Unless it's a brand new Costco, all of the older Costcos were Price Clubs in my area.

It was a Price Club back in the day... Changed things up 10-15 years ago at my store.

I'm sure the majority of nurses have experienced this feeling at some point in their career. I know I have. And I actually acted on my feelings and left temporarily rather wanting to work at Barnes & Noble. Barnes & Noble was short lived after my husband at the time totaled my car, and then it was back to the grind... Relax-Relate-Release. I rebuilt the damage that had been done to me and returned to nursing renewed & reloaded.

You have alot of compassion and passion for this job which I honestly feel makes you an asset to specialties and you need to find the right one for you. hanging up your hat, imo, would be an error on your part because of your nature. That being said, I agree with you on most of what you said, but as others have said, you need a different place or facility. I did not read the majority of the pages of responses on this topic, so I am unsure if what I am going to say has been said prior, but here goes anyways.

I feel you could be a HUGE asset in home health nursing. not private duty, where you have one patient, but true home health. The reason I say that is because you do care so much about the patients you are assigned to. In the home health agency I work in, its all about the nursing staff and the patient... PERIOD. I run the show and make sure the patient is well cared for, have everything they need, and give them one on one attention, while I am in that visit. My agency gives their nursing staff anything they need to do the job and the physicians are held accountable for their end of things. I have developed some close relationships in the specialty. The difficult part is not crossing the line into "friend" territory. AND, my patients are MY patients. unless I am off on vacation or something, I am the only nurse who see's that patient and coordinates care with their primary care physician. I am the one to catch that "off" patient and correct it before it lands them back in the hospital. I am that one to catch that "off" symptom, that "off" lab value, write the order I need the physician to sign, and complete any treatments needed, from drawing labs, wound care, catheterizations, etc...

Just something to think about before completely throwing in the towel on your nursing career.

Good luck to you

Its sucks when it seems management is against you rather than with you. Ive been through four managers within the last few years. They all come in high and mighty and within a few months are gone for whatever reason. We just got a new manager and recently while

working our census was low and we were overstaffed (a rarity). I was assigned only two patients. In the morning my manager notified me that I had an education module that needed to be completed asap. Being that I was not very busy it was the perfect oppurtunity to complete it. Some of these modules take about 20 minutes to complete. So while im doing my assignment my manager comes up to me and says " have you even seen any of your patients this morning" meaning Ive been sitting there too long and that must mean Im not working. I tell her Yes I saw them, I only have two patients and Im doing the assignment you just told me to complete. Right after that she goes into my patient room and who knows what she did or said. Im completely turned off by this. Ive been with my institution for over 10 years and someone new walks in and questions your work quality. Its disgusting!!!

Specializes in peds, allergy-asthma, ob/gyn office.

I left hospital nursing in 1994. Did some office nursing, most recently a hellish OB/Gyn office, which I left 16 months ago. I did an interesting career detour this past summer. After my husband's hours were cut, I took a job as an office cleaner. Other than the pay, the often hot work environment (98+ temps, a/c that doesn't keep up, and trips outside to the dumpster required), and some questionable coworkers.. it wasn't a bad gig!!!!

My boss was super nice, worked along side us often. I would put my head phones on to something fast and loud, and do my job. It was literally zero thought or mental stress. The places were mostly unoccupied, and when they were, the people were very kind. I was paid during my meal break every shift, and encouraged to take that break. It was very nice to know nothing bad was going to happen if I did not do something perfectly.

However, the physical aspect was just a bit much for my 40-something body. I have bone spurs in my back, plantar fasciitis, and am pretty heat intolerant. I began college courses towards being an administrative assistant and left that part-time job when my accounting class got intense.

I completely get where you are coming from. The current position I hold on a telemetry floor is the same way. We are constantly under staffed, we get 6 critically ill patients, and the doctors have no respect whatsoever for us. I have tried to be strong for some of the nurses I started along side with but the strength has slowly been chiseled away. There are days when I too question becoming a nurse but I know it is the current position not the profession itself. I am in the process of possibly making a shift from hospital nursing into home health. Here is to hoping the grass is a little greener!

I feel complete empathy with you. I have been an RN for 24 years. I have worked in the north and the south for union and non-union facilities. I have worked in the hospital setting for most of my career but have also worked in hospice and some home health care. Nursing is nursing. It's basically the same everywhere. I am now on workmans comp for the past 3 weeks for "pulling a muscle" in my neck. I also have numbness going down my arm. It happened while pulling a 250lb patient up in bed with my nurse aid. I am told that according to policy, a person should only lift 50lbs. So that means I would technically need 5 people to pull this patient up in bed. Are you kidding me? That will never happen. Even if this injury is ONLY a pulled muscle and I recover, I think it's time for me as well, to look for another career. I am hoping to stay in the medical field but not sure where this road will take me. I have been dissatisfied for quite some time with Nursing. I have said, "where are the people that will protect me?" But there is no one. A union can only do so much. THanks for listening.

Specializes in Patient Safety Advocate; HAI Prevention.

I wrote this last fall. Here is my blog about a Healthcare Calling and Subsequent Beatings. McCleary MRSA Prevention >> Health Care calling and the subsequent beatings

To me, this is the root cause of your issues.

Personally, I do not worry about my patients. I assess them and intervene as I'm able. After that, I accept that things will run their course and I do not fret about it.

When a patient dies, I generally remains dispassionately detached from the occurrence. I have had a couple of experiences with children that have made me sad and for which I've shed some tears but even then, I keep it at an arm's length... and I am never 'crushed' because I don't let myself care too much about it... because... this is my *job* and my job is to provide nursing care, not to become emotionally connected to what's happening. Sometimes I do begin to care more than I should and I actively nip it in the bud.

And I certainly do not hurt when my patients hurt, even when we must poke them time and again, or when urology struggles to place a catheter, or difficult intubations, or chest tube insertions, or all the other invasive and painful things that we do to patients in order to treat them.

I always recognize my role and that is of the professional nurse who is being paid to provide a service, one which I take very seriously and strive to perform at the highest level. My heart is my own and is reserved for my personal life.

I would encourage you to seek counseling in an effort to learn to separate yourself from your work.

Nursing is not a calling nor a mission; nursing is a job... and one which will chew you up if you get too close to it.

Professional detachment...

I disagree with your statement that Nursing is not a calling... i believe that it very much is for me. I have been an Oncology nurse almost 11 years now. I get attached to my patients because I care. The day I stop caring is the day I need to find a new career. I do agree with Nursing not being patient care centered as it once was and should be. It's becoming more like a hospitality business, which is so disappointing....