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

Specializes in LTC, Rehab.

I've thought of Whole Foods, but yeah, same thought.

1 Votes
Specializes in medical surgical.

bama,

Found myself in your place a few years ago. Got fired from the only hospital in my area (they own everything). I was fired for asking for a raise (really!) Anyway, it was the best thing ever. I instantly doubled my pay as I went travel nursing. It was terrifying at first but I really enjoyed the people I met. I KNEW that I was good at what I did. I also NEVER cared about administration and as soon as the gig was over, I was out. Plus, alot of hospitals asked me to resign on. I see you are in AL. I was in rural GA. Traveling made alot of sense. Then I went back to get my NP. That is another set of challenges, at best!

2 Votes

Every time each of you say you're a professional....well think about it!!

That's exactly what we are...licensed professionals...not unlike doctors, dentists or attorneys!

However, until nurses start realizing this and stop accepting being paid and treated like an employee...well need I say more...

We are licensed professionals and deserve to be paid and respected as such.

Nurses need to come together and demand change...meaning paid as licensed professionals and respected as licensed professionals. Stop whining, stop acting like an employee!!!

Start demanding change!!!

PS There was a time when doctors were looked down upon, and scrapped by on meager money....

1 Votes
Specializes in Adult Internal Medicine.
aoarn said:

That's exactly what we are...licensed professionals...not unlike doctors, dentists or attorneys!

But there is a very important difference (from a buisness perspective) between RNs and APRNs/doctors/dentists//lawyers.

1 Votes
Specializes in Psych, Addictions, SOL (Student of Life).
Been there,done that said:
:up:

Eloquent and spot on.:up:

Except when "we must poke them time and again, or when urology struggles to place a catheter, or difficult intubations, or chest tube insertions."

HADES no.

This is where I step in.. get it done right.. and try to minimize my patient's suffering. In these cases, I will throw MYSELF in front of the bus.

Here here! I once worked for a LTC for a year and during that time I became known as the IV whisperer. I still have a per-diem contract there to come in and start IV when the nurses there cannot obtain access. When I was charge it was three sticks and then call for a midline. We were not about torturing patient's.

Hppy

Hppy

2 Votes
Specializes in Psych, Addictions, SOL (Student of Life).
aoarn said:
Every time each of you say you're a professional....well think about it!!

That's exactly what we are...licensed professionals...not unlike doctors, dentists or attorneys!

However, until nurses start realizing this and stop accepting being paid and treated like an employee...well need I say more...

We are licensed professionals and deserve to be paid and respected as such.

Nurses need to come together and demand change...meaning paid as licensed professionals and respected as licensed professionals. Stop whining, stop acting like an employee!

Start demanding change!

PS There was a time when doctors were looked down upon, and scrapped by on meager money....

I was a terribly burned out nurse once upon a time. Got out of the area of nursing I was in and went into psych. It may not be this way everywhere - but where I work nurses are treated as valuable members of the treatment - the doctors listen to us and we all respect each other. The patients are better off because we all work as a team. I am in California and pay is competitive for our area . Just thinking out loud but change can be a good thing.

Hppy

1 Votes
Specializes in Med-Tele; ED; ICU.
AutumnApple said:
Some nurses learn to deliver nursing care THEY are proud of despite all these things, some don't. Be one of the ones who overcome it all.

But don't own those shortcomings and deficiencies which are beyond your control.

1 Votes
Specializes in Med-Tele; ED; ICU.
hppygr8ful said:
Here here! I once worked for a LTC for a year and during that time I became known as the IV whisperer. I still have a per-diem contract there to come in and start IV when the nurses there cannot obtain access. When I was charge it was three sticks and then call for a midline. We were not about torturing patient's.

Hppy

Hppy

We're not about torturing patients, either... and I'm as good as anybody when it comes to starting lines.

And yet, some people are severe vasculopaths and obtaining access is a struggle even with things like ultrasound and wire-guided catheters.

And urology? Um, let's just say that I will *demand* conscious sedation before letting them do to me what I've seen them do to patients on occasion. Unfortunately, when I've pushed that for patients, I've been blown off by both the urologist and the ED doc.

1 Votes
Specializes in Telemetry, Step-Down, Med-Surg, LTC, PACU.

This post really hit home as a new nurse. I can relate to where you are coming from rnfrombama. Maybe it's because I am new but the following posts offer great advice about separating yourself from your work. That is something I will have to work on and I hope to later change where I am at in Nursing as I don't feel LTC bedside is for me... then again that could also be due to the feeling incompetent and running like a chicken with my head cut off at work because I know so little.

Don't give up.

There have been days I have cried and cried on my way home or to my significant other that I just think I made a huge mistake but then I remember how I applied a INCREDIBLY simple intervention to a patient and saw them improve within the hour... or how a patient tells you that they feel like you and everyone there is their family. Or a patient smiles at you and says, "Thank you so much." Those are the moments that I honestly feel it's all worth it. I don't exactly need management, a physician, or admin to tell me I am doing well but when a patient does... it changes my whole day.

My vote for you is to find employment elsewhere and to make sure you ask the right questions... a regret I have for my first nursing job. Make sure they fit you as much as you fit them.

Good luck... you sound like a WONDERFUL nurse...

1 Votes
Specializes in Med Surg/ Pedi, OR.

WOW ! I feel your pain but YOU can always make a difference. Change your attitude change your life. You could be the one person that sticks out in the crowd. Either way I love Costco.....

1 Votes
Specializes in critical care ICU.

I am a new grad who hasn't started new job yet...but my first instinct for you was to look into another hospital, a different specialty, or a different field completely (that utilizes your RN license). Having worked for 6 years, you have a stronger resume and more freedom to switch hospitals...whereas I am kind of forced to take what is given to me until I "prove myself". Fortunately my 1st choice job was the one that called back.

Also, I spent the last 2.5 years working at a grocery store. Believe me...retail management tends to be inconsistent and often incompetent. The only difference is that they get away with it because there aren't lives at stake. I am SO happy to be out of retail.

I relate to your compassion. I once had to bite my tongue (literally) to hold back tears as a patient pleaded with me to let her die. And then I cried in the car on the way home. I guess suicide (she was on 1:1 sitter) is a weak point for me and I need to learn how to compartmentalize it. I dread the day that I actually see a patient die. I work on a very acute and busy floor. I hate to be negative, but anything could go wrong at anytime.

I also think about the baggage I bring home from patients. During clinicals, I had few patients...and mostly I had good experiences. So, it was usually a good time. Being a full time floor nurse with 4 patients each shift, left to me alone...will be vastly different. I can't bring this home every day to my boyfriend. It will eat at him if he sees me struggling. Plus, he is an EMT/firefighter so he has his own difficulties with patients.

There's got to be some sort of support group for healthcare professionals out there. Or maybe if you're close to your coworkers you can go out and have drinks every so often (though I understand some units don't have that kind of bond). It seems that if you aren't the only one calling in to the unit on your days off...that it's a unit problem as well as a personal problem. Best of luck to you!

I realize you probably said Costco out of frustration and you aren't actually currently printing out an application form. Keep talking to other nurses here. Support is how we stay afloat.

1 Votes
Specializes in ER.

I would love to work at the Habitat for Humanity store. Alas, they pay minimum wage. The customers are all cool people like me, and I'd get to check out all the stuff first.

1 Votes