Move Over, Norma Rae

I never thought it would come to this. When my left knee began to ache ferociously a few months ago, I thought it was just a remnant of an old injury that I'd sustained back in my early 40s. Nurses Announcements Archive Article

I'm on my feet a lot, and being neither young nor thin, I suppose I had it coming. Then the ache became a roar, and finally it was so bad that I had to see a doctor to find out why it wasn't healing. He promptly informed me that I had a torn meniscus and probably some major osteoarthritis that would have to be dealt with surgically; the MRI I had a few days later confirmed it. In the meantime, I was to wear an immobilizer, take pain pills, use the RICE protocol, and stay off it as much as possible.

So in order to continue working, I've been using a wheelchair for at least part of the shift for the past several weeks. I'm not happy about it, but when I get tired from dragging this bad leg around or need to go a long way down another hall, it's been invaluable. With a husband who's only working 20 hours a week for minimum wage, I MUST stay employed---I don't have the luxury of taking time off while I wait for my surgery date (scheduled for the 23rd of this month). And until a couple of days ago, I thought I was doing well.

There are times in every nurse's life when s/he questions whether or not continuing in this career is worth the heartache, the emotional stress, and the wear and tear on the body. That moment arrived for me when my DON sat down at the nurses' station with me and informed me that the administrator was "uncomfortable" with my using the wheelchair at work. Seems that it didn't look right to some VIP who was visiting the place......and since I didn't have a doctor's note stating exactly what was wrong with me, I shouldn't be using it---or any other visible form of support, such as a walker---during my shift. Not even AFTER my operation.

My initial response: "Huh??"

My secondary response: confusion. What on earth did using a wheelchair for part of the shift have to do with the amount of work I was producing? Wasn't I getting everything done as usual? If I hadn't been, I could've understood the concern, but being able to scoot along whenever I had to go to the other end of the building made the difference between completing my work in my usual timely fashion or being in so much pain that I couldn't even think straight, let alone finish everything I had to do.

And it wasn't like I was always in the chair, either; I only used it when I absolutely had to. But because I didn't bring in a copy of my medical record for this purpose---like the immobilizer and a pronounced limp weren't evidence enough of my problems---I wouldn't be allowed to work if I couldn't do it unassisted. I would have to take FMLA leave (unpaid, of course) until I was cleared for normal duty.......no matter if that was a week or a month. In the meantime, my hours were being changed anyway due to budget cuts, meaning I could work as few as 20 hours per week (and lose my health insurance), or maybe as many as 48, which is about 16 more than I can handle even when I'm at 100%.

My third response was indignation. I've broken my backside for this organization, I care about my residents and staff, and I've saved the facility not one but TWO lawsuits, thanks to my diplomatic skills and a willingness to spend some 'quality time' with the more, um, intense families. If that's the thanks I get.........besides, as I said to myself, my condition is NONE of their business, and I wasn't going to waste my time or the doctor's time getting "permission" to use some form of support so I could get through each day a little easier. So when I went to work yesterday, I was determined to make it without any help whatsoever......they weren't going to put ME out to pasture if I could help it.

This attitude lasted exactly one shift...........and this morning, after spending the night flopping around in pain like a beached fish despite two Vicodin and an Ativan (and nearly falling because the knee had the nerve to lock up on me when I got out of bed), my inner activist roared to the surface and screamed in my ear, "Are you SERIOUS? You are a professional nurse---you don't work for an Alabama textile mill, and you aren't Norma Rae. How dare they treat you like this!"

As a matter of fact, I am serious. And I'm done feeling hurt and disappointed in my employer; now, I'm royally ticked off. I've loved this job, and this place, more than any other in my entire career; but I have only this one body, and I'm not going to let ANYBODY tell me I'm not allowed to take care of myself just because they don't like "how it looks". Heck, if I were a visitor to the building and saw a nurse going about her duties in a wheelchair or with a walker, I would think it an honorable thing to keep her working despite her disability (and mine is only temporary, for crying out loud!). But I guess that's just me.

What I'm going to do from here on out, I don't know; but I don't see myself continuing much longer in this position with the prevailing attitudes and the uncertainty regarding my hours, even after I recuperate from the arthroscopy. I'm a fifty-something nurse with years of experience and I will NOT let myself be abused again---not here, not anywhere.

Is there ANY nursing facility, hospital, clinic, or other healthcare setting that doesn't treat nurses like dirt? Inquiring minds want to know!

Specializes in PACU, CARDIAC ICU, TRAUMA, SICU, LTC.

Your post was very timely for me. My cousin's wife died on Monday from ALS. We were having a discussion about how fortunate he was to work for a company that literally bent over backwards for him so that he could care for his wife at home while continuing to work. They allowed him to work 4 hour shifts, or whatever hours he was able to give them. They considered him a valuable employee.

He was very disheartened to hear my view on how my employer would have dealt with this most unfortunate situation. Suffice it to say, it would be very similar to yours; if you can't work your scheduled hours, then it is FMLA or nothing.

It is a sad state affairs when a health care institution cannot take care of its own. The health care industry is now a business; nothing more. Caring, what's that???

The only words I can offer you? Use every service available to you (if any), and believe that all will work out.

God Bless!

Specializes in CCU, OR.

I was hurt on the job in 2006. I was sent to a supposed physical rehab doc provided by workman's comp who didnt appear to know what to do to help me. I begged to do some form of therapy. BEGGED. When he finally prescribed some therapy, after about four months of doing nothing at all, he decided to send me back to work after 6 weeks of therapy, which had JUST begun to work. I was re-injured. And so it went for about three years. I begged for a different doc. NO way. I begged for a second opinion, again, no way.

After 3 1/2 years of pain, agony, taking off more paid time and FMLA time than I actually had, I had to go on LOA without pay....except for workman's comp. I went to an attorney, something I had not wanted to do, and within a week or so, I suddenly got a second opion and was placed in an intensive PT rehab program- and what a difference it made!

However, after that, despite my discharge from PT with minimal restrictions, my hospital didn't want me anymore. My unit didn't want me, and when I applied for other jobs it was like dropping a rock into a deep dark abyss; no response.

The last six months have been the most depressing as I realized that in all likelihood my nursing career is over in this area.

To top it off, the settlement is teeny weeny. It looks like I'll have to apply for Soc Sec Disability Insurance, since almost no one around here will offer an 8 hour day, desk job, with reasonable pay and benefits, such as health insurance.

By the way- the way I got hurt was by catching a patient who was falling. She'd already had both of her knees replaced and all I could think of was, "If those knees hit the floor...they CAN'T hit the floor!!!!" So I saved her untold pain and agony and the hospital a very expensive lawsuit or settlement. Rather than a "Bravo, job well done!" and support/understanding by my admin, I basically was told that they'd been very patient with me for the last couple of years and probably ought to think about disability.

I loved my job and I loved where I worked. But after forcing their hand by signing with an attorney, I became a persona non grata, a burr under the saddle and something to be disposed of.

I'm 57 and I'm not sure what kind of nursing I can do now, with a bad back, other health issues, a BA in Anthropology and a Diploma in Nursing. I'm looking around. Keep your fingers crossed for me....

and OP, I understand everything you said very, very well.

Specializes in Education and oncology.

((Viva)) I have enjoyed and benefited from your posts over the years and it saddens me that you're going through this. Please update your post with how you're doing. Have the previous posts (ADA web sites, etc) been helpful?

There but the grace of God go I. I have a replaced hip which will need re-replacing at some point, but hopefully I have a few more years. Hang in there....

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

Thanks to all of you who have responded thus far. I've cooled off quite a bit since my OP and enjoyed a bite of cheese with my whiiiine.;) Thanks especially for the sensible advice regarding obtaining documentation from my doctors; it sucks that I have to "prove" my (temporary) disabled state with a note, but I keep forgetting that workplaces are often just high school in disguise, and I'm not gonna change that.

I recently was introduced to Voltaren, a prescription NSAID that my sister is taking for severe arthritis in her hip, and it's already changing my life. The knee pain is down to a dull roar, and my arthritic hand suddenly isn't hurting anymore......nor are my ankles, my hip, or even my back. Amazing stuff!!!

Your last update is good to hear - sometimes we do have to jump through hoops and play the game a bit to get the accommodations that ought to be done routinely as a matter of decency. This is a good opportunity to stop and reflect, especially all of us who have ever complained about pesky "govmint regulations", that laws like the ADA don't come out of nowhere. They come in response to years of heartbreaking stories of employers treating the workers like dirt. We do find that employer here and there who takes a human approach, but too many employers consider their workers to be the equivalent of a machine on the assembly line - if it breaks, and costs to much to fix, throw it on the junkheap. Lots of folks imagine that laws protect their rights in the workplace, and sometimes they do - but only in very specific ways. No law obligates your employer to basic fairness and decency. For me, it's why a union is important to me, but once you get into the legal areas like ADA and worker's comp, even that is of limited effect.

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

Well, one good thing has come of this........I've decided to take the plunge and go for the job I've always wanted, in hospice care.

I'm gathering the materials (and my courage) as we speak so I can apply to a local hospice agency, whose nurses have never once failed to impress me in all the years I've been working LTC. Their most recent job posting was on the 1st of this month, and I know several of the nurses well enough that I'm confident in asking them for a recommendation.

So here goes.....I'm holding my nose, and I'm gonna jump in. Lord help us all, LOL

Specializes in Nursing Professional Development.

Good luck!

Sorry to hear you're having to go throug this. Last year I herniated a disc, and living with pain all the time sucks..but having an employer give you crap about your injury sucks even more. Good for you for taking a stand. I'm so sorry you're stuck leaving a job you love, but when God closes a door, he usually opens a window, you just gotta be brave enough to dive through it, lol.. Good luck!!

Viva ~ excellent updates; thank you! Do let us know if you get the job in hospice......that sounds really promising. :)

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

I will. I'm not sure when I'm going to do this---my knee surgery is scheduled for the 23rd---but I think perhaps this was the shove I needed to get in gear.

Besides, my ortho doc says I'll have to adapt to activities that don't stress the knee. He says that what he's doing is only a band-aid that should help postpone a total knee replacement for a few years; I'll still have the arthritis and the joint will continue to deteriorate if I keep doing this. I have to lose more weight and do non-weight-bearing exercises like cycling and swimming.........and I have to get a job that doesn't require me to be on my feet all day.

So, maybe this really is a blessing in disguise. Who'da thunk it? :idea:

As someone with bad knees who works OR, I can relate a little. Gah!

Here's to life ~ always unpredictable, bittersweet......and full of "blessings in disguise", as you said. :)

Specializes in Critical Care, Cardiology, Adult-Elderly.

Sometimes God does close front doors-but opens windows. I broke my ankle badly in '08 in a hiking accident, and lost a job I loved in Critical Care because of three operations and the prolonged recovery time I needed. Once in recovery mode, I was able to focus on my graduate studies, and completed my practicums, which did not require as much time on my feet and a lot less running! I will soon be done with my degree, and look forward to a new career as an NP. I know from my 35 years in nursing, I have a lot to offer my patients. You will have a lot to offer yours, too.

Take comfort in that as you recover and look to the future. God wants good things for you! As a matter of fact, I see that He has blessed you with a Pug! :) I have a little Pug as well, and my congenial snorting little Diva has blessed me with her antics, comfort and love many times over this past year. These little dogs are a terrific little friends in bumpy times-I haven't found a better listener!