Have you ever left a nursing job due to a patient/family member?

Nurses General Nursing

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As nurses, it is inevitable that we will likely be required to provide care for patients and/or families who we don't necessarily enjoy interacting with.  However, what happens when a certain patient and/or family makes work unbearable? When simply hearing this person's name makes you cringe and a good day (which is rare) means this person's name isn't even brought up, let alone involves an interaction with them?

Have you ever left a job/position because one or more patients was too much to deal with? Have you ever encountered a patient/family who have impacted your life so negatively you question why you went into nursing at all? 

I have three families like this at my workplace right now.  Fortunately, one patient is there for rehab services, so will hopefully be discharging soon.  Unfortunately, the two other patients are long-term care patients, so will be there indefinitely.  Both of them are in relatively good health, so it's likely they will be around for awhile.  I am okay with the rehab patient, if only because I know he will be gone soon and future interactions with him will soon be nonexistent.  The long-term care patients, however, are going to drive me up the wall until they're gone.   Same with their families.   I used to love long-term care patients, but these two individuals and their families make me feel otherwise.  I haven't done an active job search for any positions elsewhere, but the negativity both of these patients have on my work day and quality of life in general has really made me want to look for a job elsewhere.  They're not going anywhere any time soon, and I'm not sure if I can tolerate working with them for another year or more.   Part of me does not wish to leave a workplace that I enjoyed before they came, and will enjoy after they're gone.  Another part of me is tired of putting up with the negativity these individuals bring to the workplace on a daily basis, something I know they will continue to do.   I am tired of their grievance forms, of their negative behaviors, of their false accusations and of their attitude that everything is about them.  State has come in multiple times to visit our facility because of their complaints; the state inspectors have seen us more times in this one year than they did in all years prior to this year combined, prior to these patients admitting to us. I have a hard time focusing on other patients because these individuals are demanding of so much attention--and then are unsatisfied no matter what you do regardless.  

I know that not every day at work will be good, and not every patient will be pleasant.  However, I am tired of the negativity these individuals constantly bring to my life, and want to be able to not dread going to work.  

Anyone else been in a similar position? Have YOU ever left a job because a patient and/or family member was too much to deal with and/or negatively impacted your quality of life? 

Specializes in Critical Care.
9 hours ago, SilverBells said:

Both problem families are requesting a care conference this week.  It's impossible to predict the future, but both of them may discover there is no nurse manager to attend. 

Someone from admin needs to be there.  It seems they are using you to do at least 2 jobs at the same time floor nurse and manager while paying you salary.  Floor nurses are paid hourly for every bit of OT they do!

I don't understand why you stay.  You have posted frequently of all your frustrations and yet make excuses when we urge you to leave ASAP!  Nothing will change if you stay, time will tick by and your life will simply pass you by.

I finally left my toxic employer at the end of last year.  I wish I had done it sooner!  My situation was different because I had a pension and needed to work till at least 55 due to the Rule of 55 to avoid 10% federal tax penalty of my 403b.  Thankfully I was at a point in my life I was able to start early retirement thanks to pension, mix of retirement savings Roth IRA, 403b, HSA, HRA and the affordable care act for insurance. 

I worked under the "occupation" of a horrible, incompetent healthcare corp and its hand picked management for 4 years slowly getting worse, but the last two years were simply too much.  It had become totally unsafe r/t short staffing and lack of critical medical equipment.  Also complete disrespect by management with no intention to fix things.

Lately, my mom has been in and out of a couple other hospitals from a competitor and I'm even more ashamed that I stayed when I see this hospital system does have enough nurses, support staff, equipment above and beyond!  While I'm glad to find out there are decent hospital systems out there, I have no intention of going back to bedside.  I'm passing the baton on to the newer nurses.

My point about this to you is that there are better places out there.  You don't have to stay at the subpar nursing home you are working for.  I hope you get the courage to finally walk away and set yourself free from your toxic, abusive employer soon!

 

 

Specializes in Psych (25 years), Medical (15 years).
On 7/5/2021 at 6:48 PM, TriciaJ said:

I've worked with a multitude of social workers in 2 countries. With rare exception, they're messed up.

I laughed out loud at this and enjoyed the wording of your entire post, TriciaJ.

It seems many of the caregiving fields attract messed up people,  present company included.

My theory as to the motivating force which attracts us messed up people to the caregiving fields is that, as we "fix" others, we fix ourselves. Some of us have revelations and learn coping methods, while others continue to be blindly headstrong, bearing crosses.

Actually, I did know some exceptional SWs who eventually became Therapists and hung out their shingles. The three that come to mind were extraordinary individuals who left marks on my life and my heart.

I had a private duty job once, twins, so they had 2 nurses per shift. Mom was psycho, she would verbally abuse the nurses, so nurses came and went, I tried to stick it out, but I got tired of the abuse so I left. 

I quit a correctional job once, partly because one of the nurses there was a psycho bully, plus other stresses. 

In both cases, I wound up with much better jobs. 

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
13 hours ago, SilverBells said:

Seems like lately more and more people are getting under my skin.  Not sure why, didn’t always used to be like this.  

Nothing makes me pricklier than lack of sleep, lack of personal space, and too many of other peoples' needs.  And I'm retired.

This doesn't improve with repeated exposure.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
3 hours ago, Davey Do said:

I laughed out loud at this and enjoyed the wording of your entire post, TriciaJ.

It seems many of the caregiving fields attract messed up people,  present company included.

My theory as to the motivating force which attracts us messed up people to the caregiving fields is that, as we "fix" others, we fix ourselves. Some of us have revelations and learn coping methods, while others continue to be blindly headstrong, bearing crosses.

Actually, I did know some exceptional SWs who eventually became Therapists and hung out their shingles. The three that come to mind were extraordinary individuals who left marks on my life and my heart.

This is why I always note the exceptions.  But of all the "helping" professions, social work seems to have the loosest requirements, the feeblest weeding out process and a dearth of accountability.

I was formerly a transcriptionist for an outpatient mental health clinic.  I got a bird's eye view by transcribing the notes of different disciplines.  That was my first clue.  My experiences as a nurse have pretty much cemented my opinion.

Specializes in Community Health, Med/Surg, ICU Stepdown.

I stayed in my hospital job for 5 years and the last 2 years I was constantly looking for other jobs but then not applying or accepting because of fear of the unknown. It was a hard job but the coworkers were like family. I was scared after reading about toxic work environments. But in my new job I'm SO much less stressed and once again work with a wonderful group.

They are not as close as the hospital coworkers; we don't frequently hang out outside of work, but friendly and helpful. Your coworkers don't have to be your BFFs. Many of my previous coworkers were young or if older divorced. Many of my new coworkers have partners and children, hence the fewer after work hang outs. Don't let fear of the unknown stop you from finding a better job! There ARE less stressful nursing jobs out there, and it's possible to find one that also has nice coworkers. 

Specializes in Psych (25 years), Medical (15 years).
2 hours ago, TriciaJ said:

Nothing makes me pricklier than lack of sleep, lack of personal space, and too many of other peoples' needs.  And I'm retired.

Omigod, I could have penned this!

It is truly amazing the amount of energy we have to expend on merely being employed -not just when we are actually at work.

I could write a long, loquacious post on these areas, but suffice it to say that being a reclusive retiree is heaven.

Specializes in Psych (25 years), Medical (15 years).
2 hours ago, TriciaJ said:

I got a bird's eye view by transcribing the notes of different disciplines.  That was my first clue.  

People's personalities often come through even objective reports. And we  being- with all due respect- a couple of old birds, as a result of repetitious reinforcement, can see patterns.

Without derailing this thread, I'd be interested in hearing how you perceived quirks in others, through their dictations, TriciaJ.

Specializes in School Nursing.
16 hours ago, SilverBells said:

Seems like lately more and more people are getting under my skin.  Not sure why, didn’t always used to be like this.  

Do you think it may be from being over tired and anxiety from all the crazy hours that you work? 

I've never left a job due to a patient or a family. But I have left because of leadership. I also refuse to let people get under my skin that way. I also set boundaries right from the start. I maintain a professional manner, but I'm not going to kill myself running around to do everything they want if it is ridiculous or not in the best interest of the patient.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
56 minutes ago, Davey Do said:

People's personalities often come through even objective reports. And we  being- with all due respect- a couple of old birds, as a result of repetitious reinforcement, can see patterns.

Without derailing this thread, I'd be interested in hearing how you perceived quirks in others, through their dictations, TriciaJ.

Different disciplines tended to have different areas of focus.  The psychiatrists focused on how well the meds were working.  ("Pt's husband reports pt is doing much better on current meds; is much more interested in doing her housework.")

The psychologists tended to deal with behavioural issues in children.  The community mental health nurses did home visits and tended to take a wholistic approach. 

The social workers were from outer space and spoke what sounded like English but generally made little sense.  Transcribing was challenging because you tend to fix little mistakes but you can't fix totally out to lunch.

Specializes in Psych (25 years), Medical (15 years).

I'm reading your post..."Different disciplines have different areas of focus. The psychiatrists...The psychologists..." flowing, flowing, and then I read...

4 hours ago, TriciaJ said:

The social workers were from outer space and spoke what sounded like English but generally made little sense.  

....and lost it.

I had to stop reading, laugh out loud, close my eyes, and then wipe the tears away!

Humor. It's all in the timing.

Thanks, TriciaJ!

Specializes in Psychiatry, Community, Nurse Manager, hospice.
On 7/6/2021 at 8:25 PM, SilverBells said:

Especially the one where a state ombudsman might be present.  If it's gotten that far, I have no desire to be present at this meeting or associate with these people any longer

This is something a manager should be present for, especially if the ombudsman is involved.  And in your other post, you talked about wanting to prioritize patient care, which is something the bedside nurse should be doing. 

Would you prefer a bedside position?

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