I need advice..... BAD!

Specialties Med-Surg

Published

I graduated my RN program during the spring 2012 semester. Shortly after, I took the NCLEX and got my license! What a proud moment for me to finally be able to call myself an RN. I was then on my path to getting a job. I volunteered at multiple organizations, applied to what seemed like a million job posting, introduced myself to managers, and even landed two interviews - which is pretty tough to get here in California. New grad jobs in California are very rare. They only want "experience"! Well how does one get experience if nobody will hire them. Anyways..... I got off the subject. Sorry. So about 6 months of doing this..... I FINALLY got the call - I was offered my very first Nursing job on a Telemetry unit. I couldn't be more thrilled! All my hard work is finally paying off.

So I start out on my three month orientation. I worked 5 days a week with a preceptor and I felt as though my time management skills and growth were great! Each and every shift I learned more and did better than the previous days work. I even had some nurses say to me "you never seem stressed out - you seem to just flow with it." Then my orientation was over and I was on my own. At this point, I was not longer having to work 5 days a week, but was able to make my own schedule. First day was NERVE wrecking to say the least, because now it was all on me! I was the sole caregiver to these sick patients. At about 4 months in..... I started to get these feelings of not wanting to go - so I would put myself on the "call off list" with the hopes of being called off work due to census or overstaffed. Some days it worked and when it did I couldn't be more thrilled. Slowly, I started to feel no drive to go to work. I would wake up in the morning and prepare for my day. That consisted of anxiety and crying episodes. But I managed to go to work and make it through the night. As each shift came near and as time went on - I would be mentally and physically sick. Migraines before work that lasted through the night (and only the day I was to go to work).... I had no appetite and would eat very little..... at times I would throw up in the parking lot 30 minutes prior to starting my shift (and then having to put that fake smile like nothing happened)...... panic attacks during my shift..... and then crying spells before and after my shifts.

This is not what I signed myself up for. I know nursing is stressful and I know this is a huge demanding job. I will put it out there that by no means is this in regards to my patient care. I dont have those bad feeling about taking a patient load and doing my actual nursing duties (so I think). This is me getting physically sick to my stomach at the thought of going to work. I have seeked help from a therapist and I have had one session so far. I just dont know if they realize what Nurses do. I explained EVERYTHING i was saying and she basically said "your depressed... I think you should take some medicine". Well yea - I am depressed and I need to get to the root of this because I am physiologically having symptoms. I also have signed up for stress management and anxiety classes because I feel as though I could use some coping mechanisms. I have taken a leave of absence to find out what the true meaning of all of this is. This is my bodies way of saying something just isn't right. In the mean time, I am reaching out to other nurses for some advice. Have you ever experienced anything like this? Do you know of anyone that has and what did they do about it? I now only have 6 months experience and so I know its not burnout. haha. Maybe in the end - I was not meant to be a floor/tele nurse.

Thanks for listening and thanks for those that give me advice.

I have seen two different therapists. One said "your depressed.... I think you should try for meds". It was a quick 30 minutes and not very productive. Second one was amazing. Spent an hour with me and asked me all the right questions. I walked away feeling like I had more clarity.

The reality for me is that all my physical symptoms were a "sign". It was my bodies way of saying this is not the type of nurse I want to be. I absolutely hate med surg/tele nursing. I refuse to live a life with a job I hate. Thats no way to live. I dont want to look back on my life and wonder why i suffered through a job i hate. It's not fair to me, my family, or my patients. It has caused me turmoil in my life. That doesn't mean I am not meant to be a nurse.... I know i am meant to be a nurse. I just have to find my passion. I loved my postpartum rotation in school. I even like psych although not sure if a psych hospital is for me. My goal in life is to be happy doing the job I love and was meant to do. It may take me time to find it.... But I guarantee you I will. I'll get certifications and do everything I can... But it will happen. Life's too short to be miserable!

I have seen two different therapists. One said "your depressed.... I think you should try for meds". It was a quick 30 minutes and not very productive. Second one was amazing. Spent an hour with me and asked me all the right questions. I walked away feeling like I had more clarity.

The reality for me is that all my physical symptoms were a "sign". It was my bodies way of saying this is not the type of nurse I want to be. I absolutely hate med surg/tele nursing. I refuse to live a life with a job I hate. Thats no way to live. I dont want to look back on my life and wonder why i suffered through a job i hate. It's not fair to me, my family, or my patients. It has caused me turmoil in my life. That doesn't mean I am not meant to be a nurse.... I know i am meant to be a nurse. I just have to find my passion. I loved my postpartum rotation in school. I even like psych although not sure if a psych hospital is for me. My goal in life is to be happy doing the job I love and was meant to do. It may take me time to find it.... But I guarantee you I will. I'll get certifications and do everything I can... But it will happen. Life's too short to be miserable!

Good luck! I'm in the same boat. Going to see my doctor tomorrow. Your not alone. Take care of yourself! Just because med surg isn't your thing doesn't mean you should give up on nursing.

I definately know I am meant to be a nurse.... just not in this department. I will be much happier on a floor that I love. I think the key is to find your passion within nursing.

I definately know I am meant to be a nurse.... just not in this department. I will be much happier on a floor that I love. I think the key is to find your passion within nursing.

I agree!!! Good luck :) I'm going to the doctor today for the same problem.

I try to think of my job as something I do just for money and benefits. That is it. If I hate, well I am getting paid. That actually helps me through it a lot. I want to and do try to excell in it . but come on it was not a life long dream to push dilaudid 100 times a shift, change diapers, argue with xray or PACU etc .

I have been an RN 28 years. Med/Surg floor nursing is hard, stressful, craziness, etc. I have had a desk job 9 years now, haven't done clinical in 7 years. I am wanting to get back into clinical some but not full-time I don't think. The last place I worked just so confirmed how they try and stretch you so thin and then a patient or two starts going bad and you are LIABLE....whew; brings up bad memories. What kind of nurse patient ratio do you all work with on med/surg? I am in TN and we don't have a law like California does.

On tele... No more than 4 patients. Thank goodness for that! What about you?

My god, I want to apply to your hospital! That sounds like bliss!

Your honeymoon period is over. You're also feeling scared your going to have to keep working under this type of stress and/or job forever so you feel trapped. It WILL get easier to deal with as you get more experience. Start looking for another area to bid on that appeals to you. Don't dread going to work thinking how much you hate this but think to yourself you are training for your future. This is a stepping stone. You are still learning a lot and your are not stuck in this job forever. You realize this isn't going to be an area you want to stay in and that is fine but by learning all about heart rhythms you are making yourself more marketable to work in the ER, ICU, cath lab, rapid response team, etc and if none of those sound good, you're still learning patient management and gaining acute care experience for any other nursing job! The nurse you were during orientation is exactly the type of nurse you can and will be someday as you gain more experience and confidence! Look back at how much you've already learned! There are always nurses available to help so don't put so much pressure on yourself. It sounds like you're pretty normal and you are going to be ok!

Specializes in Med-surge, hospice, LTC, tele, rehab.

I've been a hospital RN for 8 years now and I still dread going in every day. So far I've worked in three different facilities but it's all about the same. Sad, but true. I hope you find something you like. I hope I find something I like. I'm still looking : 0

Wow this sounds exactly like me.. Exactly. I think it's not just the awful stress of the job but disappointment in how much I dread the work day. I've started on Wellbutrin a week ago. I put in MANY job applications and everyone says I need one hear experience. I've got six months so far. Good luck. Lets all hang in there

Specializes in IV Team, ED, Med/Surg, Ortho.

I think this is a very normal reaction for new RN's these days unfortunately. It's exactly what I went through. Nursing school does nothing to prepare us for the real world and once you start getting your own patients it takes time you get your flow and learn things like like prioritization and time management. The stress can be absolutely overwhelming. All of a sudden you feel completely inadequate and lose all self confidence and feel totally stressed out all of the time. Let me assure you of a few things. First, take a deep breath. It is not you. You have been thrown into an environment with a lot of responsibility and when you are on your own and realize that it can be scary. A license alone does not make any of us experts. I can remember getting to that exact point where you are now. I had a hard time getting everything done and prioritizing. I was not able to get the help I needed out of the CNA's and ended up doing all of my own ADL's plus assessments, meds and charting, which always made me miss lunch and go home late every night. I cried every day and had panic attacks driving to and from work. I think I even remember calling my husband from the car one morning begging him to let me quit and just turn the car around and go home! So no you are not a failure and no this is not abnormal. In the past nurses used to have one semester to one year interning at a hospital and running a floor before they even got out of school so that they could learn exactly how to juggle these issues. Now they crank the students out with very little floor time. So... how can you survive it? It honestly just comes with time and experience and it will get better, but you have to give yourself permission to have a learning curve. Don't be so hard on yourself. You have to remember that yes we are nurses and we tend to give our patients our everything, but this is a job and you leave it at the door when you go home at night. Also it's not a race, don't compare yourself to others who have been there forever. You focus on yourself and what you know that you have been trained to do. Remember that you survived nursing school. You passed the NCLEX, you earned a license with tears, sweat, and many sleepless nights, and the hospital picked YOU! They would not have cut you loose on your own if they thought you were incompetent. Have confidence in yourself! When I was in clinicals I used to carry a notebook and highlighter with me. I would constantly jot notes of things I needed to prioritize and get done right away and highlight the ones that were super important and then cross them off as I went along and put a time beside them that I had to have them done by. Also, It IS also okay to say no (obviously not to your boss or supervisor) , but learn how to communicate when you are already overloaded or say I'm sorry I can't get to that just yet I have something more urgent I must get to first and then I'll be happy to help... Learn how to delegate. Use those CNA's. If you can find great ones team build with them and don't let them go! Do something nice to show them your appreciation. And finally don't be afraid to offer and ask back for help. Team players can be found on any floor. I hope these suggestions help. Hang in there. It does get better. I also treated myself to a massage once a week. I didn't need therapy or meds, this is a very fast faced environment now and inpatients are sicker than ever before. Give yourself the credit you deserve and it will come in time. Good luck and let us know how you are doing! :)

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