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

Nursing is not a calling? We're all entitled to an opinion. Mine is that nursing is absolutely a calling. At least it was and still is for me after almost 30 years. Certainly I've felt terribly discouraged at various points in my career, but I've always preserved and bounced back. Why, because I believe that I was called and not sent into nursing, which is not merely a job. I have felt very similarly to the writer of the original post particularly as a younger nurse, now I let most things go. I suggest transitioning into another area of nursing that is not so emotionally draining. Explore options. There are many. If you really feel like you're truly done..... Go. All the best.

Specializes in Med-Tele; ED; ICU.
Batya said:
We all have different personalities, and we do not have the right to say that they need to change theirs to do a job. It's better for the person to change the job, otherwise they will be miserable because they can't be themselves. Not everyone has the ability to detach themselves. I am someone that is very empathetic, and I can't turn that off. I can't become a robot. I do believe for some that nursing is a calling, I have no doubt it was for me. I learned that floor nursing was not for me, so I have been able to find my niche in a specialized area and still be able to care for patients with the compassion that drives me. Do I get frustrated at administration? Of course I do, that's part of most jobs these days. But because I'm in the area I am, it doesn't affect me as often. I love that I care so much. My patients, their families, and even some physicians appreciate that I care so much. I entered nursing to make a positive difference in people's lives during their most vulnerable times....because I had caring nurses that took care of my son, and us, during the most scary and difficult time in my life. I refuse to become an uncaring robot, it's not who I am.

There's a huge chasm between "uncaring robot" and having "Our patients (be) our #1 priority not only just 12+ hours a day..., they are always our main concern" or "(worrying) about our patients even after quitting time... (and calling)back up to the floor or unit checking on our patients" and "genuinely worry(ing) about our patients that it often consumes us."

I think those nurses who are afflicted with such a consuming (to use the OP's words) attitude toward their patients are likely the ones who are "now on antidepressants, benzos, blood pressure meds, and others due to the stress and unhappiness."

Both are extremes... and my experience has shown that contentment is generally found in the middle ground.

Specializes in ICU.
Notmywil04 said:
"The company pays a living wage. Costco's CEO and president, Craig Jelinek, has publicly endorsed raising the federal minimum wage to $10.10 an hour, and he takes that to heart. The company's starting pay is $11.50 per hour, and the average employee wage is $21 per hour, not including overtime."

Pam Baker-Redman, RN, BSN

That's pretty dang good. I made less than $21/hr at my first nursing job. The fact that I could make nursing money working somewhere else is very appealing. Even if it took a few years to get to nursing money, it would just about be worth it.

I know someone who used to work in a physician office and after five years, she said she made $19/hr as a RN. I wonder how long it takes to get to the $21/hr at Costco?

Heck, I'm thinking about jumping ship to Costco now, except I'm in school full time so I can't work during the day.

Your effort is not unappreciated by the majority of your patients. It is very difficult for patients too. Today people have to be very sick to be admitted to hospital, and very sick people are too busy just trying to survive to pay attention to much else. The hospital is a very intimidating environment for a patient; they are caught up in a whirlwind and don't know what's going on or what's going to happen to them, and they are often separated from their family/significant others. The patient is told the plan of care by the doctor/s, but often bare bones information is given due to time constraints and/or because the patient is very sick. Without some medical knowledge the information is often difficult to comprehend.

I think that nursing is a very difficult job/career unless one really wants to take care of sick patients in spite of the working conditions. There are such people. It is fine to not be such a person, and I think it is healthy to recognize this, and to look for job/career satisfaction elsewhere.

Having left a full time job at Costco in Marketing to begin nursing school and to work as a behavioral health technician I can tell you it takes about 10000-12000 working hours to get to the top of the scale with incremental raises every 1000 hours or so. The amount of hours depends on the year you start and the 3 year bagaining agreement you fall under. If you are part time you can expect about 8-9 years or so to get there. You have to start at Costco contingent pushing carts or assisting (boxing groceries) during the holiday season. Education does not matter whatsoever. If you are good enough they will keep you on contingent or part time. When I left in 2014 the split of full-time to part-time staff was about 50/50 in each of the three warehouses I had worked in. If by chance you got a full-time position you are still looking at 5-6 years to reach the top of the scale. Oh and when I started after being hired from a contingent position, I worked four evenings part-time at five hours a shift. 4pm-9pm making 12.75hr. I also started out pushing carts through November and December. (with plenty of snow) They do give you free hand and foot warmers and even let you use the snow blower. It is really a great company, but you must put the time in. No one goes there is just paid 21hr.

I truly empathize with what you saying. I went from being burned out on the floor to clinic burn out even faster because of the politics and lack of putting patients first. I have been working as an insurance nurse for over 5 yrs now which had done wonders for me. So I would recommend a change of scenery or lateral move to recharge your nursing battery. I have been in this field for 20 yrs now and in a vast array of roles, all affirming my choice of career. Good luck on finding your new fit.

I am so happy that someone has expressed the same feelings that I have felt for at least 20 yrs.

I have been in nursing for 35 years and it definitely has changed from patient oriented to money making oriented.

In a way we have done that to ourselves by very quickly 'professionalizing' the career. Maybe it should be professional, but I don't think the consequences of this action were thought out very closely [just my opinion].

Also, we have added many things to our plate that use to be doctors only work. Add to that the elimination of jobs like head nurse and unit secretary [my unit no longer has one] that we have to do ourselves, computer systems that jam all the time, etc, and there really is no time for patients.

I have partially solved the problem for myself by leaving the hospital setting and doing home health. Maybe this is what rnfrombama needs to consider doing-at least for a while. I will tell you that home health gets paid less but if patients are your concern that should not matter.

Someone wrote that nursing is a job, not a calling- this is directly opposite of what all my instructors and unit managers have been telling us at staff meetings and in class for the last 35 yrs. We really need to decide what we are going to do with nursing. Is it going to be treated as a job-'a profession', or is it going to be treated as a calling? Prospective nurses need to know which one so they can choose this path with all the information needed to choose wisely.

Specializes in Psych, case-management, geriatrics, peds.

I cannot help but put my thoughts and experiences in here. I have a couple different careers: 1) Nursing 2) Writer/Editor 3) Teacher

ONLY in nursing have I not only witnessed other nurses, but have experienced it myself countless times, being treated with incredible disrespect, belittled, bullied, etc., not only by administrators, but ESPECIALLY by other nurses. Nurses want so badly to be considered professionals but they not only let themselves be treated like dirt, they treat each other like dirt. It's as if they never got out of High School and remain in the "clique" mentality. This profession, as far as I am concerned, is one of the most unprofessional jobs in the world. And I have worked in several disciplines and facilities. Interestingly, all of these positions were in direct patient care. Direct patient care is looked down upon by not only physicians, managers, administrators, the State Boards, but also the public and nurses themselves.

As as writer, editor or teacher, I was treated with respect, as an equal, and was encouraged to make creative decisions that were taken seriously and more often than not, implemented. ONLY IN NURSING was I (and other nurses) treated with contempt and disregard. It is systemic. It is a hierarchical system whereby nurses are at the bottom of the ladder. Most nurses treat each other like a pack of hyena's. I only do nursing if I ABSOLUTELY HAVE TO. Then I get out...FAST. It has gotten worse over the years and it is a rare to find a direct patient care nurse who actually loves what he/she does.

So I'm scrolling and waiting for it and it never comes. A large part of the issue is with nursing management. In my experience nursing management is never about nurses but rather covering their own a**es and kowtowing to doctors while their subordinates be damned. The grass is never greener. Trust me. It's not a crime to not want to be a nurse. If you're not going to be happy in it, just leave. I wish I'd done it a long time ago. If you have a supportive husband, don't worry too much about the consequences of doing that. Choose something else you're good at, something you do all the time without even thinking about it, and focus your career intentions on it. Yes, it's not a crime to abandon a messed up profession.

There will be some sort of politics or things you do like in any profession. I say, if nursing is your calling stick with it! Maybe try a different area of nursing, there are so many different specialties out there. Not only that but different types of nursing related jobs too. When the days get long or tough I just stop for a moment and remember why I chose this path in the first place and it always seems to help me get my focus back and put things in perspective. Best wishes with your future plans! Life is short, do what makes you happy!

I see one root issue in both of these posts and they are both related to the other. Kindaback, and RNfromBama have conditions that are common to nursing today and it makes the environment of care unsafe for the nurse, patient, and the facility. I'm not trying to be ugly but we as a profession must discover ways around these kinds of issues. How did we get here? How can we change it? What do we need to do as a profession and as individuals to solve this unsafe condition? Those are some of the questions I'm trying to discover in my research. Nursing cannot be a business like the local bank, Home Depot, etc. At the same time I hypothesize that there are constructive things that the facility can do that will make it better for everyone, but it is going to take everyone's willingness to first recognize the problem and then commit to work on it together to turn the ship around. Just stop doing what you're doing only adds shame to an already bad situation. We must chose to work together to overcome these kinds of problems. No one is wrong in feeling what they are feeling, but the feelings to indicate a huge problem in our profession.

I have had those same feeling at times. I work in a place where as a female nurse, my word does not count. My Director of Nursing would keep saying pick your battles. So I did. I looked at Nursing Policies and Procedures and what I do, what I am responsible for and made changes there. I let her know I will be held responsible for what is in the Policy and covered by our Nursing Guidelines as in place by our Licensing agency. She is well aware of the Department I work in and in 10 years has never ask could she help when I am short or filled in when I am not here. I choose at times to become detached as some of the other posters and put in my mind I am Making My Eight. I take care of my patients but Management and Doctors I just breeze by them. Works for me. I start my day with a Prayer and then follow it with a funny story that makes me laugh. Hope you can find ways to vent, find peace and search until you find your place. Good Luck!