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

Whoever fights monsters should see to it that in the process he does not become a monster. And if you gaze long enough into an abyss, the abyss will gaze back into you.

Specializes in Urology.

I've been a nurse for almost 10 years now. It's been a very rewarding career both professionally and personally. The profession has experienced change through the years and it will continue to do so until the end of time. I can see the frustrations that you face but it is up to you to recognize them (which it seems you have) and make a change. This does not mean leaving nursing but perhaps your facility or potentially the floor you work on. There are plenty of nursing jobs available that have none of the complaints you list. In my 10 years I have had a few complaints that mostly stem from a management perspective and the lack there of. You can make a positive change for your patients, for your career, for yourself but you have to have the awareness and the attitude to make it happen. You clearly know there is a problem, now its time to either move on or let it consume you. I don't recommend the latter! My step dad used to yell at my mom when she wore her work badge home. He would tell her to "take your work off" which I totally agree. Work is for work, home is for home and its best to keep it that way! Good luck on your journey!

BrendanO said:
If you don't like the "other duties as assigned" parts of your job, have you considered trying to organize a collective bargaining unit at your workplace? That can go a long way toward eliminating "responsibility creep", and can give ample recourse against the "we have a stack of resumes" threat.

Although, if I'm surmising correctly from your username that you're in Alabama, that's probably a fool's errand. Have you considered moving to a different state, perhaps with a more egalitarian healthcare culture and worker-centric employment laws, rather than abandoning the profession you trained for, and clearly have deep emotional investment in?

How would one verify whether another state is truly a better place to work before taking that enormous risk? Around here, unions are nonexistent, and a major hospital system (rumor had it) was firing any nurse who seemed to be looking at unionizing. That's the glory of an at-will state.

These whiny posts are getting old. The two threads which are currently trending most are this one and "Why I'm leaving nursing." Both have nurses crying after 6 years. Is 6 the magic number? Both are bedside hospital settings. Who told you to choose that over the 487 other options? And who told you to renew your initial contract? No sympathy for either of you nor for any crybabies. All of you get what you deserve for not listening to ShelbyaStar when s/he wrote, "... hospitals act as though you should be kissing their butts for the opportunity to work for them, ..."

https://allnurses.com/why-rns-avoid-ltc-positions-t414259/?page=5

As long as new, naive nurses cause hospital positions to be coveted and drive past all the other open vacancies (LTC is merely one of many) on their way to submit their resumes they will continue to be physicians' doormats. Enough with the fake status rubbish, no it's not cool to work in a hospital.

Have fun at CostCo. May you make "employee of the month."

You can get in trouble for ignoring an MD order but not for questioning the order. I would question and repeat, repeat, repeat. Also document, document, document.

I have to respectfully agree to disagree Nursing is a calling and you can not care too much you can learn to set boundries but total detachemnt has no place in Nursing sorry just my opinion after 30 years of nursing.

Specializes in PCCN.
MadruGada said:

As long as new, naive nurses cause hospital positions to be coveted and drive past all the other open vacancies (LTC is merely one of many) on their way to submit their resumes they will continue to be physicians' doormats. Enough with the fake status rubbish, no it's not cool to work in a hospital.

Have fun at CostCo. May you make "employee of the month."

UNM, hospital positions are "coveted " because simply, they pay more, at least in my area. LTC does not pay more, and why on earth would one want to work in that setting-yeah, I really want to be responsible for 60 pts( for less pay)

Besides , the hospital jobs are also coveted, as most new grads intend to move up quickly to NP or CRNA. You need time in acute care, not LTC.

If one is unlucky enough to stay in the hospital setting for a few years( with out intentions of moving on) they get burned out from the pt abuse and management abuse. Nothing like getting it from both sides.

If you're old like me, there's no more school to be had. So that might be why someone would want a costco job. At least there's no license to lose over that.

you are feeling exactly the same way i do, and on top of the trauma of understaffed facilities and nasty bosses, the feeling that i went to college and now its not worth the paper its printed on is depressing also, i have decided to go back to college and become an attorney..and feeling better already, im not going to give up, hey if youre done with nursing its okay, and youre not alone..i would never want to be a person who is able to detach from human emotions anyway, and remember, you probably would have been able to handle that part of it, if there werent all the other corporate issues on top of it, its just too much, and i dont care about the money anymore, i want quality not quantity..cudos to all the nurses who can endure all the crap, more power to ya.. love and hugs laura

Oh and ps. After I decided I was done, I tried going back a couple of times, I couldnt stomach it..I was this close to throat punching another nurse...LOL so be careful when and if you continue or go back, listen to your gut..and your heart..it knows you best ?

AMEN there are too many options to quit. If you do not explore your options you are only cheating yourself. No one will do it for you, you gotta' be a self starter. Put the work shoes on and go for it. I also agree that Nursing is a calling. When I started my BSN program we had 85 students. After the first semester we were down to 53. 53 graduated after 2 1/2 years. Many of those who quit or flunked out had "always wanted to be an RN", wear the white hat and shoes, and live the dream. It is not a dream. It is something you are called to do, if you cannot feel that then in my opinion it is just a job. The first time a patient comes up to you or sits beside you and grabs your hand and says "Thank God you are here" puts a stamp on your heart that says you are in the right place regardless of how bad it gets.

Specializes in Geriatric, Psych, Informatics.

I think this gets to the heart of the matter, that you became a nurse by default and at your core really wish you were doing something else. So do it! You don't do your patients or coworkers any favors by staying when you didn't really want to be there in the first place:

"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 think what you need is a change of venue, different work place, different specialty. You do not need to leave the whole nursing profession completely. You can do urgent care, out patient, orthopedics (this is easy), case mgt, or nurse IT. So many things you can do as a nurse but make sure you have boundaries from your personal life and work. Also have some time to take a break and reset your mind. Travel and volunteer work can help you with these.