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

Per Glassdoor, Sacramento Costco supervisors are paid in the $23/hr range, whereas Sacramento RNs average 100K/year. (I'm not sure that includes all RNs but I can vouch for making low 100s for years in the Sac area).

This is not to the OP's point, only to posts directed at wages.

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Not profits are worse

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It took a while but I made 104k/yr.

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I completely agree with you. I'm only roughly 5 yrs in which is sad. I loved school, love making a difference and making pts happy. It's the best feeling when they say thank you or gave me a hug even just for the littlest things, it filled my heart. But once the reality of it set in with upper managements unrealistic expectations especially with a skeleton crew nursing chewed me up and spit me out. I became very depressed and anxious. I tried changing floors, same crap different setting. I went on antidepressants, would walk into work having panic attacks. What kind of life is that to live, for what? My patients lives are important but so is mine. I think same as you I got waaaay too attached and personally invested. I can't help it thpugh. It's not a switch I can just turn off. So I left the hospital setting, I've lost a lot of my skills but I'm alot happier. I'm just trying to figure out where to go from here. Is nursing even for me? Not with the direction it's headed, kudos to you nurses who stay in it! It's funny you say that about Costco, I would fantasize about working at coffee shops lol.

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There are many options out there, consider some of them. Your skills will come back with very little work. Go work at a decent place. And that includes any place you work even if outside nursing. Hospitals can be hell but you need that experience to shore you up.

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Specializes in med/surg.

Nursing is a position where you have not only the responsibility of taking care of your patients, but secretary work, reminding doctors, putting up with rude comments, getting spit and vomited on and often times missing lunch. Perhaps it is the facility you are at , perhaps not. Being a team player is a big part of nursing. Appreciating the ancillary departments can be a big help. Answering your co workers lights, and ignoring rude comments, sometimes turning the other cheek. Think of who you are, who is watching you and set a good example. I have been yelled at by doctors for things that have happened two days ago, spit on, had assistants that refused to help, cried on the way home, scorned by family members etc. Remember who you are there for..those sick patients they depend on you. Try to leave work at work (I know it is hard). I play loud rock music to and from work and stress comes with the job. I think you are too smart for Costco, plus the pay isn't as good. Good Luck

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Specializes in M/S, LTC, Corrections, PDN & drug rehab.

Get out of the hospital & work in a different field. That's what's so great about nursing. If you are feeling burnt out, try something else.

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Specializes in COHC.

Yes, I hear that Costco treats it's employees very well. Why do we rarely hear that from companies? I believe that it has a lot to do with capitalism that is WAY OUT OF HAND. Most companies, including hospitals, care only about the bottom line. They live by a different set of rules that us workers cannot comprehend. I used to be a charge nurse at a busy teaching hospital. If your staff to patient ratio was off even a little, you got your face ripped off. They did not care how well the nurses or patients were taken care of. They cared about the budget and the scores that the patients mailed in. When the patients complained on those scores, I will give you one guess as to who got the blame. I am SO glad that I gave up floor nursing (for the most part). I work in a clinic now. It is funny that this article mentions Costco. a friend who is also a nurse was a victim of bullying from another nurse. She has been out of a job for a while by choice because of it. I told her she should at least get a job at Costco for now.

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Don't give up on nursing, a change in atmosphere may be what you need. I've been a nurse over 20 years, I've worked in nursing homes, hospital floors, hospice and home health, and emergency nursing. I do consider it more than a job, it is "my" calling. Yes we need to have boundaries, but never stop caring. The world needs more nurses who care.

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I agree with our colleagues here, don't give up! I think it just depends on the facility.. hope you will find a better hospital. :up:

RE: trying to switch as a HD nurse, maybe in the hospital much better as a dialysis nurse but not in a clinic. Our nurses there handle 12 patients per 4 hours, so total of 24 patients per 8 hour shift. although HD nurses in the clinic only do assessments, giving medication, (also lots of paperwork documentation) but it also can get busy for the first 2 hours specially during turn over and if one of the patient have complication then you'll be late with your next patient and the rest which is kinda frustrating because the management always want to save up money so they want a fast turn over and as much as possible no patients should be hooked up late! management is really strict with that..

I also just wanna share:

Although I'm only a PCT in our dialysis clinic I have a staff nurse(medical-surgical private hospital) experience in another country.

I'm still waiting for my authorization to test and I hope I will get my license SOON because I think DIALYSIS is really not for me! it sounds like we have a time limit per patient, They want us to hook each patient for 5-10 minutes and then go to the next patient. it's all about rushing! now where is the patient's safety there? I cannot practice compassion or empathy because we always have to rush. LOL

PCT's in our dialysis clinic also act as BIOMED, we do the bicarb mixing at the back while doing patient care and shut down the clinic(rinsing the large tanks, closing it) if you have the 2pm-10:30pm shift. every Saturday we also have to do the bleaching of the large tanks at the back and very tiring because I'm just alone doing the back shut down and it means I have to stay longer to make sure after I bleached the tanks, we have to rinse and make sure it's clear and free from bleach after testing it with a strip(I have to work 2pm-11:30pm if I'm doing the bleach Saturday shutdown).

Sorry for ranting here, maybe I was just used to floor nursing in our country that's why I don't like the way of the dialysis clinics here. we use to have 14 patients per nurse back home and it's a private hospital, not even government, it was hard but I was still able to manage because there is no time limit, though we have to act fast too. I've only been working for 1 year in our clinic but somehow I got use to their technique. also the good part in our clinic are my co-workers and patients, they're all friendly and nice, I love them!

But I'm still hoping I can get a hospital job someday(although I know it's more hard in the hospital) and I really think it depends on the interest where we can excel.. ?

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

"Persevered" not "preserved."

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I agree Bama - hospitals and schools teach us through their education programs to practice a certain way or we may be reported to risk management. But then we are subjected to a nursing environment that pretty much sets us up to fail. Ex. "delegate to your teammates if you are in the weeds". They are too busy doing their work. We are responsible for CNA work but half of the time they are not there to call upon. I had so many interruptions via phone calls, transport (stop to take care of paperwork, vitals for them or they leave in 5 min), patients need to pee, family member demands to talk, physician wants an answer..... These can happen all at once. I can't remember one day when I was able to stop and take a break except for lunch (mandated). I was so burned out from the bells and calls and documenting... I had to ask myself why I was there. I didn't go to nursing school for that. Admin just places more on the RN via calculated risks.... if something goes wrong, it must be the nurses fault. It's abusive. Yet, the hospital builds more buildings and clinics at the same time they short staff. Now you know who pays for the new buildings.

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