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

Specializes in PCCN.
moldyoldyrn said:
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..

My ADN program( which was quite competitive to get into in the first place ) started out with 94 students. Ended with 41 graduating.

So sorry you had a bad experience, I think what you describe is unforgivable. Someone needs to deal with people harshly when anyone condones or actively performs behavior that you described. Everyone deserves a chance and we need to HELP each other. So sad. But I am so glad you stuck with it and made the move that helped you and kept you in the profession. That is what matters most.

Yes, the curriculum does weed out the chaff. In my mind this is a good thing. You do not want someone that cannot perform and do it well, caring for patients. It does not make them bad people, just people who are not suited to nursing.

She will not "fill in" for you or help you because she probably cannot perform. I have had managers who jumped in and did a stellar job when they recognized that we were floundering (for whatever reason) and could not keep up with demand but those folks are few and far between. Some of them I would have to tell to leave because they would mess things up. So you may be better off if she does not offer her help.

Funny how there is always money to remodel the lobbies and offices ("fluff") but never money for more staff - they always say "it's out of a different account." So move the money to where it will REALLY make a difference!

Having been in the nursing field for over 25 years, I have seen it change drastically, and not for the better. However, I can say that nurses have always been at the bottom of the "s*** roles downhill" positions. It seems that anything that goes wrong, whether a toilet overflows or a med is missing because pharmacy screwed up or a patient falls out of the bed or a physician f***s up an order or the computers freeze up, the nurse is the one who has to fix it. That's how it has ALWAYS been, so it's not a new thing.

Having said that, there are so many worthless things that the government has piled onto healthcare---like the smoking cessation stuff. That is a HUGE WASTE OF TIME. In this day and age of televisions, computers, cell phones, etc., anyone that smokes is well aware of the health dangers of smoking and if they decide to continue smoking, that's their own fault. There are smoking cessation programs everywhere---all you have to do is ask. The documentation has become so heavy that it takes up more time than actual patient care does. Back in the pre-computer days, I remember everyone saying that when computers come into healthcare, it will make pen & paper charting obsolete and much easier. HA! Now, nurses have to do pen & paper charting as well as entering the stuff into the computer because "What if the system fails and we lose all the information in the computer system?" Well, get rid of the computers and keep doing the pen & paper charting then!!! It is our illustrious government that mandated electronic medical records.

Nurses have become glorified servers, especially on med-surg/tele units. In the ICU or ER or OR, nurses have a more specialized role and aren't relied upon to deliver a hot cup of coffee to an already demanding patient. But, I do not envy the med-surg/tele nurses at all. They're overloaded with work, can't give patients the attention they deserve, are treated like dirt, take the blame for poor Press Ganey surveys, get "spoken to" by management if they come back from their meal break 5 minutes late, and have to tolerate the B.S. they get if they are not absolutely perfect. It's not worth it.

Hospitals make me laugh. They act as though hiring nurses is like hiring C-level, Fortune 500 people----they make nurses go through 2 or 3 interviews, ask questions in interviews that are completely irrelevant, they want to know exactly how much experience you have & what you're able to handle, etc. My first job 25+ years ago was at a private major metropolitan medical center in NYC---I got hired over the phone by the nursing office in May of my senior year in college. I had a telephone interview, they asked me what unit I'd like to work on, and they told me what day to show up for my employee physical & what was my starting day. I had a great orientation and stayed there for quite a while. I had no experience whatsoever, and you know what? They taught me how to be a nurse. Now, nurses need certifications for everything (I recently saw a job listing that required nurses have EpiPen certification----*****?) like IV, PICC lines, etc. (You can either start an IV or you can't---why do you need to be "certified"? Hospitals don't want to teach new nurses----they want nurses with "recent" hospital experience so they don't have to spend any money or time training them. And then we hear about how hospitals are short staffed "because there are no nurses out there". It's all a farce, which is representative of the entire healthcare system we have now. Healthcare used to be run by people with clinical experience----physicians, nurses, etc. When the MBA's in their tailored suit & shiny leather shoes are on the scene, it was the beginning of the end. They'll do whatever they have to do to ensure their own salaries & bonuses, and to hell with the nurses. Hospitals want the public to believe that their hiring practices are "better" than other places, that they only hire the "best & brightest" of the nurses---this is a product of the "Magnet" program. I can tell you what the root problem is in all of this---instead of focusing on the REAL issues in nursing, which is mainly related to too many patients per nurse & short staffing issues, lots of smoke & mirrors were instituted to hide the real truth. Hospitals don't need this "Magnet" B.S. All hospitals need is to hire enough nurses to give QUALITY care to patients, with enough per diems and float nurses to cover the sick calls & holes in the schedules. That's how it used to be done, and it worked great. But, as with all things, they take something that worked fine & change it up so it becomes a disaster. Instead of hiring per diems & float nurses, hospitals expect nurses to stay another 4 or 8 hours after their shift is over to cover the holes in the schedule----yeah, that's real safe. And then if something goes wrong, they'll the the first one to throw the nurse under the bus, change staffing schedules if they get sued to make it look like more nurses were working than there actually was, and blackball the nurse. Nurses have NO SUPPORT. (I've done legal nurse consulting where I have personally seen hospitals actually change the master staffing schedules to make it look like there were more nurses on duty than there actually were. The truth comes out when the nurses are deposed, it makes the managers & administrators look like complete idiots and then many years later, the hospital settles the lawsuit because it was their fault that there were 2 nurses taking care of 45 patients.)

I don't blame you for wanting to leave. The reason employees don't leave Costco is because they're treated well, Costco is loyal (they don't all of a sudden have a huge layoff of employees), they pay their employees well & give them good benefits----they appreciate their employees. That's where the difference lies between Costco and hospitals. Costco is a very well run business overall----they have excellent buyers, their prices are great, they run every store the same. You don't see 15 year old kids working there, pulling their cell phones out every 3 minutes to check their text messages & Facebook accounts. People that are shopping in Costco are generally happy and the banter between employees & shoppers is generally happy (except at the return desk----but Costco has such a great return policy that most people don't get mad). You won't go home upset or worried. Maybe healthcare should take a few pointers from Costco.

NurseDiane said:
Having been in the nursing field for over 25 years, I have seen it change drastically, and not for the better. However, I can say that nurses have always been at the bottom of the "s*** roles downhill" positions. It seems that anything that goes wrong, whether a toilet overflows or a med is missing because pharmacy screwed up or a patient falls out of the bed or a physician f***s up an order or the computers freeze up, the nurse is the one who has to fix it. That's how it has ALWAYS been, so it's not a new thing.

Having said that, there are so many worthless things that the government has piled onto healthcare---like the smoking cessation stuff. That is a HUGE WASTE OF TIME. In this day and age of televisions, computers, cell phones, etc., anyone that smokes is well aware of the health dangers of smoking and if they decide to continue smoking, that's their own fault. There are smoking cessation programs everywhere---all you have to do is ask. The documentation has become so heavy that it takes up more time than actual patient care does. Back in the pre-computer days, I remember everyone saying that when computers come into healthcare, it will make pen & paper charting obsolete and much easier. HA! Now, nurses have to do pen & paper charting as well as entering the stuff into the computer because "What if the system fails and we lose all the information in the computer system?" Well, get rid of the computers and keep doing the pen & paper charting then! It is our illustrious government that mandated electronic medical records.

Nurses have become glorified servers, especially on med-surg/tele units. In the ICU or ER or OR, nurses have a more specialized role and aren't relied upon to deliver a hot cup of coffee to an already demanding patient. But, I do not envy the med-surg/tele nurses at all. They're overloaded with work, can't give patients the attention they deserve, are treated like dirt, take the blame for poor Press Ganey surveys, get "spoken to" by management if they come back from their meal break 5 minutes late, and have to tolerate the B.S. they get if they are not absolutely perfect. It's not worth it.

Hospitals make me laugh. They act as though hiring nurses is like hiring C-level, Fortune 500 people----they make nurses go through 2 or 3 interviews, ask questions in interviews that are completely irrelevant, they want to know exactly how much experience you have & what you're able to handle, etc. My first job 25+ years ago was at a private major metropolitan medical center in NYC---I got hired over the phone by the nursing office in May of my senior year in college. I had a telephone interview, they asked me what unit I'd like to work on, and they told me what day to show up for my employee physical & what was my starting day. I had a great orientation and stayed there for quite a while. I had no experience whatsoever, and you know what? They taught me how to be a nurse. Now, nurses need certifications for everything (I recently saw a job listing that required nurses have EpiPen certification----*****?) like IV, PICC lines, etc. (You can either start an IV or you can't---why do you need to be "certified"? Hospitals don't want to teach new nurses----they want nurses with "recent" hospital experience so they don't have to spend any money or time training them. And then we hear about how hospitals are short staffed "because there are no nurses out there". It's all a farce, which is representative of the entire healthcare system we have now. Healthcare used to be run by people with clinical experience----physicians, nurses, etc. When the MBA's in their tailored suit & shiny leather shoes are on the scene, it was the beginning of the end. They'll do whatever they have to do to ensure their own salaries & bonuses, and to hell with the nurses. Hospitals want the public to believe that their hiring practices are "better" than other places, that they only hire the "best & brightest" of the nurses---this is a product of the "Magnet" program. I can tell you what the root problem is in all of this---instead of focusing on the REAL issues in nursing, which is mainly related to too many patients per nurse & short staffing issues, lots of smoke & mirrors were instituted to hide the real truth. Hospitals don't need this "Magnet" B.S. All hospitals need is to hire enough nurses to give QUALITY care to patients, with enough per diems and float nurses to cover the sick calls & holes in the schedules. That's how it used to be done, and it worked great. But, as with all things, they take something that worked fine & change it up so it becomes a disaster. Instead of hiring per diems & float nurses, hospitals expect nurses to stay another 4 or 8 hours after their shift is over to cover the holes in the schedule----yeah, that's real safe. And then if something goes wrong, they'll the the first one to throw the nurse under the bus, change staffing schedules if they get sued to make it look like more nurses were working than there actually was, and blackball the nurse. Nurses have NO SUPPORT. (I've done legal nurse consulting where I have personally seen hospitals actually change the master staffing schedules to make it look like there were more nurses on duty than there actually were. The truth comes out when the nurses are deposed, it makes the managers & administrators look like complete idiots and then many years later, the hospital settles the lawsuit because it was their fault that there were 2 nurses taking care of 45 patients.)

I don't blame you for wanting to leave. The reason employees don't leave Costco is because they're treated well, Costco is loyal (they don't all of a sudden have a huge layoff of employees), they pay their employees well & give them good benefits----they appreciate their employees. That's where the difference lies between Costco and hospitals. Costco is a very well run business overall----they have excellent buyers, their prices are great, they run every store the same. You don't see 15 year old kids working there, pulling their cell phones out every 3 minutes to check their text messages & facebook accounts. People that are shopping in Costco are generally happy and the banter between employees & shoppers is generally happy (except at the return desk----but Costco has such a great return policy that most people don't get mad). You won't go home upset or worried. Maybe healthcare should take a few pointers from Costco.

Have you read into why Costco is successful in ways and able to offer employee pay and benefit pkgs that mega companies like Target and Walmart do not? About the specific demographic they target?

Um... you're in one of the most diverse fields on earth.

You can be a school RN, insurance consultant, case manager, floor manager, senior manager, other consultant, analyst, ehr analyst, rn educator, policy consultant, etc, etc, etc. If you're under the impression that nursing is only floor nursing, you're sadly mistaken.

Be an office/desk nurse. No patient care except maybe communicating with them and their families...lol

I saw this and had to share! At my Costco there's a woman who's been there since1982! :eek:

Have you considered working in a Magnet Hospital? I work in one and none of what you said rings true for my workplace. Hope you find the right fit and joy in your career, whatever you choose.

Lovemysugar said:
I saw this and had to share! At my Costco there's a woman who's been there since1982! :eek:

Didn't even know they were opened that long! Unless it's a brand new Costco, all of the older Costcos were Price Clubs in my area.