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

Haven't read the entire thread here, OP. However, I am a new nurse and this is my second career. This is also the first time I've not been in a union or worked for the government in some capacity. In fact, before I was a nurse, I used to be the building rep for my union. From the get go, I've witnessed some disturbing things about the state of healthcare in this country (US). It doesn't sit well with me either, honestly. However, I'm not going to let myself lose sleep over any of it either.

I'm struck by two things here: 1) Nursing needs to be unionized everywhere. It's not where I live. It likely isn't where you live. 2) It is a stressful career and it is easy to burn out. You went into this career because you care about people. That's great. However, as time goes on, you have to get over the pie in the sky helper of humanity daydream that first inspired you. The reason is because reality will let you down every single time.

You can't take your work home with you. You must learn to separate your feelings from what you are doing or it will kill your soul. You must willfully forget about work when you're not there and you must make your own health (physical, mental, spiritual) your first priority. If you can't do that you aren't doing yourself (or your patients) any favors.

I came into this from another stressful career and I knew exactly what I was walking into with this one. Being grounded in this manner has made transitioning into nursing way less stressful for me than it is for others. I know how to handle difficult people, I can feign a level of pep I don't actually possess, and I find it next to impossible to be offended by people that I don't respect or have little respect for in the first place. I have my own myriad of accomplishments in life, so I'm not overly impressed or intimidated when others try to throw their weight around. I also didn't believe the pie in the sky BS they were selling in nursing school for a minute. It's propaganda to encourage young people with no knowledge of the world and how it works.

I choose to be here. I don't have to be. I guess I'm privileged in that I am comfortable with myself and my abilities outside of the profession. I'm constantly gaining new skills and am becoming better at this nursing thing too. Yet nursing doesn't define me at all. I work to live, I don't live to work. Actually, I'm privileged enough to be in a position where I don't need to work. I have other options in life and no debt. I could leave today and have somewhere to go.

If you are burnt out with nursing, then leave. However, try to leave on a good note. Don't burn your bridges. Realize the grass will not always be greener elsewhere either. Go do something else. I hope it works out for you and you can find happiness.

"After leaving work, many of us call back up to the floor or unit checking on our patients"

Just to let you know, BamaRN, it's a HIPAA privacy rule violation for you or coworkers to be calling work after your shift is over to inquire about the patient.

I feel the same way you do about the state of nursing but remember, every job has lot of misery associated with it. When I'm feeling down about nursing, I think, well, how about a job requiring me to be on a 100 foot scaffolding painting or hammering nails into a house frame when it's freezing cold or scorching hot ( and not much $ for doing that!) What about climbing a telephone pole To place power cables? Or being the sanitation worker on a muggy day going from house to house unloading filthy garbage? And the garbage cans lined up to infinity? How about trading places with the struggling patient Youre caring for? These are a few of the many coping mechanisms I developed over my 21 years of Bedside nursing.

I work in a hospital affiliated clinic. I love what I do and the continuity with my patients. What I dislike: Press Ganey. The focus on numbers and appeasing the patient's every whim rather than what is best for their care is the wrong focus. Of course, in primary care we have mounds of paperwork the doctors don't want to complete so it piles up. We get the 10 messages a day waiting for it to be done. It will eventually give in some way. I just don't know where.

You can leave your job without leaving your profession. There are so many areas of nursing to choose from.

Totally true. I am completely in the same boat after only six years. So unfortunate. The one thing I can't agree with in this article is the use of "lunch breaks". In six years I have had around 8 lunch breaks consisting of 30 minutes of uninterrupted time. Normally my breaks consist of shoving everything down my throat in three minutes or less because there is no time or help. You can bet your bottom dollar they sure do take that 30 minutes out of my paycheck though every work day automatically though. There is no gratitude. There is no respect. There is no support. We are alone and we need to rise up together if we ever want to see a positive change!

Perhaps you are in the wrong work environment, not the wrong profession. I work Home Care. I do not work for an agency either since the politics are almost as bad. I work in a Consumer Directed Services household, where my patient's father is my employer. I hear thank you. I have a wonderful actual team to work with. I live for that young man's smiles and laughs. There are rough times, of course, since he is totally dependent on others for care and sometimes stress levels can be high. But, everything isn't about it being a money making venture. It is about making a severely disabled young man's life the best it can possibly be. He has only been to an ER once in almost 14 years. He is 34 and wasn't even supposed to get to 20. I tell you these things because it truly sounds like you are in the wrong nursing niche. There are a lot of similar niches out there and a lot of demand for nurses wanting to make a meaningful change. Take off the blinders and find that niche. And, yes, it is okay to cry or worry about patients. I have found that very few patients want a nurse who isn't first a caring human. The hospitals and others that are for profit over quality I have no use for. In my house, the parents trust and respect me and would do anything for me. My team have all become friends, we are on the same page. And the young man smiles. You can't help but find peace around him. In short, find the niche that suits you best. Then find out what true delight in being a nurse means. You have a lot of other opportunities. Don't forget to explore some. There is a lot more I can, but boil it down that you think you are trapped in the wrong profession and you are feeling it because you haven't found the right place to be yet. Go out and experiment with other modalities. I think you will find ALL the right reasons for being who you are supposed to be. Good luck and please do start looking at other nurse modalities.

Kate

you sound burned out. take a break and come back when your head is clear. you are no good to your patients who need you if your head is a mess

while you are gone, maybe youll remember why you chose this life in the first place. its ok to take a break and come back clean

Specializes in Orhto, med/surg.

Very, VERY well said KindaBack.

I am in agreement. Bedside nursing has been the most completely thankless and hardest job I have had. We are constantly short handed and are expected to meet patient satisfaction. I am so over as well. I am going to open my own business so i am just biding my time but cant wait to be out.

That is really ignorant advice. She is not burnt out, she is feeling how all of us nurses are feeling.

First, I want to address the fact that you’re making valid points regarding the mistreatment of nurses by management and physicians. I’ve experienced it and dealt with it and is one of the contributing factors as to why I left the bedside. The other, and major contributing factor, is the lack of minimum nurse patient ratios. Everyday I felt like there was a situation where if it were taken to court, either myself or one of my nursing colleagues could have been held responsible and usually it was associated with short staffing or unsafe ratios.

I think it’s great that you love your patients and are willing to do what it takes to promote positive patient outcomes. Documentation, although not obviously critical to your day to day activities as it relates to the current admission, is extremely critical when another dose of medication is ordered or another practitioner needs to make a decision based on documentation. So although management stresses documentation because of the legal implications of not documenting accurately, it can in fact contribute to outcomes in a negative way.

The most concerning statement, however, is your comment regarding potentially overdosing on your meds or someone else’s. I understand that you’re most likely making a joke, but in my opinion, in our line of work where we have open access to controlled substances, jokes like that are not professional. With that said, even if there is an ounce of truth in that statement, I would highly suggest that you reach out to your hospital’s Employee Assistance Program (EAP) or seek out help from a qualified mental health professional. Believe it or not, despite the challenges in nursing, about 50% of nurses never face the mental anguish that you are describing. Therefore, I think it’s essential for you to reach out for help. Feel free to private message me and I have no problem connecting you with the right resources.

You seem like you’re experiencing the textbook definition of burn out. This is not your fault but is a symptom of moral distress. More medical errors are made when nurses are experiencing burn out. So my concerns are for you and your patients. Please seek the help that you need and reevaluate whether or not the bedside is the safest place for you right now. Maybe you just need a break, or a different hospital or specialty, but you definitely need to do something ASAP before you hurt yourself or your patients.

Best of luck!

(Btw, I meant it when I said you can private message me if you want.)

Specializes in Retired NICU.

I’m guessing your facility is owned by physicians? That particularly increases some of the issues you speak of. You may be more comfortable in a hospital that is not physician owned. Another suggestion, maybe you could get your mojo back by transfering to women’s health, start in mother/baby and work towards labor and delivery.