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

I've actually been thinking about moving to another facility for a couple of years now. Whatever I do, I'm not going to let my license lapse or expire. I'm just so frustrated right now more than ever due to soooo many more responsibilities added to our nursing plates without the added money. I just want to add that in the area in which I live, there are only very few employment options for us nurses outside of the facility where I'm employed. That also adds to my frustration.

Thanks for everybody's input. Again, you may not agree but thanks for the suggestions. Please excuse my tone. I'm so frustrated.

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We all talked about this same thing today at work. We're going to all pick a day and not show up. Of course, we won't do it. But it would be an eye-opener. It has happened on a couple of floors lately, but those nurses were quickly replaced by new nurses (mostly new grads) and "thrown to the wolves" soon after they were hired. Now, some of them are gone. So the patients will still suffer. I can't help but imagine my parents as patients whom are suffering due to the lack of compassion or care.

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If I went to work at Costco, I would be getting an increase in pay, so that is not a negative outcome in my opinion.

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Specializes in Family Practice.

As much as I love my NICU babies, when I am off work I do not think about anybody or thing. My days off are for me to enjoy. When I go back to work I give my best to my patients. Nursing is caring profession and sometimes you have to stand back or you will be a basket case. There has to be balance. I know its very difficult but you must find that middle ground.

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Agree with so many of the comments--after 20 years I have learned that you can only care so much. Do your best at work and then leave it there. Find time away from work to care for YOU. The administration is all about money.

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Dear RNFROMBAMA:

I worked as a Nurse for 10 years, then retired early. I retired mainly due to health issues (yes, I took care of my patients and let my own health go unchecked). But I was glad to have an escape from the crazy facility I felt stuck working in.

Sounds to me like you just need some decent time off to re-evaluate your situation - take an honest look at the big picture and ask yourself if you'd really be happier working retail.

It may just be time for you to do some soul searching to find your calling is in L&D, or Hospice or Peds. Re-evaluate your living situation and see if it's possible to move if necessary to obtain a position elsewhere where you may be happier.

I have to admit I miss Nursing, the pay and just plain old getting out of the house and being able to earn money and extra when I want. But I do not miss all the BS with Administration and their "for profit" demands on Nursing Staff.

There are places you can work that aren't as greedy for the money. Maybe try a non-profit agency of some sort?

Either way, I wish the best for you and hope you take the time to think things over before making a decision that you may regret the rest of your life.

Good Luck,

midgeypoo

:up:

KindaBack said:
To me, this is the root cause of your issues.

Personally, I do not worry about my patients. I assess them and intervene as I'm able. After that, I accept that things will run their course and I do not fret about it.

When a patient dies, I generally remains dispassionately detached from the occurrence. I have had a couple of experiences with children that have made me sad and for which I've shed some tears but even then, I keep it at an arm's length... and I am never 'crushed' because I don't let myself care too much about it... because... this is my *job* and my job is to provide nursing care, not to become emotionally connected to what's happening. Sometimes I do begin to care more than I should and I actively nip it in the bud.

And I certainly do not hurt when my patients hurt, e or all the other invasive and painful things that we do to patients in order to treat them.

I always recognize my role and that is of the professional nurse who is being paid to provide a service, one which I take very seriously and strive to perform at the highest level. My heart is my own and is reserved for my personal life.

I would encourage you to seek counseling in an effort to learn to separate yourself from your work.

Nursing is not a calling nor a mission; nursing is a job... and one which will chew you up if you get too close to it.

Professional detachment...

Eloquent and spot on.:up:

Except when "we must poke them time and again, or when urology struggles to place a catheter, or difficult intubations, or chest tube insertions."

HADES no.

This is where I step in.. get it done right.. and try to minimize my patient's suffering. In these cases, I will throw MYSELF in front of the bus.

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caliotter3 said:
If I went to work at Costco, I would be getting an increase in pay, so that is not a negative outcome in my opinion.

You'd be dealing with worse than patients or even administration, though: the general public. As someone who's worked retail, I would take patients any day.

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Consider a change of scenery before you decide to leave nursing completely. Some workplaces are toxic and you may be happier in a different environment. Be gracious about your exit, give your proper notice, and give a new workplace a chance.

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Specializes in Adult Internal Medicine.

Nursing is a broad field and acute care is only a part of it; there are many different nursing roles you may enjoy more and get a greater sense of satisfaction from without having the physical/psychological stress you seem to be having.'

Healthcare in general places a large focus on empathy over sympathy but in many ways this contributes to burnout. While we all want to be empathetic to our patients we have to balance that with the knowledge that there are things which are out of our control. We do our best when we have an opportunity to make an impact but people will die and people will suffer and there are times when we are not able to do anything about that.

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Specializes in M/S, Pulmonary, Travel, Homecare, Psych..

Turn the Rubik's cube over in your hand. The green side (your professional side) has received the attention it is due. Now give blue, red and orange the focus they deserve.

You will be surprised how, upon returning to the green side, things are better, not worse.

I agree with all the points you make. I will also propose to you: Some nurses learn to deliver nursing care THEY are proud of despite all these things, some don't. Be one of the ones who overcome it all. Don't be a statistic, another nurse who was beaten by it.

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Specializes in Med-surg, school nursing..

I rarely deal with physicians on a daily basis in school nursing. ;) Just sayin', find another specialty before quitting nursing all together.

I get attached to my kiddos, but it's kind of a good thing in my setting, sometimes I'm the only "love" they get.

You seem very compassionate and we need compassionate nurses, don't quit, just make a change.

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