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

You obviously care a lot, maybe too much. In order to survive in this field you need clear boundaries. You are right in your assessment of the field, in that we nurses do far more then we should. Not everyone can handle this work and honestly even those that appear to be, aren't really doing so. Don't take it as you failed as a nurse if you you aren't able to cope. It is very hard work and taxing on the body. It is not what it should be and honestly things will only get worse. I currently work on a med-surg oncology floor but am switching to mental health. I know it isn't going to be easy but it is what i have always wanted to do, is less physical on the body and interest me the most. I worked in this area in the past, only left it because I thought med-surg was the end all be all. I am thriving in this area (oncology) , get lots of compliments, HR has acknowledged me several times in my care of the patients, and I have had people tell me not to leave but I am leaving, I don't need a support group to tell me to leave, and I don't feel guilt either. Take care and do what is best for you. Realize that you have to pick the lesser of the two evils because nursing will be hard no matter what you do, but just make it manageable for you. You have to go to work.

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I totally agree..I am leaving nursing and going back to doing hair.....it's not worth it anymore

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Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.

I wish you well. This is nothing new and could have been written 20 years ago. Seems like not much has changed.

I do hate having to chase down docs about their documentation and what they need to do. I'm especially sick of the smoking cessation core measures hunting down the doc because they didn't document correctly at discharge should not be my job. In fact, I don't do it much and let it be a fall out. I have enough to do.

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I so empathize with you. After 40 years and seeing where nursing is going, (money first) I am being forced to take an early retirement as the hospital is forcing everyone to get a flu shot or wear a mask for the next 4 months. I can't get the flu shot, allergic, and I won't wear a mask...so I must leave 1.5 yrs. earlier than anticipated. I am working on an anthology called, "Nurse Sparks". It's a book with 22 nursing stories that inspire, illuminate and transform.

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rnfrombama, you have 6 years experience, try agency nursing. It's kind of a "try before you buy" kind of thing. You get to check out the employer, talk to the employees, and get paid (usually better) for however many times they ask you to go there, and see if you like it. In this area, they are BEGGING for agency nurses. I did it briefly a few years back and it was not bad. You worked when you wanted to and turned down shifts if you didn't. I could have worked two shifts a day 7 days a week if I had wanted too.

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Specializes in Pedi; Geriatrics; office; Pedi home care..

Many, many years ago there was "contagious " disease that hit police departments when they were unhappy about negotiaton talks. It was nicknamed The Blue Flu; as anyone who called in had stomach flu/ the flu.

I've often wondered how hospitals/nursing homes /clinics would function if an epidemic of "White Flu" (referring to when we all had to wear white uniforms ) were to appear.

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Specializes in Government.

I am a 30 year nurse and I found these conditions throughout my career in direct patient care. I now work in case management. I still deal with rude providers (who are as frequently NPs and PAs as they are MDs and DOs) but my core work group values my contributions.

I can't see the hospital environment changing in my lifetime. Take care of yourself and carefully consider all of the options you have in your career.

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Specializes in LTC, CPR instructor, First aid instructor..

`My niece has her BSN, in a home care agency right now, but is considering giving up nursing, even though she has been a nurse for only about 3 years, so I wrote to her and suggested she further her education to become a Nurse Practitioner. That way she would be her own boss. She thanked me and is looking into it.

Concerning another event, our local medical center just awarded the people who belong to the union a new 3 year contract because way too many were being overworked and understaffed, and were considering striking.

I, as a nurse inpatient in the past, in this same medical center, witnessed a Physician who has just performed a cardiac catheterization on me and found blockage in two coronary arteries; one being too difficult for the local Cardiologists to perform, entered my room and and suggested I be transferred to a trauma facility. When he saw that the nurses had hooked me up to an clotting IV drip, he became furious, and began ranting to me about how the IV should not have been started. I felt like I was put right in the middle. I glanced over at the nurses' desk where I saw every nurse who was there looking down working at charting. I felt so bad for them. Most of them work so hard, and are so kind and caring for their patients.

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In over 40 years I never "worked for a doctor", would not do it. If I tell them they forgot something and record it in the chart that they were informed that is what I need to do. If they do not do it, Ah well it is their problem. Of course we always had a chain of command to go through so if you did not get help from one Doc, you went up the list until you found another one. If there is a doc who is struggling, like an intern, is nice to me and asks for help I would help them but they have their job I have mine. If they come around again and yell at me or get ugly, it is time for a "come to religion meeting". They always got the religion thing when I told them to shape up or go back and get a different degree. Medicine is not for sissies, neither is Nursing. They do not do my job, I don't do theirs. Some of the docs were so bad that I would not take verbal orders from them. Most of them got at home computer access and they could put in their own orders. The only problem then was if they put in an inappropriate order. Telling a few of them over the phone that "I won't do that and neither will any other RN currently on duty" was sometimes traumatic for them but they learned. I feel for those RNs working in corporate hospitals that feel they are running a hotel and they all want it to be a 5 star place. All I can say is try to find another place to work if possible. Could never stand those places, what they do is not good for anyone's health.

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Specializes in Operating Room.
rnfrombama said:
Whether I care too much or not enough about a patient does not negate the fact that we are hit with so many responsibilities that shouldn't be ours, then we can not provide the patient care that is needed for our patients. My point is the patient care aspect of nursing is fading and almost non-existent. It is all about pleasing the physicians. On top of taking many roles in addition to nurse, we seem to care more for our patients than the docs do. Whether a patient truly touches my heart or if I can't wait to get rid of them, I'm still going to provide optimal care as best I can. I am not trying to be Supernurse, I don't want to be. They don't pay me enough. But my plan is to go to work everyday and provide care. I don't plan on getting close to my patients, but there is one or two every so often that I check on after I have passed them on. That's just how we do on our unit. Every unit is not like the unit I work on. There are some patients we keep tabs on. I understand that is extra. If my getting too attached to all of my patients were a problem, trust me I wouldn't have lasted six years. But over these six years, I'm doing less for my patients and providing more for the docs and the institution. That's why I'm ready to call it quits.

You're right about the physician aspect of the job. I am tired of being a babysitter for grown men and women as well.

Your feelings are yours and they are valid. No job is worth your sanity or your health. I'm cynical enough to know that things will never change. The National Bow Out Day is an excellent idea. It will never happen. Too many martyr nurses still out there, too many people happy with the occasional pizza party or cheap pen/badge clip/coffee mug telling us we're the greatest. I foresee in five years I will not have left nursing-I will have left the bedside, and with no regrets.

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Compassion is withering away. So so sad. Does this mean my nurse no longer cares about ME? Only my barcode and my lab values?

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I totally agree and have been there. I am one of those. 23 yrs at the same hospital. A little too slow and a little too caring. Patient first. Computer and covering docs a**. I was forced to resign now in LTC. Better, but it is changing too. Ever since the electronic age, computers, cell phones, internet, etc. No more compassion

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