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.
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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 have had many days like this. Been working with patients for 31years in many ways and many units. The way hospitals run is changing for sure. The noticeable drop in staff per shift is the main thing. Management expects exemplary care to be delivered with minimal staff. They can't have it both ways. The real losers are the staff getting fried and refried on a daily basis. rThen they get fussed at for staying over to finish their charting. Some hospitals treat staff like rolls of toilet paper. Use it up and then get a new roll.
I have burned out many times. Change units, find a better job even if you make less money. Your mental health is paramount.
I accepted my current RN position in January after working a year in home health. I have had some awesome experiences and some horrific experiences. That's the way it is. My last one was horrific; our administration were geographically-challenged and I would regularly put 200+ miles on my car a day (which, as it turns out, was completely uncompensated) and see 8-12 patients. I adored most of my patients, but management was clueless. Before that I was in a clinic where I was harassed and bullied, with lewd comments about male anatomy made in my presence on multiple occasions. I made 8 separate complaints to HR in four months. Nothing was ever done. In fact, through second hand information it turned out that the LPN who was supposed to be training me was intentionally doing so incorrectly to make me look bad. But again, HR did nothing. The sexual harassment was ignored...because, well, that just doesn't happen to guys after all. My current job...well, it's been unreal. The clinic brought me in to work with a new pain management doctor; essentially, we were building the practice from the ground up: the system had never had PM before. I met the doctor, a really great guy just 2 years older than me, and we instantly hit it off. But the job turned into far more than simple nursing...inventory control, policy writing, interviewing and hiring, it turned out the system wanted my input on EVERYTHING. It was stressful, a ton of work, and still is. But damned if I don't freaking LOVE my job! The doctor and I have become really good friends with my wife and his all hanging out regularly. I have a second RN and an MA under me who do great work, with good Chemistry between us all. We have regular "team building" meetings monthly at a local restaurant to continue that Chemistry and invite other departments who are integral to our function (billing, codin, transcription, prior auth, reception, FP, etc) to them as well. Proudest of all, my department has the highest Press-Ganey scores in the system. Seriously, when is the last time you heard that from pain management...especially when your doctor absolutely REFUSES to write anyone opioids? The point I'm trying to make (in a REALLY roundabout way) is this: you felt the calling, so it's in you do be really good at nursing. Don't feel trapped...explore your options. Find something you enjoy. There are a sh!tload of opportunities out there...so many different possibilities. Insurance work. Research. Legal consulting. Pharmaceutical rep...this might be a really good one for you with the biology background; one of my best friends got his degree in Chemistry, but he is a pharm rep now and has been for years, and really enjoys it. It sounds like you need a break from patient care- find something in nursing that minimizes that. Have faith that the right job is out there for you. If you felt the calling, then you're in the right field...you just haven't found that perfect spot yet.
Just wanted to agree with the idea of changing positions- travel nurse, prison nurse, different unit, walk in clinic, different hospital... you may simply be in a toxic environment. In my opinion most MDs also want the best for patients, and also feel hogtied by meaningless paperwork. Ironically they often seem to think that it is nurses driving these administrative changes... Perhaps because the administration has us chasing after them waving the empty unchecked boxes ? Good luck!
Why are regular staff generally so unpleasant to travelers & registry? Worked contract many years past and this has experience of myself and every traveler/registry RN; assignments based upon giving the contract all heaviest load, rare to lend a hand. Rarely are we even called by name rather "give that assignment to the traveler."
After the last traveler assignment 2 years ago I said never again (in) acute care. Any other contractors experienced this?
If you have degrees, your possibilities in the nursing field is next to limitless. There's a million things you can do with degrees. Have you considered teaching? School nursing? Home health? Hospice? Management positions? Office positions that require little physician involvement like MDS? I feel what you're saying, I think every nurse at one point has said forget it, McDonald's is hiring. But, I have to agree with many of the others that have stated, you're too emotionally attached. You, as a nurse with degrees, are never trapped. Try being "only" an LPN. I've been called by one place of employment a "glorified aide."
Your story is a lot like mine. I, too, hold a BS in Biology and wanted to enter the medical field and changed my mind half way through undergrad. After graduating college and bouncing between jobs (layoffs, not being able to find job, working temp, etc), I decided to go to nursing school. I entered nursing school the first time and HATED IT!! The teachers were the rudest bunch of women I have ever encountered and when I went on clinical rotations, the nurses at the hospitals were just as bad if not worse. So I quit with one semester left in nursing school. I later returned to nursing school at a different school some 8 years later and had an entirely different experience as far as teachers and staff at the clinical rotations. I finished nursing school in December 2010 and got hired at my first nursing job in May 2011. I worked at this particular hospital for almost 3 years. I felt the same way that you do, I wanted to jump ship! I loved it when I started but began to gradually hate the job, patients, management, etc. I felt it was time for a change. I found another job doing a different type of nursing. I am much happier!! Perhaps it is time for a change!! I suggest that you look into a different type of nursing before you leave nursing all together.....you will be much happier!!
Get your credentials, get more education, move on. It's not nursing, it's the place you are working. Chart your own course, if you are young and able consider going into military nursing. It is a wonderful way to see the world, learn a lot, get into all sorts of different types of nursing. They even move you when you get orders and at times they pay for some education. I was in the USN for 12 years and it treated me well, gave me invaluable experiences, allowed me to investigate all sorts of different specialties, along with traveling all over the place. The only problem I really had is that i wanted to do so much and there just was not time to fit it all in.
When I say chart your own course I do mean set a goal that you want to attain and work towards it, give it all you've got. Stretch yourself and do not quit. Work everywhere you can and get a broad experience base. I practiced for 43 years (and would still be at it if I could) and had a ball. I settled in on direct clinical care because I love patients and families and I loved helping them work through problems and adjust to the "new " norms they faced. I never had a job I did not learn something from, not always nice, but I always learned. Never made the same mistake twice, always moved forward.
There are so many options for practice areas, no person needs to work where they are miserable. In 30 years of nursing, I have gone from public health, med-surg, 0rtho, labor & delivery, ortho, Hispice/palliative care, home health, nurse specialist in wound care, nurse consulting, private industry, staff ed, school health & correctional nursing. YOU are the Captain of you own career choices.
So so take this time to re-evaluate/reassess your goals.....the take steps to make your dreams realities.
I took took a look....I can't believe you mean you'd rather work at Costco. I took a look, here is the financial of that. Voice:
"The company pays a living wage. Costco's CEO and president, Craig Jelinek, has publicly endorsed raising the federal minimum wage to $10.10 an hour, and he takes that to heart. The company's starting pay is $11.50 per hour, and the average employee wage is $21 per hour, not including overtime.[COLOR=rgba(0, 0, 0, 0.541176)]"[/COLOR]
Pam Baker-Redman, RN, BSN
There is a lot of good advice here about stepping back and not bringing your job home with you. Also it is correctly pointed out there are dozens of different career paths available to you. I have worked second shift for 13 years in the same LTC facility. I have gone thru 8 DONs and 4 Medical Directors. Some were good at their job and some were not. It can be very frustrating trying to provide good care for your patients and then turning around and have to fight with management for support. So don't give up. Take a deep breath, step back and consider your options. Also consider professional counseling. I have found it helpful. It allowed me to blow off a little steam and offered insights into coping with pressure at work and home.
One last comment. I don't correct MD or NP orders. It is not my job to write orders. If I don't understand or have a problem with an order I put a yellow sticker on the order asking for clarification and put it into the MD or NP inbox at the front desk. If it is an emergency or critical I will call them even if that is at 11 o'clock at night. I have been yelled at by MD and NP and have given them the same answer. "What did you write on the order". I was even called into the Medical Director's office and told "You know what I meant" concerning an order. I replied that I "Had a good idea what you meant but that is not what is written on the order". I work second shift so I only see management and doctors for the first hour of my shift.
GadgetRN71, ASN, RN
1,841 Posts
Mydad was a firefighter and they did something similar when I was a kid. It worked for them. Not sure it would work for us. Police and firefighters tend to have each other's backs- not the case with nurses.