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 PICU, Pediatrics, Trauma.

Youbjust stated what I feel EXACTLY, and I know so many other nurses as well. You stated it clearly and without being overly critical...You just spoke the truth.

My issue is that I did not get out in time as you stated...I made an error in programing a pump, patient not harmed at all, and yet I ended up with my license on probation as I was thrown under the bus by management, the other nurse involved who lied about her role in the incident, and then the almighty BRN. We are used, abused, and tossed like a useless nobody. I assure you with all my integrity and honesty that I am NOT AN UNSAFE, DANGEROUS NURSE! But that is what the charges make me look like now.

I am now all but destroyed, and searching for something else. After 34 years, this has been absolutely heart breaking and financially devastating to my family and myself. I have been applying for work for over a year now with no luck. Either they have policy that they will not accept applications from those with issues on their license, or I get an offer and then have it taken away by corporate in the end. And, the 2 jobs that were willing to offer the position were not approved by the BRN.

This is all I have loved and poorer my heart into my entire adult life. I was a successful nurse without so much as a write up until this happened. I loved my patients and most.of.my co-workers as the OP stated. It wasn't until about 5 years ago or so that I began feeling the way OP described. It is all so wrong.

I love this post! It brings up so many important issues. I have been a nurse for 37 years now and am still actively practicing, having practiced in a broad range of areas, which is one thing I do love about nursing. I recently attended an annual professional nursing conference on the East Coast and was shocked to see about 300 of my nursing colleagues, the majority of whom were morbidly obese and obviously unhealthy and unhappy. These were home health field and office nurses. I spoke with a number of them, and began to probe their work experiences. I discovered that they were very unhappy in their work environments, they were underpaid, understaffed, overworked and spent the majority of their time taking care of paperwork, not patients. They were highly dissatisfied with their managers and owners and felt powerless and undervalued in their roles in the organization. As a result, they would stuff their feelings with (food)/coping skills that caused them to suffer in unhealthy ways. I encouraged the ones with whom I spoke to work together as a team and explore collective bargaining and unionizing as a vehicle to empower themselves. I shared with them my own experiences both with and without collective bargaining and they shared with me their frustrations with their jobs. My takeaway was that I am very happy having a collective bargaining unit to keep management at bay and to promote a better salary and benefit package where I work (like Costco has), I strongly encourage nurses around the country to start working through their nursing organizations to promote collective bargaining units for themselves and other nurses in their states, and the biggest take away for me is my suspicion that the elites at the top of the nursing rungs of power (administrators, nursing associations,etc) will do whatever they can to keep themselves firmly ensconced in their positions of pay and power to prevent being toppled over by a bunch of upstarts. In other words, folks, it ain't the physicians. I suspect at times we nurses are our own worst enemies. Power up brothers and sisters! Nurses Lives Matter!

I share your pain, OP. I've only been nursing for 12 1/2 yrs but I'm looking for a new career, now. Love my coworkers and patients, most of the time, but I'm so over the bureaucratic rat maze! If Healthcare 3.0 doesn't show up soon, I'm out! (Check out zzdogmd on FB or his webpage for info on healthcare 3.0)

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
coolnurseclubRN said:
Compassion is withering away. So so sad. Does this mean my nurse no longer cares about ME? Only my barcode and my lab values?

"Compassion" is becoming a dirty word. All it seems to mean is "I didn't get what I wanted when I wanted it, and it's because YOU have NO Compassion."

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

Sometimes times, the career we chose at 20 no longer fits us at 30 or 40. If someone is so unhappy that they wish to change careers, and if they can afford to do it without discomfiting the family they're supporting, more power to them. However, no matter where you go, there you are. You can change careers and find that you're still having the exact problems you were having in nursing.

Someone who gets so unhealthily close to their patients may have just as much difficulty setting boundaries with their clients as a lawyer, an accountant or a vacuum cleaner salesperson. Someone who allows themselves to ruminate over their interactions with a clerical worker to the point where it ruins their day is bound to do the same thing in another career. Someone who such indignation at the policies instituted by management at a hospital may find that they are just as indignant about the new breakroom policies at Costco or new paperwork requirements.

You teach people how to treat you. If you're allowing people to treat you badly, the people you encounter in your new career will treat you badly as well, and if cannot claim the respect you deserve as a nurse, you'll have difficulty being respected elsewhere as well.

Nursing is an interesting, challenging career where you get to work inside and get solidly middle class pay and benefits. There are also myriad diverse opportunities in nursing. Perhaps you need to explore some of those before you decide to chuck it altogether.

Honey, not everyone is cut out to be a nurse. And you're one of them. Me too.

Honet, not everyone is cut out to be a nurse. And you're one of them. Me too.

I felt like leaving the nursing field for similar reasons as yours. I really love helping people so I took a leap into home health. And I love it! It is so different . I enjoy taking care of one patient instead of 8.

Specializes in Med/Surg, Telemetry.

#travelnursing... worked for me! RTR

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

Yep. Same here, and agree. The moment you become personally or emotionally involved in any or all patients, you need to take time off to overcome this. Coding someone last week, to me, it was just a practice in applied physiology. I did it cause I care, but I didn't invest myself in the individual on a personal or emotional level.

piscesgmt said:
I agree with a lot of the things you've said. Often times I think, "Why does everything fall on the nurse? I should be caring for my patients." A lot of secretarial and IT tasks take up precious time.

But before you completely leave nursing, why not try another hospital? Or even leave bedside nursing and try a different field? There are so many options with nursing. You don't need to completely leave the profession just yet.

It doesn't. And if it does, the unit, organization, etc. needs a culture change. It falls on everyone - physician, NP, RN, RT, CNA, PT/OT, Pharm.D, UAP, LPN, etc.

I was in your spot, job hopped for a while, finally got in touch with the local college about getting my bachelor's in mechanical engineering. Long story short, I ended up getting a part time gig in ICU at a non-profit hospital and adjunct at a nursing school, and I love every minute of it. I am well respected, learning a ton and making good money. I also learned to not think about work at home. Even if I dealt with death and suffering all day long, I tell my wife "Oh it was fine" and I grab a beer and watch a movie and pretend I wasn't even at work. Anyway that's just one guys point of view but in the end, learning to compartmentalize and a change of scenery kept me in the profession and now I'm really glad I didn't jump ship.