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So I am at the point now that I almost wish I never went into nursing. I will start with the fact that I had a fairly successful career in finance... but really disliked what I did.
I decided to put everything on the line & go back to school for my RN. It was a dream of mine since I was a child. My grandmother was a nurse, & was a nursing instructor when I was a little girl. I used to play in her classroom & help grade papers. I was exposed to it all of my life.
I never had some glamorous career pictured, so please don't misunderstand and think I didn't know what I was in for (well nobody truly knows til they are there).. point is, I didn't think it would be prestigious or fancy, I just truly wanted to care for people. I tend to always try to take care of everyone anyway, why not do it for a career?
So I put our family in major financial jeopardy by going to school, but I thought it would be worth it in the end. Well, now I don't know if it really was. Overall, I am absolutely miserable.
My career didn't start out the way I hoped. I graduated 4 years ago. I got my first hospital job 90 miles away, great job, but killed me physically, so I left (way too soon). I took a position at a closer dermatology office, it was an okay job, I enjoyed my co-workers & enjoyed some of the hands on surgical procedures, but the pay was horrible & didn't help get out of the financial hole from student loan debt, and I wasn't utilizing what I learned in school.
I stayed at the dermatology office for 2 years, looking for jobs elsewhere for the second year & didn't ever get a call back. So, long story short, they did me the favor of firing me while I was out recovering from a hysterectomy (very nice of them since I had a miscarriage during my first month there & they knew this was not a wanted hysterectomy).
Either way, everything happens for a reason, I finished recovering, got my license for the adjacent state (im only 5 miles from border). Bigger city, way more hospitals, finally going to get my "dream" job of actually practicing nursing in a hospital... Not really.
After almost 5 months of unemployment I found a position in a skilled nursing/long term care facility (first time applying for LTC, not what I was really interested in). Pay was decent, but still not really doing a whole lot of hands on patient care. My position was doing weekly assessments on the LTC pts & then a bunch (tons) of adminstrative work. I worked 50+ hours/week regularly & lucky for me, I did 20+ hours of mandatory overtime the last week of each month for "changeover".
I knew I couldnt try right away for another job or I would be a job hopper... So I waited about 6 months & started hitting the hosptals hard. Did I mention that the administration was CRAZY in the LTC place, they were.. DON would scream at floor nurses that they were "****nurses*" in front of staff, vistors, residents. Just to give you an idea of the atmosphere. Luckily I stayed below the radar, but a very tense work environment with a very high turnover rate of nurses.
So I finally land my dream job, the hosptial that was at the top of my list, application #74 I get my interview & get the position. Im on a med surg floor. Yay!!.... Well, maybe not.
This has been miserable!!! I love the patients, (well most of them). But the co-workers kind of suck. I made the mistake of posting last week about NETY... I know, bad... And I learned alot from that, and started this week (i think week 5 of orientation) with higher anxiety than I had before. THanks for the head chomping on that one.
Either way, my point is, I jsut want to be happy. I find myself coming home miserable every night. I cried half the way home tonight. I am so sick of rude people. I feel like every time I make one mini step forward someone is a jerk & knocks me on my butt!!
There is a huge difference between teaching & being just rude. I had a rough time with my first preceptor, and now I have a new one & its worse. My first preceptor was very direct, quick & to the point. Also very rushed, made it hard to learn at times & increased my anxiety always rushing me & reminding me that I have a million things to do & only x amount of time left, but she was direct. Sometimes my feelings were hurt, but i knew she didnt mean to hurt them, she was just direct. I can handle direct, sometimes it takes a second to process the feelings, but I understood her intention. She would tell me "We have x amount of time to get you where you need to be"
My new preceptor is one of those nasty nice people. If I ask her a question, she will look at me, cock her head to the side & say "I dont know, what do you think?" Well, If I'm asking a question about giving potassium IV for the first time ever, I think maybe this isnt the time to let the newby sink or swim, maybe we should look up the information together if she thinks i need to use my resources, not let me hurt a patient (nobody was harmed, or even came close, no mistakes made, but not because of her help).
She also is one of those people that wants you to do things exactly the way she does them, well, okay, thats fine for most things, but if im getting my things done on time I dont think it should be okay for her to get mad at me for not using her version of a "to do list" if mine is working (my new list that i have attached to my brain sheet was my "ah-ha" moment for managing time & not forgetting things).
She seems overall very annoyed with me, and the fact that she even has to precept me, which makes me feel like crap. I am trying by best to stay calm, be friendly (but not overly friendly, just nice).
I feel like the entire floor is trying to test me, see jsut how far they can push me. When I got there today my assignment was 4 patients (normal is 4-6, supposed to be 4-5, seasoned nurses getting heavier load). I come to work 45 min early to get all my information for the day gathered, so Im as prepared as I can be, unpaid. Dont want a pat on the back, doing it for my own benefit, if it helps have my day organized then worth it. So after I have all info gathered, they re-do the assignment & give me another patient, so I am the only one with 5 pts & everone else has 4. Im a little annoyed & very anxious about getting everything done & not having the day fall apart, but i dont let it show & roll with it. And it was going fine. I made it. Deep breath!!
My last straw with her today was the fact that she was mad at me because we both forgot we had to change a wound vac dressing - they are changed Mon WEd & fri - (which is apparently not done very often on my floor). So at 5pm she remembered & snapped at me that I had a ton of meds to give (and she did snap, like it was my fault there were meds). I had everything caught up for the day, and they were 5 & 6pm meds I planned on giving at 6 (cluster care like suggested). So I hurried & went ahead & gave the meds.
She headed in the room at about 5:30 with another newer nurse & said for me to come in when I was through (I had 1 bag of fluids to hang). So I head in the room & she is showing the other nurse how to do it. (thought she was supposed to be teaching me things, but ok, we all need to learn, teamwork). This is a complex wound, 3 separate wounds, bridging all 3 (on backside)... I actually changed this woundvac last week with my other preceptor, so I asked a couple qeustions about her technique. She had HUGE peices of sponge (several cm wider & deeper than wounds) cut out & not at all shaped, just chomped at with scizzors & I very mously (quietly, meek, not sounding accusing) asked if we werent supposed to try to cut the peices to fit the wound. She said no, you dont need it to fit in there, when the suction turns on it will just suck it into the wound. OK, personally I dont agree, so I dont say anything, I start helping cut pieces of the drape. then i guess I crossed the line by asking one more question. I dont rememer what I asked & I was only asking for clarification about how we are supposed to do this (again, I really did not want to sound accusing or like I was telling her what I knew, heck, im the one learning, im not suggesting anything, just trying to understand). She throws down the sponge & scissors, looks at me & snapped at me saying "you know what, you do this however you want to" and stomps out of the room.
I know, you are all probably thinking I was telling her how I knew how to do this, or how the right way to do it was x, y, z... but I promise you, I did not.
Then the other nurse who was helping her left & said he had to go do something else & didnt have time to do this but he would send in someone to help me hold the patient (pt cannot move at all, & someone had to hold him rolled over on his side to get to the wounds). So they sent in a CNA to hold the pt so I could do the wound vac alone. Im telling you this is a bad wound, for the last dressing change my nurse manager & a very seaoned nurse did it because it was so hard)... Well, i got it done & not with huge peices of sponge gaping out of the wound. did I do it right, well I have no idea. I guess I will find out if I go back next week & hear about how the poor guy ended up getting the wound debrided again because the wound vac was crap....
Nice environment!!! Oh and half way through the very early night shift nurse stuck her head in to ask if i was done so she could get report... I just very nicely (which at this point was hard), said "no, note done yet, sorry". I will be out as quick as I can be (contact isolation pt, so nobody was coming in if they didnt have to).
AFter I was done with that & then report I had some charting to finish up, not much, maybe 10-15 minutes worth (including the wound vac). While I was charting someone called about a pt who was discharged yesterday & night nurse answered, i had the pt, so I was telling her about him, d/c to another facility, bla bla... apparently daughter didnt know where father was... daughter was screaming & beligreant... I suggested maybe if she doesnt have the PIN # for pt information we shouldnt say more than the fact that he was d/c yesterday, preceptor says to tell daughter where we sent patient & give daughter the phone number (Nobody sure of family dynamics). Preceptor says "just tell her where we sent him & give her phone number, let them deal with it), night nurse asking me questinos about pt & preceptor stands up & snaps at us, well you can do whatever you want to, im going home!"
What the heck??? Why the attitude. Its been like this with the attitude all week. And as i pointed out earlier, she is one of those nasty nice people. Never acts like this in front of managers. Is a very young little miss know it all & if you dont do it her way, apparently she will be very nasty (but not with anyone looking).
This girl has the entire staff wrapped around her little finger, buddy buddy with everyone & i see right through it.
Im just over it all, between the stress, anxiety, coming home miserable. Feeling like a big dumb peice of crap, I dont know if i can take one more crappy attitude. I know it is supposed to be hard, but it really sucks that attitudes of people have to make it harder. I dont expect it to be easy, but I dont want to come home crying & feeling like i have completely wasted the last 5+ years of my life....
I feel like i made the biggest mistake on earth... screw this job, screw nursing, I just want to go back to banking.
I know not every person on every floor is like this, so im not saying anytihng about all nurses being like this, but this is my experience & this is how it is where I am at. Little witchy attitudes. God complexes. Everyone thinks their way is right, or they are new & they worship the little nasty preceptor... who for whatever reason dislikes me very much. Makes for a wonderful work dynamic, so on top of it being extremely stressful just trying to get the hang of things & trying not to look like a total moron, I can ad teh stress of feeling like im the ugly kid in middle school again...
And who wants to go back to middle school?
I am miserable at work, which is making me miserable at home..... is it even worth it?? Will I ever feel like its worth it?? Right now Im not so sure!
PS for anyone who reads or responds, sorry for the length... I just had to get it out & nobody in my family understands & they are pretty sick of seing me miserable over my "dream job"...
Personally, I would pull her aside and confront her. I bet she will be taken aback. I would just lay it all out. Use a lot of "I feel" and make it your perceptions so that she doesn't think you're accusing her.. But really thats not fair to you. Nursing is stressful as it is without the dynamics of co workers. Just ask her if you did something wrong or if there is something that makes her not want to work with you. Would it be possible to ask the manager to get a different preceptor? I am sorry you're going through this I couldn't even imagine .
I have learned to grow some tough skin. I'm there for the patients not the friends and co workers. Its great when they're nice and friendly and willing to help each other out for sure but there will always be those nasty nurses who have something to say or are just downright rude and hate their lives. Just remember the way they treat you says everything about them and nothing about you.
I appreciate everyones feedback & it has helped me a lot..
Just wanted to give a quick update... I went back to work after this and did talk quickly with my preceptor & apologized & let her know that I thought there might be a miscommunication & I wanted to start fresh.. She was receptive & I finished out my orientation without any further issues.
That being said, I still don't thing she really likes me, but that's okay, she doesn't have to. If she (and others) are willing to work with me & we can all get along & work well together that is all that matters. She has been very helpful & I have made sure to let her know how much I appreciate it.
I started this week on my own & it has been hard but I have made it. I have done 2 shifts so far & made it through each one without tears & without any harm to my patients... I think im doing okay (but what do I know??) I know that I am giving it 100% and that's the best I can do. I think in some ways it has been a little easier for me being on my own because I don't have someone watching & critiquing my every move, so Im not as self conscious... Everyone has been really helpful when I have had a question or needed help & I have made sure to thank everyone who has taken time to give me a hand. I just hope soon that I will be able to pitch in and help others when they need an extra hand so my co-workers will grow to learn that I am a team player & want to give back as much as I have received.
Overall its been ok so far, just hope it continues to be okay & I continue to learn & grow as a nurse. :)
Dear Nursy 1 RN, I can tell that you are a very conscientious person. You truly want what is best for the patient/client. What you are probably finding out by now is that it is hard to vent your frustrations and even harder to read the comments.
Over the last 30 years, I have found that nurses are way too hard on nurses! Most of us have an innate need to be a superwoman of a sort. When we are in school and even now, it doesn't matter how long that one has been in the field, it is drilled into our heads...give....give...give.
Some, and I have found that "most" of our colleagues have a deal where they simply want to be the best and they don't want anyone else coming along side them to truly learn and perfect a craft.
Also, because we are so strapped in our individual positions, our patience runs very low. I understand the patience thing, but I will never understand not wanting to help another nurse be the very best that she can be, even if it means that she is better than me.
I love the statement that you made, "we go through things for a reason." This world needs more nurse advocates. We have so few. You would be a good one.
I have found some of the same experiences and also have witnessed more of what you are describing than I would like to recount. You are a blessed soul, as are all nurses! Don't give up. It is not that you are wrong and they are right. It is not that you are in a profession that is wrong for you either. It is that our profession needs a major overhaul and it needs to start with each individual nurse. Consciences don't grow on trees. I think we all have them at some point, but somehow through the scurry of the days, day in and day out, week in and week out, month in and month out, year in and year out, most of us just get into a survival mode and forget our own life itself.
I left Hospice and bedside nursing for Health Coaching. I can still help people and do "well care" rather than sick care. I encourage you to look into it, or something that will nurture you while you nurture others.You will have the ability to fill your need of purpose in helping without the nastiness and demands that the bedside nursing profession sometimes brings. I wish you the very best in your search. Never stop searching for what makes you happy. Life is too short. Health Coach00
I read OPs first post and no others.
My impression of the situation is that you are working with a very burned out-short fused preceptor.
I don't think the situation with the wound-vac was your fault at all. For her to lose her cool so severely right in front of a patient is really not acceptable. I understand we are all human, but keep it together. I'd probably report this situation to your manager as your PRECEPTOR failed to offer guidance as required of her.
On the other hand, no need to appologize. You didn't act out of line.
Yet, I would advise you to pay special attention to some of your nonverbals and tone of voice. I know that at least for me, when I am particularly stressed, I have to pay close attention to my own body language as to not give off the wrong impression.
Just an update on a very old post... but a very happy update. I think I was definitely way to oversensitive & critical of myself during my orientation/precepting process... I Have now been on my own for a few months & things are much better. I didn't get along well with my coworkers during my orientation & I know it was because I was so stressed out I was giving off bad energy & probably had a pretty crappy attitude. Glad to say that I am learning daily, as we all should do throughout our careers. I am doing well on my own, all those "mean" preceptors are now friends of mine, not close friends, but friends. I know that it was me & am glad to say that since my stress level dropped, people were able to get to know me & who I really am & overall it is working out great... Not to say there is never a crazy or bad day, but overall things are great (well as great as they can be when you work 12 hours on your feeet & those puppies are screaming at the end).. :) I AM LOVING MY JOB & MOST OF MY COWORKERS... VERY HAPPY OVERALL... Thank you everyone for the support when I was feeling so vulnerable & slightly psycho. LOL.
Just an update on a very old post... but a very happy update. I think I was definitely way to oversensitive & critical of myself during my orientation/precepting process... I Have now been on my own for a few months & things are much better. I didn't get along well with my coworkers during my orientation & I know it was because I was so stressed out I was giving off bad energy & probably had a pretty crappy attitude. Glad to say that I am learning daily, as we all should do throughout our careers. I am doing well on my own, all those "mean" preceptors are now friends of mine, not close friends, but friends. I know that it was me & am glad to say that since my stress level dropped, people were able to get to know me & who I really am & overall it is working out great... Not to say there is never a crazy or bad day, but overall things are great (well as great as they can be when you work 12 hours on your feeet & those puppies are screaming at the end).. :) I AM LOVING MY JOB & MOST OF MY COWORKERS... VERY HAPPY OVERALL... Thank you everyone for the support when I was feeling so vulnerable & slightly psycho. LOL.
I'm happy to hear that things are so much better for you!
NRS86
32 Posts
I know how you feel about being miserable and taking your frustrations home with you. I've been on med/surg for 2.5 years now and I still hate it, just not for me. I rarely have good days. And it is not that I don't like being busy because I do, but the load that the hospital puts on us is ridiculous and at times not safe. For example, getting 2 post op patients back to back while having a confused total care patient and another patient who needs pain meds literally around the clock or even getting a new admit on top of this. Its too much sometimes. While precepting, I clicked better with some over others. Also, in nursing you deal with an enormous diversity of personalities and egos. It is not easy.
I have a charge nurse who in the beginning of my career would yell at me for the dumbest **** like one time I got an admit that I honestly barely got report on and they were on their way up. So I got them settled in and had another patient to deal with, so my CN went in to help him to the restroom and I didn't have his new patient "box of goodies" (toothbrush, socks, hand sanitizer, ect…) in his room yet. Not that he needed anything from it at that moment but she had to go on her ***** rant and pulled me out of my other patients room to yell at me about this. At the time I took it so personal and would cry at home about it and anything else she yelled at me about. Fastforward 2 years, I learned she's just a ***** and has zero people skills!! lol. Thats just her personality and she really has difficulty talking to people. So now I just brush it off.
Anyways, sorry to go off topic a bit but my point was we can't be expected to love everyone we work with, we just have to learn how to work with each other.
I also want to say that just because med/surg isn't for you (and me) doesn't mean we shouldn't be nurses!! There are nurses who LOVE med/surg and good for them but just because you don't doesn't mean your a bad nurse or that you shouldn't be one. Maybe bedside isn't your thing so you can look into non-clinical areas. I'm trying to figure this out myself right now also. But like you I can't let this take over my life any more, I need to move on. I think you should give it a year and get that experience then move on.