Leaving the Bedside

Have you decided it's time to leave the bedside? Many nurses are in your shoes, as I was once. Read on to know why I chose to leave the bedside after ten years, reasons I struggled with the decision, and why I do not regret the decision. Nurses General Nursing Article

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Who I Had Become

I started my nursing career as a second career ten years ago.  I had big goals of becoming an Emergency Room nurse, performing excellent CPR, and having the competency to deal with any patient that came my way.  In a matter of ten years, I achieved my goals.  I eventually went from working on an intermediate cardiac medicine unit to working in the Cardiac ICU.  I graduated to the ICU Float Pool, which had me working in all six ICUs in the hospital including the Emergency Room and PACU.  I was even a STAT/Resource Nurse, where I carried a code pager and responded to emergencies or help calls throughout the hospital.  I became the leader I wanted to be.  And then I left.

Should I Leave the Bedside?

The decision to leave bedside nursing was not an easy one.  Many factors came into play.

1. I have a young family.  I wanted to spend more time with them, and I decided they were what was important.

2. I had achieved most of what I wanted to in the hospital, with not many other places to go.  I had come to a checkmate, and I was cornered.

3. I had an experience that made me realize that I was not as important or valuable in my position as I had felt.  When I had reached the top in my mind, I was quickly brought down to earth and learned I could easily be replaced.  I felt I was just a number.

4. I was tired of the night shift.

5. I was tired of the commute.

6. I was just plain tired.

What I learned about bedside nursing is you can put as little or as much as you want into it.  It was a career where you could potentially earn more money hourly and in less time than a Nurse Practitioner with an advanced degree would earn by salary.  A nurse would probably put in more hours working as they advanced their education.  I was happy with a BSN but went back and forth all the time about getting an MSN.

You Are Not Alone

When I left a year ago, many nurses were also considering leaving the bedside.  It was not about COVID, although that created stress and pressure many nurses did not want to experience.  It was more about administration, and feeling that they didn’t care about the employee.  It was about requesting certain days off and not having it approved.  It was about not being reimbursed for a conference that improved your line of work.  It was about workplace safety, unsafe staffing levels, and mandatory overtime.  Nurses were the heart of the hospital, but in many instances, felt that they had no voice.

The decision to leave the bedside is different for everyone.  The hardest part for me was giving up teaching, and giving up being in a role where I was looked up to by my colleagues.  I was a resource for new nurses and seasoned nurses alike.  I eventually decided that members of my leadership were poor, and they were leaders for all the wrong reasons.  Everyone seemed to be working on their resume, rather than working for the employees.  I was lucky to have great colleagues, and I worked on many units with great teams.  I just decided there was nowhere else to go.

“Work to Live, Not Live to Work.”

I have always said one should “work to live, not live to work.”  Once work began to impact my private life, I knew something had to change.  I eventually picked up a school nurse job in my childrens’ school district.  I am sleeping better now that I am not working the night shift.  I have a 5-minute commute to and from work.  I am getting paid close to what I was paid for two shifts a week at the hospital.  I can plan days off whenever I want them, because I work on a salary now rather than hourly pay.  I do not need to struggle switching shifts, or working on the weekend.  I have summers off, or I can choose to work if I want to.  I have more time with my kids, and I find that I am able to be more patient with them.  My work stress is gone.

Get Off The Conveyor Belt

No matter what, choosing to leave the bedside will be a difficult decision for you.  It is easy to get wrapped up in the extra money.  You become friends with your colleagues and you go through many situations together that only nurses can understand.  There seems to be an ever-running conveyor belt of working your way up from being a new nurse, to being a preceptor or charge nurse, to going to the ICU, learning different skills for your specialty, then eventually getting an ambulatory position because the shifts have no nights or weekends.  My colleagues kept me going and encouraged me.  Eventually, I just came to a different stage in my life and I wanted to get off the conveyor belt.  

I still miss what I did, and I will always be proud of what I have achieved.  I am not sure if I will be okay going back to the bedside one day and starting over, knowing how I used to be a leader.  I just know that if it fits my life, I will do it.  For now, I am enjoying being a leader for my family.  A nursing career can take you anywhere, and I am letting it.  You just have to let go and enjoy the journey.

Specializes in None.

@vintagegal I am a new nurse I haven’t even been at my job for a month, however while working at my job I have met some wonderful hospice nurses and I think I found what I meant to do in nursing. I dread going to work, I got into busting because I wanted to do something good and feel good doing it. Instead I feel overwhelmed and depressed, I’m hoping to fine what I need In hospice/palliative nursing.

Specializes in None.

@Lovethenurse2b25 I currently work night shift full time and I hate it, I’m always exhausted. I hate being away from my 7-year old at night. I’m hoping I can figure something out. The only I’m doing night shift is so I can go to school during the day. I just don’t know if I can take it anymore ?

Specializes in Community Health, Med/Surg, ICU Stepdown.
27 minutes ago, MuslimahNurse said:

The only I’m doing night shift is so I can go to school during the day.

Wow! When do you sleep?? I felt so guilty leaving my unit since covid was still raging. I wasn't planning to quit, but got a random call from a job I applied to a year ago that paid way more and is outpatient. I kept telling myself I did covid for 10 months and tried to convince myself my own mental health matters too. I asked my boss if I could come back per diem because everyone was texting me that it was still busy and they missed me.

I had always received compliments from other nurses, doctors, pts, about my care, but my boss emailed me back and said she'd just hired a bunch of new per diems and didn't need me. So much for all the guilt. Guess I'm totally replaceable ?   ?

Specializes in None.
1 hour ago, LibraNurse27 said:

Wow! When do you sleep?? I felt so guilty leaving my unit since covid was still raging. I wasn't planning to quit, but got a random call from a job I applied to a year ago that paid way more and is outpatient. I kept telling myself I did covid for 10 months and tried to convince myself my own mental health matters too. I asked my boss if I could come back per diem because everyone was texting me that it was still busy and they missed me.

I had always received compliments from other nurses, doctors, pts, about my care, but my boss emailed me back and said she'd just hired a bunch of new per diems and didn't need me. So much for all the guilt. Guess I'm totally replaceable ?   ?

I don’t sleep, I can’t wait until this year is over... I may drop down to part time so that o don’t fail out of school I’m doing the LPN-RN bridge because RNs have a lot more opportunities available. ( my personal opinion)

Specializes in Case Management, Research, Med/Surg.
On 5/6/2021 at 2:17 PM, Arod0612 said:

Hello! I’m feeling the same here! Except I am part of an agency and I def enjoy the flexibility bc I have a 1 year old. I have been offered full time positions but I don’t think I want to do bedside nursing anymore. Only problem is I don’t get health benefits so a full time job is def on my radar since I’m gonna be needing insurance soon. I just don’t know if bed side nursing is what I want . And I’m struggling to wanna go full time bc I wanna be a leader, as you say, in my home and be with my son. A lot of other non bedside nursing jobs are available but require mon-fri work schedule. Can anyone give me insight of what they have experienced? I’m struggling trying to figure out what will be best , when I think nothing is best bc it will require me to be away from my son.  Thanks for the feedback and support 

About a year ago I started a case management position at an insurance company.  It is M-F, 8-5, which I never thought I would like and always tried to stay away from before, but it has been an amazing change of pace.  I get to have a consistent work schedule, a consistent sleep schedule, and most importantly, I work from home!  It is all telephonic and I get to work with one patient at a time.  I really feel like I am actually making a difference in people's lives and bridging gaps in their care.  This might be a good transition for anyone who is thinking of leaving bedside care as it has made me love nursing all over again.  

I left and went to school nursing for other reasons but I have to say it has been a mostly miserable experience. I am treated quite badly and not seen as valuable- unless the blood is flowing. I love the kids and that is the only thing that keeps me going in each day. The benefits are good- the pay is not. I usually work side jobs which helps my self-esteem too as I get to feel like I mean something again. It has been a hard 13 years. I am building my retirement but I sorely miss being with other nurses. I miss home health and hospice. I miss feeling like everyone is equal. Only teachers matter in schools. Only teachers are equal. I am support staff. Administration sees us as a necessary evil that they wish they could get rid of. Teachers think they know more than me though with working on my second masters and having two post-grad certificates I have more education than most of them. I have saved a couple of lives and handled many emergencies. I have gotten grant money and done my best for the school. But still, I am nothing, just support staff. I hope your school is better about how they treat the nurse. But at least you will have the kids and they will make your days worthwhile no matter what.