This article presents what nurses have to endure on a daily basis. I just want people to understand that it takes a lot of heart to do our job. Honestly, nurses are a special breed of people.
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I never thought that I would become a nurse. I never intended to. But, God has a funny sense of humor, and I wasn't laughing all the time.
There are days that you have to literally grind your teeth, to keep your composure. Sometimes being a nurse means knowing when to duck. You know, when irritable patient starts throwing things at you. Especially when you tell them they are on a strict bedrest, and that climbing out of bed means the exact opposite.
I have a colleague that while feeding his patient via nasogastric tube, the patient was punching his abdomen. Others would try to sink their teeth on you. Some are able to kick the nurses while letting out some curses. Mind you, these were all done by an 87yo female patient. Surely, she was an instant hit in the area. We would then ask her if she was a former ninja.
I couldn't possibly tell how much sacrifices we nurses have to endure. So, it is true, not all jobs are created equal.
It starts with working on a rotating schedule. Just when you thought you have finally got the hang of it, it's time to start a different one. It's worst for those who are on a floating schedule, today you're 6-2, tomorrow 10-6, the next day off, then 6a-6p.
Next, our break time is undefined. For example, it doesn't mean that when the clock strikes 12 we can take our lunch. Nope. Twelve noon means feeding the patients and not the nurses. Break time is when you are able to find one.
I just don't know how many times my colleagues and I have thought of drinking the osteorized food of our patients out of hunger. I'm a small person and my husband is thrice my size, but I can beat him anytime of who can eat the fastest contest. That's one trait you develop as a nurse, along with the ability to hold your bladder for more than 8 hours.
On my first two months as a nurse, I lost 10 pounds. Not only that, I had urinary tract infection (UTI) for months. I was losing weight because I wasn't eating enough and the work was too much. I had UTI because I don't empty my bladder, and I am not taking enough fluids. It's not that I'm ignoring it. I found out that if you are too busy, you would feel no hunger nor urge to relieve yourself.
In the area where I work, it's not easy to leave your patients unattended. You don't know what could and might happen, for that split second you take your eyes off your patient. A confused person can easily remove vital contraptions that he has, like endotracheal tube or nasogastric tube, foley catheter, IV tubings etc. Some patients are really gifted, you can restraint every limb in their body, yet, like Houdini, can remove them with ease. You'll be amazed of what an 87yo woman can do, just to remove her contraptions (yep, it's the ninja octagenerian).
If you are a nurse, say goodbye to holidays. Gone are the days when I leaped with joy every time a holiday is being announced on television. I also stopped looking at the red marks on the calendar, as they don't serve me any purpose (except double pay). Last year, I have experienced my first new year in the hospital. While everyone else was busy celebrating the year end, I was busy talking to our resident doctor, discussing what to do to our patients, in order for them to see another year.
It is not easy calling in sick if your company runs a hospital. Your employer have bunch of doctors and diagnostic equipment ready to verify your excuse. The good thing is, if you really are sick, they don't want you anywhere within 5 feet of the hospital walls. Again, if you are really sick.
In a normal job, you can hit the door at the end of your shift. In the hospital, you need to be sure that you have someone to endorse your patient to. If not, you cannot leave work, and have a very high chance of probability that you will wrestle another 8 hours of shift. Last year, when a super typhoon hit Manila, quite a number of nurses had to work 24 hours straight because their reliever cannot go to the hospital due to flood.
Health hazard is an understatement. Unlike doctors who spend time with their patients for good 5-10 minutes a day, we nurses devote our entire shift to our patients. When doctors needed specimen, you can count on nurses to get it for them, be it blood, saliva, urine or feces. I swear, I'm just 5 suction catheters away to tell what kind of bacteria the patient has, just by looking at the color of their phlegm.
At first, I thought that only winged-living creatures can fly. But the same, is also true for blood, feces, urine and sadly, phlegm.
Ever since I became a nurse, my social life becomes non-existence. After work, the second my back touches my bed, I'm in lala land. Even the nuclear bomb that hit Hiroshima won't be able to wake me up. In a good way, it helped me and husband save money. I don't have to buy new clothes, or buy food, since I don't go out that much and I eat very little. I also consider my scrub suits now as a formal wear, ready to use at any fine dining restaurant.
My love and hate relationship with nursing may still go on a daily basis. But, at the end of the day, when you know that somehow I contributed in piecing together the life of a person....being a nurse isn't that bad at all.
Mushymash, you have written a very good article which hits home with many nurses who, rather than being 'burned out' as suggested by Heartnursern, are simply working to be the best they can be.Yes, bedside nursing is labor intensive, heart-wrenching and sometimes dangerous (elderly people are often powerful). Families are occasionally a little psychotic & dangerous, also. Reading this made me realize how some days are when I come home and feel I have been left in high gear. I'm just grateful I 'kept 'em alive 'til night shift got there'.
However, this is not every day. And happily, more days are ones of feeling I really made a difference in that patient's eventual healthy outcome. Or, if too critical, perhaps I helped the patient in some small way in the passing of life.
I don't know how it is in Manila, or in other US settings, but nurses everywhere have to learn to take care of themselves and watch each other's backs. I am 57yrs old and used to be the owner of an 8-12hr bladder. I could hold it with the best of them. I realize now just how stupid it was and not something of which to be proud. There are no awards nor thanks for this except pee pads later in life. You are of no use to your team if you are suffering and not up to full health. Not peeing, eating, or sitting down for five minutes is ridiculous.
You have to make it happen.
Talk to the nurses working with you and be a team. Watch out for each other's patients for the few minutes it takes to take care of yourselves. Refuse to risk your health for your patients. There will be many more days of going home feeling better about your work when you do.
Mushymash, thank you for your dedication. Take care of yourself, though. We need nurses like you.
Amen!! Couldn't have said it better myself! ALWAYS take care of YOU....FIRST!
Mushymash - thank you for your post. You described many of our days with exactness and humor. Keep up the good work and take bathroom breaks:).
I don't think nursing is for everyone!!! I have worked with some that are able to take their lunch, breaks and get off on time. And those are the ones who leave doctor orders undone, or patient treatments undone. And refuse to help others.
I agree. Nursing is not for the faint of heart! This is my first year, and it has been one of the most difficult and yet rewarding experience of my life. I too have lost weight from running around on the job and have gotten UTIs from not taking pee breaks enough. But now my mentality is, that I've got to take good care of myself if I'm going to take good care of others. So now I make time for breaks, take my vitamins and know that the other nurses on my floor have my back.
For someone who is on a path to enter the nursing field, this is a discouraging post. I hope this is the exception, and not the norm. I'm very excited about my future in this field, feeling I could do a lot of good - I hope I'm not writing a similar post a few years from now.
Sorry to tell you this is quite the norm.. Floor nursing in a hospital environment is very difficult. You are it for all your pt's needs. Toileting, feeding, changing beds/bedpans. Techs are becoming extinct. Total care is becoming the norm.
Try it out. You will see. No it is not that bad, not all the time. Most days are horrible, it just makes you appreciate the good days more.
Crap i do 50% of those things already!! Sacrifice, Sacrifice, Sacrifice, sounds a like a woman in a household of all men/boys!!! ME! so i guess since i got 50% well let's say 75% because of the irrationalizing with these guys!! eesssh, so i guess i'll make a pretty good nurse huh? LOL
I agree with whoever said yes this is nursing, sugar coat it do what you wish, the truth is the working nurse has it hard and there is a lot of sacrifice, i sometimes think about changing my major but, i've come too far. I am good at helping others, i love it, it is a passion for me so it's for me, i'll suffer for what i believe in!! I know tons of ppl who hate their jobs and still have to work, at least a nurse has the huge reward at the end of the day that she changed lives!!! yahoo!! let's do this!!
I loved the raw truth of this post. I love that Im a nurse and hope to only further my education/career in time but this is the truth of it and its everywhere. She doesn't sound burnt out, if she were she wouldn't still want to get up and face her ninja patients everyday. She would call off for every sneeze as I see others do and not have the feeling of accomplishment she described on the days she has the ability to make a difference as apposed to just treading water as we all do on those really rough days. I think any of the people who are discouraged by this need a reality check and anyone who cant relate should mail me an app for where they work because This is the norm of nursing and they are the exception.
Hoorah Soldier Nurses, lol
Great post Mushymash,
In my 35th year, I look back and you brought all those memories back to me. This is reality, the weight loss, unfortunately then I gained the weight plus more, we used to laugh about using a catheter, so we could use it instead of the toilet. I think the nurses who feel as you do are the ones who put their patients first. You are the dedicated ones and you do make a difference. Someday when I get old, I hope there is someone like you to take care of me. I know I will be a terrible patient.
Thank you and all the other nurses out there who are working hard to do the best they can, we need more of you and not the ones who come in just for the pay.
If I was paid for all the lunch times, and breaks I did not get, I would be a multi millionaire. I am not but I have tons of great memories of the many people I have been part of their lives, families included.
Just remember, there is not one else like you and someone always need you.
Your article made me laugh. Espciaclly the part about scrubs being formal wear at a restuarant, sad to say I've done that.
You dont sound burnt out here, just a great sense of humor.
Yeah I've missed many of my nieces and parent's in laws b'day because of work. I can't remember the time I've had a night shift off on new years.
Nursing is different, it's fascinating. And I'm glad I'm a nurse, I do it all over again each shift but each shift it's different and I love it, it beats a desk job
Thumbs up on the article.
Hello,
Thank you for the meaningful article. i do agree with dbscandy that you should take care yourself first then others because if you let your health down then you will not be able to help other at all. I plan to take some pre-req for nursing at SPC this fall. I know I could have started 2 years ago but after I got accepted to SPC back then, 2 months later my mom passed away. So, I got really depressed and didn't continue with the school. I knew that I can take better care of my mother if I become a nurse but now I realized that I can take care of anyone not just my mother. I felt so bad back when I was sick for few days and unable to visit my mother at the nursing home. I know I have to maintain my good health so that I can take care of others. I think being a nurse is challenging and rewarding at the same time. thanks again for sharing your nursing experience....take care yourself, god bless..
When I have had a bad day dealing with overworked, stressed out, seemingly mean spirited nurses, who treated each other like they were the enemy instead of the illnesses of the patients, I have come home after the shift in tears and wanting to quit. But, I think of the nice note my manager got from the doctor who thanked me for my help (it happened) and told her what an asset I am. I think of my patients, especially the elder ones, who are grateful for the care they get and realize that it is for the patient that I work, not for the other nurses who are burned out or for the doctor who is too busy and stressed to remember to be human. Nursing can be a thankless, demanding, arduous profession that no sane person would want to go into but, there we are. I love it and hate it at the same time. I can't imagine going back to my life when I wasn't a nurse.
SE_BSN_RN, BSN
805 Posts
I have to disagree about the people that post about you sounding like you are burnt out. This is, indeed, the realities of nursing! No matter what specialty you work in, unless you work in a clinic 8-5, and some nurses do, you will absolutely have days like this....and not all days are like this. Although, this sounds more like nursing in LTC, rather than an ER!
I couldn't work in the ER....never have! I have done agency nursing in sub-acute care, and that isn't as hectic. If you have good managers, they will cover you for a lunch and breaks. The sub acute care hospital I did agency for, the charge nurse assigned times for nurses lunches, and she covered your patients while you were gone....Luckily, they offered me a job as soon as I get my RN, and, man, I am sooooo there!! This shouldn't discourage new grads, but to give them some insight!