NURSING IS A TOXIC CAREER!

Published

Hi,

I would like to share my experience as a RN for over 20 years. Besides providing patient care, being a nurse in modern times is toxic to your mind, body, and soul! Being the "backbone" of the healthcare industry, nurses are modern day slaves for healthcare administration, physicians, and boards of nursing. Nurses are expected to maintain the highest standards of professionalism both on the clock and in your own personal off time. Any actions less than perfect, on or off the clock, others will judge and criticize you as not being a "good nurse". As a nurse, your not allowed to be human and you will always have this "good nurse" complex hanging over your head. Have any of you nurses ever heard physicians be told a "good doctor" would do this or that? I highly doubt it yet nurses are the ones correcting physicians mistakes on a daily basis. Ha! Yet nurses are the ones most frequently judged. Toxic for your mind, body, and soul.

Lets now talk about this flawed healthcare system. Over the past two decades, light has been shed on the fact that healthcare consumer costs in the USA is the highest in the world, however, favorable patient outcomes are sub-optimal compared to several other countries which has stimulated the need for healthcare reform. Who do you think this has had the greatest impact on? Nurses! We are now expected to provide higher quality of care using less resources. Seriously? This is like a slap in the face. It's like nurses are being punished for a flawed system from the get go and this concept makes it sound like nurses have been lacking in compassion, lazy, and providing poor patient care. Toxic for your mind, body, and soul.

How about this eternal nursing shortage? I just completed a RN to BSN degree and learned one of the methods of mitigating this nursing shortage is to promote teamwork. I am all for teamwork but patient workloads that I am unable to manage on my own puts my patients safety and professional license on the line. Assuming someone else will be available to help me with my workload is no guarantee. This is another situation where nurses are having to bridge another flawed area of the system. It is not the nurses fault that the industry can't recruit and maintain nurses. With the harsh working conditions and low pay in comparison, I am not surprised we can't get more people to join the nursing workforce. Toxic for your mind, body, and soul.

Patient safety. Patient safety only applies when the voice of administration is directed towards the nurse. However, when the nurse's voice regarding patient safety is directed towards administration we are stepped on like cockroaches.

Education requirements for nurses are climbing while the working conditions for nurses are going downhill and no increase in pay. Boards of nursing hover over your head forever just waiting for you to make a mistake so they can rip your license away because they are there to "protect the public". This is such a crock also. They should be more concerned about micromanaging the healthcare industry putting patients at risk due to inadequate staffing resulting in high nurse to patient ratios which has been proved to be a significant cause of mistakes leading to increased morbidity and mortality. Toxic for your mind, body, and soul.

I realize magnet status hospitals are a step in the right direction for those who actually exercise its conceptual components and don't just make themselves look good on paper to achieve the award. But! Magnet status hospitals only account for around 6% of the US hospitals.

I could go on and on especially about how the lack of PPE and nurses lives that are being put at risk over this pandemic. What horrible planning and management by the organizations who have received tons of money to protect us. It's a shame and once more toxic for your mind, body, and soul!

Have a lovely day!

Specializes in Critical Care.
5 minutes ago, brandy1017 said:

DUPLICATE

 

Specializes in Critical Care.
On 5/1/2021 at 9:22 AM, morelostthanfound said:

Brandy1017, I don't think there have been any comments in AN that have resonated more with me than yours.  I am also a career, hospital nurse of almost 30 years and find myself in the exact position that you described in your original post.  At 55 yo, I would love to go per diem at my job, working an occasional day, and supplementing my income bagging groceries, stocking shelves, selling plasma.... but there is always the issue of medical insurance.  Last year while between jobs, my wife required emergency retinal surgery that would have cost us over $12,000 OOP if I hadn't been able to scramble and bridge with a COBRA policy.  Universal Healthcare would be a game changer for me (and I'm sure many others) and I would resign tomorrow if it were in place.  Sadly, Nursing is the only career that I have ever had, but I still just can't imagine that there are the sheer number of crazy, toxic, passive aggressive coworkers in other professions and the complete incivility:(  Also, like you, I have very little to show monetarily for all those years, weekends, holidays, 3 AM call backs....  Yeah, I have a small pension, a small IRA and some $ in savings, but a pittance for all that toil, frustration, stress, work-related depression, and a bad back.  I SO want to walk away, just like you did!!

I hope your wife is doing OK and the surgery was successful.  Eyesight is precious!  I'm glad you were able to get COBRA to help with the cost. 

 

 

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

In 25 years I have seen changes that are all almost to the worst. Patient care is not a priority, pleasing adminstrators and the states is. I can't wait til retirement.

Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.
2 hours ago, brandy1017 said:

As to the colonoscopy from what I've read it becomes diagnostic as soon as they find one polyp that they will, of course, remove and than patients are hit with a sky high charge, regardless of Obamacare or an employer insurance plan.

I don't know where you "read" that, but it's still not true. Likewise re mammograms. There's a difference between screening before making a diagnosis and following a diagnosed condition. Very extensive explanations in readable English as linked, also internal links that didn't copy but you can access them at the links I did copy.

From:   https://www.healthcare.gov/preventive-care-adults/

Preventive care benefits for adults

All Marketplace health plans and many other plans must cover the following list of preventive services without charging you a copayment or coinsurance. This is true even if you haven’t met your yearly deductible.

IMPORTANT These services are free only when delivered by a doctor or other provider in your plan’s network.

Abdominal aortic aneurysm one-time screening for men of specified ages who have ever smoked

Alcohol misuse screening and counseling

Aspirin use to prevent cardiovascular disease and colorectal cancer for adults 50 to 59 years with a high cardiovascular risk

Blood pressure screening

Cholesterol screening for adults of certain ages or at higher risk

Colorectal cancer screening for adults 50 to 75

Depression screening

Diabetes (Type 2) screening for adults 40 to 70 years who are overweight or obese

Diet counseling for adults at higher risk for chronic disease

Falls prevention (with exercise or physical therapy and vitamin D use) for adults 65 years and over, living in a community setting

Hepatitis B screening for people at high risk, including people from countries with 2% or more Hepatitis B prevalence, and U.S.-born people not vaccinated as infants and with at least one parent born in a region with 8% or more Hepatitis B prevalence.

Hepatitis C screening for adults at increased risk, and one time for everyone born 1945–1965

HIV screening for everyone ages 15 to 65, and other ages at increased risk

PrEP (pre-exposure prophylaxis) HIV prevention medication for HIV-negative adults at high risk for getting HIV through sex or injection drug use

Immunization vaccines for adults — doses, recommended ages, and recommended populations vary:  (note that COVID vaccines are also now covered for all populations as specified by the CDC)

Diphtheria

Hepatitis A

Hepatitis B

Herpes Zoster

Human Papillomavirus (HPV)

Influenza (flu shot)

Measles

Meningococcal

Mumps

Pertussis

Pneumococcal

Rubella

Tetorifice

Varicella (Chickenpox)

Lung cancer screening for adults 55-80 at high risk for lung cancer because they’re heavy smokers or have quit in the past 15 years

Obesity screening and counseling

Sexually transmitted infection (STI) prevention counseling for adults at higher risk

Statin preventive medication for adults 40 to 75 at high risk

Syphilis screening for adults at higher risk

Tobacco use screening for all adults and cessation interventions for tobacco users

Tuberculosis screening for certain adults without symptoms at high risk

Services for women: from https://www.healthcare.gov/preventive-care-women/

Preventive care benefits for women

All Marketplace health plans and many other plans must cover the following list of preventive services for women without charging a copayment or coinsurance. This is true even if you haven’t met your yearly deductible.

IMPORTANT These services are free only when delivered by a doctor or other provider in your plan’s network.

Services for pregnant women or women who may become pregnant

Anemia screening on a routine basis

Breastfeeding comprehensive support and counseling from trained providers, and access to breastfeeding supplies, for pregnant and nursing women

Contraception: Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, as prescribed by a health care provider for women with reproductive capacity (not including abortifacient drugs). This does not apply to health plans sponsored by certain exempt “religious employers.” Learn more about contraceptive coverage.

Folic acid supplements for women who may become pregnant

Gestational diabetes screening for women 24 to 28 weeks pregnant and those at high risk of developing gestational diabetes

Gonorrhea screening for all women at higher risk

Hepatitis B screening for pregnant women at their first prenatal visit

Preeclampsia prevention and screening for pregnant women with high blood pressure

Rh incompatibility screening for all pregnant women and follow-up testing for women at higher risk

Syphilis screening

Expanded tobacco intervention and counseling for pregnant tobacco users

Urinary tract or other infection screening

Get more information about services for pregnant women from HealthFinder.gov

Other covered preventive services for women

Breast cancer genetic test counseling (BRCA) for women at higher risk

Breast cancer mammography screenings every 1 to 2 years for women over 40

Breast cancer chemoprevention counseling for women at higher risk

Cervical cancer screening

Pap test (also called a Pap smear) every 3 years for women 21 to 65

Human Papillomavirus (HPV) DNA test with the combination of a Pap smear every 5 years for women 30 to 65 who don’t want a Pap smear every 3 years

Chlamydia infection screening for younger women and other women at higher risk

Diabetes screening for women with a history of gestational diabetes who aren’t currently pregnant and who haven’t been diagnosed with type 2 diabetes before

Domestic and interpersonal violence screening and counseling for all women

Gonorrhea screening for all women at higher risk

HIV screening and counseling for sexually active women

PrEP (pre-exposure prophylaxis) HIV prevention medication for HIV-negative women at high risk for getting HIV through sex or injection drug use

Osteoporosis screening for women over age 60 depending on risk factors

Rh incompatibility screening follow-up testing for women at higher risk

Sexually transmitted infections counseling for sexually active women

Syphilis screening for women at increased risk

Tobacco use screening and interventions

Urinary incontinence screening for women yearly

Well-woman visits to get recommended services for women under 65

https://www.healthcare.gov/preventive-care-women/

Specializes in Trauma, Med Surg, Case Management, Field RN.

I hate to sound dramatic but I'm crying sitting here reading your post, to be fair, I was already crying.  I hate nursing so much, for all the reasons you said!  I've only been a nurse for 4 years and I already am trying to find some way to get out of nursing forever.  Nursing is the most toxic job I've ever had!  The only thing I even want to do is OR nursing and nowhere will give me a chance, all the recruiters want is to put me back on the god forsaken floor. Not to sound crass, but I would rather wipe my butt with sandpaper for the rest of my life before I will go back to bedside nursing.  I always wondered why there was a nursing shortage with plenty of people graduating... now I know it's because it's unimaginably horrible and they can't keep nurses in the field.

On 5/18/2020 at 6:36 AM, QualityRN said:

Any actions less than perfect, on or off the clock, others will judge and criticize you as not being a "good nurse". As a nurse, your not allowed to be human and you will always have this "good nurse" complex hanging over your head. Have any of you nurses ever heard physicians be told a "good doctor" would do this or that? I highly doubt it yet nurses are the ones correcting physicians mistakes on a daily basis. 

 

The doctor doesn't even assess the patient half the time. They rely on your assessment, making the nurse do all the work. Dare you tell them about a symptom they don't understand, they are quickly blaming the nurse! LOL

On 5/5/2021 at 12:10 PM, Hannahbanana said:

 

Where is it written that you have to work in a hospital or other care situation? I wish I had a nickel for every such posting— “nursing is toxic— admin hates us— my coworkers suck— I wish I’d never gone to nursing school— yadda yadda.” I’d be rich ... but they’d still be stuck complaining.

Get out. Use your nursing for something else. Yes, YOU. There are SOOOOOO MANY nurses in non-hospital jobs loving what they do. Why aren’t you choosing to be one of them?
 

This is EXACTLY what I'm going to do.  I am  NOT going to work in a hospital, LTC or any facility. I'll happily  work for less pay. 

Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.
7 hours ago, summertx said:

This is EXACTLY what I'm going to do.  I am  NOT going to work in a hospital, LTC or any facility. I'll happily  work for less pay. 

I’m doing that for a good deal more pay, LOL. Good luck!

Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.
On 5/18/2020 at 12:04 PM, brandy1017 said:

Otherwise the cost approaches $15,000 to 20,000 a year in insurance premiums and deductibles and out of pockets. I don't understand why Trump, Biden, the republicans and even many democrats don't realize people can't afford this fiasco and travesty of a healthcare system! They get a gold plated insurance and we get ***!

FWIW, the members of Congress who passed the ACA (and their families) have the same group plans you do, by law. 
Suggestion: look into your state’s group plans for self-employed people. I did that and was very pleasantly surprised at the deal I got.
Now I’m on Medicare, thank god, with a supplemental plan that includes a lot of mandatory benefits (again, by law), that costs me <$200/month with a whopping $185/year deductible for EVERYTHING. 

Another suggestion: call your insurance agency, the one who does your auto and home policies, and ask to speak to the health insurance specialist, either in their agency or to whom they can give you a referral. These people know EVERYTHING and can get you a much better deal. 

Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.
On 5/5/2021 at 2:52 PM, brandy1017 said:

As to the colonoscopy from what I've read it becomes diagnostic as soon as they find one polyp that they will, of course, remove and than patients are hit with a sky high charge, regardless of Obamacare or an employer insurance plan.

“What you have read” is wrong, simply wrong, or perhaps whoever wrote it misinterpreted it. The screen is a screen. It should be requisitioned as that, “screening colonoscopy” and nothing else. Make sure that’s what your prescriber had written.
 If polyps or diverticulosis or whatever is found, then subsequent ‘scopy would be monitoring a known diagnosis, not a screen. 

Specializes in Hospital.
On 5/18/2020 at 7:36 AM, QualityRN said:

Hi,

I would like to share my experience as a RN for over 20 years. Besides providing patient care, being a nurse in modern times is toxic to your mind, body, and soul! Being the "backbone" of the healthcare industry, nurses are modern day slaves for healthcare administration, physicians, and boards of nursing. Nurses are expected to maintain the highest standards of professionalism both on the clock and in your own personal off time. Any actions less than perfect, on or off the clock, others will judge and criticize you as not being a "good nurse". As a nurse, your not allowed to be human and you will always have this "good nurse" complex hanging over your head. Have any of you nurses ever heard physicians be told a "good doctor" would do this or that? I highly doubt it yet nurses are the ones correcting physicians mistakes on a daily basis. Ha! Yet nurses are the ones most frequently judged. Toxic for your mind, body, and soul.

Lets now talk about this flawed healthcare system. Over the past two decades, light has been shed on the fact that healthcare consumer costs in the USA is the highest in the world, however, favorable patient outcomes are sub-optimal compared to several other countries which has stimulated the need for healthcare reform. Who do you think this has had the greatest impact on? Nurses! We are now expected to provide higher quality of care using less resources. Seriously? This is like a slap in the face. It's like nurses are being punished for a flawed system from the get go and this concept makes it sound like nurses have been lacking in compassion, lazy, and providing poor patient care. Toxic for your mind, body, and soul.

How about this eternal nursing shortage? I just completed a RN to BSN degree and learned one of the methods of mitigating this nursing shortage is to promote teamwork. I am all for teamwork but patient workloads that I am unable to manage on my own puts my patients safety and professional license on the line. Assuming someone else will be available to help me with my workload is no guarantee. This is another situation where nurses are having to bridge another flawed area of the system. It is not the nurses fault that the industry can't recruit and maintain nurses. With the harsh working conditions and low pay in comparison, I am not surprised we can't get more people to join the nursing workforce. Toxic for your mind, body, and soul.

Patient safety. Patient safety only applies when the voice of administration is directed towards the nurse. However, when the nurse's voice regarding patient safety is directed towards administration we are stepped on like cockroaches.

Education requirements for nurses are climbing while the working conditions for nurses are going downhill and no increase in pay. Boards of nursing hover over your head forever just waiting for you to make a mistake so they can rip your license away because they are there to "protect the public". This is such a crock also. They should be more concerned about micromanaging the healthcare industry putting patients at risk due to inadequate staffing resulting in high nurse to patient ratios which has been proved to be a significant cause of mistakes leading to increased morbidity and mortality. Toxic for your mind, body, and soul.

I realize magnet status hospitals are a step in the right direction for those who actually exercise its conceptual components and don't just make themselves look good on paper to achieve the award. But! Magnet status hospitals only account for around 6% of the US hospitals.

I could go on and on especially about how the lack of PPE and nurses lives that are being put at risk over this pandemic. What horrible planning and management by the organizations who have received tons of money to protect us. It's a shame and once more toxic for your mind, body, and soul!

Have a lovely day!

I agree whole heartedly. I'm finally leaving the hospital to do something more fulfilling and a huge pay cut. I don't care.  I will not go back!

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