Nursing Is No Longer Worth It

[AnonymousSuper]

I'd Like To Tell You A Story

I've been a member of Allnurses for nearly a decade. It's a little surreal to contemplate that amount of time but I vividly recall writing posts in the pre-nursing students section pleading for help in Anatomy and Physiology.

A decade! Time really flies.

Given my involvement in this forum over the years, I created this new username to remain anonymous and to speak freely about my opinions and feelings about nursing.

In the beginning, nursing was an exciting, interesting, and thrilling career. As a student, I would spend extra hours delving into extra readings about A&P and care plans. I would tutor students and help anyone that I could. I even volunteered in a local hospital to get more exposure.

I was addicted to the idea of becoming a nurse!

As a newly minted nurse, I loved connecting the pathophysiological dots at the bedside and helping the providers make well-informed decisions by providing them with valuable assessments and up-to-date patient data.

I've worked in many specialties over the past 7 years but my primary focus has been pulmonary step down. I've traveled all over the country and worked in a variety of hospital systems big and small.

I've helped save lives through rapid responses, code blues, administered vital medications and important treatments. I've teamed up with fellow nurses to help them catch up on meds or other tasks, then find ourselves at a local diner for an early morning post-shift breakfast.

Those are the best!

I've also experienced a significant amount of pain and agony. I've seen more patients die than a I care to count. I've listened to hearts stop. I've seen heart die on monitors. I've watched people take their last breath completely and utterly alone in this world.

I've laughed, cried, and been stunned. A host of emotions over the years.

When I was done working acute care, I transitioned to ambulatory nursing and started triaging patients in a variety of specialty clinics. This was a weird shift because I thought ambulatory nursing where were lazy nurses go or older nurses go to finish out their career. I found that outpatient nurses were just as hard but simply in a different way.

I even found myself in a nursing supervisor position where I currently reside. Something I never would have thought I would have found myself in. I even tried to talk my boss out of it when she first approached me about it because I thought to myself, "You must be crazy! Why would you consider me?" I am grateful for the opportunity ultimately.

Something Has Changed

There was a time where I absolutely loved the nursing profession and my place in it. But, something changed along the way. Burn out? I have my doubts it's that simple. This feels more definitive than the insidiousness of Burn out. This feels more permanent than burn out.

Over the past couple years, I've really questioned my place in nursing. Is this profession for me? Was it ever? Is it worth it anymore? I think Covid 19 really pushed me over the edge and was the straw that finally broke the camel's back.

Here's The Bottom Line To Me

• If I had to do it over again, I would not choose nursing as a profession.
• Nursing is no longer a profession that is worth pursuing and if a person would ask, I would recommend they choose something else.
• While there was a time when the love of the patient was what did it for me, ultimately, at this time in my life, nursing is no longer worth it because we are completely undervalued, underpaid, underappreciated, and understaffed.
• We are forced into dangerous scenarios with massive liability with compensation that doesn't match the risk we take as professionals and individuals.

Hospitals Just Do Not Care

While they give the facade of caring, healthcare organizations and hospitals ultimately don't care about you and your well being as a professional nurse.

Hospitals don't want quality. They want the appearance of quality but in actuality they want quantity. They want more with less in even lesser time. More patients. More calls. More responsibilities. More liability for you. More destruction on your physical and emotional well being. You are treated like a disposable piece of equipment with a short shelf life.

And, when it comes down to it, your professional and personal butt is totally on the line and if you screw up, there will be every effort to blame you, avoid organizational liability, and throw you under the bus.

Don't ever believe your hospital is there to back you. Consider yourself fortunate if you happen to find a manager that will stick their neck out for you and back you when the **** really hits the fan.

The PPE Crisis We're Facing Is Unbelievable

It's shocking to me that our hospital "leaders" didn't have the wisdom or foresight to have massive stockpiles in place. Now, nurses and providers are force to buy PPE on-line (impossible currently), wear the same PPE over and over, or not have any at all. This is a clear example of the failure of leadership all over the country and the clear lack of consideration for the front line worker's safety. Of course, nurses aren't the only one feeling this pain.

Nurses Are Severely Undervalued And Underpaid

We take massive liability when we're administering medications and implementing the plan of care. Yet, where's the pay? When you try to negotiate your pay with HR, you're going to get a giant middle finger. Organizations have standardized pay scales and there is zero room for negotiation. Nurses have zero pull when it comes to pay negotiation.

My theory about pay is that nurses are a cost to the healthcare system. You are not a financial asset like a provider who has billable treatments and procedures. We don't bring in revenue to the organization. Therefore, nurses don't have negotiation power. Yet, we're somehow sooo "valuable?"

Don't buy us pizza, baked goods, and crappy nurse's day prizes. Give us better pay and better benefits. That is the way to create loyalty. Yes, nursing is also about providing a service to the patient but if you're a valuable, highly trained, highly skilled, and highly knowledgeable professional, you should be paid adequately. Period.

Here's a current representation of the pay issue. I'm seeing travel nursing contracts for $4,000-$8000 per week in some parts of the country. That's crazy money! The organization I presently work for is "volun-telling" ambulatory staff to either "go acute care or use PTO/unpaid leave." However, when these staff to go in-patient, they don't receive temporary differentials or hazard pay.

Furthermore, the acute care nurses taking care of Covid patients aren't receiving hazard pay either even though they are reusing PPE and taking care of dangerous patient populations. So we're going to pay travel nurses six figures? But, when you force nurses back into acute care or not adequately pay acute care nurses, that's supposed to be okay? Think again.

Nursing Isn't Worth It Because Of The Liability

I've traveled in certain locations where nurses were taking care of 10 patients at night on an acute cardiac unit.

Unbelievable. Talk about liability.

I'm not going to go into it now but if you practice nursing without professional Liability Insurance, you're basically having unprotected sex but expecting not to get pregnant.

Why do you think providers have professional malpractice insurance? Yes, nurses get sued to and remember what I said above about hospitals throwing nurses under the bus? It's literally pennies a day for peace of mind. If you have any valuables or assets in your life you wouldn't want to be taken away, you need professional liability insurance.

Nurses Are Part Of The Problem As Well

The nursing culture is full of malignant toxicity, backstabbing, and bullying people. It's vial and toxic and incredibly hard thrive in.

I have rarely seen a unit or clinic act in a cohesive, team-based manner. My professional career has only been in nursing so I'm not sure how other professions are. However, most places I have been to, have been the same.

There are many nurses that bring their contagious negativity to the bedside and to the clinics. It's distracting and disturbing to be around and it has taken a toll on myself and I know it has on others around me. I'm speaking in generalities of course because not ALL nurses are like this but it's fairly common. Just spend a half a day on a nursing unit and you'll quickly notice who those problematic people are.

I once had hope for the nursing profession that someday they would come together and help change it for the better. There's what, about 3 million nurses in the country? That's a lot of voices. We're too busy bickering amongst ourselves to ever truly come together and create meaningful change.

Bickering, backstabbing, and bullying is easy. Coming together with a cohesive voice to promote real change in the nursing profession is hard and it will never happen in my opinion.

I guess I could go on and on about the failings of the nursing profession but I'll leave you with this:

Quote

Nurses are treated as expendable pieces of meat that are readily replaced like a disposable dead battery. You are severely under paid for the skills and knowledge you bring to the table. Hospitals don't give a crap about your well being even though they say the do.

Nursing Is No Longer About The Art Of Nursing

• It's about the numbers.
• The output.
• Doing more with less in less time.
• The satisfaction scores.

You only live once in this life. If you happen to discover this article and you're considering nursing, I would urge you to turn around and look elsewhere.

Nursing isn't worth the risk and the personal effects it has on your life.

[kbrn2002, ADN, RN]

Yet another reason why I am glad I don't work in acute care. The largest of the hospital systems in my region just announced yesterday they were permanently laying off 900 more people. This is on top of the 1000 plus that were already laid off either permanently or supposedly temporarily. They are citing loss of revenue related to COVID 19 as the reason. This despite the fact that they posted huge profit margins every quarter for years and are continuing full steam ahead with their ambitious construction and expansion plans.

[Been there,done that, ASN, RN]

Well written. You are preaching to the choir .

[Hoosier_RN, MSN]

2 hours ago, kbrn2002 said:

Yet another reason why I am glad I don't work in acute care. The largest of the hospital systems in my region just announced yesterday they were permanently laying off 900 more people. This is on top of the 1000 plus that were already laid off either permanently or supposedly temporarily. They are citing loss of revenue related to COVID 19 as the reason. This despite the fact that they posted huge profit margins every quarter for years and are continuing full steam ahead with their ambitious construction and expansion plans.

And new grads now wondering "where are the jobs? Why can't I get hired at the hospital?" Welcome to the bad side of nursing. Before anyone flames ne on that, I believe its going to be the new normal

[caliotter3]

6 minutes ago, Hoosier_RN said:

And new grads now wondering "where are the jobs? Why can't I get hired at the hospital?" Welcome to the bad side of nursing. Before anyone flames ne on that, I believe its going to be the new normal

Realistic. Have to keep up that profit margin and vanity grade projects to woo the public.

[Neanderdoll, ASN, BSN, CNA, LPN, RN]

I would never suggest this career path for anyone I cared about. Nursing has been incredibly demoralizing for me, especially over that last ten years. It became worse with obtaining my LPN credentials, then absolutely intolerable with my BSN, RN. I got out of bedside and went to private practice. That made all the difference. My body doesn’t feel so abused and my heart and mind are flourishing. I feel I’m more appreciated in my 9 months of private practice than my entire 25 years as a licensed nurse. I was valued less as a licensed nurse than when I was a CNA. That says something. For me, the massive pay decrease was definitely worth saving my sanity.

[Lilone20]

I have been a nurse for 20 years. My body is tired, my back is tired, and I ? percent agree! This article is everything I’ve been trying to say and then some. I wish I had answers! I love my patients, I however no longer can be treated like a piece of equipment.

[herring_RN, ASN, BSN]

I earned my LVN at age 30 after working many other jobs. I was fortunate to work where the staff, nurses, respiratory, housekeepers, all who worked there had a culture of cooperation. Having parties for each birthday, attending CE classes together, breakfast after working nights, and such continued our friendships. We welcomed new hires and helped them join our caring group.

When our religious hospital was purchased by a corporation we gave them a chance until they cut RN staff by 40%, cut pharmacists by 50% and replaced LVNs with the dietary staff they laid off giving them two days training, one of which was BLS. We unionized and eventually were sold to an excellent system. We worked for the California ratio law.

https://govt.westlaw.com/calregs/Document/I8612C410941F11E29091E6B951DDF6CE?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)

I worked full time until age 65 when I had Medicare and didn't need employer insurance anymore. (At age 41 I finished my RN.)

My last two years I was "rare Per Diem" required to be available for one weekend shift a month. I mostly did break relief from 11:00 to 3:00 am or pm. Often after everyone had their breaks I would stay to admit patients so worked 11 to 7 day or night. My last months before retirement I only worked days.

WE current and former employees remain friends and until this virus continued to have parties, attend weddings, funerals and events with each other. I was fortunate to join such a great group and do my part to bring new people into it. We have been frightened, short staffed, insulted by so called 'superiors' and almost all of us worked together to improve conditions rather than just complaining. Without all of us burnout could have ruined an excellent group of hospital workers.

Even on my worst shifts I believe we helped people cope with their illness or injury. Nurses and caregiver do useful valuable work.

[kmhlpn30]

I once had a nursing instructor tell me that nursing is not a job, it is a life calling.

[Tenebrae, BSN, RN]

On 4/15/2020 at 9:11 PM, AnonymousSuper said:

I presume you're a nursing student or plan to be? Either way, you'll know soon enough of what I speak. You obviously lack experience and wisdom about the profession based upon this response. This isn't your fault of course.

Do nursing school. Become a nurse. Do bed side care for 5 years and come back to this post. Your view of the world and the profession will be different.

I've been a nurse for eight years now. Sure, there are things that drive me up the wall overall its been a good career decision. I do wonder if being a nurse in a captialist profit driven health service is different to working in a single payer system

Sure, I go to work and do the best job I can do, at the end of the day my wellbeing comes before my employer and if I need to I'll phone in sick. I dont understand this whole matyr thing

[lregister]

Completely agree with the post. Nursing is not what it used to be and certainly not what it should be.

[Orca, ADN, ASN, RN]

On 5/23/2020 at 1:37 PM, herring_RN said:

When our religious hospital was purchased by a corporation we gave them a chance until they cut RN staff by 40%, cut pharmacists by 50% and replaced LVNs with the dietary staff they laid off hiving them two days training, one of which was BLS.

When the first hospital I worked for was sold by the city that owned it, there were several suitors. The one that they went with had no other hospitals in our area (which was part of the appeal). One of the competing companies had already taken over another hospital in our metropolitan area, where they laid off about a third of the work force. This company sent postcards to all of the employees at my hospital wanting us to lobby the city council to select them. I wrote back, telling them that with what I had seen at the other facility, it would be a cold day in Hell when I went legging for them.

[Leader25, ASN, BSN, RN]

On 4/14/2020 at 8:27 AM, AnonymousSuper said:

While there was a time when the love of the patient was what did it for me, ultimately, at this time in my life, nursing is no longer worth it because we are completely undervalued, underpaid, underappreciated, and understaffed.

Amen