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Thanks everyone. You all gave some usefull advice. I am seeing an MD but don´t think I will be able to go back. Just needed some advice on how to explain to my new employer why I am leaving so soon without burning my brigdes but seems like I just need to face my desicion and try to move on... ( in a non nursing job).Hugs

I seriouly need advice. I accepted a job a few weeks ago after quitting another one due to stress and anxiety. Though it might be less stressfull I realise all my anxiety is coming back and actually ended up calling in sick after just a few weeks of orientation!!! ( That is diffenately not typically me) I feel like I am not compentend though I have a good resume but Ive been hiding so long behind a desk and having doctors and more experienced coworkes around me and maybe actually avoidning direct patient care that I am freeked out about being the only nurse and doing bedside nursing. I have five years experince as a nurse. Should be able to do this but a just want to run away doing a job with no direct patient care for a while due to anxiety. I feel like a fraud for accepting this position knowing I might react this way, but everyone kept telling me this was a golden opportunity to find something less stressfull and I was reacting this way due to anxiety/low selfasteem at the moment. Problem is I hate almost every aspect of nursing this point. I feel incompentent and burned out and dread going to work . I thought maybe some time away since leaving my old job would do the trick....Now I know I really need to get out of this and sort myself out Question is ...how do I explain this to my new employer that I want to quit after only 3 weeks when they have invested time and energy and giving me this opportunity to work for them???? I know I will burn my bridges and seem like a mental case ( hmm maybe not far from the thruth) but I know I wont be able to function in this position now or months ahead. Sorry for the vent.

Just really really had enough!

I quit after five years in nursing AND no other job instore GRHHH..Please tell me someone else did this and became happy and succesfull in another field:-)

I could have written that post! You are not alone ! Don´t know what else to say, sorry

female, 38 and no headtrauma,family history or physical illness. Just wonder if that would be anxiety/hypomania or what the medicalterm for that would be?

could it be dissociation ?? depersonalisation(sp)?

Hi if a patient in a state of hypomania/ anxiety (?) is experiencing thoughts racing so fast it feels like he is in the backseat of a car accelerating so fast he is almost hanging is the air whats that a symptom of?? thanks

Hey psychnurses:-) Okey so I guess this is all pretty basic but I am wondering if the loss of a parent ( the mother ) within the first year of living brings on certain personality traits. I have been discussing this with a colleage of mine and she says it brings on anxiety later on in life and a "difficult personality" in patients. How important is it if the patient doesn´t rembember being seperated from the parent and do you consider that when evaluating patients? .......okey clearly we are not in psych;-)

Thank you sooo much I feel better already after reading your responses!! Still feel like quitting though.. why does´nt my management take any action, I am not the only one complaining thats what horrifies me the most!!? Think I have lost some respect, though I know the are desperate to get staff this is way to much..

Thanks for your replies. I am almost thinking about quitting do to this. Nothing is worth a bad working enviroment just hate the thought that I am been driving to thinking this way argghh..

Ok I am going to let it all out, and please correct me if I am wrong.. English is not my first language but I am trying to explain it anyways;-) I work as a the only nurse some evenings on a floor with 40 patients and 3 nurseassistants. I have a major problem with one of them. Six months ago she started igoring me at work. Wouldn´t do vitals on critical patients and got offended if I asked for her help. I confronted her and she said I looked down at her. Thats fair enough. I do get anxious and seem a bit uptight sometimes in a acute situation: Let me give you some exsambles: 1)Findning out by luck that a patient had a saturation of 56 for a couple of hours( maybe she did not feel I needed to know??) refused to help me do vitals on a critical patient next door while I to care of this soon to be very critical patient ( she had other things to do like passing out drinks) 2)Getting offended when I asked how much my patient had peed on the shift, when there wasn´t a drop of urine in the bag..ok sorry I asked if the patient have not peed the whole shift I need to know. It´s not a good sign and I am not looking down on you but I am worried about the patient. 3)had a patient who was nearly choking in her own secrete ( hmm english;-) again I asked for help. First response no.. " this is not my patient" me: I need help like now holdning her hand!! the patient was terrified and my coworker said I am not holdning her hands it´s against her will, she is forcing me away ( you don´t say so, so lets just leave her there choking to ...and please do not scream at me infront of a terrified patient when I need you to be calm in order to help, thats why she is refusing it evenmore 4) please report any actively bleeding when the doctor is actually on the floor, do not wait until report time, so I have to call him back leaving the patient in worse shape( and please do not tell me infront of my patients that there are bleedning and I don´t have a clue working them up, when it´s beets coming out of the colostomibag 5) please be there when patients ask for help. Do not turn of the light at 8 pm before the last medpass at nine. My patients are unigue individuals . They have a right to get respected and have their needs met. So if a patient is soking wet from top to toe in their own urine don´t sent them to the dining room, cause you can´t be bothered right now( change their close instead of just walking away) ..would you like being treated like that??? They are grown ups not babies so if you are stressed out or having another bad day do not yell and shout YOU ARE NOT THEIR PARENT and while I am at it don´t shout or badmouth me infront of relatives and staff from outside ( I GET EMBARRESED AND ASHAMED TO BE A REPRESENTATIVE OF OUR WARD)it´s not kindergarden, we get paid to be proffessionals not act out at work!!! 6) just a last one so you get the picture... when a patient falls on the floor and a nursing student ask you to help pic her up, please don´t say you are of work now ..JUST LEAVING THE PATIENT THERE???? so sorry for the vent. As I said maybe I am a bit "stiff " sometimes, but I have tried talking to her about my feelings in a nice tone. Still feel that eventhough she has an issue with me we have to be proffesionels. I am fairly new to being in charge and the resposibility and I reeeeeally need to be able to count on my coworkres to help me out and otherwise. I get so anxious, feel bad for the patient and dread that if something happens like a code she won´t help me if she is " in that mood" she is always complaing about someone to our boss and for the last couples of months it´s been me. I finally ( after holdning it back for a long time) confronted our boss. Everyone ( I mean everyone coworkers and often patients say they don´t like her) has been complaining about her but nothing has happend. My boss finally wrote some of the complaints down and confronted her. Nothing came out of it. Mycoworker was cheerfull afterwards and I was asked if I smoked on the job ( She could spell it arrghh) I admitted it and are embarresed ( a whole nother story) BUT my boss said oh you know your coworker hate it that you smoke ( we all do it hmm) maybe thats why she has a hard time with you. My chin dropped SHE SMOKES AT WORK TOO... EVEN SHOVED ME WHERE TO DO IT GRHHH) point is. I I am trying to be professionel and give the patients a decent care and be able to count on my coworkes so we can provide that. But now it is turning into he said, she said and whos smoking and so on and I bet nothing is gonna be done about the bad work enviroment and good patient care!! ( Okey I admit cigarette smell is not high standard either) sorry for this long rant, would love some perspective on this one thanks

Hey am I the only one thinking that maybe the doctors takes it too far sometimes? Use to work at a surgical ward where discussing dnr where part of care. Know work in geriatrics and it seems doctors are so afraid to presciebe a dnr. Have a 84 year old pt. with braindamage, only 20 % heartfunction, leverfaliure and active bleeding from nose and wounds. She is somnolent most of the time, when awake she is nauseous, in pain and calling for her dad ( shes 84!!) shes been like this for a month now and is a weak old lady. Familiy is in denial!!! want´s to get her a peg-tube ( she removed the normal feeding tube three times!!) the don´t want her to be a dnr either. I think this is wrong. I would hate to be there when ( not if) she arrests!! I don´t think it should be the familys choice but a medical one. by putting her on a feeding tube or treat her if she goes in to a arrest I don´t believe this is going to inproove her life and ease her suffering! Maybe I am wrong?? ( sorry for the spelling by the way;-)

thanks for letting me know it´s okey for me to " let him hand out the flowers" by the way...;-) It´s difficult when you can see the " tell tell signs" and the doctor doesn´t ( cause the are counting on me to fill them in) think my pdoc is doing the same with me ..unless quite manic !..;-) Point is I respect her for that and thats why we have a great relasionship and I fully trust her for when things get out of hand... so I guess the point is..it´s all so individual..still hate as a "young nurse" and a "psych patient" to feel I should be able to help these patients the right way.. cause I know the pain/suffering/ denial and JOY ..geuss (sp,)thats why I not in pych lol...traference and so on...but do admire nurses who are dedicated to the field

allways crashed around January/Febuary for the last ten years..I should pretty much just book an appointment with pdoc in advance;-) Going hyper in the spring ...love it and never get to book it ...cause I am neeever going to get depressed again ...denial is so fasinating lol... After getting dxéd I began to see things a bit clearer ...the right meds help alot to;-) ( never been on Lacmital as you asked about, but Lithium is great)

" spelling ups"

thanks "inthesky" and u too;-) Of course I will may sure this patient is looked after during treament and after!! Just thought that it is difficult to bring up Lithium ( my psych lets me be hypomanic to a degree but only the good one;.-) then I am (sometimes) so bad it´s Risperdal and so on...still it´s ethics I think ( and not knowing the pt´s history)I am not going to intervene unless he is reeeally hypomanic. Just making sure someone is takeing care of it and observing him when he gets home!The feeling of hypomania is soooo good that knowing I should.and so on, know the consqenses but the pt. is 86 with heart/lung and liver faliiure ( quality of life and all that...maybe we as nurses never stop thinking ahh;-) ...bla.bla. but nice to have met another bipolar nurse;-)

thanks "Inthesky"....were u put on a moodstabilizer?? I know hypomania is bad, but lets say the patient is bipolar 2, would u stop the hypomania or just let the pt. have a "good" time, and then intervene, ...meaning let the pt. enjoy himself when otherwise have to deal with depression? by the way just got dxéd bipolar myself ( type 2) don´t flip out on ad´s but still have some concerns about my patient (s) and wonder if I am even bipolar when I don´t go threw the roof ..( straight away;-) never been put on two ad´s as the patient a descreibed though...thing is I would want to just "ride threw it myself" then get help, as hypomania CAN be fun ..hard to be a nurse at a somatic ward and wanting to help psych patients cause u have some insight to what they r going through, but not from reading theories on psych problems... Think I am just rambling ...lol;-)

hey yet again mish56;.) sorry! You wrote somethng about soft biplar??? Did you mean the "official" bipolar 2 diagnosis??? and thanks again 30 years in the field allways amasesses me med/surg or psych..

Hey Mish56!! Thanks .. what a great answer!! Considering me being impatient and foolish for asking and thinking of why the family gave the information and not the patient. Love it!;-) The patient was not speaking/ eating and suicidal just sooo depressed :-((( I work in geriatrics and we see this quite often, but it´s a first with a "might be" bipolar pt.) I am not the nurse of this patient/ only when in charge of the whole floor at night) I wrote this after observing for a while and had been on vacation.. now I think he´s hypo lol (quistion asked) given us flowers, walking around talking non stop , laughing non stop ( my colleages think it´s just the ad´s working but I am not) He´s hypo..ok maybe a bit bipolar but stil not my patient so can´t really talk to the doctor, but i guess the ad´s worked;-)..! Yet another quistion/ dilemma ...as I said work in geriatrics..do you even want to put a 86 year old on a moodstabilizer...he´s just been depressed ..would you want to prevent hypomania ..I know patients can "crash" or go into fullblown mania....but my thougts are...let him have " a good time" and just have someone follow up closely when he`s going home...??

okey;-) maybe it´s just like daahh we see this all day...but I don´t;-) /...;-)?

I have this patient we have been treating with highdose ad´s for about a month(ltc) ..do to depression. Now a familymember said this patient was diagnosed bp years ago ( didnt want treament for years though).. but aren´t all bipolar patients suppose to go manic when only on an antidepressant? The patient is doing fine ( no mania or depression). Should I bring this up to the doc ( pt. on Citalopram 40 mgs and Endronax 12 mgs) do all bipolar patients have an reaction to only being on an ad?

thanks for your replies I can tell that u all feel the same ..I should speak up for my patient! I work in geriatrics and we deal with this all the time. Sometimes I even feel it´s unethical with tube feeding or a centralline...it all depends as you know. Haven´t been to work since I wrote the last post but heard from a co worker that the patient is going to be okay, they r even considering tubefeeding ( WOW)...i do love where I work but this has been a case of considering age and feelings over ethics and medical knowledge. I will bring this up to discussion in a doctor/nurses forum where I work to evaluate this case, and know that when my gut feeling says yes it usually is a yes nomatter what coworkers says.

with all respect ( just started evening and nights) we are busy too! At least where I work doctors don´t take care of things on shifts unless is quite acute. For u too be too busy to do things is not an exscues to be frustraded at your coworkers..they are busy too and day, evening and night have it´s own rutine but all busy. This is why atleast where I live we HAVE to do day/ evening/ night so the staff gain a respect for the work done instead of blaming each other becauce one does not have the insight into how your collegues work. When all thats said and done of course I feel your frustration, it´s just that I came from a night shift..didn´t get anything done cause I had two pt.s dying and three people in a acute state .. still felt guilty when I left for not taking care of all the stuff I had two but we are only human. hugs

nurse nurse nurse Can´t remember why I called ten times. Probably need water ( me: theres two glasses on the table) godnight. 30 seconds later nurse ....still can´t remember think I am about to give birth...(me no u r not prgnant( 85 years old male??)..ten seconds later.. not know what I called for..hmm oh yes I won´t take my meds ( Tynanol) call the doc NOW, we need to address this or I am dying) or I am goona sue you..lol...did I mention geriatrics ....why don´t they just call when they need to pee instead of doing it in my office and let me know if the have a bowl movement in the livingroom. Dear patient call when it´s appropiate thank u;-)... by the way... love those people anyways;-)