The Cynical Nurse Speaks

A few observations on nursing, as seen through the eyes of an RN who's been there, done that, and got the claw marks on her back to prove it. **Warning**: Not for the overly sensitive, the idealistic, the uncorrupted, or those without a warped sense of humor! Nurses Announcements Archive Article

Not to put too fine a point on things, but......sometimes, nursing really bites.

It bites when you've built a life and a reputation on what you can do with a stethoscope and a nose for the subtlest signs of trouble, and some corporate pooh-bah tells you that your job is on the line---not because you're doing a lousy job caring for your patients, but because you haven't completed enough forms on them to make the Sierra Club call for your head on a recycled glass platter.

It also bites when you have no control over patients' family members.....like the phlebotomist who thinks she's an RN and will loudly declare to the entire floor that you're the worst nurse on the planet and she's having her Auntie moved RIGHT NOW. You know how a lot of nurses take medication for depression or anxiety? I take medication to keep me from slapping stupid people and blaming it on the side effects.

Speaking of depression and anxiety: I wish someone would do a definitive study on how many nurses do take meds for these stress-related conditions. I'd bet a month's salary that a very large minority of nurses have at least a half-empty bottle of Xanax in their medicine cabinets, which, by the way, is actually not a good place to store meds. (The shelf above the refrigerator is where most of mine live...well, except for the metformin, which I forget to take at dinner if it's not on the dining-room table.)

Then there are the silly, amusing, and downright hilarious things that happen in nursing that make it worth NOT drop-kicking the idiots through the goalposts of life (and losing your license in the bargain). Have you ever seen a nurse or aide who can't be bothered to bend over and pick up a used Band-aid off the floor, yet can perform a perfect head-first dive behind the med refrigerator to find the pack of cigarettes she dropped behind it? And you've got to love working the postpartum floor and trying diplomatically to convince a 19-year-old primip to name her new daughter something less apt than "Meadowlark Sunshine" to induce hatred in that same child in the future......like within five minutes of starting first grade.

You also have to hand it to the average nurse manager, whose title tends to reflect her/his distance from the bedside. They just don't get enough credit for their contributions to our profession. Yes, I'm a nursing director myself, and no, I haven't worked a floor shift in over two years; but when you get to the upper echelons, the titles grow more pompous......and the cluelessness is increased exponentially.

Take the person above me on the food chain: she is known as the Regional Director of Clinical Operations. She's a good egg, though, and I'd never talk smack about her, whether here or anywhere else. But if you go above her, you run into the Vice President of Clinical Operations, then the grand-nurse of them all, the National Director of Clinical Operations and Health Services. I've never even met the National Director of Clinical Operations and Health Services. For that matter, I don't really know for sure that she exists. But I'm not taking any chances.

Just a few odd musings on a wet, windy night somewhere in the Pacific Northwest. Which reminds me: have you ever driven to work in the rain........while drinking coffee.....forgetting that you just took 80 mg of Lasix......and then stepped into a puddle upon disembarking? Me neither. Until today. Thank Heaven for the change of clothes I keep in the trunk "just in case".......

Specializes in Critical Care.

I agree with you wholeheartedly, nursing is bad for your health physically and emotionally and I too feel the need for meds to deal with the stress and frustration that is nursing today. My Dr thinks I should just be able to shake it off, take a walk, give me a break! I know the feeling of wanting to walk out the door in the middle of the shift, when I'm shaking with anger and frustration about my ridiculous assignment that is just everyday nursing! I truthfully think without medication many nurses will end up with physical problems like htn and CAD from the stress that leads to anxiety and depression from the unreasonable working conditions in hospitals and nursing homes. For all those who think that being stressed, anxious and depressed is a sign of weakness and tough it out I would only mention that this will almost inevitably lead to "real" health problems! All those stress hormones are negatively affecting our health whether we realize it or not!

I get along well with my immediate supervisors and manager, but still know I am easily replaceable. I have no illusions about the "corp" healthcare system! I'm just saving my money, paying off the mortgage and hoping somehow I'll make it to retirement, hopefully early retirement. Some people say go back to school be an NP, but I just feel it's not worth the time and debt and in the end it will still be just another version of the healthcare rat race. I'm hoping when I get the mortgage paid off I can change fields and work part-time in a pleasant and less stressful job. I'd gladly go back to the "boring" secretarial jobs I used to do if I could only live on the pay because nursing is hell on your health and peace of mind!

Oh, come on, why is it any of your business what anyone names her baby? If you're that stressed out, you could stop worrying about things that have nothing to do with your job. (Er, somehow I missed the lighthearted tone of this piece on my first read-through. I guess I'm so used to people complaining about stuff on this board that I just assumed it was another entitled rant. Carry on!)

Specializes in cardiac CVRU/ICU/cardiac rehab/case management.

We see the world as we are. It is just but a reflection of our own interior landscape.

I thought the post was really funny. As regards babies names my favourite came from the Freakonomics book where the women called her child Shyte Hed thinking it was the spelling for Jiad,.

And yes Wendy,these posts generally can be lean towards complaints. I guess were quite similar to pts in that respect- We seldom write when its wonderful but a complaint......ah...that lights our fire!

It would, seriously, be more enjoyable if nurse-to-patient ratios were better.

I had the joy of having only four patients last week and I was not sitting on my tookus.

There is always something to do, but I was able to make it come together much much nicer and be very much more thorough than when I have eight!

The care I gave had a greater quality and (though still busy) I was less stressed, better focused.

They say you get what you pay for, well if hospital want superior performance quality, they need to pay for it and that may mean just one extra nurse per shift.

I know there has to be money for it somewhere...

And, Viva, you had a few random vents in your original post, so here are some of mine.

Ahem...

RRC: I am not hiding a bed on you... chillax, will ya? I also don't know when Patient X will be discharged, yet because Patient X's nursing home is having a hard time themselves and I am working with them... chillax, will ya?

Oh... and don't flippin' call me to ask me what the name of my new patient's PCP is because you forgot to note it... I am crazy busy with really important stuff and because you are too lazy to look up up yourself (so call the nurse!) I'm in no hurry. I have the phone on hold and when I'm done writing a page of orders, I'll look it up for you.

Housekeeping: I am not making more work for you. I'm sorry (more than you realize) that Patient Z crapped all over the carpet. I don't have the access, the time nor the desire to do your job to shampoo the carpet... and yes it does too need to be shampooed. Don't argue with me. In fact, I would do it myself but I do my job, now please come do yours!

Myself: Eating brownies and strong coffee first thing in the morning is a bad bad plan of action. Don't do that to yourself again, Hygiene. There is not enough time, toilet paper or magazines to do that.

Phew!

A serious question now for the experienced, season crowd who posted these very amusing comments on this thread:

I'm 47 starting out in nursing. I am already not in the greatest of health... Bad back, newly discovered bilateral shoulder pain, huge gap in abdominal muscles (thanks to five lovely babies!) and one very mysterious ailment of my left foot not to mention the Wii machine tells me "That's obese" when I bother to step on it to get weighed...so now the question:

does someone like me stand a shot in *&!@ if physically surviving working on a hospital unit?

I've already been doing LTC. I am realizing I have to pick my battles with whom I toilet and when I need to hunt down the lift (that is until yesterday when I got canned! See my other post-"Wrote up CNA, but I got the boot").

Could you all help me out by giving some insight or rating into which kinds of nursing are the most physically demanding so I can hopefully navigate towards a channel of nursing I will be able to physically survive. Much appreciated!

Specializes in LTC and School Health.
I'm with you on that one, echo......also got a kick out of your line about owning your psychosis :roflmao: Things were so bad one day last week that when swing shift was coming in, I threw my arms out in front of them and invited them to "join the IN-SA-NI-TAAAAAAAAAAAY!!" They all looked at me as if I'd suddenly sprouted three heads.....and I didn't even miss a beat. I guess I own my psychosis too. ;)

Oh yes, I feel like doing this too. When I see the night shift come, I nearly want to hug and kiss them. I get them a nice comfy chair for report and tell them all about the woes of my day. Then, they do the same to me when I come in.

Sometimes I really do feel like releasing wild monkeys on the unit.

Specializes in cardiac CVRU/ICU/cardiac rehab/case management.

Oh, I just recalled my personal favorite. (How could I forget ). Thankyou , to the thoughtful patients who leads me to the bathroom pointing proudly to their stool specimen floating in the toilet. To you I say." Gee thanks Mr. X . Let me just whip out my fish net that I keep right here in my pocket ! "

Specializes in geriatrics.

Hahahahaha! You are a good egg too. I really enjoy reading your posts.

Specializes in LTC/Skilled Care/Rehab.

There have been times where I really felt like I was going to lose it. Usually when I haven't had anything to eat or a second to go to the bathroom. I think it is a joke when I hear "we really care about our nurses!" If you did really care about me, you would make sure that we had enough staff so I could take a real lunch break. And Nurse's Week is a joke. It is nice that they provide free lunch to us in the cafeteria.....not so nice that we are so busy we don't get a chance to actually get any food or eat it! The only people who really get a chance to eat our free lunch are PCTs, unit clerks, and nurses who have a desk job.

Specializes in Med Surg, Parish Nurse, Hospice.

I LOVE it! My thoughts exactly. echos how I feel almost every day I go to work. And my family just doesn't get it when I say I'm tired after 35 yrs of nursing and not sure how much longer I can do the job.

Hahahahahahahahaha! Thanks for this amusing.......and TRUE......depiction of nursing! Being a DON, I particularly liked the part about the "upper echelon!"

Specializes in IMC.

Great post! I really needed that laugh! :roflmao: