The Nurse on the Other Side

Every nurse will one day find themselves on the other side of nursing.

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Me...the Patient

You thought I didn't notice the fake, tight smile you gave me, but I did. I heard the edge of irritation in your voice and saw the roll of your eyes as you turned away. And, for future reference, your mouth does funny things when you're biting your tongue.

I didn't hear the things you said to your co-workers as soon as you cleared the room, but I heard them in my mind as if standing next to you.

"God, the patient in 505 is intolerable." The others teetered as you described me.

"Bet she's a nurse; is she?"

I imagine you couldn't pull my patient record and demographics up fast enough in search of my occupation. You groan echoed loudly, "She's an MSN."

The others laughed at your misfortune and walked away.

You wrote your name on the whiteboard in my room with a flourish and told me to call if I needed anything. But, you didn't mean it. I saw the hurried and dismissive way you wrote resenting the nuisance board.

You checked the orders for the day, scanned the most recent labs for obvious outliers, made a note of the meds to dole out, and moved on. You didn't delve into my history, or the reason I ended up in the emergency room; you didn't have time. Yet, discovering I was a nurse, made you cringe.

Am I Your Worst Nightmare?

I'm your worst nightmare or so you say; right next to the physician-patient, you had last week. I'm your patient and I hold a master's degree in nursing. I know things, lots of things about medicine, the role and responsibility of nurses, and more about the disease ravaging my body than most physicians. Knowledge is a powerful thing, and, yes, sometimes too much is a dangerous thing. Physicians see me occasionally and this is my first encounter with you, but I live with the complications of my illness every day. If I had to choose, I'd take more knowledge over less any day.

But, why does finding out I'm a nurse, bring out the worst in you? Why the snippy attitude or rolling eyes? Why should I hide the fact I'm a nurse? We're supposed to be kindred spirits.

I'm not here to grade your performance or make you feel, whatever you're feeling. I'm here to get well. A little compassion from one nurse to another will go a long way in making that happen.

I no longer practice nursing, not in an official capacity, but I remember what inspired me. I wanted to be like Florence Nightingale, help the sick, cure cancer, or the next big disease threatening to wipe out humanity. I had big plans. I'd advocate for my patients, unique in their illness and they would remember me with fondness. Although my career was cut short, I still maintain my license and keep up with medical practices. Nursing is a way of life for me. It's who I am.

The Healthcare System

The whole health care system is unrecognizable to me these days. Nurses are still overworked and underpaid. Electronic charting and medical records have nurses spending more time in front of the computer than at the bedside, and patient care has become check-offs on a computer screen.

Remember the lab values I asked about?

"They were normal," you said. Did you bother to review the pattern of my previous labs? No, you evaded my questions and became annoyed. If you had, you would've realized they weren't normal, not for me. One size does not fit all.

To you, I'm the pain in the *** nurse-patient in room 505, but this is my life, my body, and my pain. I should have a say; I've earned it.

One day you will be me, the nurse on the other side, receiving instead of giving care. Tired, sick, and afraid, the truth of who you are will slip out as your own knowledge compels you to ask questions and push for answers. Clinging to the last bit of control you have, you'll pay attention to the care you receive as never before. Once a nurse, you're always a nurse.

That time will come faster than you can imagine. When it does, you'll want a compassionate nurse. One, who listens, answers questions, takes your concerns seriously, and treats you with the respect every nurse deserves no matter her age or circumstances, not one who rolls her eyes in impatient mockery.

sheilagood52 said:

I wrote this article to bring out in the open, something that happens. Pretending it doesn't is the same as pretending, "nurses don't eat the young," is a fallacy.

I initially appreciated your article but also was intrigued by how other people responded. But you lost me at the NETY stuff. We've got many threads here that disagree with the idea that "nurses eat their young".

Ruby Vee said:
Yes, nurses tighten their lips, smile fake smiles and even roll their eyes at times. But nurses don't eat their young and you do seem judgemental. Having chronic health issues myself, I understand the irony of being on the other side of the bed. I still think a lot of the negative reactions the OP complained about -- as well as most "young eating" -- is there because someone went looking for it.

Thanks Ruby Vee! :up:

As a nurse who has been a patient I will say that what I noticed as a new mom who had a baby by cesarean is that my nurse assumed I knew everything I needed to know since I was a labor and delivery nurse. I knew her too by the way; we went to school together. Being the nurse during a cesarean and having a cesarean are two different things by the way.

Sometimes I think some nurses assume they don't have to do any patient teaching to a patient who is also a nurse. Note I said "sometimes".

Other times I've been treated just fine.

banterings said:
I am so tired of hearing people saying that the OP is imagining any of this. So let's look at concrete examples that the OP mentions:

All of these things are observable. None of these things are the OP filling in the blanks.

Actually, nearly all the specifics you note are, IMO, subjective observations rather than objective, measurable data.

"Edge of irritation," "hurried and dismissive way you wrote," "snippy attitude" -- all subjective, and open to individual interpretation. Rolling eyes, maybe, but I'm not convinced about that (and I'm sure I would be rolling my eyes around the OP, also).

As for the lab values, the OP notes she asked for the results and was told that the results were all within the "normal" range. Maybe they're not normal for her -- but interpreting the meaning or significance of each individual's lab results is well outside the scope of practice for generalist RNs. IMO, the staff nurse was entirely correct to not get into the lab values further, and did, in fact, provide the information that the OP asked for.

I don't think anyone here is questioning the "honesty" or "integrity" of the OP -- just that her/his perceptions of a situation may not be the 100% final, most accurate, most objective view of the situation, which is true for any of us.

Speaking of parables (did you have to drag religion into this?), I'm reminded of the tale of the blind men and the elephant; they each experienced one aspect of the elephant and drew conclusions based on their limited observation, but none of them saw the full picture and none of them grasped the true nature of the elephant.

The OP (a nurse) was talking about her personal experience as a patient. She shared some thoughts about how nurses could do better. This was HER experience, and HER thoughts about it. This wasn't a scientific study. A number of nurses have posted information about their unsatisfactory experiences as patients on this forum. Her unsatisfactory experience as a (nurse) patient is not unique by any means. Some nurses feel very threatened by patients who are nurses. Good for the OP for writing about her experience. Yes, of course there is always the nurse's point of view, but the OP was writing from her point of view. This forum has no shortage of nurses speaking out about patients from a nurse's point of view. I hope her post encourages other people to voice similar experiences.

I had only been an outpatient or an L&D patient before I was a nurse, so my 5 hospitalizations several years ago were a real eye-opener to me. The first was for an emergency appendectomy at the hospital I had just left 6 months previously; we were in town because The Man was attending a seminar when I suddenly got sick. It was pretty funny because I knew everyone in the ED and could pick my own surgeon, and when I was taken to my room on the floor where I'd previously worked (not on the same unit, but on the short-stay next door) it was like the progress of a princess, with everyone saying hi, and I was so drugged up I wasn't in pain any more so I was smiling and saying hi back. I got wonderful treatment from everyone there right across the board. Then several months later I got really sick with something else and landed in a hospital where I was a total stranger. I had four surgeries in the course of 9 months, 3 major and one fairly minor, and was on the same unit each time. The nurses there came to know that I was a nurse although I didn't broadcast it. I probably mentioned it on admission because the admitting nurse and I discussed Meditech, which we both hated. Anyway, the nurses were all wonderful and I was treated wonderfully. Well, there *was* one....I thought maybe she was having a bad day, but another nurse just sighed and said, yeah, she's like that. On that particular day I was 3 or 4 days post-op and my colostomy sprung a leak. I asked her to change it for me and she said, "Who's going to do this for you at home?" in a rather nasty tone. I said, "I am, but I still need to watch how it's done." I got a big exasperated sigh but at least she did it. She wasn't real nice about helping me to the bathroom either, but I still felt sick and weak. After that day I didn't have her any more. The rest of the nurses were great. When I had a drug reaction, and when I had a transfusion reaction, they were amazing. And I had one who was an LPN-to-RN student at the local community college who kept coming in just to chat and pick my brain; once I was feeling better I enjoyed that.

Ruby Vee said:
Does anyone consider themself a difficult patient? Even the ones who throw tantrums and bedpans?

I had a completely a&o x3 patient with no psych history throw his room phone at me...hard when I opened his door to answer his call light. He proceeded to take his cell phone out and start recording me. And he thought til the day, (thank God) he was discharged. Patients always think they are right.

Been there,done that said:
Been there, done that. Shocked at the attitudes of nurses's when they find out I am a nurse. I am always understated and quiet regarding that little tidbit. However,it comes out... and they are afraid they are being evaluated. If they are doing a good job... they have nothing to fear.

I try to not reveal that I'm a nurse. It always inevitably comes out when asked what do I do. For example, I have interstitial cystitis, and being on my feet all day, my bladder is on fire at the end of the shift. So at urology appointments, when asked what exacerbates the pain, I'll say being on my feet all day. So the question comes, "oh, what do you do?"

No. If a patient asks about their labs, I say they are within normal limits. It most definitely is special treatment explaining specifics just because the patient is a nurse. To me, the person is a patient. Period. I have no problem answering what a specific value is if asked. I may not get to it for a couple hours, because, shock, I know how to prioritize and am already needed by 4, 5, 6 other patients waiting for me who DO need something NOW. Like their Keppra, breathing treatment, pain meds....

It absolutely IS imaginary claiming we didn't look up their history and presentation to the hospital. That's one of the FIRST things I want to know. I may not have looked it up fully within the first couple hours, but made sure I had the basics til I had time to delve deeper.

I'm initially making sure the patient is comfortable, has their meal tray ordered, oriented to the room, paging the doctor to confirm orders, entering the orders so pharmacy can send the meds before the cut off time, getting an Auth form from pharmacy for narcs so I can pull pain meds for my patient as soon as possible....then I care for other patients who have been waiting on me because I was very busy taking care of things for YOU. THEN I can have time to delve deeper into the chart.

I had an admit a few days ago in which the patient's sister (who introduced herself immediately as being a doctor, specifically an MD and that his wife is a nurse.) Didn't think much of it. But I was just welcoming my patient to the room at the very beginning of my shift. Hadn't even seen the chart yet, and the Dr. sister immediately starting asking tons of questions about very specific details regarding meds and lab values. In my head I'm thinking, really? You do realize that I walked in the room the same time you and the patient came right? That I could not possibly know this information yet.

And guess what? I cared for this patient for 2 days in a row, and despite my frustrations of this very demanding, time consuming family, they raved about me to the DON. It WAS frustrating. But I still cared. And I most certainly was still professional.

I'm sorry that OP feels wronged. But to generalize this as most nurses...no. I'm not accepting that and keeping my mouth shut.

Specializes in LTC, CPR instructor, First aid instructor..
banterings said:
This reminds me of the Parable of the Wicked Tenants (Matthew 21:33-46, Mark 12:1-12 and Luke 20:9-19).

The landowner sent his servants to collect the income of the vineyard. But the tenants had no intention of paying anything to the master. At the arrival of the master's servants, the tenants grabbed them, beating, killing and stoning them.

As a last resort, the landowner sent the one person he has left, his son. He was playing his last card. He calculated that the tenants would recognize his authority when they were confronted by his son. That did not work, the son was killed.

This is exactly what happened with Christ (authority of God as the Son of God) and what is happening here.

Thank you for the scriptural quotes. They verify the same thing happening here.

banterings said:

I guess the OP was treated like all other patients; being berated and the denial of her experiencing bad healthcare. This reminds me of the Parable of the Wicked Tenants (Matthew 21:33-46, Mark 12:1-12 and Luke 20:9-19).

The landowner sent his servants to collect the income of the vineyard. But the tenants had no intention of paying anything to the master. At the arrival of the master's servants, the tenants grabbed them, beating, killing and stoning them.

As a last resort, the landowner sent the one person he has left, his son. He was playing his last card. He calculated that the tenants would recognize his authority when they were confronted by his son. That did not work, the son was killed.

This is exactly what happened with Christ (authority of God as the Son of God) and what is happening here. There is a continued denial about the bad that happens within healthcare.

You are using a story from the Bible to support your position on this "article"? Seriously? Once you start using biblical stories as supporting facts......Debate closed.

Still trying to figure out what "writing in a dismissive and hurried manner" actually looks like. Hurried....yeah, I write fast....I AM in a hurry much of the time. This is now a problem for a patient, that her nurse writes her name too FAST on a whiteboard? And the "dismissive" part about how she wrote her name....no idea what that looks like. And I doubt anyone else does, either.

FranEMTnurse,

Thank you.

I also want to respond elkpark's comment, "did you have to drag religion into this?"

I deal with ethics (specifically bioethics) more than most. One of the concepts of ethics is not so much as right and wrong (because there are too many shades of gray), but at how you justify your decisions.

Whether you believe in God or not (I do), and despite what God looks like to you, the Bible is still a book of history examining moral dilemmas, their solutions, outcomes, and consequences. There are Religions that recognize Jesus as a profit only (and not the Son of God).

It is also a book that has been used for, validated, and reaffirmed as a source of guidance of ethical decision making. It is part of the basis for the foundation for the United States and it's laws.

So even if one does not believe in the Judeo-Christian God, or God at all, one can NOT argue that the Bible is at the very least a book dealing with ethical issues.

I use it as a reference (just as I reference all my assertions), to validate my points which support the OP.

Even the OP's observations of the concrete are being denied. If you are a nurse who is NOT the type of nurse that the OP describes, GREAT! I am so glad that you ARE a nurse! (Healthcare can use more like you.)

That does NOT mean that the OP misread her experience. In a previous post I included links to PubMed articles that address the matter. If there was not an issue with this, there would not be PubMed articles on the subject.

Just because you do NOT do it to your nurse-patients, OR have NEVER experienced it, does NOT mean that id does NOT happen AND did NOT happen to the OP.

The denial that the OP experienced this or that it exists only calls into question the denier's education, experience, and knowledge when there is scientific evidence (the PubMed are only a small part of the research on the subject).