Published Feb 24, 2006
applesRN
70 Posts
HI,
I need some career advice. I don't know where to start, so please forgive my long story. If you want to skip over all this below- this is it in a summary. I've been injured in the same 2 areas on my back 4 times in 3 years. Doctor says it's in bad shape- a 70 year old's spine- and I should quit lifting. There are no jobs locally (and I want to stay here) in nursing that I think I'd like, that don't require lifting- that would accept an ADN RN. Oh, and my hospitals' workman's comp/ employee health practices stink. I see what the MRI says tomorrow. Any advice?
OK, On with the long version for those brave souls who have the time. (don't say I didn't warn you! )
I'm 27. I had a car accident 10 years ago, was treated for a short time with chiropractic, and then settled out of court with ins. Wish I hadn't done that!
During nursing school, was diagnosed with Fibromyalgia. Went to PT because of back pain. Graduated (ADN) in 1999. Worked full time for about 10 months- the pain was really getting to me as the FM flared, and work was really stressful- surgical floor. Went to night shift on Tele - my body doesn't like night shift. Tried a traveling position - never trust American Travelers. Ended badly. Tried another tele position (nights). Gave up on nursing for a while- moved in with my grandma and tried to get it in order again. Moved to Ohio with mom- really enjoyed working with Peds at a Rainbow- short term position just for RSV season. Decided I liked nursing , there was hope- so I went back to NC to work towards my bachelors degree (in state tuition). Was in school getting some pre-reqs for 2 semesters- health went down again. Tonsillectomy and GB removal, plus the up and down flares of FM. Found a school I really wanted to go to- for my RNto BSN. Moved to the area with my daughter. Put her in school for the first time (I homeschooled her up to this point). Worked full time - my first time in several years- on a 'step down' unit. Bought a house. all this while taking full time credit hours . Hurt my back after 4-5 months- a patient 'fell' while me and a CNA were supporting her and I strained my back. This is about the time that my manager really began to hassle me- she would go around LOOKING for things to say against me. (BTW- everyone was glad when she left- only to be promoted to a higher level). I was on light duty and not supposed to bend/ reach or be on my feet for very long. This hospitals idea of light duty is that you get the job duties of a CNA- I had to take all the VS on all 44 pts every 4 hours- lots of bending, etc. ok. so I fervently tried to find a different dept to work- she blocked my transfer by telling other managers to not consider me. All but one- the float pool. So I now work in the float pool- and have enjoyed it . I dont' really like Med surg, but I like the pay, I like the other nurses that do it, I like that I can go to one floor one day- and have the crabbiest people in the world, but the next day I'll probably be somewhere else. My manager is great- I usually get very good ratings. I don't have benefits though, like short and long term disability, sick or earned pay, etc. So a year after my first injury, I had another, walking my pt who 'slumped' between me and a CNA. I had short therapy, did light duty for a week- and though on different units the outcome was the same- by being on light duty - even though I'm a RN- I get stuck with a bunch of bending/ walking / catering to everyone's needs because I am another 'floating' warm body. (you can't take a pt assignment when on light duty- even if you can do everything but lift). so I left light duty as early as possible.
Last Oct, a man died in a semi-private room. The room mate knew he was dying. Census was high- acutally it's never come down since then. I had to move the other pt into the hall so I could get the morgue cart in the room. The brakes weren't working on the cart, there was no additional help to be found, so a CNA and I were going to transfer him to the cart ourseleves. The dumb cart moved ( i didn't know the brakes didn't work until this happened) and the tray tipped- so I'm leaning way over and trying to keep the man from falling between the cart and the bed while she runs to get help- note that no one answers the call bell for 5 minutes. so I went to employee health and they give me this look - you're back again? and I go for an XRay, the ER doc says it's fine and the next day I go to an occupational injury MD.Dealt with sharp, shooting pains down legs, PT for 2 months then went back to reg duty after I made PT show me the BEST ways to keep from injury- and I put these in practice. - I was still hurting some, but they ran me more as light duty than I do as reg. duty. MD says still not in alignment (SI joint) so I started chiropractic acupuncture, etc. Was coming along nicely, until the chiropractor went out of town and wanted me to see his massage therapist while gone. I did that and was really sore. Next day, at the end of the shift, I helped a lady get into bed- she did so in a floppy motion, and then I lifted her legs onto the bed- and it happened again. This time more thoracic pain than lumbar. I told employee health, but didn't want to get seen- maybe I was just sore from the massage. So I waited a day, and when the shooting pains came back, I went in again. Now, originally they said that because they were two seperate injuries, I had to see the same MD at 2 different appts each time. Well, the MD decided it was generally the same area, so he called it the same injury- which is bad for me because my length of time on light duty is up and they immediately threw me to disability pay (60%). This happened while I was in the middle of working a 12 week contract- 12 extra hours on top of reg for 12 weeks for $1800. I was workign very hard for that- all that light duty in the fall really hurt my finances. So now I still get to work those extra hours- but instead of extra pay, I get 60% of my original. The MD finally did a lot of XRays and told me " you have the thoracic spine of a 70 year old. " I took the Xrays to my chiropractor without tellign him what the MD said, and he said- your thoracic spine is really bad- (lumbar looks ok) it has a lot of degeneration and bone spurs I wouldn't expect to see until you were at least 60, and then not in this area . so I had an MRI this am and will see the MD tomorrow. MD said Quit lifting, this area is only going to be easily re-injured. Chiropractor said ' if you love your job, just tell them you'll continue workign but can't lift. ' Yeah, right, but I know what hospital I work for! My job description says must occasionally lift up to 50 lbs. How often do we lift 100 lb people with another's help? usually the pts' are much heavier. Employee Health is pretty rude to me. In fact, the radiology nurse left my employer after she was injured and they gave her such a hard time.
My dilema is this: I'm a single mom. I have a lot of bills that aren't going to get paid. All money I was attempting to save is gone. Due to a new computer system and subsequent short staffing , nurses have left the hospital in an exodus. I can't find any jobs that dont' require a BSN nearby that I won't have to lift pts as part of the job description. I'm considering leaving nursing altogether. Dental hygienists make as much, with regular hours and the worst thing they have to clean is teeth! In my career, I have been hit, thrown at, yelled at , cursed out, scratched to the point of scarring, expposed to TB and other fun diseases , am daily frustrated by the computers ( I am pretty computer knowledgeable, but the programs freeze all the time), rarely get a break - much less lunch, and 4 back injuries. no matter how much I enjoy helping pts, it just doesn't seem to weigh out in the end. . BTW, we were just granted MAGNET status. Then the computers came- MCkesson, our DON left, and so did a bunch of experienced nurses. McKesson would be good, if the computer we are required to use didn't break down all the time, and the programs ran without flaw every time you used it. I am on several councils, and we are trying to work effectively towards best practices and solutions. I spoke with the interim head of nursing about these issues, and got really good answers from her- I do think she is trying her best. So I don't hate nursing- just to be clear. I do think we have so long to go..... but I can't continue to risk my back , or sanity, on the profession.
Are there any PICU nurses with back injuries that could share? I'm hypothesizing (sp?) that maybe if the bodies were smaller, it wouldn't be so bad. I don't know. I'll know more tomorrow. I just needed to vent, Thanks!
Crocuta, RN
172 Posts
Have you considered working in a doctor's office? Depending on the office, there shouldn't really be any lifting at all, it's mostly 9-5 work which would be good for you as a single mom, and would probably leave you enough time to look into an online RN-BSN program once you stabilize financially so that you could advance your options. Be honest about your physical limitations, and play up your strengths. Someone would be happy to have a nurse working for them with your experience.
Best regards -
Lee
chrispicritah
34 Posts
i am in your same situation.
after numerous back injuries, light duty, private investigators trying to say i was lying...
i did return to school, for a B.A. in theatre, which is my passion.
i worked as a teaching artist last summer and it was so nice...however those jobs are hard to find so i had to keep looking in the meantime. i went to a job fair and have been offered a job in a nice clinic, part-time.
so it can be done, i was honest with them and told them not about my injuries, but that after so many years, bedside nursing was beginning to take its toll on my body, and i wanted to work with ambulatory patients.
i am a good listener, i am organized, i love to talk (i am a performer) and i was right for the job. it is less money but what is good money that is going to the doctor bills?
part of me is happy, the other part is numb. but i am getting there.
i know that i have to get away from the damn hospital...it is making me sick.
i am wearing a capsicum patch now, and it is starting to wear off.
good luck in whatever you decide to do.:balloons:
C.
Got the MRI back today- it was negative. That's good news, but it still upset me, because there's nothing concrete to explain the pain. I feel like I need to justify it somehow- to quit whining and suck it up like a (wo)man.
The MD I saw was new to me. She was very sweet- but not at all helpful. Without seeing my XRays, she pronounced that I will be fully healed and that a little bone spursis nothign to worry about- it's just a little arthritis. This is much different from what the 2 doctors said about it- those who saw it said I had progressive degenerative changes in my t-spine. She then went on to say- I know you're in pain, but you'll get through this. (I've gotten through this before- it keeps happening- to which she said, you are at increased risk of re-injury for the next 6 months. But- then you'll be fine....etc. I asked her to let me go back on reg. duty- have my patient assignments again and let someone else do the lifting and bending. She said she couldn't let me go off light duty . I tried to reason with her- that this hospital puts me through more repetative tasks on light duty than as a 'real nurse'. So she called Employee Health. Just what i need- I knew nothing would change, and now they are probably thinking that I'm trying to get out of something.
I just can not afford to have 2 more weeks of light duty. 60% pay is not good- and that's probably causign me more stress than anything- and making my back tighten even more.
Now, I like the flexibility of my job. I don't know anything else but hospital work. Can anyone give me some pointers on working in clinics, offices, etc? For instance, if my daughter had a field trip, now I can easily work around it. But having a regular day job, I don't know. Do many other RN jobs earn time off? I ask for your prayers as I try to do/ be where God wants me to be. Thanks,
F.
rach_nc_03
372 Posts
My situation is similar to yours, but it took place over a much shorter time period.
I graduated in 2005, and started working in a PICU. I was having hip pain about a month or so before i started my job, but it got significantly worse when i started working. I don't know if it would help someone with back trouble to do PICU, but it was murder on my back, because most of our patients were babies who were intubated and had to stay in the cribs- I'm six feet tall, so there was always a problem with crib height whenever i was working on a kid with someone else.
I moved out to peds stepdown, and my hip got worse. I went on unpaid personal leave (didn't qualify for FMLA because of part-time work hours while i was in school) in mid-november and had hip surgery on november 30th. My manager, empathetic soul that she is, told me i most likely wouldn't have a job if it took more than 2 weeks for me to heal.
I actually haven't gotten much better since the surgery. I decided to pursue desk jobs in nursing, and looked at the pharmaceutical and insurance fields. I had some successful interviews, and eventually accepted a job as a clinical educator at a rehab/subacute facility. My pay went up by 50%, and I work at a desk! When I lead classes, I stand up and walk some, but not nearly as much as i did as a staff nurse. I also set my own hours, so if I'm having mobility or pain issues in the morning, I just go in later.
I found out last week, after having an EMG, that I have either a severe disc herniation or L5 nerve impingement (I've had no back pain, but paresthesias in my leg and foot). I've lost some of the function in my toes, and some of the sensation in my leg and foot. It looks like my hip hasn't improved because I probably have a congenital abnormality that went undetected when i was a child. Long story short, it looks like I won't be able to go back to bedside nursing. My PT said that nurses are the worst patients, as the everyday tasks of nursing are incredibly damaging to the back.
I was lucky that I had a lot of experience with training and education of adults; that made me a good candidate for this kind of job, even though I don't have a ton of clinical experience as a nurse. Oh, and I have an ADN.
I would encourage you to apply for non-bedside nursing jobs, regardless of your lack of a BSN. You're WAY too young to be going through this much pain.
Good luck- feel free to PM me if you'd like to talk.
VivaLasViejas, ASN, RN
22 Articles; 9,996 Posts
Have you considered working in assisted living? I'm the health services coordinator/assistant administrator of a 42-apartment ALF, and I love it!! Much of what I do can be done sitting down, and I can get up and move when I want/need to---in other words, I control my own activity levels. I don't lift or transfer residents, and I don't do much in the way of personal care (although I treat wounds, cut fingernails and so on) but I still get the benefit of lots of one-on-one time with my residents. For me, it's the best of all possible worlds........and although the company 'strongly preferred' a BSN, I certainly didn't have to have one to be hired.
The pay/benefits are nowhere near what I was getting in acute care, but far better than the MD offices and urgent care places offer, and I'd rather take a pay cut than have to go through what I did in the hospital anyway. There is a HUGE amount of autonomy, which is a bonus since I don't have a bunch of people micro-managing me (I never needed it, but try telling THAT to some nurse-managers:rolleyes: ). And I have every major holiday, nights and weekends off. The only disadvantage is that I am on call 24/7, but so is the administrator, it's just part of the job, and since I have a well-trained staff there aren't too many middle-of-the-night emergencies they can't deal with.
I wish you the best of luck. My hospital's management began pushing me toward the door when my body started breaking down from the physical and emotional stress........you'd think they'd want to hang onto us aging nurses because of the experience we bring to the job, but when you get older and the body won't take the punishment anymore, do they try to adapt the workplace to accomodate us? HECK NO!!:angryfire They can't fire us because we are protected by the Older Workers Act, so they sneak around it and make it all about something else (we're 'too slow', or we're not focusing, or we spend too much time with the patients and not on paperwork, etc. etc.). And don't even get me started on those managers who snipe and point out every little thing we do 'wrong'.........:angryfire
Marie_LPN, RN, LPN, RN
12,126 Posts
Telephone triage might be another option?
highasthesky
75 Posts
I don't have the health problems you have but I do have a friend who has fibromyalgia and some days she won't even get out of bed she hurts so bad. I cannot imagine waking up and feeling that much pain, so I sympathize with you immensely. Have you ever thought about teaching? When I took CNA classes they were taught by an RN who had gotten burnt out.....so she said she actually went around to nursing homes asking if they needed an instructor for their CNA program and landed her job that way. One of the instructors in the program I attend now was a physical therapist, and another a RN, another a MA. One still works for a hospital as her 2nd job and one of the others took the teaching job because of her health declining. Not sure if it's for you but just a thought. Good luck to you with your health and future employment!
dekatn
307 Posts
Personally, because of one statement you made, "even though I'm an RN, I get stuck with a bunch of bending/walking/catering to everyones needs", and you don't like the computers because they keep locking down. Sounds like you want the money and the RN title more than anything else. I'm not saying you're not in pain, there are a lot of us out here that work everyday in pain. But, the kind of jobs you seem to want aren't handed out on silver platters, most nurses have to put in their time to get to the point you seem to want to go to without putting in the effort to get there. Do you really think that just because you are an "RN" that you don't have to "cater to and help others". Sorry that just rubbed me the wrong way.
rjflyn, ASN, RN
1,240 Posts
A couple thoughts one you have been hurt at work- are you dealing with issue yourself or have you spoke to a workers comp attorney. There are too many legal issues to be wading around in that muck alone. Especially ones that can effect your lively hood for a considerable period of time. And before you say it yes you can afford one, what you get generally exceeds the cost.
Two are you actually seeing the right kind of doctors. A GP or FP is not the person to be seeing for back problems. The person in mentioned above can assist you in that endevor as well.
RJ
by being on light duty - even though I'm a RN- I get stuck with a bunch of bending/ walking / catering to everyone's needs because I am another 'floating' warm body. (you can't take a pt assignment when on light duty- even if you can do everything but lift).
Ok, first, DEKATN, I apologize if I offended you. :flowersfo Let me clarify.
I enjoy helping others. If I had my own group of patients, I would not hurt as much at the end of the day(provided someone else would lift them up). Floating and other tasks tend to make things worse. I often offer to help others out. I'd rather have my patients, do my nursing work, and get paid my wage than be on disability pay and task-oriented duties that make my back worse.
Secondly, the computer system (that I'm actually pretty good at- if it works like it is supposed to) has made nurses with guts of steel weep over the mouse pad. It is vastly different, time consuming and maddening sometimes. Many nurses have left the hospital.
Sounds like you want the money and the RN title more than anything else.
You know, I am proud to be an RN. I worked very hard to earn my degree, graduating when I was 20 as a single mom with a 5 year old. I did choose nursing partly because of money, so that I could raise my daughter and be self-sufficient. So yes, money is important to being able to make the bills. I take higher pay with flexibility and no benefits so I can raise my daughter and my teenage brother. I have a lot of volunteer duties outside of work- in the community and church, that I enjoy doing- that would not get done if I worked 40 hours a week- not to mention that my pain and stress level tends to increase (at hospital) as my hours do. But right now, I am on disability pay. I have not lost my brain or my heart- so it seems to me that the hospital bases my worth on whether I can lift 50 lbs rather than if I have the education, compassion, ability and insight to care for my patients.
I'm not looking for a job to be handed on a silver platter. Each job had it's good and bad points. I'm trying to find one that lets me keep sane, be a good sole provider, able to be with my daughter during important times, and have some time to have a small bit of life, without hurting my health. Is that too much to ask? And what sort of effort am I not putting into getting a good job? I have experience in several areas, work on projects and improving nursing at the hospital, go to seminars, take extra CEUS, hope to be certified in May, hope to continue towards my BSN....
Fawn
RazorbackRN, BSN, RN
394 Posts
"Sounds like you want the money and the RN title more than anything else."
That's really tacky for you to say. I didn't get that impression at all...