Burnout in my 5th year…another nursing statistic
I always knew I would end up in a helping profession. Nursing seemed like the perfect choice. It combined my natural curiosity about health and science with the giving, hands on, human interactions of bedside care. I also knew that nursing offers a great deal of flexability within the profession. You can change specialties, change shifts, and work in a variety of settings.
Before I decided to study nursing, I considered teaching,conservation and journalism. Prior to becoming an RN, I worked in recreation/parks, the foodservice industry, and held a factory/production type job.
I graduated a few years ago with my BS in Nursing. I certainly don’t regret having gone that route, but to be honest I feel disenchanted with the health care environment and nursing in general.It certainly is nothing like what I thought it would be.The hospital setting is like a pressure cooker type of environment.
The public has no idea of what a RN does. All they see is the hands on part of what I do, but not the mental stress of overseeing their care, and coordinating everything, and making sure nothing is overlooked.It can be rather complicated and overwhelming.And I feel highly responsible for these patients and the 1,001 factors that go into their care.
What has kept me here this long, is I do love to care for people. I love to teach, to listen, to learn. The critical thinking & communication skills are always keeping me on my toes. With all these perks, you wonder why could I possibly be considering leaving this wonderful profession?
First off, I have found that I am responsible for so much more than my own job. Often I have to chase down doctors for things that I feel they should have noticed when they made rounds.I’m not sure I trust some of them, to be honest. I fill in for other departments (PT, OT,housekeeping, dietary, etc) when they are on their day off. There is never enough staff, so frequently we nurses work without a single break at all in our 9 hr day.We are expected to not only be nurses, but also waitresses, cleaning staff, counselors, hotel concierge and general gopher.
And the paperwork! I usually spend 1 hr each day (as do my coworkers) after my shift ends to complete my “charting.”
Oh, how I wish they would just get rid of those useless careplans (we do them in our head anyway, but having to write little narratives on each item is just so maddening and futile…only there for “show” to JCAHO).
I would love to finish up my charting earlier, if only there were enough staff to properly answer the patient call lights, etc, but there never is.
Every time I turn around there is another silly form or regulation that is redundant and poorly designed so as to make my day even more complicated.I am having to write blood sugars in 4 different places, for example.Or how about those “acuity forms” which we fill out to provide information which reportedly determines staffing for subsequent shifts. Well, the matrix of nurses & staff is always fixed, so we all know the “acuities” are a bunch of hooey. We NEVER get more staff for a higher acuity of patients. When I am already crunched for time, I find these useless forms extremely annoying, burdensome and insulting to my intelligence.
I often am mandated to come to work on my days off for mandatory classes. While I do get paid for the time, I resent that they can’t be scheduled during (before or after) work days, because I thought a “day off” meant I wasn’t at work!
I’m also tired of looking high & low for basic items like functioning equipment: BP cuffs, a wheelchair, a walker. It’s so frustrating to have to spend 15 minutes of precious time tracking these scarce items down.
It begins to feel, with the lack of breaks, overtime, rush, rush rush atmosphere and coming in days off..it begins to feel like an indentured servant position.
I do sometimes stay overtime to help out a short shift, but even that gets old. My 12 hours shift is never 12 hrs. It is always at least 13 hrs.
I feel a great sadness because I have come to care so deeply for the wonderful (most of them anyway) elderly population of patients. But I come home so depleted and so bitter…I know it is not a career I will be able to endure much longer.Being a nurse in today’s hosptial setting is unbearable.
Although it saddens me, I feel like I have to consider another career for my own sanity. Maybe I could return to nursing someday if healthcare can ever get its act together and put patient care first.But for now, it seems to me all about money & getting by with as few nurses as possible.They just keep adding onto the nurses responsibilities…and it’s driving us away. I am heading back to school next semester to begin study for another career. At this point, I’m ready to try almost anything else.To all my fellow nurses who stay in the profession…God bless you!
I feel so ashamed because I am aware of the type of employee I am, but the job environment is so stressful. I spend half the day trying to teach meducal students and residents about stuff that they should already know. Management will drain you dry if you let them..(which I think I did). I am so fed up. I start school in the fall and can't wait to get away from bedside nursing.<br />
Please know that I care for my patients.
<br />
Nursing is the only profession that I can think of where the more education, experience and responsibility that you take on actually results in your being paid less than the simple staff nurse makes for putting in his/her normal shift.<br />
<br />
I used to be so depressed and emotionally exhausted that I would actually fantize that some car would run a red light and smash into my car so that I could go to the hospital as a patient and NOT have to work and expose myself to the stress of the unit that night. Is this not the most pathetic thing that you have ever heard?<br />
<br />
Ah, yes. As a nurse, you are told by administration that you are a "professional" and as such, they expect you to complete professional levels of education, hold pofessional licences, complete professional continuing education each year, adhere to professional standards, assume professional responsibilities and represent your facility/employer as a professional. <br />
<br />
Fine and dandy; how about recieving some of the pay and perks of being a "professional"?? No, that is a different story. When you try to stand up for yourself and for your future as a professional, you have no power and no voice. Administration immediately slaps you down and informs you that you are an hourly employee and if you do not like what is handed to you, your job is threatened and you are told that you can "hit the road". <br />
<br />
Does this sound like being a true professional? Hell no!! A nurse is only a "professional" as long as it fits the agenda of the doctors and the administrators.<br />
<br />
I used to become so depressed about being a nurse. Like many other nurses, I hated it beyond the meaning of the word. I remember thumbing through the yellow pages trying desperately to identify some job, ANY job wherein I could use my nursing education, skills and knowledge in some profession OTHER than actual nursing.<br />
<br />
I searched for more than 10 years to find that niche and finally, I am not even really sure how, I actually DID find something that I thought would get me out of the hospital and into a normal, healthy life.<br />
<br />
At first, I tried to calculate how little I could get by on. Like all other nurses, I had been trained and brainwashed into believing that I had to be an employee to find work. I intially had to get past that mentality and, I admit, it was a tough process for me.<br />
<br />
I figured that if I could only make $500 per week, I could eke out a life for myself. I began my new business and used my nursing skills and knowledge every day and with every client.<br />
<br />
I started out with virtually NO recognition and nobody knew me or my service. I found out immediately that there really WAS a demand for what I had to offer. The really wierd thing was that NO other nurse was offering my service!! The telephone calls began to flood in. <br />
<br />
My first year, I was shocked that I actually matched what I had made as a nurse working in a hospital with more than 20 years of experience. My secound year, I made $75,000. I am now headed into the beginning of my forth year and believe it or not, I am actually making what the US Dept of Labor lists as the average income of a Internal Medicine and OB/GYN doctor!!<br />
<br />
For the first time in my miserable career as a nurse, I actually FEEL like a professional and EARN professional pay. You have no idea how strange a feeling it is when I meet up with many of the docs that I once worked with and secrtly know that I make as much, if not more, money per year than they do.<br />
<br />
I am in the process of writing a book on my experiences. My book will give other nurses a step by step guide on how to start their own business and begin a wonderful new life for themselves and their families. A life rich with opportunity that will allow them to still work as a nurse but without all the emotional and physical pathology than comes with the traditional "pigeon hole" positions designed for nurses by doctors and hospital administrators to line their own pockets and finance their own rich lifestyles.<br />
<br />
My book will not be finished for a few months but anybody interested in hearing about it when it is completed may email me.<br />
<br />
I wish each of my fellow nurses the opportunity to have a quality of life and not have to start over with years of education and retraining to find it. Please do not dispair, the answers truly are out there, if you just know where to look.<br />
The thoughts, feelings and testimonials here all totally resonate with me!!! I can capsulate my experience as an RN in two ways. The positives are that I love nursing so much that I have spent the last 13 years writing a nursing reference manual [ now at 1400 pages ]. I love the concept of offering support to hurting human beings, facilitating their healing and being both advocate and teacher for them. Those moments of hands on care, the tears shared, the whispered words of 'thank you', the suffering alleviated with a timely intervention, the hand held as a life slips away; these are the things that have kept me in nursing. But they are not enough to offset or negate what I am about to share.<br />
I see the cynicism and burnout of my fellow workers. I am disheartened by the amount of gossip and backbiting that occurs in my unit. Most of which comes from individuals that are otherwise pretty good folks on the 'outside'. The patient loads are getting heavier and heavier. Not just by the numbers but by the complexities of multiple disease processes and interventions. The paperwork is redundant to the extreme and even my personal unpaid attempt to devise a more concise and complete charting form was summarily dismissed [ after over 8000 minutes of computer time]. The politics are akin to the TV reality show SURVIVOR where alliances are made through duplicity and insincerity creating a sense in me that you can really trust no one. I see favoritism in extending educational opportunities. I have been turned down 2 years in a row for local, inexpensive conferences . I was told the education budget was depleted. Yet 2 childless nurses were allowed to go to a Las Vegas Pediatric conference and we are not even a pediatric unit!!. Most of our physicians are really wonderful and treat the nurses with respect, value their input and treat them as co workers. There are a few that are contemptuous, condescending and abrupt [ which I have written up ] I haven't seen any particular change in these physicians. The administration makes token comments about valuing teamwork, respect, honesty etc and valuing their nursing staff but I have not seen the reality of that. I originally applied for a critical care position , having had extensive training courses at another hospital and having the goal of working as a critical care nurse since nursing school. I was told they only wanted experienced CCU nurses. Recently they hired a new grad out of school. Go figure.<br />
This all came to a head for me recently this last week when short staffed I was nearly at the melting point in mental fatigue, exhaustion and burnout. I had a small group of patients but all with multiple [ and LEGITIMATE ] needs, requests etc and no CNA to help with tasks. I work 12 hour shifts and I don't think my butt even touched a chair for 5 hours to chart all that I am required by law to document. Because we either don't have or don't utilize an acuity rating system, sometimes there is a huge disparity in patient assignments in my small 12 bed unit. I can't even count the number of time I have felt like I was drowning only to pass the nurses station and see the charge nurse on the phone gabbing with her sister, another doing a crossword puzzle etc. There have been times my load was lighter and another nurse was in my shoes. I make it a point to observe my team members and if I see this and I am not particularly busy, jump up and offer help. Some do this for me but others would just as soon sit and talk.<br />
Anyway I made the mistake of explaining the reason for my infrequent visits to a patient family in that we were short staffed that day. They thanked me for all the compassionate care I gave their terminal mother but apparently called administration and voiced a concern [ probably on my behalf ] My manager called me into the break room and severely reprimanded me in front of the charge nurse for that day. This charge nurse is a wonderful lady in many ways, a good competent nurse, young, bright, funny but is the single biggest gossip on our unit. I have received many positive patient satisfaction cards over the 2 years this unit has been open in our brand new facility. But how in the world can you give great care when you are stretched so thin. Instead of validating my feelings and the reality of our staffing my manager suggested I get counseling for the burnout. My concerns in that meeting were minimized and dismissed and was turned back onto me as being inadequate for the job. The unspoken message was 'get some counseling so you can handle the stress ' rather than 'let's legitimize this nurses' concerns and find out ways we can create a nurturing, growth producing culture. She was very threatening and heavy handed in this 'session'. I kept my cool and did not get emotional but it was a real eye opener.<br />
We are being regulated to the maximum when it comes to patient privacy [ we can't even put patient names on the front of the chart !!! ] but what about my privacy and confidentiality in this ‘meeting' ? What about the total lack of having a voice when it comes to valid suggestions about things [ some minor and easy to fix ]. I gave a nicely typewritten list to our new manager, waited 2 weeks and softly asked her if she had had time to look it over. She said "yes. I was overwhelmed" and turned around and walked away.<br />
In essence I feel like a glorified hand servant without any validity in decision making about my work environment. Now, because I voiced concerns over patient safety and staffing and have broken down in tears [ in the break room ] at least once I have been labeled a complainer and troublemaker. I dread going to work. I am sick of the apathy and indifference by some. I notice the absenteeism and wonder how so many can be so sick so often. I hear the gossip behind others backs and see the ingenuine courtesy to their faces. I see the power plays and undermining just to get close to the manager. I see nurses eating their young by the handfuls. Demonstrating frustration to each other because their are no legitimized safe outlets for them. I AM DONE!!!!!!! I think I would rather wash cars for a paycheck than do this another day [ yeah and at 48 years old I just bought my first home 3 weeks ago ]. I was accepted into a baccalaureate program last year and even received a full scholarship based on my excellent college grades. My hopes were to eventually get a Master's degree and teach, mentor and encourage others to pursue nursing as an honorable vocation. Now I sincerely question that dream.<br />
I don't expect stress free work but YIKES!!! We have to do more with less, smile and stuff it because of the fear we will be labeled, demoted or even terminated. Yes, I too will soon be just another nursing statistic.
<br />
Does anyone have any advice for a person who is in her fifties and embarking on a new career in nursing? I have a feeling deep in my bones that this isn't the path I should take, but all the money, time and hard work I've invested, I feel trapped already. <br />
<br />
I worry also about disappointing my family if I quit. I am not afraid of hard work, scholastically or physically, but the stress I have experienced already has made me wonder if this choice is a mistake.<br />
<br />
I had hoped to escape the frustrations of life as a secretary. I know nursing would be better money, but is it worth it? I welcome your comments.
<br />
Tony Mills (leads1@email.si)<br />
00852-02-27589056<br />
FLAT O, CAMELPAINT BUILDING, BLOCK 3, HOI YUEN ROAD<br />
HONG KONG, 666666<br />
I thought that becoming a nurse was what I wanted to do in life. I love to take care of people. However, when I became a nurse I had no clue what was ahead for me.
The first few years I was an L.P.N. someone would have had to hit me over the head to take a sick day. Now, the thought of going out there and working the floor as a nurse makes me cringe!
I have done just about everything from long-term care to hospitals. They are all the same. It is always give more, more, more. I reached a point about a year ago where I began having anxiety attacks. I had one at work one very stressful day. That was the last day I worked the floor as a nurse. Working conditions are terrible. There are too many patients with critical needs and not enough help to do the things that need to be done. I felt like such a failure. I think it is wrong to prioritize a patient's needs, but that was exactly what I was doing. I felt that everyday I worked the floor as a nurse I was putting my license on the line. I had enough responsibility as an L.P.N., why would I want to become a R.N.?
My neice is now in nursing school. I try to be supportive, but I did try to discourage her from going into healthcare.
I miss taking care of patient's very much, but I will never miss all of the stress of trying to care for too many patients. I will never go back.[list:bc8593e9cd][/list:u:bc8593e9cd]
In the beginning I really enjoyed what I was doing and felt that if I could bring some measure of comfort to a frightened,ill patient that it was all worthwhile. I won't bore you with all the crap I've put up with over the years. If you're a nurse and you are reading this, then you already know. Now I am the one who feels frightened and ill-I can NEVER work in this profession again. I am not trained for anything else and frankly am so depressed I don't know when or if I'll ever work again. I wish that I had studied to become anything but a nurse.
Or, check out website www.slenderlady.com
only to find the same sh--. I too have wished to be struck by another vehicle to get out of showing up for my shift. Some nurses acknowledge my feelings but state that it is too late for them so they have resigned themselves to it or they quit when their husbands retire. Nursing has been the biggest mistake of my life....and I don't know what to do or how to get out. The final straw was talking to a doctor friend who told me, "The fact is that as a nurse you lack the credentials for anyone in authority to care what you think about anything. We listen to nurses in these meetings to be polite and to allow you to feel as if your input matters...the truth is it doesn't. The decisions will be made by physicians and administrators and we hope to lead you to our way of thinking. If not...well... it won't matter much." I asked him to be honest and he confirmed what I already knew to be true. Nurses are the workhorses and the whipping boys/girls of healthcare. I hate it and I can't tolerate the thought of wasting any more of what's left of my life in it.
h
My job is as r.n.assigned to aresidental treatment unit and csu in a state prison. There is never adequate staffing with one nurse required to pass medication for on the average of 75inmates,and to provide crisis coverage forthe crisis stabilization and allthe charting,orders and coverage for the cell blocks and compound. 2 of my 5 shifts there is just memyself and i. I have gone to administration numerous times to express how unsafe i feel the staffing is but all i ever get is we are trying,this statement made when there are 4 nurses sometimes 5workingdayshift which i relieve. Add to this the stress of the security staff resenting oursalaryand attempting nursing decisions. I have worked in this job for a total of almost 7 years and if it were notfor $30 hour i would be gonebut i fear if i stay my r.n.isin danger. I am angryand burnout and i do notsee it getting any better. I am sittinghere today debating weather i should go in this afternoon or call in sick because i am truly sickand tired of itall most of all administrators thatoversee me but do not even understandwhatmyjobis about
I've only been a rn for 6 months and already sick of it. I work nights so even on my days off I sleep allllllll day! ever since I was in high school I wanted to be a nurse. I even worked at a hospital all through college. now I dread going into work every night wondering if I'm walking into a death trap. I love helping people and the only thing that keeps me in nursing is the very rare event that a family member or patient thanks me. that and the 25,000 dollars I've spent to get my stupid BSN which you don't even get paid anymore than an ADN. my hospital won't even let you put BSN on your badge, they say they are trying to "unify" the nursing staff. yeah right. I thought as a nurse I could make a difference. Instead I feel like a servant to patients, families, physicians, and the administration. I feel like I am putting my license on the line everytime I punch in with short staffing issues. I feel like a failure. I wish someone had told me this was "real world nursing". And the worst part is I feel trapped and guilty for even feeling this way.
I can honestly say that I'm glad to have stumbled upon this site. I have recently come to grips with the fact that after little over a year of being out of my BSN program, I too have become another nursing statistic. I hate the fact that I have only been a critical care nurse for a year and already questioning my career. I worked in a hospital for four years, throughout college and I loved being a PCA. Ofcourse there were nights that I thought about quitting, but right now I'm looking for reasons to not go to work and frankly I would like to change jobs but I'm scared that in a year I'll become apathetic to that job like I am now. I love the aspect of nursing, but I'm not sure I love nursing anymore. What a shame to spend all that time just to realize that it was all in vain.
I am concerned about the future of health care and patient care if so many nurses are unhappy with their careers, and looking for a way out. This society needs nurses, and the need is only going to grow. I hope the new nurses coming into the field have the strength to keep it going. For my mental health and sanity, I must leave the field. Good luck to all you fellow nurses. And, continue to do your best for your patients while you are in the field. BYE bye.
I don't think I've completely recovered from my burnout episode three years ago and have been in therapy for four months. I thought the job change back to the OR getting away from the phones and back playing with the instruments and tools would help my attitude. On some level it has but all the personalities and negative attitudes and pressures to move ever faster make me think I can't do this anymore. Like the ones who have made mention of fantasies of being hit by a bus, train or plane to avoid going to work, I have those, too and had one the day before yesterday. I dream of illness. I dream that my husband gets layed off so would be forced to sell our house and move away. But, I feel particularly stuck since I'm only 41 and have a cardiac history and require insurance. If I didn't feel the pressing need to have insurance I would take a chance and quit and do something completely unconventional, even if it were for only a while.
All those posts I read I completely agree with and I feel the pain. If you're a nurse you experience it just like the next nurse and all those stories sound so familiar from when I worked on the floors and ICU's as a secretary before I became a nurse. It's the same old s@%* and hasn't gotten any better since the late '80's when I started. In fact, it's gotten worse. Am I old at 41? Is it burnout? I don't like the way things are and the way they are headed and I don't think I can go on much longer in the system. I've got to find something else that isn't so in humane to it's workers. I'm with the nurse that would rather wash cars for a living. I'd rather go paint houses or mow someones lawn for living.
Good luck to all of you guys, I hope we can all blow this shitty popstand and live the guilt-free oblivious lives of stupid laypeople.
Based in a small rural hospital for most of this time I found myself getting burnt out in the ICU and MED/Surg area so I decided to broaden my horizons and try a little ER and Oncology outpt clinic. Still I found myself, stressed, bored and not having the compassion in me that I used to.
During all this I was divorced and raising my son on my own thus had to increase my hours and even pick up a few extra hours somewhere else. So i chose a nice nursing home. As the years went on and the nursing was not my forte' I decided maybe I needed change as far as to what institution I worked in. I went to a large facility that is the trauma 1 center for the area. I worked registry in that area and the PACU. I did have an hour drive but was able to pretty much self schedule.
Now I find myself unemployed because I quit. I could NOT make myself drive there 1 more day. I wasn't taking care of patients, I was taking care of their chart, the doctors and wanna be's giving me orders that I too did not always trust. I also babysat for all the other depts. that did not understand that if they weren't doing their job properly with our patients and if it wasn't for these patients NONE of us would have a job......I have been off a week and doing a lot of soul searching. God please keep ur hand on any nurse as the responsibilities they have increase .
1. I'm male.
2. I'm agency (I work for a nursing registry, I have no permanent assignment)
3. I'm a medical student.
[CENTER]“Look at what they make you give,” - Jason Bourne in The Bourne Identity.[/center]
Just moved back to the West coast from Miami. As I'm usually at different facilities on a regular basis, I like to perform a little mental exercise before I start my shift.
First, I find a space where I'm unlikely to be interrupted, the bathroom is excellent for this. And then, I simply say the word "No," firmly out loud. Just once. Then, I try to think of the priorities of my shift. I think of who I am in relation to this structure and these people. I have to be polite to my coworkers. I have to maintain the patient's ABCs above all else.
If, as on my last assigned shift, my patient requests that I get her warmer coffee, it is perfectly within my purview to say,
"When I find an aide, I'll try to remember to ask her. In the mean time, I'm going to see a few other patients, and I'll get back with your meds shortly."
I've cracked into my middle thirties recently, and it finally shows. I no longer have patients asking me how old I am, how long I've been a nurse, if I've ever done this before, etc. etc. I still have to cope with the same batch of aging sexists who want a female nurse, because as a man I somehow infringe upon their modesty. Thank God it's largely unacceptable to complain that I'm White, too, although it's painfully obvious that some folks are offended by that, as well.
I used to run around like a chicken with my head cut off before I was assigned to the jail for about a year. Back then, I would have found that woman some warmer coffee. Then, I would have tried to get my patients their morning meds on time, compensating for my poor boundaries. Now, I try NOT to tell them that if the temperature of their coffee is their major concern, perhaps they should be discharged home so they can prepare it just as they like. I am a nurse; I am not a waitress, mother, babysitter or servant. My job is to delicately balance multiple conflicting priorities to massage the best possible outcome out of reality for my patients. If a patient's coffee is cold, that's the kind of hilarious misprioritization by a lay person that I will remember and use as a running joke with my peers. My priority is to make sure my PATIENT isn't cold. Cadavers are notoriously harder to warm up and get perking than coffee.
I worked at the jail for about a year and a half. Initially, I tried to maintain my nursing standards, ethics, behavior, etc. But, I never had to have my hospital patients open their mouths, stick out their tongues and clap to demonstrate that they hadn't concealed their meds. My hospital patients seldom swore at me, threatened my death, etc. However, with the inmates these things were a matter of course and evinced the poor coping mechanisms of this population. As a result, I discovered that being a sweety wasn't as important as I thought. Same thing with appearing neurotically dedicated to my job. I learned to look my patients right in the eyes and use the same kind of language right back at them. It was effective. I also discovered that if two employees signed the right document, an inmate could have their medical services cancelled or could be restricted to their quarters or both.
I don't have time to open a patient's windows.
I don't have time to get their covers just the way they like.
I also don't have enough compassion to give it to strangers.
I keep my compassion, my personality and my love to myself, my family and my friends. These things are fixed resources and not to be squandered.
And, let's face it ladies, heaven forbid someone is uncomfortable while they're in the hospital. What ever will the patient think if their bed, their room, their TV, etc. aren't to their liking? Don't let 'em tell you what the priorities are. You have the uniform, you have the license, you have the power. You tell THEM what they're going to do. When patients confuse hospitals with hotels, we cannot effectively maintain our primary mandate- minimizing death and suffering.
Now, get in there and say "No."
And quit charting at the end of the shift. It's bad documentation and memories degrade with time. You're writing for the professional who's actually going to review the documents and try to figure out all the symptoms, not some attorney who wants to sue your ass off. All that smiling and compassion and sweetness and light are ego stroking junk. Getting those antibiotics in on time is more valuable. Sure, providing emotional support for someone is gratifying. It's also highly destructive if you do it on a regular basis. Quit enabling them.
.
I had a psych patient yell at me in the most hostile and accusatory way, "You don't care!!!" And I did something rather unprofessional. I laughed. And then, I explained that it's not my job to care. That's why he has a mother, a father, relatives, friends, etc. My paycheck doesn't show up for the number of hours that I care about people. It shows up because I solve life threatening problems.
In a decade of service, I have had one doctor swear at me. It was over the phone and I instantly hung up on him. According to my charge nurse, he called back and wanted to apologize. I told her she was authorized to accept his apology on my behalf, because I wasn't going to talk to him. If he had used that language and demeanor with me in a public setting where we didn't have fixed roles, in short where we met as men who were strangers to each other, I would have beaten him down. My sex and appearance are probably one of the reasons doctors don't try to play those games with me. Doctors might be removed from society, but little boys instruct each other on proper conduct in the kinds of ways which inform their behavior for life. Anyhow, he gave her the orders he should have given me, and the patient got the opiates he required and in a timely fashion.
When staff, administrators, patients, or anybody wants me to do something that conflicts with my prior personal obligations, I let them know. I smile politely and lie. I tell them, "I'm sorry, but I have prior commitments." I'm never more specific, and I'm only lying because I'm not actually sorry. Now, my commitment might be getting home on time. And I might have committed it to myself. That doesn't mean I have to sacrifice to cover someone else's problem. No matter what staff tries to tell me, we're not a family. That's a con game they play to get you to sacrifice something you believe in for them. Next time someone wants you to do something you don't like, warm their coffee, work overtime, etc. etc. etc. think about the last time they went out of their way to meet your requirements. Yeah, it's a one way street, isn't it? And if you keep giving in, you'll hate yourself.
That's what a lot of people here have posted. It isn't the job. It's compromising their values thousands upon thousands of times, getting played emotionally and financially, getting used like a disposable plastic diaper and knowing there isn't a pension, there isn't a retirement package. You can't yell at them. You can't threaten them. But, you can start by reviewing your own priorities, your own ABCs, and saying a polite 'No," when what they want conflicts with what you want and they're not compensating you for your loss. I'm agency, I do that all the time.
I love my job. I love it so much, I'm going to be a doctor. And, yeah, I know that I'll have a lot more school and a lot more work and after healthcare becomes free, a lot less pay. That's okay. I'll still only work about 30-40 hours a week and I'll have plenty of free time to keep my sanity, enjoy my friends and family.
Of course, I am writing this on Christmas 2009. So, you know I'm not a traditional guy and I'm also not making time and a half. I'm just enjoying myself. It's one of my main priorities. And, when I don't get to do that at work, I go somewhere else. I recommend you all do the same. Forget the money. Do what you love and don't compromise on that priority.
Merry Christmas!
I think every new nursing graduate should be given a set of stainless steel knives upon graduation because she will be using them to stick in her coworkers' backs. Nurses are the most petty and backbiting women I have ever known. No support or understanding with each other, just always trying to make themselves look good and you look bad in front of the directors. Intellectual stimulation? Hard to do when you are covering your ass and watching your back.
Then you have to deal with family members who usually have no medical training whatsoever, but they can all sure tell us how we should be doing the job.
Most places will "write you up" if you don't clock out on time, but if you leave something undone so you can clock out on time, you get accused of poor time management or laziness. And don't even THINK about asking the nurse on the next shift to help you out. She will use that against you at some point.
Then there is the sexism. Since most nurses are still women, people think they can talk to you just any old way they want. Speaking of sexism, there are still backwoods places in the South that still require nurses to wear caps. Get with the 21st century you hillbillies.
The angel in the hospital is dead. I am sick of working short staffed and still being expected to get the job done and done right.
I am soon moving back to KY and have no intention of getting a KY license. My TN license will lapse in 2011 and I cannot wait for the day. I am finished with this shit and I would not advise anyone to go into nursing.
Love the Site, been a lurker for a while but today I've decided to join the community. Hope I'll have something useful to say, Just a quick question, is there anyone else out here from Israel?
What i am new here.
Glad to reach you here.
I would prefer to share with and study on every person.
Say thanks a ton advanced.
Без Комиссии!
Если другие агентства берут 5%, 10%, а то и 20% процентов с клиентов. Мы работаем без комиссии.
Мы имеем опыт работы с более, чем 300 кампаниями. Наши преимущества:
1. Наши клиенты получают бесплатно аудит сайта и рекомендации по его улучшению.
2. Наши сотрудники проходят сертификацию в Google, Yandex.
3. Мы предоставляем доступ заказчику к его кампании. Нам важны доверительные отношения с клиентом.
4. Нами разработана уникальная система автоматического управления ставками, благодаря которой мы экономим Ваш бюджет.
5. Услуги агентства за составление медиаплана, бюджета, объявлений и настройки кампании БЕСПЛАТНЫ!
6.Онлайн поддержка 24 часа в сутки, 7 дней в неделю.
7. Возможна реклама в социальных сетях.
8. При работе с Директом по договоренности проводим работы по продвижению в поисковых системах, модернизации и поддержке сайта.
С Уважением Степан Князев
Тел.: +7 (915) 249-8381
Could someone suggest sites to find the owner of a phone number?
oh right and am going to college after ive finished school this year so part time would be preffered.... also the job needs to be in middlesex area because i have NO money so would not be able to travel longgg distances so yehh thanks...
and i really dont care what it is as long as it pays quite well
xxx
Anyone wants to meet nice plumper girl?
That is, providing they want the job.