hi! was mindlessly scrolling through the nursing tag and read up on your post about hospice care. Firstly, I truly appreciate people in your profession and always have (I suppose I always thought of nurses/anyone in the medical profession as real life heroes!), Anyways, I just wanted to say that you revealed to me a lot about what it takes to be in healthcare. i'm thinking about going in to nursing & incredibly scared because i never considered it until now. people like you inspire me!
You know, I was scared when I started nursing school myself. This seems incredibly stupid in retrospect, but even though I have family members who worked in health care I didn’t actually know what a nurse did. I was accepted into nursing school right after high school and had never even been a CNA, nor could I have said the difference between an LPN and an RN.
My advice to anyone considering the field would be not to glorify the profession. Nursing has been ranked as the most trusted job in the United States for the last fifteen years, but underneath the glamour is a very broken system.
The USA has a massive nursing shortage that’s not looking to get better any time soon, so expect to work short staffed. Hospitals receive payment based in part by patient satisfaction surveys, which means there’s a “the customer is always right” culture that turns health care into making the patient happy…which isn’t always what needs to be done to make them healthy.
Nursing homes likewise suffer from increased charting loads that decreases the time spent on patient care. You know all that crazy stuff on the news about cutting Medicare and Medicaid? That directly affects 99.99% of my residents. Insurance does everything it can to get out of paying for short-term stays, so a mistake in my charting means my facility might have to eat the cost of a $40,000 stay for a little old lady who needed rehab after breaking her hip.
That does nothing to say of the massive problem with narcotic addictions within the nursing profession, or the burnt out nurses who really shouldn’t be working any more, or the large number of new grads who leave the profession after less than five years because as the saying goes “nurses eat their young.”
If you want to be a nurse, go for it 100%. My LPN class started with 90 students and only 45 passed the first year. My RN year began with 45, and again only about half made it through. Anything lower than a 78% was a failing grade, and you had to pass both the classwork and the clinicals separately to make it to the next semester. All that work was just for the right to take the test to become Board Certified, and if you passed that you’re declared by the state to be…wait for it…minimally competent.
I could write books about what I didn’t learn in nursing school.
It’s incredibly rewarding. Don’t let anyone tell you it’s not. But be prepared to be emotionally and physically exhausted, wreck your back, spend hours running like a chicken with your head cut off only to spend hours after your shift’s done finishing up paperwork because patient care comes first. You’ll have doctors yell at you, families curse at you, and patients spit on you, and yet, somehow…somehow it’s worth it.
Good luck with your studies. I hope I didn’t scare you off, but, honestly, I wish someone would have told me this when I was first starting. But, hey, I was an ignorant 19 year old kid when I got my first nursing job and lived through the growing pains. It’s been more than five years now, and I can’t imagine spending my life doing anything else.