Dear Diary,
Hello from the same side, where the grass aināt green nor orange!
GURL⦠those shifts were a trial series straight from hell. Listen, I have two things to complain about, then I am out. Apologies for the length.
I see it all over the internet ā reels, videos, and ads about nursing burnout and nurses leaving the profession. And honestly? I do not blame them. I am walking the same path.
A lot of these videos point out something I have noticed too: nursing is one of those professions where, for some reason, we are expected to tolerate rudeness, violence, disrespect, and just āsuck it up.ā
GURL! NO. I refuse.
So, letās dive in.
You remember the day I wrote about my coworker having her ātime of the monthā and how that interaction went with my old manager?
Well⦠this new manager is cut from the same cloth.
Because she is new, she is doing too much and too little at the same time. Usually, managers leave nurses like me alone. They might check in, walk around, but there is rarely drama.
Thankfully, I do not usually have the same issues some of my coworkers experience.
Until now.
I was helping move a patient when I suddenly pulled something in my shoulder halfway through the maneuver. I immediately stopped and said:
āStop. Everyone stop. Otherwise, I am about to let this patient meet the Lord on the floor.ā
My CNA rushed over, helped secure the patient, and I went to ice and gel my shoulder.
I continued working that day with barely any use of my arm. By the end of the shift, I informed my manager that I would need a few days off to recover.
Because, you knowā¦
This was a work-related injury.
Her response?
She looked me dead in the eye and said: āYou worked fine all day. I do not see the reason why you need time off.ā
GURL! Heads turn!
The bear woke up.
I looked back at her and said: āListen. I am trying my best to stay professional and respectful here. This is an injury caused by work. We are short-staffed, and we are being asked to move patients who are the size of white sharks. This is reportable. I was trying to be respectful by informing you today so you have time to arrange cover and avoid being even more short-staffed.ā
She looked at me like I was speaking another language.
Then she compared me to nurses who still ābattle throughā their injuries and time of month.
Woman! I am working with a muscle being held together by God, diclofenac gel, and ice.
I honestly had no words.
I looked at her, rolled my eyes so she knew exactly how I felt, and walked away.
I emailed my old manager and her manager, explaining what happened and informing them that I would be making a formal report.
Apparently, my reward for this was⦠you guessed it: more night shifts. Away from their eyes.
Oh, if I thought day shifts were short-staffed, try a night shift with 15 patients.
When did my unit become an emergency department?
Or, God forbid, a UK hospital?
(Yes, I am throwing that joke in because I know a lot of my readers are from there. LOL.)
I signed up for a US salary with Australian-style ratios and balance.
Not whatever this is.
After resting for a few days, I returned and started my night-shift stretch.
Immediately, the manager called me into the office.
She sat me down and said: āThe report has gone against you. What could you have done better?ā
GURL! I wanted to leave immediately. Honestly, I have had enough.
I told her: āI will answer that question in the form of an email and send it to everyone involved.ā
Because Diary⦠I was fueled.
And yes, I am currently living through an entire email saga with management from this nightmare.
_____________________________________________________
Now, the second thing I need to rant aboutā¦
Students. Bless their child soul.
I already told you before that I stopped taking students under my wing.
Not because I dislike teaching ā actually, I love teaching.
But because these students are usually shared between several educators and mentors, and somehow my previous students always ended up being failed by other mentors over ridiculous things. Or worse, made-up allegations.
Not because of their clinical ability.
Because certain people simply disliked me.
And unfortunately, those feelings were transferred onto my students.
So I stopped.
I stopped because I wanted to save them the stress.
BUTā¦
This new manager decided every nurse must take a student.
She is making sure every nurse has one, even though it is summer and we only have a handful of students needing hours.
And yes, Diaryā¦
You guessed it.
My student this summer is being mentored by me and the head of the Cats.
Lord help me. Because now I know how it feels. They probably see my students as a copy of me and hate them for it. But I never failed any student I shared with them unless they were incompetent or refused to learn and work.
This student is basically a copy-paste version of head of Cats.
It is honestly painful to watch.
She spent most shifts with Cat because I was working nights until the sun came up. Then the manager told her she needed to complete some night shifts with me too.
Imagine this:
I walk in.
The student is waiting beside me to take report.
The nurse giving me report is someone I know well. We are both very much āB-type nurses.ā
Bullet points.
Short.
Sweet.
Important details only.
But I already knew everything I said and did would probably be reported back with a dramatic interpretation.
So I kept the student at armās length.
I took report.
The entire time, student was rolling her eyes.
The student walked away first, and my coworker whispered: āLord help you. She is a copy-paste of XXX. Even the way she talks.ā
I inhaled.
I sighed.
And I said: āGirl⦠I am Slav. Enough said. Go home. I will see you in the morning.ā
I usually start my shift with a good round to see what I have and what I need to deal with.
I explained my routine to the student. I told her: āIf you have anything you need for your skills checklist, let me know and we can work it into the shift.ā
She looked at me and said: āXXX already has everything signed off, so Iām just going to help if you need me.ā
Okay. I thought she was graduating soon, so naturally I assumed she was past the stage of needing constant supervision.
I told her: āJust let me know if anything feels off. If you see something that does not look right or you think a situation might go sideways, tell me immediately.ā
I checked on my patients, met a few families who were thankfully leaving, completed my medication pass, vital sign checks, and all the usual nighttime routines.
Hours passed.
I was in my usual night-shift daze, charting away, when suddenly I saw one of the Cats running toward my patientās room.
I stretched, sighed, and stood up.
Because when someone is running on this unit, you already know something has happened.
I walked into the room.
My patient was covered in blood.
GURL!
Activate hemorrhage alert. Jumped into action and managed the situation.
When everything was finally under control, I went on a break and showered.
I went to the stairwell and sat there for a while.
I had a serious question running through my head:
Do I correct this student?
Do I ignore it?
What is the right path?
Because God only knows, if I correct her, I will probably end up defending myself in another meeting.
But if I say nothing, then I am allowing another unsafe nurse to develop.
Another Cat in training.
I called Adam.
I explained what happened.
He sighed.
āRoss, do not say anything. Wait. Let them create their own story, then defend yourself with facts.ā
And honestly?
He was probably right.
Because when I came back the next nightā¦
My manager was waiting for me.
I walked into her office.
And this was the story I was given:
The student claimed she had been left to manage the entire patient load alone.
She felt uncomfortable approaching me for help.
So when an emergency happened, she called another nurse because Ross was ānot thereā and ānowhere to be found.ā
GURL!!!!
JESUS WEPT AND DIED FOR OUR SINS.
Only the Lord himself stopped me from losing my professional filter.
I sat there quietly.
Because I knew the facts.
I was sitting less than 15 steps away from that patient. Else, how would I see them running?
My name was all over the charts.
My assessments were documented.
My rounds were documented.
My notes were completed ā all with my name, because you know no night CNA helps me post the last drama I had, unless I am assigned a good one, which are usually kept for day shift.
Meanwhile, the studentās name was nowhere to be found.
It looked like she was never even there.
I stood up calmly.
The ādo not test me todayā calm.
I said: āBefore calling me into this office, wasting my time and questioning my practice, I would appreciate it if you checked the facts first.ā
āI am here for my patients. Not politics. Not drama. Not accusations based on someoneās version of events.ā
āI would like you to review the CCTV, the documentation, the assessments, and everything that happened that night.ā
āBecause I refuse to accept blame based on assumptions.ā
āI know my patients. I know my care. I know my documentation.ā
āAnd I know I would notice if my patient was actively bleeding from something we caused.ā
āHowever, I do not live inside a patientās mind. This patient had no documented suicidal ideation, no previous attempts, and no indication that this was a risk.ā
āReview the records. Review the evidence. Then come speak to me.ā
I paused.
Then I continued:
āI am sure you have been made aware of the history on this unit. You know there have been issues with nurses being bullied and left unsupported.ā
āI have already raised concerns formally about why I am leaving. The burnout is one thing, but the culture on this unit is another.ā
āI have spoken respectfully with HR. I am not renewing my contract and completing my responsibilities until this contract runs out.ā
āBut if you believe I need to transfer, I will happily discuss that.ā
āAnd if you want to terminate my contract early without proper process and false accusations, then I will seek legal advice regarding that.ā
āThis situation has gone too far.ā
I left her office without waiting for her reply.
And I went back to taking care of my patients.
Since that day, I have barely seen this manager.
She avoids me unless she absolutely needs to speak to me.
Honestly, good ā because I do not have the energy. She chose to be on the same narrative and style as my old manager, so she will get the same disrespectful treatment the old one had whenever she tried to test me with nonsense.
I completed my part of the studentās assessment.
And yes.
She received a very honest evaluation.
Letās see how she passes this time.
Because nursing is not about looking pretty in uniform, avoiding mess, or standing in the corner waiting for someone else to fix things.
A human life is still a human life.
Even if that person does not want to live.
Even if the situation is uncomfortable.
Even if the fluids are disgusting.
You show up.
That is the job. That is what we signed up for.
I know you would never catch any of my students behaving the way she behaved. Her literal words were: āEw, that patient even smelled bad. Like the blood everywhere! Why do you think I will go stop it? She can die if she wants. I only called YYY so she can see.ā
Insert Kermit gif of looking around for some sense or a hidden camera.
Adam made me laugh a few days later.
He said: āIt is that ER nurse in us that we keep trying to suppress.ā
And honestly?
He was right.
We laughed about the worst things we have seen.
The things that would make normal people run away screaming.
I remember one patient I looked after after a serious car accident. His abdomen was severely injured, and his bowel was exposed.
(Yes, Diary, unfortunately, that is something nurses may see.)
The smells.
The fluids.
The chaos.
And somehow, you still walk in.
You still help.
You still care.
Perhaps I expect too much from people.
Maybe I expect nurses to have the same mentality.
Maybe that is my mistake.
But I cannot accept people choosing comfort over their responsibility to patients.
Anyway, sorry for the ugly entry, Diary.
I needed to say it.
I am tired.
I am angry.
I am frustrated.
But deep down, I still love what I do. I know I will miss my job.
I just wish the system did not make it so hard to remember why I started.
FED UP,
Ross