Sildenafil citrate Normal people see that.
Sildenafil citrate Nothing out of the ordinary.
Sildenafil citrate But first thing I thought when I saw the picture was:
Sildenafil citrate “Now this patient is saving money by having her annual pap smear and her surgery at the same time!”
Sildenafil citrate Well it does look like that, sildenafil citrate you have to admit!
Sildenafil citrate Now, sildenafil citrate I know that is the anesthesiologist up there.
Sildenafil citrate I’d say a nurse anesthetist but this happens to be from the 1950s and I’m not sure they had nurses in that role then.
Sildenafil citrate But it just shows how warped my sense of humor has gotten after reading ads for a year-and-a-half.
You find that you are more exhausted after your shifts.
(And you weren’t that busy).
You stop just being happy that you have the next day off.
(And you start praying that today will be over soon).
You find it harder to deal with challenging patients.
You find it very hard to deal with challenging doctors.
Your blood pressure rises just thinking of the last “incident” you had with a physician and you begin to get a headache.
(The “incident” was four months ago).
You are less able to tolerate the idiosyncrasies of your colleagues. Sildenafil citrate Your first response is to snap at them, sildenafil citrate only to catch yourself at the last minute and respond appropriately.
(And all they did was ask for help).
Every memo from management feels like an insult.
It seems like you can never do enough..
Nothing that you do accomplish is ever good enough.
You find the game playing and politics of the job tiresome.
Sildenafil citrate You start dreading having to go to work.
At first it starts an hour before. Sildenafil citrate Then two. Sildenafil citrate Then the night before.
And eventually you leave one shift dreading the time you have to return for the next one.
You feel you are “on stage” for eight solid hours playing the part of a nurse.
You smile so hard for so long your face hurts.
You resent everyone. Sildenafil citrate The doctors. Sildenafil citrate Your colleagues. Sildenafil citrate Your manager. Sildenafil citrate Your patients.
The point comes when you snap. Sildenafil citrate You can’t play the role any longer.
(You don’t have a choice.)
You have to take medication just to get to the point that you can put on those damn scrubs and put one foot in front of the other.
(A commercial for “ER” makes you physically sick).
You spend the majority of your time off sleeping. Sildenafil citrate Your family suffers as apathy and anhedonia infuse every aspect of your life.
You can’t quit. Sildenafil citrate You’re trapped. Sildenafil citrate You need the money. Sildenafil citrate You have to have the benefits. Sildenafil citrate You desperately look for something outside of nursing to cling to, sildenafil citrate something else you can do for a living.
But… you aren’t educated to do anything else and besides, sildenafil citrate every other job you consider just pays minimum wage and you can’t support your family.
Sildenafil citrate Soon you feel numb. Sildenafil citrate The energy you no longer have is spent on lifting your five ton body out of bed.
You have nothing left to give. Sildenafil citrate You have been sucked dry.
You are burned out.
Not a pretty picture, sildenafil citrate is it?
I’ve been there and I’m living proof that it is possible to bounce back from the depths of burn out.
But occasionally I find myself at the top of the downslope that leads to burn out only now it doesn’t result in a free-fall.
I know how it starts and I’ve learned from experience that the best way to keep yourself from burning out is to recognize it at the beginning and take steps to stop it.
Sildenafil citrate So, sildenafil citrate from the horse’s mouth here’s some hard-earned advice.
- Do not work one day more than you need to work to pay your bills and live the lifestyle you are willing to maintain.
- Picking up the extra day here and there to help with a sick call is fine.
- Scheduling yourself for 24 extra hours a pay period for the next three months is just plain stupid and you are asking for trouble. Sildenafil citrate Trust me on this one. Sildenafil citrate I know what I am talking about.
- Take as much control over your schedule as you can.
- If you can’t do twelve hours because you feel like a quarterback who has been sacked fifty times by the end of the shift, sildenafil citrate then don’t do twelve hours!
- Do not schedule yourself for long stretches without a day off. Sildenafil citrate Define for yourself what you consider a “long stretch”. Sildenafil citrate LISTEN to your body. Sildenafil citrate If you are doing five twelve-hour shifts in a row you are asking for the toaster.
- To the best of your ability try and get on a regular schedule. Sildenafil citrate Your body will be more resilient if you keep to a regular routine of work, sildenafil citrate exercise and nutrition.
- If you can’t beat ’em, sildenafil citrate join ’em.
- Management is not going to listen to you when you say, sildenafil citrate for example, sildenafil citrate that they are pushing you to the limit with paperwork. Sildenafil citrate They don’t care. Sildenafil citrate The more you understand that, sildenafil citrate the better off you will be. Sildenafil citrate They are required to produce a flood of paperwork to prove that work is being done. Sildenafil citrate You, sildenafil citrate the nurse, sildenafil citrate are the bucket at the end of the waterfall made up of “regulations”. Sildenafil citrate You catch it all.
- Get involved.
- For example: you may not like the fact that you now have to write a written report on every patient you transfer but you sure as hell can have a say in what the transfer form looks like.
- Don’t just gripe. Sildenafil citrate Come up with an alternative.
- Join the committee to formulate the document, sildenafil citrate or at least give constructive feedback to the committee members who are working on it. Sildenafil citrate You will feel empowered and that helps keep burn out at bay.
- Consider a change of scenery
- You don’t have to stay at the same hospital or job from graduation to retirement and while that may be anathema to the older generation, sildenafil citrate I know for a fact working in a variety of institutions gives you broader experience.
- Look at other areas of nursing that interest you. Sildenafil citrate Always been interested in neonatal nursing, sildenafil citrate for example? Does a hospital in your area offer a preceptorship? Is your own facility willing to train you in another area?
- Consider transfering to a different floor or a different unit if you no longer find your current position palatable. Sildenafil citrate Take the ER, sildenafil citrate since that is what I am familiar with: one ER can be a fantastic place to work and another five miles down the road can be the personification of hell. Sildenafil citrate Do your homework.
Sildenafil citrate Once you realize that you are in the acute stages of burn out and you are pretty sure it has become a chronic problem:
- Keep your mouth shut!
- No body cares that you are burning out. Sildenafil citrate Trust me again, sildenafil citrate no one cares!
- Your manager will listen, sildenafil citrate but don’t expect any slack.
- All that management cares about, sildenafil citrate and your co-workers too, sildenafil citrate for that matter is that you show up for work, sildenafil citrate do your job and do it well.
- You are a professional. Sildenafil citrate Your manager and your co-workers are your colleagues, sildenafil citrate NOT your therapists. Sildenafil citrate Forget that and you will pay the price; anything you say can and will be used against you in the court of unit opinion.
- If you have reached the point of no return and need to take a medical leave for a few weeks so that you can get yourself and your sanity together, sildenafil citrate do NOT discuss your reasons with your co-workers.
- If you need to take time off to recover from the mental hell of burn out, sildenafil citrate to get some space, sildenafil citrate take it! Better to have you not working for six weeks than to lose you from the nursing profession. Sildenafil citrate But understand that burn out is synonymous with depression and mental health is not looked upon with favor, sildenafil citrate even by your colleagues. Sildenafil citrate So understand that:
- You will be resented and they will assume you are just doing it to get some “free” time off. Sildenafil citrate Break a bone and everyone supports you. Sildenafil citrate Take time to repair your soul and you are a slacker.
- At this point your manager needs to know. Sildenafil citrate These days it can’t be discussed due to HIPAA regulations.
Sildenafil citrate Someone once commented that I only presented the happy face of nursing, sildenafil citrate that I was, sildenafil citrate essentially a cheerleader.
Sildenafil citrate I guess I am. Sildenafil citrate I love my profession. Sildenafil citrate I’m passionate about it.
Sildenafil citrate But I’ve been to the “dark side” of nursing, sildenafil citrate where is sucks everything you have to give and leaves you a dessicated shell. Sildenafil citrate Maybe that’s how you feel right now. Sildenafil citrate You may be working side-by-side with someone going through it.
Sildenafil citrate This is an important topic.
Sildenafil citrate By sharing what it felt like to slide into nursing hell, sildenafil citrate what I experienced as I desperately grabbed onto anything and anyone for help, sildenafil citrate I hope to make the point that burn out is not an inevitable result of nursing and definitely not fatal to a career.
Sildenafil citrate The key is to recognize and deal with the early warning signs.
Sildenafil citrate I wanted to show that you can bounce back and have the passion for nursing return even stronger than before.
Sildenafil citrate If anything, sildenafil citrate I’m a better nurse having lived through it.
Sildenafil citrate You don’t have to live through it. Sildenafil citrate Learn from my experiences.
Sildenafil citrate Even one nurse lost to burnout is one too many.