A very wise and experienced nurse Ruby Vee wrote this article. We at NEVCO feel that not only the article be made required reading for those interested in becoming a nurse but should be provided to the patient (yes,patient, not client) and their family upon admission.The public will have valuable insight into what a nurse does exactly.
Do you want to be a nurse? There’s more to it than a calling. Here are some questions to consider.
I’ve been a nurse for a LONG time — probably longer than most of you reading this have been alive. Had I known what I was getting into, I probably would not have gotten into it. Fortunately, I had no idea. I say fortunately, because nursing has been an interesting and flexible career that has afforded me a nice lifestyle and kept me from being bored. I wouldn’t go back and change my mind about going into nursing if I could..
Can’t deal with crazy people? Obviously psych won’t be for you, but you’ll deal with psych patients in ER, ICU and Med-Surg as well. And in Rehab, the endoscopy suite and even in the nice outpatient clinics with the great fountains and real paintings. Not just crazy patients, but crazy visitors as well. You’ll also have to deal with people who are drunk or DTing, high on drugs or withdrawing and with people who are just plain entitled, nasty and mean.
Still interested in a career in nursing? Understand that hospitals are open for business 24 hours a day and 365 days a year. Working nights, weekends and holidays is a given. I don’t understand how so many people manage to make it all the way through nursing school without it dawning on them that they, too, will really have to work an overnight shift, but there are some every year. And there are those who are convinced that they are so special they shouldn’t ever have to work those undesirable shifts. Honey, if you’re that special, don’t take a job in the hospital. (But that’s where the money is, you say? Make up your mind. If you want to work in the hospital setting, you take the bad with the good)
If you live in the snow belt, you will be expected to work when it snows. Even if it snows a lot. Every year, there are posts from new nurses who don’t feel they should have to drive to work in a blizzard. They have small children or their car isn’t good in snow or they’ve never learned how to drive in the winter. None of those are good excuses, and you WILL be expected to work. If there’s a hurricane, bring four days worth of clean underwear and prescription medication, because you’ll be at work for the duration. Or you won’t have a job. Have a plan for your dog, your children and your elderly parents because part of working in a hospital is coming to work when everyone else stays home. And while I’m touching on that topic, you will be coming to work when the neighbors are hosting the neighborhood Block Party, when your husband is out of town on business and when your kids are sick. Have a plan in place for those times.
We see posts frequently from folks who want to know which specialty requires the least math, or if they really have to be able to do math at all. The answer to the second is “Yes.” The answer to the first is less polite. Your patient is 198 pounds and the physician has ordered 2.5 mg. per kilogram of medication per day in two equal doses. How much do you give now? And that’s an easy one.
There are the posts from those who wish to choose the specialty with the lowest stress level. My stress level peaks when I’m in the well-baby nursery and those kids start shrieking for what is probably a very good reason, but I can’t figure it out. Home Health makes me shudder . . . I remember my Community Nursing clinical as a special slice of hell and hope I NEVER have to enter a patient’s home again. A nice calm, code, though is another story. Your mileage may vary. I haven’t heard of ANY non-stress specialties, however, and even if there WAS one, you’d have to get through nursing school and acquire some experience before you’d be qualified for a job like that.
If you’re the type of person who looks for unfairness or bullying everywhere you go, you’ll find it in nursing . . . whether or not it actually exists. Better to go into it looking for smart, helpful team workers who will save your butt when it needs saving and teach you something while they’re doing it. You’ll find more of those if you’re looking for them. And if you cannot handle criticism, get over it. Lives are a stake here, and if I see you doing something stupid, I’ll tell you about it BEFORE you can harm your patient. In private if possible, but if not, not. One thing nursing schools don’t teach — and should — is the ability to handle negative feedback constructively. It’s a valuable skill in any career, but it’s vital in nursing.
If you’ve read all this and you still think you’d like to be a nurse, good for you. In the 34 years I’ve been a nurse, I’ve been spit at, slapped, kicked, punched, cursed and threatened. I’ve also been the recipient of grateful smiles, wonderful thankyou notes and boxes of chocolate. I’ve had horrible days where I couldn’t do anything right and felt behind the whole day, and I’ve had wonderful days when I know I really made a difference to someone. I’ve worked night shifts, days and evenings and I’ve worked all of them in the same week. I’ve worked Christmases and Thanksgivings and Mothers Days and Easter. But I’ve had my birthday and my wedding anniversary off every year, and not many office workers can say that! When my car’s engine needed to be replaced and I had no money, I worked overtime. Lots of it. Can’t do that in the office. When I needed to be home with an elderly parent, I arranged my schedule so that either DH or I would be home at all times. Can’t do that in an office, either. I worked every weekend when I was in graduate school, going to school full time and working full time. When my then-boyfriend moved out on Christmas Eve, I traded shifts with a nurse whose boyfriend unexpectedly flew back from the Gulf War for Christmas, and when my father knew he wasn’t going to make it through the winter, someone traded shifts with me so I could drive 1000 miles to cook him Thanksgiving dinner. Not only would that not be an option in office work, office workers probably would not even think about it as valuable.
I’ve learned to laugh at things that would make me cry if I didn’t, and I’ve learned to appreciate what I have because plenty of people have less. I cannot imagine what my life would have been if I hadn’t been a nurse, and if I had to do it all over again, I would.


