You Know You’re a Nurse When . . .


I originally wrote this as a Facebook note about two years ago, but I decided to revise & add to it a bit & share it on the blog today in honor of Nurse’s Week.  This is aimed at all my nursing friends, but I think just about anyone who works in the healthcare field will be able to appreciate, & probably get a good laugh from, many of these.

  • You constantly find yourself staring at people’s veins at the gym, the grocery store, the mall, basically everywhere.  Furthermore, you have to stop yourself from telling strangers “Hey, nice veins!  I’d really like to start an IV on you.”  And maybe sometimes you have actually said that . . .nurse porn veins
  • You can’t imagine ever going back to the dreaded 9-5.  Then again maybe there a few nurses who actually miss that kind of schedule . . . But I know I’m not one of them.
  • You work the majority of holidays, & the only time you’re jealous of your 9-5 friends & family is on those holidays or snow days when everyone else is relaxing & you’re working.  Then again, our 3-day work-weeks are pretty freaking amazing, & I for one wouldn’t trade them for anything.no snow day
  • Every time you see an abbreviation on a truck or advertisement that has a different medical connotation, you can’t help but laugh.  For example PSA (public service announcement) makes you think prostate specific antigen.  PTL makes you think pre-term labor & CBI makes you think continuous bladder irrigation (these are both abbreviations I’ve seen on tractor trailers or delivery trucks).
  • You feel really guilty whenever you find yourself complaining about some stupid annoyance in your life because you immediately think about the sick patients you care for whose lives are so much harder than your own.
  • As a consequence of the above observation, you constantly find yourself prioritizing your life & focusing on your friends, family, & pets & spending as much time with them as possible & generally making the most of every day of your life.  I swear we really do have the best job in the world for so many reasons!
  • You truly believe you learn more from your patients than they will ever learn from you.  To be clear, a lot of times the lessons you learn from your patients are “Here’s how NOT to live your life,” but such lessons are still important.mistake cartoon
  • You have gone running into your patient’s room because of the crazy heart rhythm on their telemetry only to discover that the patient (who may well be in his 80s or 90s) is masturbating . . . or actually having sex!  Trust me, I couldn’t make this crap up if I tried.
  • You have had patients ask you out on a date, for a massage, & for all number of completely inappropriate things.  And subsequently you’ve had to remind said patients that you are a professional nurse, not a call-girl or potential girlfriend/boyfriend.
  • You constantly have to remind yourself that taking care of yourself is absolutely vital to being able to care for others.  This can be as simple as taking a bathroom break before it becomes a real emergency.
  • You have to remind yourself that you do not need to record & measure your own I&O (intake & output, that’s what you drink & what you pee, for you non-nursing folks).I&O
  • You have seen & touched every part of the human body.  Every single part & on people of all ages.  And on way too many people to count!
  • Medical TV shows are basically unwatchable because all you do is scream at the TV every time you see an error (shocking asystole) or something that is just painfully unrealistic (like doctors giving medications or performing their own MRIs).medical tv show
  • You have come to realize that there are some things that only nurses can really understand.
  • You understand that the old adage “attitude is everything” really is true.
  • You have realized that you cannot & will not change the life of every patient you meet.  But you understand the value of trying anyway.
  • You often find yourself sharing stories from work at the dinner table only to realize half-way through that not everyone has the stomach of a nurse . . . Oops!gross story eating
  • On a related subject, you can stop half-way through eating your lunch to go collect a stool sample.  Then after washing your hands you can go right back to eating & never think twice about it.
  • You can diagnose C. Diff & GI bleeds based solely on smell.
  • You have witnessed countless times how the sweet little old lady who the day-shift nurse described as adorable can have quite a different personality at night.  Sun-downer’s is real, folks.sundowners
  • You have held the hand of the dying & watched people breathe their last breath. And you have felt incredibly blessed to be able to share in these very special moments.  You have come to realize that there are fates SO much worse than death, & you have guided families in understanding this also.
  • You have cried at the death of a patient you only knew for a few days or even a few hours.  You have hugged the families & provided comfort to them while your own heart is hurting too.
  • You have learned that what people DON’T say is just as important as what they do say.
  • You know how to set aside your emotions & get to work when a Code Blue is called.
  • You constantly find yourself assessing for “falls risks.”  This includes when you’re out in public shopping or running errands.fall risk
  • You have realized that a good nursing assistant is your best friend & can make such a vital difference for you & your patients.
  • You learn something new every time you work, & it’s awesome!
  • You have realized that you will never know it all.  And that’s ok.
  • You have also realized you will never please everyone.  And that’s ok too.
  • You have a really dark, twisted sense of humor that non-nurses often find disturbing or just can’t understand.  But you realize that this is absolutely vital to surviving the insanity of today’s healthcare field.nursing humor 1
  • Just when you think you’ve seen it all, someone goes & proves you wrong.
  • You can’t remember what you learned in nursing school & what you’ve always known.  Like doesn’t everyone know the difference in type 1 & type 2 diabetes?  Oh, maybe that isn’t common knowledge.  Did I know that before nursing school?  I honestly don’t know.
  • On the same subject, you are continually appalled at how little the average person knows about their own body.  For example, you’ve seen women insist that they have a prostate!  It’s no wonder our country is so unhealthy!
  • Every time you get sick, you think you’re dying because you’re trained to think “worst case scenario” for everything.  However, this doesn’t mean you actually go to the doctor, just that you have random thoughts of appendicitis every time your stomach hurts or meningitis/brain tumors every time you have a headache, etc.nurse mommy
  • People you rarely or never actually talk to send you Facebook messages or texts asking about random medical questions, sometimes about rather “sensitive” subjects . . .
  • You have some of the best coworkers in the world from whom you have learned so much & with whom you have shared at various times both laughter & tears.

And I could go on & on, but I’ll stop because this post is probably already long enough.  Happy Nurse’s Week to all my awesome nursing friends & coworkers!  🙂

Inside the Nurse Mind: 16 Ways We Think Differently Than Everyone Else


I remember many of my professors in nursing school encouraging us to “Think like a nurse” & describing to us how differently our minds would process certain information in just a few short years thanks to our nursing experience.  At the time, I (& probably most of my fellow students) couldn’t quite picture exactly what they had in mind, but after just a year or so of nursing I knew exactly what those professors meant.  Nurses really do think differently than the average person (& differently than how we thought before we became nurses).  As many have said before me, this is truly a profession that changes you!  In light of that, as I was taking a shower the other day I thought it might be fun to create a list of some of the many ways nurses think differently than everyone else.  So here it is!today was a good day

  1. Our standard for what makes up a good day can be pretty bizarre.  See the picture above.  It’s not a joke.
  2. Nurses can collect a stool sample or clean up blood & other bodily fluids, then wash our hands & go eat lunch without a second thought.
  3. Along that same vein (there’s a nurse-y phrase!), there is no topic of conversation that nurses deem inappropriate . . . even at the dinner table.
  4. Once you’ve been a nurse for a while, you’ll find yourself constantly evaluating various scenarios for fall risks. See a puddle on the floor in a public restroom or some other situation that might pose a risk of falling, particularly for an elderly or frail person?  As a nurse you can no longer ignore these things.  And even if you’re someone like me who hates to be a complaining customer, as a nurse you’ll find yourself compelled to speak to a manager or someone who can be sure to alleviate the situation & decrease the risk of someone falling (& maybe becoming one of your patients!).fall risk
  5. On a similar topic, I know there have been multiple occasions over the past few years when I have notified a restaurant or other business that the water in their bathroom was dangerously hot & could potentially burn someone, especially someone like a diabetic with decreased nerve sensation. I know this is something I would never have thought to actually report before I became a nurse.
  6. As a nurse there are days when you’re really grateful to have a stuffy nose & thus no sense of smell.

    As a disclaimer, I do NOT condone smoking.  I just thought this was a funny cartoon.

    As a disclaimer, I do NOT condone smoking. I just thought this was a funny cartoon.

  7. When you read the weather report & see that the temperature overnight is going to be zero degrees with a wind-chill of negative 20, your first thought is “I wonder how many homeless people will be in the ER with “chest pain” tonight?” And your second thought is “I can’t blame them for coming in & I wish we could give them all beds & a warm place to sleep without taking time away from those who are truly sick.”
  8. Medical TV shows have been ruined for nurses because we can’t watch them without screaming at the TV every time we see an error (which is often . . . Asystole can’t be shocked, people!!) or every time we realize how completely untrue to real life these shows are. (Doctors don’t start IVs or give medications or perform MRIs & CT scans.  Nurses & various techs do those things!  And in real life, nurses & doctors don’t have time to have sex in the elevator or the linen closet, at least anywhere I’ve ever worked.  I could go on & on but I’ll stop for fear of boring you.)

    scrubs tv

    “Scrubs” is the only medical TV show I can watch now that I’m a nurse because it’s just plain funny & frankly more realistic than “House” or “Grey’s Anatomy.”

  9. Nurses (& other medical personnel) view the holidays differently than almost everyone else. We might be excited for holiday events, but usually we know we will have to miss them or at least plan our family’s celebrations around our own work schedule.
  10. On a similar topic, as much as I love snow, I must admit I view it a bit differently now that I’m a nurse. After all, there’s no such thing as a snow day at home when you’re in the healthcare field. no snow day
  11. This is probably slightly off-topic, but only nurses can know the frustration of not having the authority to give your patient a Tylenol or a cough drop without a doctor’s order, yet having the responsibility to know exactly when & what to notify the doctor about at any hour of the day or night, not to mention coordinating care between all the various disciplines of healthcare (RT, PT, OT, ST, lab, social work, doctors, family members, etc) who all expect us to be the expert on every patient we have.
  12. Nurses obsess over I&O (intake & output; in other words how much you drink & how much you pee) like most people obsess over sports statistics . . . Ok, that might be a slight exaggeration, but as a nurse I know I sometimes have to remind myself that I don’t have to measure my own I&O.  That is NOT an exaggeration!I&O
  13. Nurses know that sweet old ladies & kindly old gentlemen can be exactly that during the day time . . . But once the sun goes down, you never know what “personality” will come out! (In case you’re wondering, this is the “sun-downer’s” phenomenon associated with Alzheimer’s or other forms of dementia as well as the even more serious condition called delirium that often sets in during hospitalizations.)
  14. As nurses, thinking about starting our own families can be incredibly scary because all we can think about is all the things we know can go wrong during pregnancy & delivery. (Maybe this isn’t true for everyone, but it’s definitely true for me.)
  15. Really big “juicy” veins are like porn for nurses. Trust me.nurse porn veins
  16. I’m sure a lot of teachers, police officers, & various people in other professions also feel this way about their chosen field, but as nurses we know that despite the millions of things about healthcare that drive us crazy, there is nothing else we’d rather be doing.