View Full Version : Hospital Nursing and ADHD
CompleteChaos 04-25-08, 02:20 PM My ADHD affects my job performance. Lately my peers have been asking me, "Did you take your meds today?" I am a registered nurse. Needless to say, my medication needs to be adjusted. I am responsible for 4 patients on my shift. If I don't write EVERYTHING down on my paper (I call them my brains) I don't remember it. When a doctor asks me a question, I frequently can't remember without looking at my "brains." Things I have learned in nursing school seem to have vanished out of my memory. I do understand the concept "if you don't use it, you lose it" It seems to be extreme in my case. I look up medications in my drug book every day. Even ones that I have given my patients for the last 5 years. It is SOOOOOO embarrasing and frustrating. I love being a nurse, my patients like me, my managers tell me I do a great job. I just don't always feel it. It is stressful to have peoples lives depend on me yet it is very rewarding. I don't like to be scatter brained. I think part of it has to do with my lack of self confidence. I have not figured out how to get it yet. I just want to be all I can be!!
Any other nurses or medical professionals out there???
meadd823 04-26-08, 11:45 AM There are some active nurses running around here some where. I was in nursing for 24 years. I left the medical profession to run a recycling business with my husband but I still maintain my license.
dyingInside 04-27-08, 01:35 AM I'm not in nursing but I know what you mean about having to write stuff down and trying to stay on top of things. I have just started an entry level job in my new field after leaving computer work. If I don't take my meds I will make stupid mistakes that irritate my co-workers or worse. I don't plan on telling them about my conditions, to me that's professional suicide, although having these issues (bipolar as well) makes me a lot better at what I do (finally!). One thing I can tell you is try to get some heavy exercise breaks (sprinting, jumprope, pushups, etc.) during your work day and stay hydrated. That seems to bring me back to Earth a little.
I'm a nurse aide in a hospital, and am planning on going back to school in the fall to become an RN. As an aide, I understand what you mean, I have to write everything down and am constantly forgetting to document I&O's, and forgetting that I told patients that I would bring them a glass of water, or whatever. Since I'm not giving out meds, these things are much less of a life or death situation, though! I'm a total wreck on days when I don't take my ritalin. I'm sure, however, that you do an awesome job as a nurse-people would tell you if you didn't. And just because you have to look meds up-this isn't necessarily a bad thing, it means you care enough to do a good job and really check things out.
CompleteChaos 04-28-08, 07:15 PM Thanks and good luck with nursing school. You can do it! It took me 13 years for a 2 year associates degree.
It is a very stressful job. The staff to patient ratio is only 1:4 on my unit, but sometimes I feel like it is 1:20 I love being a nurse and most days it is very trying and stressful.
It is so worth every minute when I hear, "Thank you, You have made a difference, You are a great nurse, That back rub was the best thing about being in the hospital, Thank you I had no idea what smoking really was doing to me, Thank you for taking my pain away. "
I do worry about how my job is affected by my medication not working at the moment. I carry around my paper brains and god forbid if they get lost. I just do the best I can do, treat people the way I want to be treated and know that even though the doctors can be #$%*@ sometimes but I am my patients advocate always. (Not all doctors are like that. :)
Blissfully Unaware 05-03-08, 06:58 PM Hi CompleteChaos! :)
I'm a nurse too! I work in cardiac... and could have written YOUR post. I feel the same frustrations... having to write EVERYTHING down... forgetting things. And, when someone asks me a question about my patients, I have to refer to my "brain sheet". I too get GREAT reviews and my patients are always complementing me on my care. BUT, my brain goes 90 mph and I'm always thinking of 50 things at once! I tend to get stressed VERY easily. Taking Ritalin has helped me tremendously. I am also seeing an ADD Specialist (counselor) that is giving me ways to organize my work/life better. It has given me some confidence back. Having ADD is NOT a weakness... ADDers think "outside the box" and we have a TON of strengths! Hang in there... sounds like your patients LOVE the care they receive! Feel free to write! ;)
P.S. I just noticed that we are the same age! When were you diagnosed? What meds do you take?
QueensU_girl 05-03-08, 11:27 PM I spent 3.5 yrs in a 4 yr nursing school program. My Mom was an ADD RN too.
In some ways, it sounds impossible as a career option, but in other ways, you can make it work.
It seems to be all about the Setting and the Skill Set (for coping) that one develops.
QueensU_girl 05-03-08, 11:32 PM [quote=CompleteChaos;582090]My ADHD affects my job performance. Lately my peers have been asking me, "Did you take your meds today?"
1. What "behavioural" feedback are they giving you?
e.g. Are they seeing your: spaciness; impulsivity; you seem frazzled; talk too fast, etc?
2. Some Nursing jobs are very multitasking and memory/coordination oriented. These are called Executive Function skills. (ADDers tend to be poor in them.)
Here is an article that explains it. (ADD is so much more than hyperactivity, inattention and impulsivity!)
http://www.schoolbehavior.com/conditions_edfoverview.htm
NB sorry if the article is r/t school; if you keep reading you can see how it relates to jobs too.
wifeandmom 05-04-08, 12:39 AM CompleteChaos and Lauren, Thank You for double checking medications and referring to your written notes. I wish everyone in the chain of care did. My poor mother was subjected to incorrect meds several times in her final years. Usually caused by someone NOT reading her chart or NOT noting the allergies listed on her hospital-issued bracelet.
Is nursing a good subject for ADHDers, because if everything goes as planned, Ill be taking a pre-med class this fall for preperation next year to start a 4 year Bachelor of Science in Nursing degree.
Minicooper 05-04-08, 01:22 AM My ADHD affects my job performance. Lately my peers have been asking me, "Did you take your meds today?" I am a registered nurse. Needless to say, my medication needs to be adjusted. I am responsible for 4 patients on my shift. If I don't write EVERYTHING down on my paper (I call them my brains) I don't remember it. When a doctor asks me a question, I frequently can't remember without looking at my "brains." Things I have learned in nursing school seem to have vanished out of my memory. I do understand the concept "if you don't use it, you lose it" It seems to be extreme in my case. I look up medications in my drug book every day. Even ones that I have given my patients for the last 5 years. It is SOOOOOO embarrasing and frustrating. I love being a nurse, my patients like me, my managers tell me I do a great job. I just don't always feel it. It is stressful to have peoples lives depend on me yet it is very rewarding. I don't like to be scatter brained. I think part of it has to do with my lack of self confidence. I have not figured out how to get it yet. I just want to be all I can be!!
Any other nurses or medical professionals out there???
I just want to say that I admire you and you have my utmost respect. There are things I simply won't undertake because I know I will fail, and your profession is one of them. For what its worth, I thank you for having the strength and courage to take on this most giving of tasks. I would say to you if you are meticulous in writing things down, don't give a second thought to the need to refer to your notes when called upon. I know I prefer a waitperson to write down my order when dining out, and I sure as HECK would prefer a health professional to write things down rather than commit them to memory! If you are getting positive feedback from your patients and your superiors, sweetie, you're fine! Personally, I think your co-workers are the ones who should be feeling inadequate for not taking that extra measure of assurance that you take by recording everything in writing - but then I don't know anything about nursing. I just wanted to let you know that as a patient, I would be happy to have a caring, conscientious caregiver such as you. :)
CompleteChaos 05-05-08, 10:44 AM WOW, What great feedback. Thanks to all of you! I absolutely LOVE being a nurse. I don't know if it is a good job for someone who has ADD/ADHD. It is all I know.
Lauren I take Concerta 54 every AM and Wellbutrin 150 every AM. Friday I see my Dr. and I am requesting something different. I started showing sx of both ADHD/ADD as a child. I finally had an actual diagnosis and started taking meds when I went to college. I "got a clue" when the people that sat next to me during lecture would yell at me to "SIT STILL" I would shake the entire table with my fidgeting.
I don't remember what kind of testing I had done. I have been to "therapy" off and on since I was a child. I have had many different tests.
I work on the Stroke/Tele unit. We are just about to expand and start taking ICU patients. I'm a little nervous about that.
I believe people with ADD/ADHD can do anything or have any career that they are able to do. I seriously lack self confidence though. Hopefully as time goes on I will get better. I haven't figured out how to use the quote when I post a reply (a little bit technical for me:))
My co-workers are seeing all of the above, spaciness, interrupting, frazzled, lack of self confidence, never caught up, fidgeting, my brain and my body go 1000 miles an hour, sometimes I have to ask a Dr. to repeat his order a couple times before I get it right. I have both types of ADD. Some days are OK and other days I ramble on and on like now.
Thanks for listening!
CompleteChaos 05-05-08, 10:55 AM Thanks to QueensU girl (hope I got the name right) Can I reply to just one person? Or do I just reply like I am doing now? Sorry, I'll get the hang of it eventually.
Anyway, I went to the website you suggested. I had never heard of that before. It is interesting. I could see myself in it as well as my son. I think I will do a little more research on the subject.
No Im serious, do people here think Nursing is a good occupation choice for a severe ADHD combined? Because I am really planning on getting a 4 year degree in this field...
QueensU_girl 05-05-08, 04:45 PM 1. re: job
I think it depends on how well you can learn to KNOW and control the symptoms. (self-awareness AND skills for self-management)
2. re: Getting the degree done ('first things first')
My [verbal] impulsivity got me in trouble in Nursing School. (re: My Dementia man who kept falling out of bed. "Why is he in restraints? People can get strangled in restraints."
Needless to say, while I did pass the year in April-- I was failing at Xmas, after that comment.)
3. re: choose schools carefully
I think the school program you do is also a factor... Some schools (and jobsites) are more accommodating [and less hostile to people with LDs, than others.)
e.g. Traditional Schools like McGill, Queen's U, UofT, UWO, etc, tend to look down on LD students.
(My one Prof actually said "why would you come to nursing school if you have a disabiity?". She also asked me why I was becoming a nurse at age 27. "Aren't you kind of old to be starting a nursing degree?" Seriously crummy.)
=:O
Schools like Ryerson, George Brown (BSN Collaborative), McMaster, etc. from what I hear/read, seem to bend over backward to accommodate differences.
4. Where are you thinking of doing your BSN, MINCAN? Is U Windsor the closest?
No its the Mohawk College/McMaster Bachelor of Science in nursing I'm looking at... they offer a perfect pre-med preporatory course thats offered this september that takes a year, and if you get 70% you're automatically accepted to the Degree program. So McMaster is accomadating to us? That's great... when do I tell them I'm an ADHD on disability support?
CompleteChaos 05-07-08, 02:41 PM I do not understand the mentality of ignorant people. I can't imagine an instructor asking me, "Why are you taking nursing if you have a disability? Aren't you old to be taking nursing?" That just burns my @#$%.
It was a struggle, but I made it through nursing school. It is a VERY stressful career. (depending on where you work) But it is also a VERY rewarding career. I use the word career because to me it is so much more than just a job.
With the correct tools, support and knowledge about yourself I think any thing is possible. I hope you do well in your classes.
What are the pros and cons of telling your school about being on disability?
BTW, I work with a severe OCD nurse. She also has a HUGE phobia of germs. She is a great nurse and does well. She is very particular and scattered but she does an excellent job. Her patients love her. Some of the doctors and nurses think she is a little odd. But her self confidence just steam rolls over all of that.
QueensU_girl 05-07-08, 03:01 PM re: #12
Sounds like Auditory Working Memory[WM] issues, COMPLETECHAOS.
[Part & Parcel of ADD & Executive Function issues...]
ADD works as a sort of Auditory Processing disability... affecting Auditory WM.
QueensU_girl 05-07-08, 03:05 PM re: #16
McMaster is known for taking "alternative students". (At least in its Medicine program.)
I met a few MAC Nursing students at the 2003 CNSA Conference. They seemed pretty happy with their school's program.
www.cnsa.ca
PS I'd really recommend getting involved with your school's Nursing Student Society, if you do choose to do it. e.g. become the Mature Student Rep, or something. It will help you feel more connected.
Are you going to use any Gov't programs to pay your pre-college/pre-univ tuition fees? e.g. OSBP? BSWD? (Keeps you from getting student loans until you HAVE TO.)
amg7613 05-07-08, 11:53 PM I am so glad I found you guys!! I didn't get diagnosed with ADHD until I became a nurse on a cardiac floor...my performance review had comments such as "She's a slow learner, slower than most" and "I just feel bad for her, she just keeps running around and doesn't seem to know what to do" This did not start in nursing...I had similar experiences in high school and when I was VERY young...and this was the last straw!
Since I started taking Adderall one week into my new job (I had to leave the hospital, I could not take it anymore) I get comments such as "How do you remember that?" and "You're hyperorganized!" I can't believe the difference it's made so far!!!
BTW...Happy Nurses Week...thank you for all the dedicated work of CNA's also =)
QueensU_girl 05-12-08, 04:03 PM re: #20
This could be a good position for you, though.
If you are TRULY interested in the specialty (e.g. motivated to learn EKGs and telemetry and all the terminology and tests), you will thrive in the field.
Hyperfocus comes from having a super interest in something, so the person is internally motivated (e.g. loves the Subject of Cardiology).
[ADDers aren't so good at being externally motivated. e.g. distant $$ incentives; waiting for LT rewards such as promotions]
ADDers tend to struggle with learning lots of new stuff (cardiac or ICU nursing has a STEEP learning curve), b/c of our working memory problems. HOWEVER, once you learn it (and it gets into LT memory storage, I'd bet you are good at what you do.
There are some docs who have ADD who do well in their fields, too. I have heard of some ER docs with ADD who do well b/c the demands are often 10-20 mins of attention here and there -- enought to prevent Boredom.
Crazygirl79 05-12-08, 11:18 PM I was contemplating doing a nursing diploma at TAFE a few years ago but didn't have the confidence to do as I thought I'd stuff up so then I was quarter way studying a diversional therapy diploma (this job is part of the care/medical industry) and I got sick so I gave up, so now days I intend to finish of my pharmacy retail certificate and do a medical reception course which starts in 2 weeks.
Selena
Crazygirl79 05-12-08, 11:19 PM Maybe you could go into aged nursing...it's less demanding.
Selena:)I am so glad I found you guys!! I didn't get diagnosed with ADHD until I became a nurse on a cardiac floor...my performance review had comments such as "She's a slow learner, slower than most" and "I just feel bad for her, she just keeps running around and doesn't seem to know what to do" This did not start in nursing...I had similar experiences in high school and when I was VERY young...and this was the last straw!
Since I started taking Adderall one week into my new job (I had to leave the hospital, I could not take it anymore) I get comments such as "How do you remember that?" and "You're hyperorganized!" I can't believe the difference it's made so far!!!
BTW...Happy Nurses Week...thank you for all the dedicated work of CNA's also =)
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