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On-the-Job Survival Guide for Mature Nurses

On-the-Job Survival Guide for Mature Nurses

Megan Malugani | Monster Contributing Writer

Even if you have the strength of a superhero and the stamina of the Energizer Bunny, bedside nursing is a tough job. It’s especially grueling for the growing number of RNs 50 and older, who may not bounce back from 12-hour shifts and patient lifting as easily as their younger counterparts. Since 2001, the nurse workforce has added nearly 130,000 RNs ages 50 to 64, constituting 63 percent of the total growth in RN employment over this period, according to US Census numbers.

Would You Survive Your 1st Year as a Nurse?

1. What is most important to you?

Making money
Saving lives
Getting great benefits
Being happy
Making a difference

Mature hospital nurses shouldn’t necessarily punch out for good, however. Despite the profession’s demands, older bedside nurses can survive – and even thrive – in the workplace. Experts offer this advice to older RNs for staying healthy and happy on the job.

Seek Accommodations

Experienced nurses should ask employers for accommodations that will help them stay on the job, says Joan Borgatti, RN, MEd, author of Frazzled, Fried…Finished? A Guide to Help Nurses Find Balance. Employers are often receptive to allowing older nurses to work eight hours instead of 12-hour shifts. They can also purchase hoists and lifts as well as amplifiers for phones and stethoscopes.

Change Roles

If you feel you are physically unable to continue in your current role, seek a change, Borgatti says. Part-time or seasonal work when the census is highest at your facility may be an option. Or draw up a job proposal that combines bedside nursing with less-taxing jobs such as mentoring, reviewing records or pre-admission testing.

“Don’t say, ‘My back is killing me. I need to be reassigned,’” Borgatti advises, since such complaints are common. “Instead, say, ‘I love my position and working here, but I’d like a change.’” Cast your request in a positive light for the employer. “Go in armed with information,” she adds. “The fact is that recruiting new nurses is costly. It’s much cheaper to hold onto a nurse you already have.”

Change Units

If you can’t convince your employer to alter your responsibilities, consider switching units. Units in which patients tend to be small or mobile, like pediatrics or outpatient surgery, are less physically demanding than units like orthopedics or rehabilitation, says Debbie Hatmaker, PhD, RN, president of the Center for American Nurses, an affiliate of the American Nurses Association that focuses on workplace advocacy for nonunion nurses.

Next: Take Care of Each Other >>

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    about 5 years ago


    I have been an RN for 20+ years, and what I realize in caring for patients today is how very sick they are. Obesity contributes to many of the underlying problems/ diagnoses bringing some of these patients into the hospital for care. I am over the age of 50 and lifting and turning these patients are hard on the body, even using good body mechanics. I am quite sure the faclity where I work realizes the number of staff it take to lift and turn these patient! Yet! they have no devices that can be ulitize when moving these patient's back and forth in bed that would take help, all I ever hear about is the cost!!!!!!! Sometimes I feel making money has become more inportant to some hospital then providing quality patient care! The fear of a back injury really concerns me. I am looking at retiring soon and would like to be injury free when I leave!!!!

  • Photo_user_blank_big


    about 5 years ago


    I really would like to know what hospitals they are. I haven't had that experience? The only time I've seen nurses help each other is if they like the person they are helping. In hospitals I have seen a lot of backstabbing and belittling behaviors.

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    over 6 years ago


    Thank you for this encouraging article. How can I find out about amplifiers for stethoscopes and phones?

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