Medical Nursing

I have been Nursing for about a year now, which isn’t a lot in the grand scheme of things but never the less, and I have had the pleasure of experiencing Mental Health Nursing in two different facilities, Medical Nursing in two seperate facilities, Aged Care Nursing, Community Nursing, and Surgical Nursing. Though this only scratches the surface of what nursing is available with; Oncology, Cardiac, Emergency, Intensive Care, Renal, Respiratory, Rural and Remote, and Midwifery just to name a few. I have recently been reviewing my career and what each section has taught me, showed me, and revealed to me about my nursing.

When I first started my career I was almost exclusively employed in the surgical ward of my Hospital. I thoroughly enjoyed the work. It was fast paced, I had a tonne to learn, the staff were great, and I was able to meet new patients almost every shift. This was amazing, for the most part, but I felt that something was missing. Occasionally I would float to Medical and Mental Health, and though this was great exposure I didn’t really get a chance to experience the whole ward and what it meant to Nurse in these sections. My time in surgical felt very much like a revolving door, every day saw the discharge of one patient just to be replaced by another, that patient would stay overnight then would be gone again. It was something that I never got used to, it was something that I never felt comfortable with, it wasn’t the way I liked to Nurse.

medic treating patient

My exposure to Mental Health Nursing is varied. On one hand I was floated to Mental Health at random times which was great for a small taste of Mental Health but I never really had the opportunity to perform all of the duties a permanent Mental Health Nurse would, and for very good reason. My placement for Mental Health showed me a whole new side of Mental Health Nursing involved with involuntary mental health orders, and forensic mental health orders. This changed the behaviour of the client drastically compared to that of a voluntary client. Following everything that happened mid last year I no longer float to the mental health ward, to which I am thankful.


When I returned from leave I found myself permanently assigned to the medical ward, at first I was a little miffed, I had always considered myself a surgical nurse, but never the less I gave the new role my all. What I did not expect was the learning, the experience, the joy, and the mental exercise that I would get on a day to day basis. I began to see what one of my nurse-mates said which is surgical is like the sports jocks, and medical is more like science geeks. Surgical pushes you as a nurse to be constantly one step ahead, be organised, and know what the next step is. But when it comes to medical its noticing the little things, the comments made by the patients, the changes in behaviour, the myriad of medications, and the effect of medications, bowel status, and fluid intake has on the human body and behaviour.

person using black blood pressure monitor

This last week I found myself back in surgical again, and I began to realise something…. I am not a surgical nurse. I am a medical nurse. I love taking care of people, I love watching as someone improves, I love encouraging patients to do their best and stretch themselves. I never thought that I would find myself saying those words, I thought I would be the speed freak chasing the quickest nursing with the quickest turn around and the least amount of physical time with individual patients. I was so sorely wrong. So what does this mean for me in the future? Currently I will continue to enjoy my time on the Medical ward of my workplace. In the future, I still don’t know. It could be a full career on Medical Wards, Intensive care, maybe even palliative. Only time will tell.

Maintain The Rage

Luke Sondergeld


4 thoughts on “Medical Nursing

  1. Pingback: Sacrifice | Maintain The Rage

  2. Great realization! Good for you! I’m a medical ICU nurse, and you’re right, the difference between surgical ICU and medical ICU is drastic and personal. I like to think of MICU as detective work. Surgical and trauma ICU is pretty obvious work: bullet to the brain causes very specific problems and we know how to treat those problems. The same with a broken leg or a ruptured spleen. But MICU? Someone rolls in unresponsive and febrile, and it takes the whole team digging deep, detailed monitoring, and a lot of critical thinking to figure out WHY. It’s definitely a personal decision and a personality difference. I’m glad you’ve figured out some of what makes you happy in nursing. Here’s to many more years!

    Liked by 1 person

    • Thank you TribalQueen86, I’m glad I was on the money. I thoroughly enjoy my job, there are still so many things I am yet to experience, ICU being one of them, and I just want to try them all. Unfortunately time and availability doesn’t always allow for such things. Thank you for sharing, it’s greatly appreciated.

      Liked by 1 person

  3. Pingback: Emergency Department | Maintain The Rage

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