About Sonja Nurse. Author. Dreamer. Doer.


Sonja M. Schwartzbach, BSN, RN, CCRN is a cardiothoracic surgical intensive care unit nurse who finds passion and promise through the written word. As an ICU registered nurse, she’s managed cardiac arrests; open chests; exsanguinations; intubations; and tragedies of near-death brought to life once again. As a writer, perhaps the challenges prove even more daunting! Ms. Schwartzbach is currently working towards publication of her first manuscript, and thanks to previous accolades for her written work, her jump into nursing literature hopes to educate and indoctrinate while it entertains.

In August of 2015, the Huffington Post discovered Ms. Schwartzbach’s small personal blog and invited her to become a continuing nurse blogger for the media giant. Her first piece entitled “Unapologetically a Nurse” (August 2015) went viral, thereby generating an unprecedented following through a worldwide platform. Since that point in time, she has used the feedback from nursing colleagues, students, and retired members of the profession to create a book that serves as more than a beginners guide for new graduate nurses. Rather, drawing from personal and professional experiences, OH SH*T, I ALMOST KILLED YOU! A LITTLE BOOK OF BIG THINGS NURSING SCHOOL FORGOT TO TEACH YOU brings into focus the worries, doubts, and fears that every member of the nursing tribe has carried from time to time. In hopes of touching upon the physical, mental, and emotional struggle that “baby nurses” encounter on the clock, her intention is to resonate with an audience that so desperately seeks a voice that marries laughter with empathy in a way that has never been published before. It’s nerdy with an edge; it’s anecdotal yet educational; chances are, even though it is written with a nurse audience in mind, it has components that transcend genders, professions, and age demographics.

“Somehow, even if you fight against it, becoming a nurse will find you. It will seep into the marrow of your bones. It will sink into your soul. You will sacrifice parts of your own being to protect perfect strangers, and it will feel like a totally rational thing to do.”

There are nearly 3.6 million nurses in the United States alone; over 19 million worldwide; and with nearly two thousand nursing programs across the country, the depth and breadth of a captive audience who can relate to the good, bad, and ugly side of a profession she loves so deeply only continues to expand. This is not your mother’s nursing non-fiction: though the core values of the profession remain, it’s written with a modern reader in mind. Either you know a nurse; love a nurse; are a nurse; or need a nurse. But you probably don’t know just how much nurses do, until you’re lying in a hospital bed and charged with their care. Sonja left the corporate world in 2010 at the ripe old age of twenty-four to pursue what could only be described as a calling – she left a promising media career filled with upward promise to attend nursing school by day and serve pizza and beer at a college dive bar by night. One fact remains perfectly clear: Sonja understands the hustle. She has willingly put time and effort into making her dream of a book a reality, and has done extensive research regarding her audience and their needs. Sonja is a nurse with a twist, and she hopes that as she continues this journey, you will read along for the ride. If your bookshelf is littered with medical manuals and anatomy guides, Sonja Schwartzbach’s first piece hopes to earn a spot that can shake up the status quo – and perhaps earn a laugh or two while doing it.


Sonja has been a nurse-blogger for the Huffington Post since August 2015. Her pieces are frequently republished by nursing outlets and associations including the American Nurses Association, the American Association of Critical Care Nurses, and Scrubs Magazine ©.

Huffington Post ©

Unapologetically a Nurse (Originally Published on the Huffington Post, August 17th 2015)

A Letter to the Baby Nurses (Originally Published on the Huffington Post, November 5th 2015)

The Holiday Warriors (Originally Published on the Huffington Post, November 25th 2015)

A Nurse and a New Year (Originally Published on the Huffington Post, December 28th 2015)

When You Don’t See Me: A Letter to My Patients (Originally Published on the Huffington Post, February 2nd, 2016)

The Beauty of Resilience (Originally Published on the Huffington Post, March 21st, 2016)

A Sea of Me Time (Originally Published on The Huffington Post, April 12th, 2016)

The Business of Being a Bitch (Originally Published on the Huffington Post, May 4th, 2016)

Be the Antidote (Originally Published on the Huffington Post, June 3rd, 2016)

Scrubs Magazine ©

Sonja has contributed as an author for the nursing lifestyle brand and was listed as one of the ScrubsMag © 9 Instagram Accounts You Should Already be Following in April, 2016.

Deep in the Gallows: A Nurse’s Take on Humor (Scrubs Magazine, October 14th 2015)

“We Cannot Not Nurse:” Why Nurses are Never Really Off Duty (Scrubs Magazine, November 12th 2015)

Sample Work

Oh Sh*t, I Almost Killed You! A Little Book of Big Things Nursing School Forgot to Teach You

You’ll Always Remember Your First

I’ll always remember my first.

It hurt. A lot. He was in his eighties, and his name was Joseph. It was uncomfortable nearly to the point of unbearable, but I made it through the cold and gray afternoon. I survived the experience, and I was a changed woman because of it. Every nurse remembers his or her first patient death. I’ve seen dozens and dozens of patients die since that chilly November afternoon, but I will always remember Joe as the one who shaped how I would respond to these moments in the future.

Most people don’t go to work and see dead people. Most people have careers that might be challenging and interesting, exciting and on the cutting edge, but generally speaking, nobody dies from an unanswered email. That is the thing about being a critical care nurse that has both helped me find perspective in some situations, and frustrated the hell out of me during others. There will come a time as a nurse – whether you are brand new or have some solid experience under your belt – that you will lose someone. It might be a dramatic code blue made for television drama, or it could be a planned transition with a morphine drip and a grieving family at the bedside. No matter the circumstance, there is nothing that will prepare for that day when it comes. You’re going to take it all in – every amp of epi you might have pushed; every fragment of rib you compressed; every drop of fluid you administered – that’s going to circulate within you for a while…and this is totally normal. New nurses walk into their roles with the understanding that well people don’t frequent the hospital: sick ones do. But there’s something so raw and real about seeing a human being take their last breath – no amount of studying will ever teach you how to feel or think in that very moment. When I lost my first patient, it was something of a planned event. He was elderly; had multiple chronic issues; and decided that he had fought as much as he was willing to fight. Joe drifted off peacefully into the afterlife while his children surrounded him.

When I compare that experience to my first loss in the ICU, the clinical picture couldn’t be more of a polar opposite. The bleeding and coding and compressing and screaming have left a permanent imprint in my brain. It’s been locked away in my nursing arsenal along with a laundry list of things I felt that were in my control, and others that I only could have dreamed to understand. My first post-surgical bloody ugly code made me feel like a useless member of the surgical team. I blamed myself for the fact that my patient came out with a surgical complication; one that could only have been fixed was through sternal re-exploration. Although I held my own and tried to titrate medications and hang blood products as quickly and safely as possible, my baby nurse reserve was very quickly depleted. After coding the patient back into the operating room and hearing a few hours later that he died on the table, I could feel my face become flushed and the tears well up in my eyes. Maybe I wasn’t tough enough for this place. Perhaps I should have never left my comfort zone and entered a world where life and death are literal components of every single shift. Before I could say a word, my charge nurse approached me and told me to stop. She could see what I wasn’t saying out loud written all over my face, and she halted me dead in my tracks.

“This is not your fault. Sometimes these things happen. We did everything possible, but sometimes that isn’t enough. We can’t save every patient, every time.”

She insisted that I take a walk – grab a cup of coffee, take a breather, maybe even go cry in a bathroom – but refused to allow me to take credit for such a devastating loss.

Every nurse was once a new nurse, and every nurse has a story similar to my own: one that forced him or her to question why she even decided to enter the profession in the first place. I don’t care if you work in the most cheerful newborn nursery or the most sick-as-hell ICU in the place: really, really bad things are going to happen, and sometimes you’ll be the one that carries the weight of it all. Never once during nursing school did anyone explain to me what emotions run through your head after bagging your first body. Nor did any instructor prepare me for blood-curdling screams and tear-streaked faces of loved ones who are devastated by an unexpected end. Hitting the “start” button on a morphine drip – one that ultimately would stop my patient’s respirations and eventually their heart? There’s no chapter or quiz to cover that one, either.

Learning all of the nursing basics is hard enough: the tenets of patient safety, medication administration, knowing when to contact a physician (and how) are just the tip of the newbie iceberg. Now add traumas and codes and emergency surgeries into the mix – well, no wonder we question what the hell we are doing so much of the time! The most critical lesson I’ve learned that I hope to pass on is this: it never gets easier. You simply learn how to deal with the really bad days in a variety of ways. Hopefully these methods – part defense mechanism, part cheap therapy – are enough to send you to bed after a really awful day, and allow you to wake up hopeful to return to work the next.

Created By
Sonja Schwartzbach


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