Quote from Mica RN
1. Would 28 training shifts paired with a MD for 8 hours (1 hour charting) be adequate? Its a self designated level 3 ER and I would be seeing acuity 3-5 (the threes will be light work ups if triaged appropriately!)
2. What supplemental training or resources would you recommend using for reference/preparation?
3. What are the areas you found needed to improve and what were your strong points when you started in the ER? I'll have a great Doc who will be my go to clinician. He asked what areas of emphasis would he like me to focus on if any. I'm weak with Derm and I could always use more practice with procedures. But I'm sure I could use help in a lot more areas.
4. Did you go from being an RN in the ER to a NP in the ER? If so what were the challenges and what was particularly useful for you having that experience?
I think 28 training shifts is great. You will likely see all the common ER complaints over 28 shifts. Then, you still have the doc there to consult with.
UpToDate is by far your best friend and as mentioned the antibiograms.
Study up on knowing when a urine culture, wound culture, back up throat culture, packing, etc is actually needed and when it is not needed. Newbies often over order these tests that will not make any difference in treatment/outcomes and are not medically necessary.
Splinting various injuries
A good xray resource....especially with peds. Like knowing the elbow ossifications ages.
Going from RN to NP in the same ED can be tough sometimes as MissDoodaw stated. I've seen RNs being rather disrespectful to new NPs that used to be an RN colleague. Needs to be handled with grace and respect while also being stern and confident. It's a tough spot because you want to have a good relationship while also letting it be known that you will not tolerate your orders being overlooked or treated any differently then any other provider in the ED.