Advice for new ER nurse

When I first transferred from the floor, I couldn't keep up with the pace. I was used to delivering a completely different level of care.
Give yourself 6 months, if you haven't started to feel a little more comfortable (of course, it will take you longer to feel proficient), then transfer to another unit.

Please don't give up on trying. I am the educator for a very busy Level I trauma center. We hired 5 new grads this year. They are having a hard time, but turn to me for assistance. I take time with them to evaluate where the problem lies, and if I can help resolve it. It may be a difficult relationship with a preceptor- they are tired of orienting new folks- it may be a skill issue, time issue, prioritization issue, etc... It is important to define where the issue lies first. If your administration is unwilling to guide you, going higher. That should be addresses. You deserve the best orientation to guide you in your quest. Keep in mind that you won't find a true level of comfort for at least a year, and even then, something you have never seen will come through the door. Hang in there. I have 15 years ER experience, and you are welcome to contact me at any time, if there is some way I can help you. my email is Brenda_Luchs@hmis.org.

I also recommend that you ER get the Orientation Manual from ENA, it is very useful.

I just started in a level one trauma center myself....i am lucky and have a very smart and fantastic teacher of a preceptor. There is only one thing that saves the staff when the poop hits the fan....teamwork. People notice if you help them draw blood, do an EKG or ask if they need anything. Being the new gurl on the block (fresh may 08 grad but 5 yrs med/surg exp.) means i ask questions....but it is good to observe too. If a trauma comes in and i have the time i take my butt in there and watch what the lead nurse does....emulate. It has been quite the rollercoaster....but i wouldn't be any other nurse!!!