good luck. remember to slow down and think your way through a crisis.........even when things are moving quickly. take a breath and then go. rely on your previous knowledge and skills. plan to work harder than you have before on some days. you are the first line of health care so your assessment skills are crucial! don't be afraid to ask questions of people and coworkers. for multi cultural areas you really need to find a way to communicate through language barriers. it won't take long to figure out how people react to things - some are full of drama and some are stoic. (again with the assessment skills) it's sooooo much fun! enjoy!!!
Oct 8, '06
Here is a link to the Transcultural Nursing Society. Check them out, maybe even join up! Good Luck in your career as an ED Nurse. http://www.tcns.org/index.shtml
Oct 9, '06
thanks to the both of you...
Oct 10, '06
Congratulations and good luck with your new assignment! The main thing to remember is to know your limitations! Never be afraid to ask if you don't know something because your main goal is patient safety!! The ER is a busy, hectic, noisy, and confusing place. Take a deep breath and step back if you need to. After a particularly hectic trauma or code, talk to other team members and "de-brief" - ask what could have been done differently or why something was done. Also read, read, read. Ask team members to run you through practice drills. Most of all, enjoy! View each day as a learning experience. You will adjust to the ER in no time and love it!:groupwelcome:
Oct 10, '06
it is nice to hear word of encouragement from all of you... i am becoming more excited with my new assignment....
Oct 13, '06
Buy all everyday
Oct 24, '06
what about reading materials? what can you suggest?
Nov 7, '06
the smorgosboards are the best
Nov 8, '06
Hi guys... Im also a newly grad and I'm going to have my 1st duty in the ER.. I happen to drop by to view some tips.. The tips you have given are more than what I expect.. I thank you all for the tips that you are giving to us.. Tnx..
Dec 2, '06
Don't even get in the habit of working to please your coworkers.....I like to think of it as a personal best, not a departmental one. If you get caught up to trying to measure up to someone else's standard of care, you miss out on the gift you will personally offer to your ED. You will find that in every ED there is that one nurse who is very egocentrical and condescending (yes i speak from experience) and this can intimidate new grads. Always do your PERSONAL BEST... grab hold to a mentor. Yes, read, read, read....get the ole' med surg book out and cross reference the cases you had earlier in the day...read our experiences here on the boards. Find one great resource nurse who is receptive to new grads/students and hang on tight. And remember...although your orientation may only be 12 weeks, it takes a full year to even start to believe you are getting the hang of it. BE ENCOURAGED! I started 7 years ago as a new grad, and I love it still! Good luck in your career as an ER NURSE!
Dec 2, '06
Congrats to starting in a wonderful place. I have worked in an ER for six years. I peice of advice I can give, make the techs your friend. They can make the transition even more difficult than it has to be if they fell that you are condecending to them. That being said they are there to take your direction and will expect it. Good luck, Oso
Jan 13, '07
Welcome to the ER.
Things I always tell my preceptees.
1. Give yourself a full year to adjust and feel comfortable.
2. Ask questions please, there is nothing more dangerous than trying to figure it out on your own.
3. If your work is caught up, help others, this is a team and we all help each other.
4. In a code, the patient is dead....you can't hurt them but anything you do may help them. Relax, take a deep breath and do one thing at a time. You will do fine.
5. Good charting is essential, ER nurses have a higher incidence of being involved in litigation. ER patients make more complaints to administration also, if the patient was cursing and spitting and assaulting you make sure you get that all down because they or their family will be calling your director tomorrow to tell them how badly the nurse treated them.
Things that will make your patients love you:
1. Give them plenty of warm blankets and a pillow. ER carts are uncomfortable and ER's are cold. Both make being sick worse. Keep the sheets dry and unwrinkled, when you are sick and in pain those wrinkles feel like mount Everest.
2. Turn down the bright flourescents and do the best you can to keep the environment comfortable.
3. Keep them informed...."We are going to do some labs and an xray. The lab work takes about an hour, I will let you and the doctor know when everything is back." or "sorry about the wait, the doctor has been caught up with a critical patient and a trauma but everything is under control and he is looking at your stuff now."
4. address pain and nausea.