Holy Cow.....my head's still spinning

Specialties Emergency

Published

Hi all,

Some of you may remember be posting a month or two ago, when I was deciding whether or not to switch from NICU/PICU to the ED. Well, I did it, and landed a day shift job in my hospital's 80 bed Level I trauma center. Holy Cow. I just finished my second full week on orientation in the Chest Pain Unit section of the ED, and I must say I have a newfound appreciation and overall awe for ER nurses. My head was spinning from the minute I hit the door, not just from all that "adult" stuff I had to dig up from the back of my brain. I learned so much those two weeks, as pt after pt rolled through the door in RDS, AMI, CHF, etc.....By my second shift, I had helped code 3 people! Luckily the N/P ratio in the ER is 3-4:1, so my preceptor had a few minutes to explain away some of the confusion. I must say after all this, that I love the ER. I love the diverse array of pts, illnesses, quick pt turnover, new challenges rolling in all the time... Love laughing at/with the stupid pts who call EMS b/c they think their baby might "have an ear infection", "chest pain" with raging clap......etc...... I really hope I never get tired of it. I'm still at the point where I can't wait to get up and go to work. I guess I'm what you'd call one of those adrenaline junkies, who like to be crazy busy all the time (with a safe assignment, of course) SO: my hat's off to all you ER nurses who've been doing this forever. You are a special group of people!

Stevern21:rolleyes:

Specializes in Neonatal ICU (Cardiothoracic).
Id have to say that the best laughs I have ever had was one of the many nights we discuss the stupid excuses, reasons, drug seeking, and many many stories that our patients give us and that we have to listen to everyday.

Yeah, I had a great one yesterday. Not only did the pt "not have a phone" (how did he call EMS?) or a car (how does he buy his cigs?), but he started having "chest pain" right after his entire bottles of oxycontin, xanax and ativan pills "fell" into the sink, "flushing them down the drain before he could save them."

Ha!

We laughed sooo hard with that one!

Steve ~ done with the chest pain unit.... on to Major Care/Trauma!!

Specializes in Emergency Dept, ICU.
not an r.n. YET (8 mos. to go), but use to be an E.R. tech and LOVED it!!!!!!

my med/surg clinicals are boring and depressing me to all hell, so i decided to volunteer in the E.R. (start thurs.) just to remind me why i'm busting my butt to be an r.n.!

i hope to get a new grad E.R. job when i'm done w/ school, because i don't think i can deal w/ floor nursing!!!

That's what I said too when I graduated and I've been in the ER since May and it was the best move i've made...

I'd LOVE to do ER but everyone tells me the ER in my hospital is a complete zoo, with ratios easily exceeding 1:10 at times.

Hallway pts are the norm and critical pts stay back against the wall hooked to cardiac monitors, leaving them 3 rows deep. If they code everyone first needs to climb over the 2 rows of stretchers in front..

Yes, I'd love ER but not enough to kill myself (or my patients). And I'm also not ready to switch hospitals... so that will have to wait.

That's what I said too when I graduated and I've been in the ER since May and it was the best move i've made...

glad to hear that news! ...it's intimidating, but ALL nursing is really.....

good luck to you in the future! hey, any pointers/suggestions???

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