How do I know the ER is for me? - page 2
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Jan 10 by N1colinaQuote from Racer15That's awesome! I always like hearing about others finding their "happy place" or niche. Good for you!I'm a brand spankin new nurse, started my first job this week in the ED. I knew it was for me because during my clinical rotations there, everything just clicked for me. I like the variety, I like that some days are completely insane, and others are a little more laid-back. I like that I'm always having to think on my feet, and know something about everything. I did my practicum in the ED as well, and that solidified it for me, I knew I made the right choice.
- Jan 10 by N1colinaQuote from Sassy5dHaha that's actually one of the things I was looking forward to was getting rid of those crazies after a few hours. The ones I have to take care of for 12 hours straight, 3 days in a row sometimes, for weeks on end! Now, I know you still see a lot of them in the ER, even frequent fliers, but it's different than having the same physically/verbally abusive patient all shift. At least you get a break from him AND at least we have security in our ED at all times!Every day is different. You never know what's going to happen. Thankfully even the hardest pt is usually only in your care for a few hours OnlybyHisgraceRN likes this.
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Jan 10 by OnlybyHisgraceRNQuote from N1colinaI'll be on nights as well, which will be super busy. My main weakness is IV starts and drawing blood. That gives me so much anxiety.Really? Cool! Good luck! I was hoping someone would be in the same boat as me! I do my job shadowing day tomorrow and will make the decision then whether I want to take the job or not. The other thing is- not sure if I mentioned it or not- is the position is nights, so I'd get the shift differential also, which is an added bonus
I will keep you posted as well -
Jan 10 by edmiaTake it. The ED is fantastic. Your nursing assessment and technical skills will grow tremendously and you'll be able to pick your jobs if after a while you decide it's not a perfect fit.
Sent from my iPhone using allnurses.com - Jan 10 by N1colinaQuote from OnlybyHisgraceRNOh really? See, I miss drawing blood! I did it in family practice, but haven't since. I've never started an IV, but I am excited to start learning! You know what I'm nervous about? Someone coding on me! I still have to take ACLS & PCLS, and I haven't really had too many codes on our floor. Most codes we call are Code B's (strokes), but those are easy! I am worried about the patient in respiratory distress, or cardiac arrest....I guess because I haven't had one yet, which is normal, right?I'll be on nights as well, which will be super busy. My main weakness is IV starts and drawing blood. That gives me so much anxiety.
- Jan 10 by N1colinaQuote from edmiaSweet. Thanks!Take it. The ED is fantastic. Your nursing assessment and technical skills will grow tremendously and you'll be able to pick your jobs if after a while you decide it's not a perfect fit.
Sent from my iPhone using allnurses.com -
Jan 11 by emtb2rnQuote from N1colinaNot to be snarky but what happens when you call a code stroke on your current unit? Does the pt go somewhere else to be taken care of by somebody else? Yeah, that's easy. In the ER that stroke is your pt until they go to the OR which is rare or their unit bed is ready (see threads on unit holds in the ER) or the're transferred. And you still have other pts.Most codes we call are Code B's (strokes), but those are easy!
Most strokes we call in the ER happen before the pt gets to the room, gets undressed, lined, labbed or often even had vitals taken. And the clock is ticking from when that code is called. Door to ct in 25 minutes, ct read in 45 minutes of arrival, tpa if indicated in 60 minutes of arrival.
Don't mean to discourage you but be careful about what you think is "easy". - Jan 11 by N1colinaQuote from emtb2rnThank you for your concern and your opinion on what you consider to be easy or difficult. I was simply stating my opinion, as well. Also, I wouldn't be so quick to judge on what I do with a patient when we call the stroke code... Because we are a STROKE UNIT so no I don't give up the patient after. I take care of them the whole time, and do everything you mentioned while keeping my 5 other patients....so I would tone it down a bit and not take what I'm saying to another person so personally... Let me rephrase for you: I am more comfortable with stroke codes because I deal with them more frequently. I am less comfortable dealing with cardiac arrests. Is that a more appropriate statement??
Not to be snarky but what happens when you call a code stroke on your current unit? Does the pt go somewhere else to be taken care of by somebody else? Yeah, that's easy. In the ER that stroke is your pt until they go to the OR which is rare or their unit bed is ready (see threads on unit holds in the ER) or the're transferred. And you still have other pts.
Most strokes we call in the ER happen before the pt gets to the room, gets undressed, lined, labbed or often even had vitals taken. And the clock is ticking from when that code is called. Door to ct in 25 minutes, ct read in 45 minutes of arrival, tpa if indicated in 60 minutes of arrival.
Don't mean to discourage you but be careful about what you think is "easy".Tina, RN likes this.