Quote from spencerma2
Very few new grad RN who have NOT worked as ER techs have the ability to do well for a long time.. why? EXPERIENCE. The RN's who have not worked ICU or Med Surg before ER are lacking basics nursing skills so use poor choices of techniques, do inappropriate short cuts with procedures, especially sterile ones, among a few of my observations of working for decades in ERs from NC to HI. Some cases in point: Med Surg and ICU don't start IV's in AC areas as first choices, they make sure they use the best sterile techniques for foley insertions. Two big problems with hospital acquired infections: urine and IV sites.
I have other complaints about inexperienced nurses being used in ER, lack of maturity, professional and social, poor work ethics, too much socialization and fraternization ON THE JOB during work hours, lack of knowledge of where nursing was in the past, where is now and where it should be going.
NURSES need to have med surg skills down to second nature first, then add ER skills.
So, basically, new grads in the ER without tech experience all suck and all med surg and ICU nurses are awesome? Ok. Except the issues you bring up seem more to me like failures of orientation processes (defaulting to the AC) and character flaws(laziness, unprofessional behavior, choosing to cut corners on sterile technique). I'm not really sure how time on another unit would cure a character flaw, and orientations are fixable.
Just so you know, not all new nurses are new to the adult world of work, so some of us did come with maturity and good work ethics. Also, the med surg nurses at my hospital tend to be quick to call the IV team when they have an IV to start, but I don't hold that against med surg nurses everywhere.