Quote from NickiLaughs
Thank you for that.
I think that's one thing I need. I get a little too "ADD" which I think is why I got a little bored in ICU. I got tired of staring at the same patient for 12 hours after they were stabilized, and mostly the exact same patients-sepsis and post CABG. Hoping I get a call for that job! This economy is making the job search really difficult. I'm hoping to do my PALS and TNCC soon to make myself more marketable, but the price is a little more than I was expecting!
TNCC will help......I will tell you ENPC will suit the ED better, instead of PALS. As a manager I would caution you to about mentioning the boredom thing. We are looking for keepers. The ED is difficult to acclimate to and takes about a year.....knowing that someone is restless and are looking for excitement is a red flag because the ED is not always adrenaline and TV worthy. There is plenty of mundane in between. New staff to the ED when they are looking for excitement and are initially disappointed because they aren't "in the thick of it" right away" and are no happy with the urgent care (if included in the ED) and triage (which is actually the hardest job in the house)....grow bored and annoyed quickly and leave.
While the ED can be full of excitement....there is a TON of repetition. Every ED has their frequent flyers whether they are ETOH, drug seekers, psyche patients, indigent/homeless, the abusers of the ED for hangnails. You KNOW who is coming in by the presentation and report before they get there........you will be able to make bets on who is right. Even at major Trauma centers there is a familiarity of routine in the usual's with the homeless and local gang members. An Acute MI is a Acute MI. Next.......please.
The septic nursing home patients and croupy/febrile babies that get complete septic work ups but are seldom THAT ill. Strokes/seizures and the 99year old with dementia sent in for confusion. Bumps and bruises....lacerations with a smattering of fractures. Depending on where you live....the overnight snowfall and hand injuries on males that can't resist sticking their hand in the snow blower (funny they have all been males).......accidents with those snow falls while drama is high are seldom "exciting". You will know when the flu hits and the latest stomach bug.
But the scene does always change and the faces may not be the same day in and day out. They are usually not there when you return the next (note I said usually) day but there are those boarders that linger.
I know I have worked and managed both. I agree that case management would drive me insane and I would long for the bedside....which is where I never strayed from in the 34 years I have been a nurse......until I became ill. Examine what it is that is driving you nuts and turns you to boredom so quickly
The ED is unpredictable, yes but it is not always free of "routine". Good Luck!