In our ER our orientation is flexible depending on experience.
An Experienced ER nurse would have 2-4 weeks out of staffing and another 2-4weeks with a preceptor in staffing.
An Experienced Critical Care Nurse would have 3 week out of staffing and another 3-5 weeks with a preceptor.
For Med/Surg you are looking a 4 weeks orientation and 4-6 weeks with a preceptor.
We have recently taken on several new grads that did interships that lasted 6 months. They have become excellent ER nurses.
Our facility has also grouped with other facilities in the area (there are a lot) and several times a year they have an Emergency Nursing consortium that lasts for several week with indepth Emergency Nursing Topics from Trauma to Peds to Birthing babys in the ambo bay. (we don't have a OB department so when those mothers show up in active labor we are it.) This is mandatory for new grads and Med/Surg nurses with limited backround and optional for the others. And yes the hospital pays for the courses as well as ACLS, Pals, TNCC, ENPC and the senior Clinical Nurses (there are 8 of us) are being trained to teach these courses.
And incase you are wondering, we are not a teaching hospital, We were a small community hosital that is getting swallowed by the Metropolitin sprawl. We currently have a 26 bed ER and see between 140 and 160 patients a day. We are also currently building a new ER with will be quite a bit bigger. Our aim is to start hiring in January to be ready for opening in April.
Even though I have >20 years Experience I would not go to work somewhere without a couple weeks orientation, every hospital is very different in their policies and protocals. Of Course this is also why I could never be an agency nurse. I need to be confortable in my surroundings before I am sure I can give the best care possible to my patients. My hat goes off to those who can work agency, Lord knows they have helped use out of many tight places.
Sorry, Guess I got carried away.