Medicine/ Step down to a New ER

  1. Hello all!
    The situation:
    I recently made the plunge into emergency nursing September 2017. After 5 years I left my medical/ step down floor in a rural hospital and moved to a larger city to join their emergency department. I felt like I had a decent base to facilitate a smooth transition, but I was very wrong. I was fortunate to receive a comprehensive in-class 6 week training/orientation: mostly on the major ED emergencies (Cardio and Respiratory mainly) prior to a 5 week buddy shift-style orientation to the floor and facility. I have been 'on my own' for 6 weeks now. I am usually a pretty quick study; I was 9 times out of 10 charge nurse on my previous floor and was a resource to many staff, old and new. I held positions on committees and was even offered a position as a support supervisor. These are not pretentious comments, just stating that I had a level of job satisfaction and self-worth.
    The problem:
    Here... I feel like I know nothing. My old facility was e-charting and my new one is still 90% paper (which isn't helping). I encounter new things every shift that leave me feeling almost incompetent. My training was excellent, but it cannot cover everything and I know this.

    The point:
    I just need to get back into some studies. Read more. Learn more. What are some online courses and resources that I can utilize to help this transition? My facility offers TNCC and various advanced courses but none for another 6 months +. I have been told a million times that I am too hard on myself and that I am doing 'fine'. True or not, I just need to feel comfortable in my own skin in this department. Any input would be greatly appreciated.
    Thanks in advance
  2. 1 Comments

  3. by   Kuriin