Re: New Grad ------> ER Nurse Originally Posted by streptococcus
LunahRN,
I am a paramedic / firefighter and will graduate from Excelsior College this October 16, 2009.
I am currently studying for the NCLEX and CEN.
My goal is to work as an ER nurse when I am off duty from the fire department.
I would appreciate any advise you have to offer on becoming an ER nurse.
Congrats!! My advice: it is important to realize that being an ED RN is really nothing like being a paramedic. Yes, there is much overlap in knowledge and hands-on skills, but it's still a different animal. My biggest hurdle was managing multiple patients while learning all the paperwork and forms and documentation!

Don't get discouraged if you don't instantly "get it" on your first day. I've worked in the same ED since 2005, and became an RN in 2008. Even with all that time and knowing the way we do everything, there was still a learning curve!
Find an ED that is willing to provide you with a decent amount of orientation, too. Mine was something like 16 weeks, plus an ED nursing fellowship at our system's Level 1 -- that was all classroom and online training (ENA learning modules), but it was a great foundation.
Good luck!!!
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