New grads in the ER - page 2

Do you feel new grads are able to function in the ER? If not what length/type of experience do you think they need? Also what type of prep courses would be good?... Read More

  1. by   HARN
    I think a new grad should go to an area that interests them. If that be med-surg, ER, or a unit...whatever gets them motivated. All of us need to start somewhere, where that my be is up to that person...More power to you whom have started in high stress, busy areas....We need nurses EVERYWHERE....
  2. by   happystudent
    Originally posted by jetsetter
    I was a new grad last may and went straight to ER, it was horribly hard, and I loved every minute!!!!!!!!!!

    dont let anyone talk you out of doing what you want to do. If its not right for you , it will take you one shift to know.

    follow your heart, not your checkbook or someone else's opinion, and you'll do just fine.
    I totally agree with you, sista!!

    I just started today as a critical care tech in one of the busiest trauma centers in the state... I Frikken love it!!!!

    I knew that I wanted to work in the ed right out of rn school (grad may 04) so I applied as a tech to make sure this is what I wanted to do......

    Let me tell you, I say my first deceased 3month old but I cant wait to go back tomorrow..

    There is so much to learn, even as a tech... but I am so hungry to get as much experience as possible that I cant get enough!!

    There is no way that I could go to med surg, Ive been there done that... Med surg is okay, but there is just something about the alarms that go off when the emts are on their way with a code.....

    Hey I say if you can do it go for it and dont look back!! Thats what Im doin'

    Happy
  3. by   atownsendrn
    I started as a new grad in the ER. I had been in the same ER as a tech for 3 years (worked fulltime while in school). Wouldn't have wanted to do it any other way.
  4. by   Scis
    I started nursing school as a second career and figured most people my age had 10 years under their belts by the time I graduated. The only place I aspired to work all through nursing school was the large Level I trauma center of NJ's major teaching hospital. All the best (ie worst) trauma cases were always brought there and the accidents were always reported in the local newspaper. The helicopter would fly patients in from all over the state, how exciting! Well, at every turn, my nursing instructors, seasoned nurses I knew, everyone, told me that I would NEVER get accepted to this institution without experience at a "smaller" ER. No way I would accept this notion, I applied the February before I graduated from nursing school, I was accepted and started barely a month out of school. All new nurses to this ER regardless of background were enrolled in the department orientation. The learning consisted of 3 months of classroom/lab work, along with testing on the material along the way. You were informed that within 1 year of employment, you had to satisfy the necessary ACLS and PALS requirements and keep your certifications current. By choice I had my CEN and TNCCP status within 2 years of employment. I have never regretted the extra effort I had to put in post graduation to get and retain my position in this ER. Bottom line, if ER is in you, you'll do whatever is required to practice there. The ER is also located in a very poor, urban area, so a myriad of patients and clinical presentations roll through the doors daily (or nightly in my case). You really get to use all the skills you acquire. That's what ER is, and that's why those of us who do it love it!
    I say if it's right for you, jump right into it. I don't condone the theory of working on med/surg etc. first--the floors are nothing like the ER. It's like telling a college-level prepared teacher to teach kindergarten first before pursuing a career as a college professor, no comparison.
    I have been doing this for 10 years and have never regretted the effort. By keeping myself educated and informed, I can best serve my patients, the core of nursing care.
    Sounds sappy, I know, but it's true! Patty
  5. by   4XNURSE
    Originally posted by HARN
    I think a new grad should go to an area that interests them. If that be med-surg, ER, or a unit...whatever gets them motivated. All of us need to start somewhere, where that my be is up to that person...More power to you whom have started in high stress, busy areas....We need nurses EVERYWHERE....
    I couldn't agree more.

    Telling someone what they can't do, or where they can't go, won't help anything. A lot of nurses burn out putting in their time in areas they never wanted to be, in the first place.

    Be prepared to work hard, study hard, and put up with a lot of sh**.

    Just my $ 0.02.

    ken
  6. by   ernurse1234
    I agree with the fact that it truly depends on the RN. If he/she has the personality to be in the ER is the key. There are many new grads that may be "book smart", get a big head in school, think they can handle anything and they are typically the ones who can do the poorest as a new grad in the ER. I have been a preceptor for many years and also been actively involved with education/orientation processes for new grads. We were keeping our new grads in orientation for 6 months, and at the end of the 5th month I sent them to ACLS. Usually by the 3rd or 4th month I could tell if they were going to make it or not clinically. Personality wise I could almost always tell the FIRST day that I met them. It is key they have a strong preceptor and a organization that supports learning. I don't think there are any hard and fast rules to "getting someone oriented", but I think there are definite "red flags" that I have seen throughout my career that have been the kiss of death for a new grad in the ER. Usually that "Know it All" attitude is what gets most ER nurses' pissed off and not willing to teach the new person. But again, it varies on the experience of the institution and the willingness of the individual to learn and experience new things and not be afraid to ask questions. :kiss
  7. by   portland_guy
    I'm wondering what type of personality of a person best fits in an ER? What are some of the qualities that are required? Organizational skills? Flexibility?

    Reason is I am thinking of a career change to nursing. I think ER sounds like a very fast past environment where you get to see a lot of variety. The day must certainly fly by, but I am wondering if it would be a good fit for me.
  8. by   fab4fan
    Agree with ernurse 1234; I worked in the ED until I was injured, and that used to really piss me off (new grad know it alls, that is). My attitude, when I went to ED (after 16y exp in other areas) was: Ask questions, keep your eyes open, and for heaven's sake, think twice before you think you know it all...you don't.

    And comparing ED nurses: med-surg nurses to college profs.: kindergarten teachers...that's really poor. Thank your stars there are nurses who like M/S. ED nurses are no better, no smarter, no more challeneged than M/S.

    Someone who hasn't even worked one day as a licensed nurse simply cannot say that she/he has "been there, done that" with M/S nursing. No, you haven't. In addition, being a tech, EMT, parmedic is simply not the same, and good paramedics will be the first ones to set you straight on that. There are similar skills, but there are big differences, too.
    Last edit by fab4fan on Sep 9, '03
  9. by   Rena RN 2003
    And comparing ED nurses: med-surg nurses to college profs.: kindergarten teachers...that's really poor.
    i'm not sure how the poster meant this statement but here's my take on it. i didn't read that as a putdown to m/s nurses any more than a putdown to kindergarten teachers. i took it to mean that there is simply that vast of a difference between m/s and ED nursing as there is between college/k-garten teaching. each profession noble in it's own right, just very different.

    that being said, i'm completely thankful there are wonderful m/s nurses out there because it sure isn't for me. i have no desire to deal with the same patients for days on end. i love the diversity the ED gives me. i love never knowing what's coming through the door. i love having to be on my toes because someone came in with a hang nail and wound up a AAA.

    i believe new grads can prosper in the ED under the right conditions. personality of the grad, personalities of precepting nurses, department attitudes, and the will and drive to suceed as an ED nurse. but i believe that for each and every nursing department. i know i would suck as a m/s nurse. it isn't my cup of tea.
  10. by   OO7Trauma
    Hello,

    Due to the nursing shortage, ED's have really no other choice than to hire new grads. I feel that new grads can do very well in the ED. I myself was a new grad, and many of the best ED nurses that I know started off as new grads. The key is finding out if the ED is right for you. A new grad will know within the first 8-12 weeks if ED nursing is for them. If it isn't for you, GET OUT!. You are not helping anyone by staying. It has been my experience that the only new grads that do not do well in the ED are the ones that know the ED is not for them, yet they hang on. Good Luck to all the new grads looking to come to the ED. Welcome to the Clan.
  11. by   DevelopmentRN
    I have a unique perspective on this as former ED nurse and as someone that coordinates a residency program for new grads. The answer is a big NO. They don't have the technical, critical thinking or organization skills required to function in the ED.
  12. by   catchup82
    i started in eod after 8 months on midnights on a med surg floor......i got tired of sleeping patients.......i just wasn't busy enough to stay awake...i went to er......got terrible training.....got caught in a feud between my director and preceptor. not a good position. i learned by being tossed in the fire......actually 4 years latter i am still learning.....i work with great staff.....just not enough of us. what is that mindset? why does administration not see the need for staff to patient ratios as safe? weird........
  13. by   veetach
    I believe new grads need the experience and training that is obtained on a med surg floor, not in a specialty unit. Sorry, thats my opinion...

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