I just started working in a new ED in a different healthcare system. So far the orientation seems unorganized like there is not a systematic way to review and practice using basic equipment. In my previous organization, I was used to hands on & didactic training followed by skill validation. This organization didn't even train us how to use the IV catheters. Like i have put in thousands of IVs but, The safety device is different from what I am used to. I know there are other procedures & equipment that we are not being checked off on, like the rapid infuser comes to mind. Also, some of the policies aren't congruent with what is really happening. There are tons of verbal orders. I am not sure if I am being too picky or maybe my prior employer was just really systematic about orientation and ongoing training. I was hoping to get some comments from other ER nurses who have had more orientation experiences. I am not sure if I feel comfortable with nursing practice at my new job. I mean who knew I liked NPSGs lol.