Should a new grad try ED or not?

Specialties Emergency

Published

Hi everyone,

I just finished nursing school and studying for NCLEX while looking for a job at the same time. I interviewed at a hospital that has the largest number of ER patient intake in New Jersey. I was interested in the job first, but the manager of the deparment really scared me off with a realistic picture. He told me that sometimes they have 11-12 patients per nurse and they don't cap the patient load because you just can't turn them down. The orientation is 13 weeks which is great, but he told me that one new grad quit after 2 days, and another one quit after a few weeks. I have no experience in the ED but I have worked as an extern on an ICU unit for a month at a small community hospital. I also worked as a medical assistant at a doctor's office that has 150 patients a day..which is a lot for a doctor's office, but of course it's nothing like ED. I tend to work well in a high pressure, fast paced work environment and get bored easy if there is nothing to do. Originally I turned down the offer, but I am rethinking about it. I don't want to be one of those people that quits after a few weeks. It doesn't look good on the resume either if I leave after a few weeks. Any suggestions would be appreciated!

Thanks

:monkeydance:

Specializes in ER.

Hey All

I'm not an RN yet, finished this semester's finals today, 1 semester to go. Woo Hoo!!

In my opinion new grads can work out in the ER with the proper support. I have been a Tech at a Big innercity level 1 for a year and a half now, and most of the new grads seem to really thrive.

The orientation is 7 months and includes ACLS, PALS, TNCC and a couple other certs.

Usually they pair new grads up so that 2 grads will work with one experienced preceptor.

The patient loads can be up to 10 or 12 when it is busy, but the new grads will split that with the preceptor overseeing.

Also they only hire new RNs who have some ER experience prior. It sure feels good to see my fellow techs graduate and do good.

Granted there is a steep learning curve with a lot of stress, but everyone I have talked to is positive about the new grad program. This isn't the situation everywhere, but i figured I would throw my 2 cents in that it can work.

Peace

Specializes in geriatric, hospice, med/surg.

Girl! Heck yeah, DO IT! If I could handle a frenetic environment and were twenty years younger, I'd go for it in a New York minute! God bless you in your decision....it will be right for you. Only you can decide what you can chew once it's biten off!

Good luck...let us know what you decided and we're behind you 100 percent in whatever it is you want to try.

Specializes in Level 1, Level 2, Level 4 trauma and med.

Good luck guys, be sure and buy some nursing . When your working off your license, you'll see how much difference there is between being a tech in a busy ED and being an new grad RN.

Specializes in ER.

11-12 patients per nurse is way too many. I would decline the position even though I've been a nurse for 17 years, and am currently in the ER.

12-13 weeks is too short an orientation for a new grad IMO. Maybe OK for med/surg, but the ER has more new skills, and more variety to deal with.

Go to a hospital that has taken new grads in the ER before, has 3-5 patients per nurse, and a consistent preceptor with a written plan. I think a level I trauma would be best because they get the scary cases every day, and you will learn quickly. They are also a teaching hospital, and will have staff that are used to helping the newbies along. Ask specifically about the staff during your interview- are they a cutthroat group, or supportive? ER can be trial by fire- you don't need extra flames from your coworkers.

Look into area teaching Hospitals like Hackensack, or Newark University, or NYC and see if any of them have a "New Grad ED internship". Most are some

where in the area of 48wk precep programs. Learn while getting paid.

Specializes in ER, PACU, OR.

I started in ER out of school. The first 3-4 months seemed overwhelming. After that the learning curve dropped a little bit at a time over the next two years. After 2 years I was completely comfortable. I stayed there 7 years, then went to PACU. However, I also work ER at a different hospital still.

It's up to you. Not every unit or floor is for every person, only you know that.

I started my career in the ER. After nine months, I asked for a transfer to med/surg. I realised my lack of expreience was putting my patients in danger. I will return to the ER in a few months with a solid background in patient care.

It was a difficult decision. I loved every minute in the Er. It was a horrible way to start my career. I am only just now getting my confidence back.

I started my career in the ER. After nine months, I asked for a transfer to med/surg. I realised my lack of expreience was putting my patients in danger. I will return to the ER in a few months with a solid background in patient care.

It was a difficult decision. I loved every minute in the Er. It was a horrible way to start my career. I am only just now getting my confidence back.

I am sorry to hear that your experience was negative. I started a tech job a year ago to make sure that I would be able to handle the ER as a nurse. I know it won't be easy, but feel like I have a strong start with understanding the flow and staff. Only time will tell.

Specializes in Med/Surg, Peds, ICU.

Hey...guess what I graduated in May...started at a level 1 trauma center june 12th with NO prior experience!! I feel I had a great orientation/preceptor...I have been on my own since November and I feel like I've done good. I couldn't imagine ANYTHING else...floor nursing isn't for me...it's all about the Adrenaline rush for me and ER nursing :-) it's a work of art...go for it!! Never second guess yourself, I'm glad I didn't!!;)

I think that you can go into the ED as a new grad but I would be very careful about where you go. Ask about the nurse patient ratio and make sure they have a good orientation program. Ask if you can shadow a nurse for a day and get a feel of the people in the department. Even after orientation you are going to get beat up occasionally. But if you have a good orientation and the people you are working with are willing to help you can hang. Not impossible for a new grad to go into the ED but I would be selective about where I went

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