Views on New Grads Entering the ER. - page 4

hi all... i am in my final semester on nursing school!! my graduation is august 10th! woohoo ... sorry i am so excited! i am doing a school project on new grads entering the er. i would like your view points good and bad. do... Read More

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    I think that new grads would be okay only if given a very, very exensive orientation. Some ED's have separate sections for acute and subacute in which case a new grad could move into critical situations over time. My ED is a pod system, with a mix of acute, subacute, peds and adult, so a new grad could get thrown a pt having a very critical issue and if the other staff was extremely busy, they may not get the help they would need. So I have mixed feelings. I was an LPN for 6 yrs before getting my RN, then worked on a tele unit for 2 1/2 yrs, the last yr as a charge nurse, then transferred to the ED, and I still have a lot of questions! It was actually hard to go from being one of the best nurses on a hard telemetry unit to being a novice all over again in the ED! (I think a big plus for ED is tele certification, ACLS, comfort with IV starts, stuff like that...)

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    well i guess i am the worst case senario on this topic. i am a new grad with no experience, outside of 15 years of carpentry, working on my third day in the er. i feel like i have a very good preceptor. i undertand her nickname is "the colonel" and she has been working er for 30 years.

    after two days i can say that i love the place, and my preceptor told me that i had passed a number of tests i wasnt aware were even occuring. even so, i am very green and have a world to learn. at the moment i am just working as hard as i can, being as helpful as possible, asking questions about the things i dont understand and carrying around a little notepad for things to review when i am off work.

    hopefully it will conitinue along these lines for my orientation.
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    I'm a new grad and I started in the E.D. last week. I use to be an E.M.T. and had been an E.D. tech years ago. So, I thought it would work out......NOPE.

    I was thrown to the wolves on the first day......I quit after 4 days of hell. Simply, they needed an extra body in the E.D. and weren't interested with whether or not I was learning the flow of the E.D., if I knew how to operate equipment, ect., ect..
    Soooooo, the clincher for me.........they wanted to start giving me my "own" patients the following week.

    Not all "new grad" E.D. experiences have a happy ending......It didn't work out for me and now I'm without a job.
    Last edit by RN1263 on Jul 31, '07
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    Hmm.. where are you located and what area are you from? I won't go as far as asking what ED you were working for.
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    This was in northeast ohio....and three yrs ago. I'm doing home health nursing now, so maybe it just wasn't right for me. Like I said I was an ER Tech yrs before this and at that hospital they would never have treated a new nurse the way this place I spoke of treated me!
    good luck
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    I'm working the ER now, and I know I could never have handled it safely as a new grad. You don't know how much you don't know. There is so much to learn you could easily spend a year on orientation- why not just do a year of nursing? ER tends to be fast paced with no nonsense type staff. If you are unsure of your skills or worth as a nurse you can be quickly bulldozed, even supportive staff can be pretty bold in a crisis. If you are exposed to an acutely ill patient you need to move with confidence, no time to look a lot of things up or talk it out. You are in the middle of everybody's worst day from the patient's perspective. It's very easy to get emotionally overwhelmed, and some time in nursing can give you some coping skills to deal with families and life/death issues. After the code you must pick up and get back to your other patients, and likely there's a lot to catch up on. Plus the G-D- paperwork postcode and afterdeath care is hard when you feel like a wet dishrag. It's a real reality shock when you first do it.

    So that's why I'd vote for some time elsewhere first. I'm not saying it can't be done, some very exceptional coworkers have done it and been great. I'm saying there is no way in hell I could have until I had at least 5 years under my belt. If someone out there chooses to give it a try, and doesn't make it, that doesn't mean they aren't an excellent nurse, they are just frigging human.
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    Nicely put Canoehead....I totally agree with what you said!
    canoehead likes this.

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