When did you realize that "newbie" wouldn't cut it in the ER?

  1. 0 Just curious to hear some of your stories regarding orienting nurses (either new grads or transfers) to the ER and when/how you know if someone is cut out for the ER or not.
  2. Visit  lvnlrn profile page

    About lvnlrn

    lvnlrn has 'LPN since 2009, RN since 2011' year(s) of experience and specializes in 'LTC, MDS, ER'. From 'Montana'; 30 Years Old; Joined Aug '08; Posts: 52; Likes: 34.

    44 Comments so far...

  3. Visit  sjonesrn profile page
    4
    Lol...when she took off the homeless guys socks and couldn't figure out why there was an aroma shortly afterwards
  4. Visit  VICEDRN profile page
    2
    Anytime I hear " this is place is crazy" and the person looks unsure of themselves rather than smiling/happy. Any time someone tries to do a head to toe on an urgent care patient and finally, whenever someone complains its "too stressful" to make all these decisions for patient or that the md is providing too much autonomy or not enough direction. Seriously? Go back to med/surg, lol. No one is here to babysit you.

    Also I recall an ob nurse who "felt sorry" for a crack addict and wanted to let her sleep it off and then contact the rejected boyfriend when she awoke so he could try and get her back on the wagon. She was all involved and I thought "she won't make it. She can't let go of these larger social work issues to work er."
    LalaJJB and psu_213 like this.
  5. Visit  Altra profile page
    7
    Funny, I consider "this place is crazy" to be a pretty appropriate observation from a newbie. Or even a not-so-newbie, for that matter.
    littlenurse21, besaangel, psu_213, and 4 others like this.
  6. Visit  VICEDRN profile page
    0
    Quote from Altra
    Funny, I consider "this place is crazy" to be a pretty appropriate observation from a newbie. Or even a not-so-newbie, for that matter.
    The key is how they feel about the craziness. As I said, if they look unsure of themselves, it's not good. If they kinda like it, good!
  7. Visit  Sassy5d profile page
    7
    I was an LPN prior to RN. I've worked in various settings, many high pressure/stress in their own right, of course not ER. I don't work in a trauma center. Just a small community hospital, 23 beds or so with a fast track. I've been at this job just over 3 months. I'm sure I've said/done/reacted oddly to situations.

    Being the 'newbie' is very frustrating. We are well aware that it's a bother to be precepted and oriented. It's very uncomfortable most times.

    With that being said, and I know this isn't the point of this thread.. Try to cut some newbies a little slack.

    This was an issue at my job this week. With flu issue on top of the regular high volume of non-emergent visits.. It can be frustrating to even the most seasoned nurse.

    I found myself wearing down yesterday, no pee, no snacks, no break or food for 12 hours. Verbal abuse and demanding non-ill patients and family members, I was worn out. I made a snide remark at work and I was looked at like I just shot someone's kitten.. The response was like "you're new, what the hell do you know about anything and you're not gonna survive here if that's how you feel" like I'm too new to be frustrated.
  8. Visit  OnlybyHisgraceRN profile page
    0
    Quote from VICEDRN
    Anytime I hear " this is place is crazy" and the person looks unsure of themselves rather than smiling/happy. Any time someone tries to do a head to toe on an urgent care patient and finally, whenever someone complains its "too stressful" to make all these decisions for patient or that the md is providing too much autonomy or not enough direction. Seriously? Go back to med/surg, lol. No one is here to babysit you.

    Also I recall an ob nurse who "felt sorry" for a crack addict and wanted to let her sleep it off and then contact the rejected boyfriend when she awoke so he could try and get her back on the wagon. She was all involved and I thought "she won't make it. She can't let go of these larger social work issues to work er."
    This is me totally. I'm in deep trouble, I see. I will try to hard not to play social work.
  9. Visit  canoehead profile page
    6
    When the newbie says "I know," more than five times a shift during orientation. And then does it wrong anyway.

    When they say "I'm ready to take my own trauma," and they've seen only one.

    When they look confused, but don't ask questions, or say they don't need help.
    JinnyLynn, LalaJJB, havemercy21, and 3 others like this.
  10. Visit  N1colina profile page
    0
    Quote from canoehead
    When the newbie says "I know," more than five times a shift during orientation. And then does it wrong anyway.

    When they say "I'm ready to take my own trauma," and they've seen only one.

    When they look confused, but don't ask questions, or say they don't need help.
    That's too bad. I certainly ask a ton of questions as a newbie. You shouldn't feel ashamed when people's lives are at stake. It's just not safe. Always better to ask than "think" you're doing it correctly and kill someone... Some people have too much pride.
  11. Visit  Heavenlee75 profile page
    20
    A lot of nurses forget that at one time they too were new...I have a huge problem with nurses who think they're better or smarter than the next! I'm an experienced nurse who has oriented new nurses and student nurses and I enjoy teaching. The ER is a stressful place and although it might not be for everyone nobody should ever be made to feel like they're a burden to other nurses because they're new. That's why nursing is so stressful these days...bad attitudes to others!!!
    jrsRN07, AnGG, JHU2016, and 17 others like this.
  12. Visit  N1colina profile page
    3
    Quote from Heavenlee75
    A lot of nurses forget that at one time they too were new...I have a huge problem with nurses who think they're better or smarter than the next! I'm an experienced nurse who has oriented new nurses and student nurses and I enjoy teaching. The ER is a stressful place and although it might not be for everyone nobody should ever be made to feel like they're a burden to other nurses because they're new. That's why nursing is so stressful these days...bad attitudes to others!!!
    Absolutely! I'm so glad you have that attitude as an orientor... You have to! I enjoy teaching the students and newbies on our floor also. I mean yes, you do get those individuals that ask questions about basic nursing care that they learned in their first semester and are now in their last, or graduated already.... But those are usually the ones that don't make it.
  13. Visit  libran1984 profile page
    0
    When the noob administered PO benadryl IVP and called the diphenhydramine an abx.

    ....


    I don't know much else.... just something i heard.
  14. Visit  mcknis profile page
    1
    Or, how about when a seasoned nurse who has "many years of experience in this setting" establishes an IV, secures it and gives report to you that its a great working IV, but you find the IV in place with the needle still in the cath and tourniquet on... seriously!

    Or, "I have great skills at starting IVs. I know I do, because I have done many butterflies before in my other job, and it must be like that." And after asking how many IVs this nurse has done... "Well, none really. It looks really easy." And when asked about how many times this person has done peripheral blood draws... "Well, I haven't worked in 5 years, but I did a few and did a good job." I did not belittle this individual, but reminded them that IV therapy and peripheral blood draws are nothing of the same.

    Or, after 15 weeks of orientation (typically given 4-8), a nurse still looks puzzled when a doctor orders an accucheck on a known diabetic.

    Just some things like this, that experienced nurses "should" feel comfortable with is challenging for preceptors. Not that there is room for improvement, because there certainly is, but that episodes like these mentioned above are mentally draining. It takes strong expereienced preceptors to hod on tight for the crazy ride at times without pulling hair out
    mybrowneyedgirl likes this.

Need Help Searching For Someone's Comment? Enter your keywords in the box below and we will display any comment that matches your keywords.



Nursing Jobs in every specialty and state. Visit today and find your dream job.

A Big Thank You To Our Sponsors
Top
close
close