[falconboy]

You've been a tech for 17 years. You are familiar with your environment, take luxury in that. You are learning a new role and you'll get it if you keep trying; Don't give up. Each shift is a learning experience to add to your repertoire. Always prioritize your most critical interventions first. I think your existing knowledge base can be a real asset for you.

[bigsyis]

So, how is it going these days? Better?

[longjourneydream]

Yes bigsis, it is getting better.

I am learning, sometimes the hard way, but I try to make everyday a lesson.

It takes a long time to become a good ER nurse.

I have good preceptors.

Different types, some are better than others.

My biggest problem now, is time managment, and prioritizing,but it is coming along.

I have even thought about looking for a slot on the night shift, where pace at times is slower, to stop and think about what I am doing.

[bigsyis]

I am really glad to hear that things are coming together for you. It sounds like you have a pretty well-thought out "plan of attack" to succeed.
Nights can go either way in the ER-they can be slightly slower, or they can be an absolute meat-grinder because of reduced staffing and the kinds of things folks get into in the dark of night. I have seen new folks to the ER get a good orientation and adaptation to ER Nursing by beginning on nights, though.
Good for you, and I hope you enjoy your holidays!

[mechi]

1.Find out how many years of nursing bedside your manager had.
I am always seeing new nurses less than two year become managers,her attitude correlates with her fear of not knowing bedside care and how to be an efficient manager to well so she would delegate to you everything she can not handle even though you are a new nurse.
2.She would not treat you as a new nurse because she is protecting her position(managerial) and she will pick on you so she will look better till you stop her or quit ER. This is happening all over the country with the new managers with no experience and good leadership,in corporate america this is call vertical abuse behavior , Many companies are not accepting this behaviors any more so keep it in mind .they new managers love to mandate , intinidate you with power or e mails but few of them will seat with the new nurses to talk their future needs in learning to achieve their goals in the nursing caeer.(to understand your staff you need to remember you were a nurse bedside once)They forget it very soon .They behave like Corporate executives and forget their role as patient manager care.
3. I wuold suggest you to transfer to another departament with better orientation tool to give you the happiness of being a good nurse .
4.Maybe another ER hospital like county teaching hospital,they are more focused in training residents and new nurses so you would get the help you need and protect your license.
5. Do not panic this is a bad experience that will soon be in your past if you seat and think another options as a nurse .Remember nursing shortage is on rise they need you and many hospitals are willing to received you and give you the tool you need .LOOK for it .

[longjourneydream]

Originally Posted by mechi

1.Find out how many years of nursing bedside your manager had.
I am always seeing new nurses less than two year become managers,her attitude correlates with her fear of not knowing bedside care and how to be an efficient manager to well so she would delegate to you everything she can not handle even though you are a new nurse.
2.She would not treat you as a new nurse because she is protecting her position(managerial) and she will pick on you so she will look better till you stop her or quit ER. This is happening all over the country with the new managers with no experience and good leadership,in corporate america this is call vertical abuse behavior , Many companies are not accepting this behaviors any more so keep it in mind .they new managers love to mandate , intinidate you with power or e mails but few of them will seat with the new nurses to talk their future needs in learning to achieve their goals in the nursing caeer.(to understand your staff you need to remember you were a nurse bedside once)They forget it very soon .They behave like Corporate executives and forget their role as patient manager care.
3. I wuold suggest you to transfer to another departament with better orientation tool to give you the happiness of being a good nurse .
4.Maybe another ER hospital like county teaching hospital,they are more focused in training residents and new nurses so you would get the help you need and protect your license.
5. Do not panic this is a bad experience that will soon be in your past if you seat and think another options as a nurse .Remember nursing shortage is on rise they need you and many hospitals are willing to received you and give you the tool you need .LOOK for it .

I have moved to medical telemetry, starting January 7th of this year. I have been off orientation for 2.5 weeks now. Needless to say I am feeling the growing pains.


I decided to get more experience first before I take on a specialty such as ER.


There are times I am not leaving my unit until sometimes, 2030,and my shift starts at 0630.


I have much to learn and the unit has been forgiving and all are trying to help me along.

It is a hard place to work, but I try to manage day to day.

I guess the 1st year in nursing is hard no matter where you start.

I started working in June of 2007, so hopefully in 4 months down the road will be easier for me.

I am attending a ER/critical care class, and have been invited back to the ER if I feel I'm ready to go back.

I don't know how I feel at this point.

I will see how I feel after my first year in nursing...

[mechi]

I am very happy with your decision ,I hope you will get the knoweledge you are looking for.If you feel adults are not for you or overwhelmed try pediatrics you will love it. May be you need some push in your life and pediatrics and newborns units are encouraging. I did the change after 15 years experienced ER /ICU nurse I moved to pediatric ER /ICU world. I loved it for another 10 years.