Alzsunrise, BSN, RN 576 Views
Joined Nov 16, '11.
Posts: 8 (25% Liked)
I also was offered a job at Union in the ED about two years ago and was totally floored by the pay they were offering! What is up with that?!?
As someone who has been a nurse 3 years now and who went into the ED straight out of school, I can't stress enough that this is one of those things that absolutely isn't black and white. Some new grads would be wildly unprepared and unsuccessful going straight into the ED, others do it well. In fact, some of my best mentors in the ER are now 10-20 year vets in the ED who started their as new grads. I've also seen a lot of experienced floor nurses struggle to adapt to the different pace and priorities and the autonomy in the ER.
I think it's important to talk about this because when I was in nursing school I would read these boards and think "I can't do this or I have to do that...". A lot of people have said that I HAD to do medsurg first. But I wouldn't have been happy because I know I want to be in the ED. I'm really thankful now that I didn't listen or get deterred because of some of these opinions. Instead, I worked for years as an ED tech. Every opportunity I would do hands on skills (phlebotomy, ekgs, direct patient care, compressions in codes etc etc). I found the nurses that enjoyed teaching and I asked them why they did things a certain way, I observed how they prioritized. I read nursing documentation to see how they documented... I was proactive. In school, I fought to get my final internship in the ER. Every step of the way, I was trying to build my base for that specialty. I didn't wait to just get the opportunity or not in school. I sought it out.
Not everyone wants to commit that time and energy before graduating, but i also didn't want to come out of nursing school with just whatever they decided to teach me. AND, it helped me IMMENSELY during school and clinical to be aware of how things "are really done" and to already be confident with so much. I feel 100% that the actual nursing school/classroom portion was significantly smoother for me than my classmates because I put in that outside "real life" work. It was completely worth it just simply for getting through school.
With the experience I got as a tech, at times I was surprised about some of the things I had seen and done that many of the medsurg nurses in clinical or in ACLS hadn't. I was comfortably in codes and comfortable with the way nurses and doctors and techs interact in the ER. I was used to the fast pace and mixture of patients with wildly different needs. I had assisted on central lines and intubations and chest tubes. Because so many hospitals have phlebotomy and IV teams, I had more experience with blood draws in school than most of the nurses on the floor (at least the younger ones).
One other thing that has been neglected in this conversation is the type of ER. I currently work in a big city level one trauma center. Had I started there, I do think it would have been terribly overwhelming. So I started in a really small ER that was often more like an urgent care with IVs and occasional higher acuity. After a year, I went to a larger community hospital where I saw a lot higher acuity and learned more skills. Then I applied for the trauma center. I also picked places with strong orientations. So, my point is, there are ways to go the ED route without jumping into a major trauma center but without doing medsurg.
All and all, I think this is an important conversation because it was discouraging to read these posts and think I was going to be labeled or looked down on for trying to go this path. There are ways to do it safely, confidently AND humbly.
My best advice to ANY nursing student, be proactive during school. Find those nurses who can be mentors... network, take those extra certifications, get CNA/tech experience. And for any new grad, go for your dream, but do it in a reasonable way. That doesn't always mean doing medsurg for some obligatory year. When you get out there-wherever you are- be confident with the things you know and ask about the things you don't. Be someone that colleagues can trust because they know you will ask when you need help. Find those people who are willing to answer those questions and to help guide you early in your career. No one ever know everything... this is more important to realize as a new grad. If you realize that and approach this in way that shows you are open to learning, are paying attention when people offer to teach you stuff and that you are motiivated- you can find success in the area you choose.
No problem... I think MEEI is hiring too... I saw it on indeed the other day.
I haven't worked at any of those places so I don't have much to contribute, except to say that I was offered a job at Union in the ED a while back and I was absolutely floored by the pay they offered me. It was wayyyy below everywhere else, I would have had to take a big pay cut. I think Salem and Lahey would offer you substantially better money. I think Lahey is even offering bonuses to come to the ED if you are an experienced ED nurse.
I don't think there is a difference in starting pay, it is just the challenge of getting a job in Boston with an ASN. When I was a new grad I saw/heard about starting pay anywhere between $25/hr to $35/hr base pay depending on the setting. I would say most average between $28-$30/hr before differentials, but there were definitely some outliers.
It is becoming more and more challenging to get in to hospitals without a BSN. I think it would be very challenging to get into one of the big trauma centers. I do think Mass Eye and Ear takes ASN nurses who are persuing a BSN, they have inpatient adult and inpatient pedi floors that are primarily ENT/Head and Neck Cancer and Surgery. I would consider an acute rehab hospital like Spaulding in Cambridge or going outside the city a bit while you finish your BSN. Hallmark Health (Lawrence Memorial and Melrose-Wakefield Hospitals) may take ASN while perusing a BSN and it would be good hospital experience for your resume.
I know there have been some posts about New Grad RN rates, but I am considering the possibility of relocating to Louisiana for personal reasons at some point and I was wondering if I could get an idea of what the pay rates were like there. I would be looking in the BR or NOLA areas and would be interested in ER, particularly trauma centers. About me: about 4 years of experience, all in emergency rooms (plus EMT experience and ER tech experience before that), I have a BSN, have ACLS, BLS, PALS certifications and a CEN. My ER experience has been in a specialty ER that focuses on eye trauma and head and neck surgery/ENT emergencies (2 years) and a very busy full service community emergency room (2 years).
Thank you in advance!!
Hi Guys.. I am applying to the "usual suspects" for Direct Entry in Fall 2012 too! I noticed that NEU accepts GRE and MAT. Did anyone take the MAT? I got 1080 on my GRE (decent but not too great) and a 413 on my MAT. It is a little harder to find what a "good" MAT score is.... I am planning to submit both I guess. Good luck everyone!
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