fnp to er

I work in a very rural ER in Arizona. Around here both PA and NP in the ER make around 55 bucks an hour. You are expected to do everything or at least learn to do everything. Run the codes, cental lines, intubate, trauma, LP's, peds everyone and everything. Most of the time you are the only provider. Very critical stabilize and ship. I was poached from my last job by word of mouth no advertisments for the job, was lucky. I really like it but I was a medic before a nurse before an NP.

I read alot so when it comes time to do a skill I know the steps just need to get my hands on it. Also until I am comfortable someone will be with me until I can do the skill by myself. I will call them to standby. I get cme from EBMedicine.com which has alot of useful practical information. I knew what to do with the really sick and not sick, it was learning what to do with the inbetween people that took some time. I was trained in family so I have a big learning curve. I didn't want to specifically take an acute care program because I would be stuck. I am also going to take the fundamentals of ICU course at the AANP confernece this year. It sounds really good because I need to be able to stabilize a person for hours and we are also going to open a small icu which we will have to help cover. I am taking ATLS in May. I have bought books to review and basically learn as you go. My doc knew I was green in ER before i was hired and has given me time to learn. I will take any class that I think will help me to close the gap. I ordered the PEER IV review guide with answer book to help review.