Originally Posted by jjjoy
Do you like your work? What kind of ED is it (urban, rural, trauma center, etc)? Would you like to change? Do you think you'd like ER nursing in most any setting or just where you work? Have you worked other areas of nursing? How did you like it?
I love the actual work but abhor the pt to nurse ratios that jeopardizes patient safety and my license. We consistently have the halls filled with stretchers and chairs lined up in every free space for the patients that are waiting for ED beds (post-triage). The 12 hour shifts also seem to be taking a toll on this aging body. It doesn't help constantly getting the one day on, one day off schedule, with no more than 2 days off in a row.
This is a teaching hospital, level II trauma center in an mixed urban-suburban area of a major NE city (so the suburban part is probably equiv. to most urban area hospitals).
Don't know how I would handle a smaller hospital where you have to reach (and wait for) the admitting docs for orders. I came from a level I trauma center, so I have no experience with not having someone in-house (except for one of my ICU jobs where there were no attendings at night). Other than that, I enjoy ER nursing and probably could do it anywhere. I also did ICU nursing and enjoyed the actually nursing part, the lower nurse to pt ratios; but, the family dynamics and the loss of more than 35% of the patients really wore me down-that's why I wanted the ED (to avoid the emotional entanglement and not burn out from emotional overload).
So, got any suggestions?
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