ED to Informatics ... nervous!

Specialties Emergency

Published

So here I am, on the cusp of a huge change. I have been working in the ED setting since 2005, as an RN since 2008, and I have achieved many things: my BSN, MSN, CEN, CPEN, TCRN, and a lot of other random certs and accolades while also holding on to my NREMT-P (13+ years!). I've managed a trauma unit in a war zone. I've had a wonderful run as an ED/trauma RN. The ED has been my passion for more than a decade.

I completed my MSN in Informatics in December, and with my husband being accepted to the med school of his choice (so proud of him!!!), we are moving to a city with a LOT of hospitals. Almost a ridiculous amount! I love it. But being the ED/ADD girl that I am, I want to do everything and work everywhere. There was a time when I literally worked in every ED in my current city, and it was a bit too much. I know this about myself — I overextend my energy resources a lot.

I am getting older, I have a bad hip thanks to Afghanistan, and maybe it's time for me to not act like an adrenaline junkie all the time and take a seat, slow it down. So I applied to an informatics-related position that would be Mon-Fri, 0800-1700. Still some stress I'm sure, just a different kind. But I have to admit that I am freaked out at the prospect of this change. Leaving the ED is bittersweet. Being an ED RN is part of who I am. You know how you meet people and they say "I'm a nurse"? I always say, "I'm an ER nurse." You know ... we claim it, we're proud of it.

I had a unique opportunity just last weekend to participate in the CEN passing point study (if the percentage needed to pass goes up, I'm sorry! lol), and I met a lot of awesome ED/trauma nurses from around the country. One of them has transitioned to informatics, and he loves it. That took some of my trepidation away. I keep telling myself (and I told someone here this same thing very recently) that if I dislike this new role, the ED will always be there. (So true ... the ED recruiter at the same hospital as the informatics position cold-called me the other day, lol. I told my informatics recruiter to watch out, he's poachin'! We had a good laugh.)

I finally made mental peace with this change (I expect an offer next week after an in-person interview with the director), when up pops a trauma nurse educator position yesterday, working for someone I know. lol. GOOD GRIEF. So yeah, I applied for it too. I am a mess!!!! This is a great predicament to be in, I know. I have another offer from a burn ICU. I have so many options. I surprised myself by NOT applying for a single bedside ED position.

For those of you who transitioned from the ED: how did you do it? Did you do PRN at another ED to "wean" yourself? Any regrets? I have had people express disbelief that I would achieve CEN/CPEN/TCRN/all my experience and then "walk away," as they put it. That's not how I see it, of course.

Thoughts from those of you who have moved on after a long time? I'm struggling. I feel like I'm breaking up with a longtime boyfriend who is kind of a jerk a lot of the time. Haha.

Specializes in Emergency Department, ICU.
I was offered the trauma educator position today, and I accepted it! Super excited. Looks like I am not ready to be non-clinical yet. Lol.

Yayyyy so excited for you!!! I know you'll be great at it!

Specializes in Nephrology, Cardiology, ER, ICU.

Congrats! You will be wonderful!

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Congrats! You will be wonderful!

Thanks!! I am nervous! :D I am comfortable in my ED after five years, and my remaining shifts there are now in single digits. Eeeeeek! Exciting.

Specializes in Nsg. Ed, Infusion, Pediatrics, LTC.

Congratulations! I know you will be amazing in your new position! You don't know it- but you've sort of been my Excelsior "spirit guide" these past few years. Now as I'm finishing up the program there, I hope that I can be as helpful and influential as you have been. You deserve this!

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Congratulations! I know you will be amazing in your new position! You don't know it- but you've sort of been my Excelsior "spirit guide" these past few years. Now as I'm finishing up the program there, I hope that I can be as helpful and influential as you have been. You deserve this!

Thank you so much! That is so nice to hear. :) Congrats on being almost done!

Specializes in Emergency Nursing.
I applied, and I talked to the recruiter already - she's the same one who recruits for the Burn ICU, so she must think I am insane. lol. There are some things about the trauma educator position that make me hesitate, but I will see where that leads. Though I am seriously leaning toward Informatics + PRN ED. We'll see! Exciting stuff.

I have been a member of AllNurses since 2005, I can't believe it's been over a decade now and I have enjoyed your posts immensely Lunah/Pixie. Your journey to obtain your graduate degree has helped to inspire me to return to obtain mine (I will have my MSN in Nursing Education in Oct. of this year!) I also share a passion for the ED setting, although I wouldn't consider myself a trauma junkie per say more like I have a short attention span and need a constant change of pace. When I saw this post my first thought was the Informatics Position + ED PRN. As the self-proclaimed King of per-diem jobs, I have always had more than one position because it holds my limited attention span, helps me to be a lifelong learner and allows me to stay out of any workplace drama. The reason why I saw the informatics position and per-diem in the ED is this way you will be able to utilize your degree to the fullest and still get to keep your clinical skills up with a taste of the trauma once in a while. You could go with the ED educator position as a viable option and still get to be in the area you love but will it utilize the Nursing Informatics specialization that you have worked so hard for? Only you can decide, but I must say that IMO this isn't a bad dilemma to have at this point in you life.

Best of luck!

!Chris :specs:

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.

Hey Chris! Thanks so much for your post. :) I ended up with the trauma educator position, and I will still use my informatics-ish skills in dealing with the trauma registry. The trauma registrar during my interview was like, "Oh, I am so going to pick your brain." LOL. I did work hard for the MSN, but I don't feel it will go to waste. It occurred to me that my informatics capstone was focused on process improvement in the ED, and there is a lot of PI in trauma as well. Plus I really want just one job for a while. Yes, just one! Though I was already talking to someone about some volunteer EMS stuff. Hahahahaha.

I think I joined just a few weeks after you did back in 2005. It's been fun watching your RN journey as well. :D Congrats on being so close to your MSN! I will complete my Nurse Educator MSN after you, probably in early 2017. I am taking the next two months off while we move and settle in to our new place/city.

Only two more shifts in my ER! OMG!!! I am sad to be leaving my ER family (because they are family), but very excited for change. Typical me.

Specializes in Critical Care, Emergency, Education, Informatics.

Why the heck going for another MSN? If your going back go for Doctorate of some type.

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Why the heck going for another MSN? If your going back go for Doctorate of some type.

It's kind of a long story, I had started the other MSN and didn't think I would be able to finish the Informatics MSN. So I already had a lot of time/GI Bill invested in the Nurse Educator MSN and I want to finish it as well. I know, I had the same thought but I didn't want to waste what I had already completed.

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