I really want to improve my skills and comfort with critically ill patients. I have found at every ED I've worked in that nurses are assigned based on experience and skill with those patients. I have gotten some exposure and experience but really would like more. That's one of the reasons why I went into this specialty to grow and expand my knowledge base. I don't want to be stuck in a boring assignment all the time. How do I ask for this? Do I go to the charge and ask directly? How can I get some honest feedback about areas of growth?
I would ask the charge to start assigning you to some more acute areas.
I flat out tell my charge nurses that I used to do floor nursing and that I would prefer not to be in the observation side of ED. They generally respect that and put me in high level acuity or typical ED patients.