If there was one piece of advice... - page 2

I am a new grad. and will begin working in our level 2 Trauma center. I have worked in the hospital environment already, have good clinical skills and good grades but I know that the "real world" is... Read More

  1. by   TinyNurse
    I NEED to reply because I want to help.
    I started at a 9 bed ER and then moved to a level II where I was taught to "go with your gut"
    I now work in a level I, and i take this advice with me everyday........ and it has never done me wrong..............
    so......."go with your gut" has been my best advice ever......... do you think they need labs/ekg............and make sure you are confident and go with your gut
  2. by   Peg804
    Welcome to the wonderful world of ED nursing. The best piece of advice I can give you is that you can only do what you can do. You have one brain and two hands. You can do one thing at a time. Don;t try to do everything. Take a look at the big picture. Remember most people that present to the ED do not really need to be there. But those that do deserve the very best that you can give them, and the others can wait. ED is by priority, that is just the way it is. Use your coworkers, maybe they cannot do the tasks for you, but remember that they are there, and you are not alone. Most importantly remember people die, no matter what we do, or how well we do it, they die. Young or old, it is their time, and there is nothing that we can do about it. Do your best, that is all that anyone can ask of you, and all you can ask of yourself. Good luck
  3. by   MrsWampthang
    Develop a tough hide to protect you against the patients, family members, friends of patients, and most of all, the ER docs that will yell at you like it's your fault something didn't get done fast enough. Never take it personally either.
    Watch out for the quiet patients, they're the ones that are the sickest. When someone tells you they feel like they're going to die, believe them and get the code cart! They're probably getting ready to go toward the light! :chuckle
    Wearing all white is almost a sure guarantee that you are going to get vomited or bled on! :chuckle
    The loudness of the patient's complaint is directly inverse to how sick they are. :chuckle
    All bleeding stops......eventually.
    I'm sure I will have plenty to add after I have thought about it some more!

    Good luck in the ER!!!!!

  4. by   grammyr
    We have a little bell at the triage desk for after hours visitors. The number of dings on the bell are inversely proportional to the severity of the illness.
  5. by   ER-RN-2B
    I just found out today I have a job in a level 1 trauma center when I graduate! :hatparty: I am scared to death and excited. The director during my interview said that the best thing to do was to never be afraid to ask questions. I have heard it's important that you don't go in acting like you know everything or try to be too confident. If someone wants to teach you something you already know, just let them, you might learn something new.
  6. by   Altra
    I have soaked in every word of this thread -- after much consideration, I'll be taking a job in an urban ED after graduation. I currently work as a tech in a smaller hospital's ED and I've realized how much more I enjoy the ED environment than other clinical units, although I've learned TONS everywhere I've been for clinicals.

    It's especially encouraging to read that FEAR is to be expected, 'cause I've got a major knot in my gut! :chuckle Nothing ventured, nothing gained, I guess.

    Thanks to all of you who have posted!
  7. by   grammyr
    And always remember that no matter how long you have worked in the ED, there is a lesson to be learned everyday cause everybody has a different story.

    Welcome aboard!!!! you are gonna love it!!:hatparty:
  8. by   PatrickJ
    One fast bit of advice that means so much with so few words

    Measure Twice, Cut Once

    The above replies are wonderful bits too.

  9. by   cheripa
    Thanks for all the advise. I have been getting negative feedback when I tell nurses that I tooka job in the ED. This is very discouraging... After reading your posts, I have a lot more confidence that I am making the right decision.
  10. by   ImaERtraumaRN
    Quote from cheripa
    Thanks for all the advise. I have been getting negative feedback when I tell nurses that I tooka job in the ED. This is very discouraging... After reading your posts, I have a lot more confidence that I am making the right decision.

    I can totally identify with this. I have come to the conclusion that I would probably encounter this no matter what area I chose. Some nurses say that you shouldnt specialize until you have had some med-surge under your belt. Others will tell you that since the ED is a world of its own that you may be better off being "molded" into one rather than transferring in. The bottom line I have walked away with is this - work hard, make sure you demand plenty of orientation and training and follow your heart. So thats what I am going to take and run with!
  11. by   Peg804
    Don't listen to those who discourage you for taking an ED job, it is the most wonderful place to work. The people you work with will become your extended family, much stronger than those who work on the floor. You will learn from each other. I am thankful that I work in the ED I do, I can rely, and you will too, on those you work with. the formality with MD;s is not there, yes they are the doc. but. atleast where I am, there is an "we're all in this together" feeling, The docs actually ask for ideas, especially with arrests, medical or traumatic. You trully gain an entire family. It is hard work, dinner is an afterthought eaten while standing in the kitchen, etc. It is never the same, unlike the floors, you have to know alot about everything from the neonate (rate) to the geriatric, medical to trauma, etc, But it is the greatest place with the greatest people I can imagine. Good luck to you, ignore those that do not support you, get all the education you can. If I can do anything for you or answer any questions (I am said by some to be old-can you believe that-I do not) let me know-if nothing else I am here for support,
  12. by   MADDOG70
    I started as a new grad in the busiest E.R. for ambulances in Illinois. I was always told if I could handle this E.R. I could handle anything. I made it!! A few things are important.

    If a pt. says they are going to die and they are already critical.....believe them.
    Be prepared. PRIORITIZE your pt.s
    I agree never wear white.
    Watch and do everything you can. ASK questions!!! Admit when you don't know something.
    The more you help your other co-workers when they're in a bad situation the better off you'll be.....jump in. Don't get a reputation of being a slacker!!

    Quote from calicamper
    For Dixielee especially, thanks for taking the time to write up this advice. I start working in an ED in October. Very much appreciated your suggestions, and everyone else's.
  13. by   Peg804
    Right you are, follow your gut instinct. If they say they are going to die, they will. If they say they have to put their feet on the floor, watch out, death is just around the courner.