Quote from Mariah87
I am a new nurse and went right into ER and I don't want to get scared away already but I am close. My training was terrible. I don't feel ready to be on my own at all. I took ACLS but it's so intimidating when it is real. I just don't know when or what to call out to the staff and doctor and what to write down or how to chart. Am I supposed to have these algorithms memorized cause that seems impossible to me..?
Think about all the things you learned in school - didn't that seem impossible at first? Don't look at it as "memorizing," try to intentionally apply what you are seeing to what you have learned. For example, according to ACLS, what happens when we see a shockable rhythm? You know what comes next: high quality CPR until the defibrillator is charged, and then we shock. Yes, you are expected to anticipate "what comes next" in a code so that you will know what medications are going to be requested, or you will know what to chart, or you will know when to tell everyone it's been 2 minutes since a rhythm check or 3 to 5 minutes since the last epi.
Do you have an ED educator? Reach out to him/her. How long was your orientation? How long have you been on your own? If you are not yet on your own, can you get more time on orientation? New grads CAN succeed in the ED, but you have to be supported and have a good orientation. It's not for everyone, and there is no shame in that. I know a lot of nurses who have tried ED and ultimately left for other pastures (usually not greener, just different).
You shouldn't be in trauma activations at this point, especially without TNCC. Are you in a verified trauma center? That can make a big difference on who cares for trauma patients.
Just an allnurses tip: When you are responding to a particular person, using the "quote" button is helpful so we know who you're addressing.
Don't give up yet!