Orientation and Competency checklist

[Beth385]

I just started working in a new ED in a different healthcare system. So far the orientation seems unorganized like there is not a systematic way to review and practice using basic equipment. In my previous organization, I was used to hands on & didactic training followed by skill validation. This organization didn't even train us how to use the IV catheters. Like i have put in thousands of IVs but, The safety device is different from what I am used to. I know there are other procedures & equipment that we are not being checked off on, like the rapid infuser comes to mind. Also, some of the policies aren't congruent with what is really happening. There are tons of verbal orders. I am not sure if I am being too picky or maybe my prior employer was just really systematic about orientation and ongoing training. I was hoping to get some comments from other ER nurses who have had more orientation experiences. I am not sure if I feel comfortable with nursing practice at my new job. I mean who knew I liked NPSGs lol.

[Altra, BSN, RN]

In my experience, orientation will generally include formal competency checkoffs on the equipment required by hospital policy, but there will be some basic equipment that you will be expected to learn on your own, as the differences between manufacturers/brands tends to be inconsequential for clinicians who have worked with another brand/type. Examples I can think of include monitors and IV catheters.

However, there is nothing wrong with grabbing your preceptor, a tech or medic who works in your ED, or your educator and asking for a 5-min. inservice on a particular piece of equipment that you are struggling with. Chances are, someone else will also have worked with the brand/type you are comfortable with and can help you make the transition quickly.

[BSNbeauty, BSN, RN]

I've asked some nurses and techs how to use some equipment. I'm usually proactive in my orientation, and always ask if I don't know how to use something.

This week, when I go to work, I'll be asking my preceptor how to splint and handle orthopedic issues. I'm not sure how to use some of the their equipment.