Thinking of transferring to ER

  1. I have worked medicine and oncology for the past 9 years and am thinking of moving to Emergency. I am looking to challenge myself but still feel a bit uneasy as it has been 9 years since I did any pediatric nursing. Do any experienced ER nurses have any advice, or hints. I would appreciate any input on your experiences when you first started working in the ER
  2. Visit Patience911 profile page

    About Patience911

    Joined: May '01; Posts: 22
    Registered Nurse


  3. by   massEDgirl
    I was a nurse for 5 years before I transfered to the ED. Even though It was something I wanted to do since graduating...I to had that uneasy feeling...and wanted to make sure I could handle the challange.

    Some think that ICU training is a must....but ICU nursing was something I had NO desire to do.

    I worked as a "float nurse" for most of my years. I liked never knowing where they were going to send me...and in turn I learned a lot of skills from ortho to of course tele.

    I feel the most important thing for me to get ready for the ED was to take a good ekg interpertation class and to study for ACLS.

    If you really feel uncomfortable about the pediatric part I guess you could look at a PALS course.

    As long as you have the desire to work in the ED you will do just fine

  4. by   CEN35
    good luck! i'm sure you will do fine. i can't imagine being an oncology nurse ever? so my guess is, it will be a huge change for you also!

  5. by   Patience911
    Thanks for the encouragement!
    I do have another question concerning ECG interpretation courses. Do they have any online that you know of. I still have my old text from nursing school but it is a bit out of date. About the only thing I can remember about ECG's is that a flat line is BAD NEWS. Working at a teaching hospital, there were always enough medical residents and students to quibble over the ECG, I tended to base my assessment on the actual patient. And for those of you with med experience, you'll know that after time, you don't need an ECG to figure out that your patient is in trouble!
    Or, if there is nothing online, which book, or books would you recommend as a good starting point?
  6. by   teeituptom
    howdy yall
    from deep in the heart of texas

    Well patience, one of my all time favorite ER nurses, worked in L and D for 25 years before coming to the ER, and she did just fine, and still is. She can work with me anytime. So if you want it , go for it.

    keep it in the short grass yalll
  7. by   petiteflower
    Patience, go to there is a cardiace strip review there as well as simulators that will help brush up some of your ER skills.

  8. by   ERNurse752
    Go to and go to the pediatric tips section...

    Peds is scary until you just start doing it...I was a new grad when I went to the ER, and did fine. I don't know anyone in the ER who had every king of nursing experience under his/her belt before making the move to the just have to fly by the seat of your pants!

    The ENA publishes a book called something like Emergency Nursing Core Curriculum that's good...

    The site also has some more good references.

    A good EKG book is Dubin's EKG Interpretation (Dubin is the author.)
    I've seen it in medical/nursing reference sections of's bright orange, so you can't miss it! also has a good book with ER/ICU information...

    I'm a book junkie, can ya tell???

    Good luck!
  9. by   traumajunkee
    I was at a trauma conference and heard Laura Gasparis Vonfrolio speak...she is incredible. Her 12 lead course is great. (see below).
    I came from CCU to ER and I can remember being terrified of ENT patients...*grin*. Everyone has their strengths and weaknesses when first coming to ER.

    12 Lead EKG Stat!by Donna Memoly Koeing, RN, BA, BSN, CCRN-Denise Topp, RN, ADN, CCRN-Laura Gasparis Vonfrolio, RN, PhD, CEN

    Finally a 12 Lead EKG book written by critical care nurses for critical care nurses! "I love this book! It takes all the stress out of learning 12 Lead EKG's. It's fun and it's full of information." EKG's have been made to be a complex topic, a mind-boggling tedious journey. Hey! Kick your shoes off this adventure is made to be fun! 175 pgs $19.95 + $5.00 S/H
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