Okay, here goes my 1st thread... I've worked for over a year in a ED as a unit clerk -I LOVE it!! The excitement, traumas, always learning something new, and a GREAT staff (nurses & docs). All are very conducive to students. I've heard that I should get a min of 2yrs M/S experience before entering the ER. Honestly, the whole M/S thing is not for me, esp ortho (I'm not big into geriatrics). I love the whole trauma thing, eventually may try to work in a trauma center...but definetely needs some experience! Some have said a min of 1 yr M/S then 1yr ICU/PCU exp. Since I'm not big on the M/S stuff, others have recommended floating
for a yr, to get some M/S exp while getting a feel for a variety of units (L&D, Peds, etc).
I'll be graduating as an ADN in May ('04)...12weeks to go YEAH!!:roll
I was going to try for a float position b/c I'm hoping to sell my house in upstate NY & move back home (outside Philly, PA) to work for min 1yr. before returning for my BSN. Another ?, should I work on getting to the ER, then on certifications or get my BSN earlier before children to keep my options open? Anyone from Philly...are many of the RN positions looking for a BSN??
Lots of ?'s, any help & direction would be greatly appreciated!
Feb 18, '04
I am with PetiteFlower- I am a firm believer in training prior to ER, Med-surg, Telemetry, Heck anything is better than nothing. Things happen quickly in ER's, and you will be more likely (at some point) in a situation that makes you uncomfortable; rather it be your skill level, or the acuity of your patient. No matter what you do, your preceptor is the key; make sure you have a good one, and don't get rushed out of orientation. I was an LPN prior to going to ER as a new grad. (ADN), I still found my self to be insecure. My preceptor was very bright, but hard on me and I found myself alone alot. Basically I had to learn by fire. I hated my orientation to the ER, I felt as though all my experience meant nothing, my education-gone. I even tried taking Zoloft to get through my orientation with this "strong" nurse (I mean that in every sense of the word). It didn't help. So like I said, I had to learn by fire. I think I did well, I am now one of the permanent charge nurses, I love the ER, and my best friend-well that would be my ER preceptor, some how we made it to being best of friends, of course not until my orientation was long over with. We practice very much the same, (she's still the better ER nurse). But there are things you learn, and one of the things I learned was that new grads don't belong in ER, of course that is not meant to offend or discourage, it is only my opinion. EXAMPLE: A 43 y/o white male checked into triage, c/o chest pain, I bring him into the triage chair, he begins to tell me about his chest pain, I am writing his history, and he quits talking to me, I look and he has appeared to have passed out, me and others get him to a stretcher, wheel him to the treatment area of the ER, put him on a monitor, he is in cardiac arrest, duke power times 3, brought him back (shock X3), but where was my preceptor? Not with me. I was scared to death, almost quit my job. wanted to give her He**. but instead cried for three days and decided, I can do this, with or without a preceptor, hence learn by fire. Be ready if this is the decision that you make. It is a tough road, dont know what I would have done had I had no experience at all. maybe I would have quit, or maybe I would have, thought my patient was okay, and not known that he was in cardiac arrest-who knows, I see new grads all the time in our ER, and they scare me. But good luck in your venture.
and CONGRATS ON YOUR ACCOMPLISHMENTS OF BECOMING A NURSE.:hatparty:
Last edit by trsnurse on Feb 18, '04
Feb 29, '04
EMTPTORN wrote >> am a firm belIEver that you do not need med surg exp to go to the er, that IS AN ABSOLUTELY STUPID AND UNEDUCATED STATEMENT TO MAKE. it is no different than saying you cannot go to medsurg without going to the er first........so, do not listen to the naysayers, if you have confidence in your assessment skills (and truly are good at them not just a p.e. but having some intuition) then learn the repetive skills (iv's etc...) and do it.<<
This is entirely YOUR opinion and one not based on experience but judgement. Stupid? Uneducated? where do you come off making accusations like this? Your background as a paramedic obviously gave you an advantage when working in the ED. The individual you are replying to is NOT a paramedic, but a unit secretary.
there is a definate difference when one comes directly to the er as a new grad with no previous experience. We have discussed this topic over and over and over on this forum. There are those who believe that new grads need nurturing and training and the ED is not the place to do that, and there are new grads who have gone right into the ED and done well. (most of them had previous experience, whether it be a paramedic or an emt or an ed tech) I am not going to rehash this discussion beause it is getting boring.
Did you really mean to say stupid and uneducated???
Last edit by veetach on Feb 29, '04