First full day in the ED...

Specialties Emergency

Published

...and let me tell you I am numb. It was completely crazy. I was with a fantastic experienced nurse, and wow I wish I had a tape recorder, I think I learned more from this nurse in one day than I did in the entire last semester of clinicals.

I am still spinning from the transition from student to RN, I think. I didn't experience this even as an extern. It is just so strange to be the one doing things, if that makes any sense. To be treated as a member of the team, to be trusted as a professional, it is bizzarre. I am so happy to be where I am, and hope to be able to work hard enough to become a good ED nurse. This is the first facility I've ever been to where I was addressed by name and spoken to like I was valued. It probably sounds silly, but it was such a nice feeling to be regarded as part of the team.

It's going to take some time to feel confident though, I couldn't seem to click it together fast enough. I knew the answers to things, and understood my role, but just couldn't feel confident enough to put it out there yet.

The people stuff is gonna be tough. I was sort of detached during codes, focused on the task, and treating some of these poor, poor souls, but on the way home while driving, I just cried when it hit me. So sad, so many of the patients coming through there just have no quality of life in so many ways. No wonder they want to stay in the ED, it's much better than anything else they have.

And nothing is more humbling than saying "I don't know" over and over and over.:imbar But I figure pretending is much, much worse, so now I have a new catch phrase. Maybe I will tape it to my forehead? But it's nice, there are new interns who are learning too, we're all kinda in the same boat.

Okay, and tell me the truth, is "crack dance" a real symptom? I can't stop chuckling over that one, and wondering if they were pulling my leg. But I'm leaning toward not, since I saw it written in the notes....:)

Specializes in ER/Endoscopy/Blood Bank/Radiology.

As an old hand in ED,

I think you should be proud of yourself on your first day!

It takes us all a "long" time to really hear and understand what is going on around us. You seem to be on the way......keep up the good work!

Specializes in Emergency Department.

Welcome, Welcome, Welcome to the world of ER nursing! I have been doing ER nursing for 18 years and I STILL ask questions! The good thing about working with a good team is the ability to ask and not feel stupid. We all work together and it's a wonderful thing! I do remember, each time we get a new RN, how inept I felt when I first started! Welcome aboard! I am sure you will be a great ER RN!

Specializes in Cardiac Telemetry, ED.

Lurksalot, you out there? It's been three years, you still hangin in there?

Specializes in Emergency Medicine.

It's going to take some time to feel confident though, I couldn't seem to click it together fast enough. I knew the answers to things, and understood my role, but just couldn't feel confident enough to put it out there yet.

Welcome to OUR world. Relax, be patient. It will come to you.

Learning is always an ongoing process but expect several months before you find your "comfort zone".

Stay motivated even after the tough days. It's refreshing to read someone that's enjoying the ER rather than everyone complaining, whinning and moaning about how HARD it is...

Good Luck

Specializes in ER.
...and let me tell you I am numb. It was completely crazy. I was with a fantastic experienced nurse, and wow I wish I had a tape recorder, I think I learned more from this nurse in one day than I did in the entire last semester of clinicals.

I am still spinning from the transition from student to RN, I think. I didn't experience this even as an extern. It is just so strange to be the one doing things, if that makes any sense. To be treated as a member of the team, to be trusted as a professional, it is bizzarre. I am so happy to be where I am, and hope to be able to work hard enough to become a good ED nurse. This is the first facility I've ever been to where I was addressed by name and spoken to like I was valued. It probably sounds silly, but it was such a nice feeling to be regarded as part of the team.

It's going to take some time to feel confident though, I couldn't seem to click it together fast enough. I knew the answers to things, and understood my role, but just couldn't feel confident enough to put it out there yet.

The people stuff is gonna be tough. I was sort of detached during codes, focused on the task, and treating some of these poor, poor souls, but on the way home while driving, I just cried when it hit me. So sad, so many of the patients coming through there just have no quality of life in so many ways. No wonder they want to stay in the ED, it's much better than anything else they have.

And nothing is more humbling than saying "I don't know" over and over and over.:imbar But I figure pretending is much, much worse, so now I have a new catch phrase. Maybe I will tape it to my forehead? But it's nice, there are new interns who are learning too, we're all kinda in the same boat.

Okay, and tell me the truth, is "crack dance" a real symptom? I can't stop chuckling over that one, and wondering if they were pulling my leg. But I'm leaning toward not, since I saw it written in the notes....:)

never heard of crack dance, and I've lived/worked in a lot of places. Where are you living/working? Maybe it's regionally specific. ha ha ha.

BTW, it's completely normal to feel unsure when you're on your own as a "real nurse." It's quite humbling. Great to say "I don't know" when in fact you do not. Much better to do that and find an answer then to make one up. It takes a smart person to know that they don't know/have all the answers. Each day you learn more, you'll feel more confident with small things - small things add up to big things and then so on and so on. After going on 6 years in an ER, each day presents insurmountable challenges at times. There are always other nurses who complement my work ethic and team, and it's those times that I'm thankful to have such diversity in learning and experience. I find that there are many times that nurses will ask me for help with something, and it can be for such a simple task as the conscious sedation forms. Tomorrow I might have a question and another nurse might have a quick answer. So we all learn and we need to, because it's not a cookie cutter world and every patient is different. There is much to learn.

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