I've been a med-surg/tele float nurse for a year and a half. I was one of those people who started my career not knowing what I really wanted to do. I thought maybe I'd be a med-surg nurse forever. Let me start by saying I do love my job and where I work. I'm very grateful for everything. However, lately, I have been floating to the ED quite a bit. I mostly go there for overflow patients or to work as an admissions nurse, but I have fallen in love with the energy and chaos of the ER. Even though I haven't seen it all on the floors, I find that on the units, it's often the same old thing, same routine. It's extremely rare to see a code on the floors and I work NOC shift, so I don't use a whole lot of skills. Sure I put in an occasional foley, or an IV, maybe see a short run of Vtach, but that's about it. Most of the patients are trying to sleep in the middle of the night and there isn't much going on when that's the goal of their care. Not that the occasional crazy doesn't present itself, because it does, but it's rare. I feel like I'm not growing as much as I would like and I'm ready for a new challenge. I crave action. The last time I floated to the ED and someone went into unstable SVT and they were getting ready to cardiovert, I was all over that like white on rice. I wanted to watch, learn, help... whatever they would let me do. (The patient ended up converting without intervention and I was a bit bummed).To be honest, I've never had to pull out the crash cart on the floors, so I thought it was a glorious shift that night. Lol. Perhaps I have discovered I really am an adrenaline junkie? Anyway.... I've been thinking a lot about transitioning to the ER. I'm a bit intimidated by it, but I feel that I need to challenge myself and grow. I want to see everything, learn everything. I want to be one of those nurses who jumps in on a code and works it like a boss. I'm not there right now because I never see that stuff, but that's where I want to be. Several of the nurses in the ER have encouraged me to come work with them. I've come to realize that I need more than what I am seeing and doing right now and that's why I feel like the ED is probably going to be a good fit/move for me, even if I'm scared of making a change. So here's where I could really use some advice... the hospital where I work WILL NOT take a med-surg nurse and let them train for ER. It doesn't matter how many certs I have, or if all the charge nurses know me and like me, they are very rule-based. You must serve a year in their observation unit before being eligible for the Emergency Nurse Orientation program where they will train you. Clinically, the observation unit is a step backwards skill-wise for me, but I have reached out to the director and right now, there aren't any openings. My option is to stay float pool and hope I float to the ER while I wait for the observation unit to open up, OR go to admissions nursing full time. That would have me working in the ED, but not as an ED nurse. The advantage to that would be I would get the opportunity to learn and help, but it wouldn't count when it comes to trying to get hired on as an ED RN. My current boss advised me to remain in the float pool and try for a per-diem ER job at another hospital that might be willing to train me. My hospital will hire someone for ER IF they have previous experience only. I feel like I am in a dilemma at the moment because I don't know what direction would be the best for me. I want to reach my goals and do it in a way that will help me to be prepared for the stress and acuity of the ER. If anyone has any advice or thoughts, I would very much appreciate it ? Thanks!
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Hi there.
I've been a med-surg/tele float nurse for a year and a half. I was one of those people who started my career not knowing what I really wanted to do. I thought maybe I'd be a med-surg nurse forever. Let me start by saying I do love my job and where I work. I'm very grateful for everything. However, lately, I have been floating to the ED quite a bit. I mostly go there for overflow patients or to work as an admissions nurse, but I have fallen in love with the energy and chaos of the ER. Even though I haven't seen it all on the floors, I find that on the units, it's often the same old thing, same routine. It's extremely rare to see a code on the floors and I work NOC shift, so I don't use a whole lot of skills. Sure I put in an occasional foley, or an IV, maybe see a short run of Vtach, but that's about it. Most of the patients are trying to sleep in the middle of the night and there isn't much going on when that's the goal of their care. Not that the occasional crazy doesn't present itself, because it does, but it's rare. I feel like I'm not growing as much as I would like and I'm ready for a new challenge. I crave action. The last time I floated to the ED and someone went into unstable SVT and they were getting ready to cardiovert, I was all over that like white on rice. I wanted to watch, learn, help... whatever they would let me do. (The patient ended up converting without intervention and I was a bit bummed).To be honest, I've never had to pull out the crash cart on the floors, so I thought it was a glorious shift that night. Lol. Perhaps I have discovered I really am an adrenaline junkie? Anyway.... I've been thinking a lot about transitioning to the ER. I'm a bit intimidated by it, but I feel that I need to challenge myself and grow. I want to see everything, learn everything. I want to be one of those nurses who jumps in on a code and works it like a boss. I'm not there right now because I never see that stuff, but that's where I want to be. Several of the nurses in the ER have encouraged me to come work with them. I've come to realize that I need more than what I am seeing and doing right now and that's why I feel like the ED is probably going to be a good fit/move for me, even if I'm scared of making a change. So here's where I could really use some advice... the hospital where I work WILL NOT take a med-surg nurse and let them train for ER. It doesn't matter how many certs I have, or if all the charge nurses know me and like me, they are very rule-based. You must serve a year in their observation unit before being eligible for the Emergency Nurse Orientation program where they will train you. Clinically, the observation unit is a step backwards skill-wise for me, but I have reached out to the director and right now, there aren't any openings. My option is to stay float pool and hope I float to the ER while I wait for the observation unit to open up, OR go to admissions nursing full time. That would have me working in the ED, but not as an ED nurse. The advantage to that would be I would get the opportunity to learn and help, but it wouldn't count when it comes to trying to get hired on as an ED RN. My current boss advised me to remain in the float pool and try for a per-diem ER job at another hospital that might be willing to train me. My hospital will hire someone for ER IF they have previous experience only. I feel like I am in a dilemma at the moment because I don't know what direction would be the best for me. I want to reach my goals and do it in a way that will help me to be prepared for the stress and acuity of the ER. If anyone has any advice or thoughts, I would very much appreciate it ? Thanks!