From Med Surg to ER...So Lost!

Specialties Emergency

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I was sent to the ER to work last night....I was like a deer in the headlights. I can't quit thinking about it....Oh my gosh. I was a little nervous to start with then I had to stick two diff. pt's twice to get an IV.....they were not hard sticks....I just missed. I thought if I can't feel comfortable with anything else at least I did w/IV's.....so much for that thought!

We have computer charting in the ER....not on the floor....lost again.

They draw their own labs in ER....never done it....lost again.

They start most IV's in the AC....I never put one there.

I stopped fluids & flushed before/after pushes....they don't. They use mostly NS....but its just habit for me....They asked me why I would stop fluids & flush.....habit....then I felt stupid.

I cannot shake the dumber than dumb feeling today. I have been on the floor a little over a year but I feel like a brand new nurse. Did any of ya'll feel like this if you went from the floor to the ER? I just hate to feel so inadequate.....and boy, do I ever feel that way!

Specializes in Med Surg/Tele/ER.

twiggs.....I had also thought about Hospice. I was very interested in geriatrics & end of life issues. Actually that age was my favorite when I was on the floor. We had inpatient Hospice & you might be surprised at how many are in denial.

I kinda fell into ER & just loved it! I am sure I will be awkward for some time :icon_roll but I am learning & becoming stronger each day. I can tell you one thing your co-workers make all the difference! Mine are wonderful, they are the best bunch of nurses & techs I have ever worked with! Talk about teamwork......:w00t:

Have you considered going PRN? You could try some diff. areas & see if anything is a fit so to speak. That way if you don't like it you aren't stuck. Just my thoughts. Good Luck to you.

Specializes in ER, Occupational Health, Cardiology.

I am glad to hear that you have found your niche. I wish you many challenging,

exciting, and stress-free (!) learning experiences.

I just found your post and I myself have been in med surg for a year and a half (since i graduated) I wanted to hear your opinion about the transition to ER. I am so nervous, I just feel stuck in med surg, but I really think I would enjoy the ER. Any advice would help.

Posted by: crb613

Original Content:

I was reading through the ER section & saw this old post. I thought I would just update it a little.....

I am now in the ER & I absolutely love it. I am in orientation & my preceptor is great! LOVE IT, LOVE IT, LOVE IT!!!!!!! :lol2: I think I have found my place.

Specializes in Med Surg/Tele/ER.
I just found your post and I myself have been in med surg for a year and a half (since i graduated) I wanted to hear your opinion about the transition to ER. I am so nervous, I just feel stuck in med surg, but I really think I would enjoy the ER. Any advice would help.

I think everything has gone pretty good....It started out great until my preceptor got sick.....then I was just kinda let go....stressful! I have to say that all my co-workers were great, always there to answer all my questions & help me out in a bind! I am learning every day....still scared most of the time. While in MS I would have the same type pts all shift.....sometimes most of them 3-4 days in a row...you get to know them. In the ER you have a lot of different ones in one shift... everything from trauma pts to chronic back pain......you do what you can in the time you have......it is very fast paced most of the time.

I love it! I just try to listen & ask questions...I ask a lot. I watch the experienced nurses & try to learn from them. I have felt like an idiot a lot, thought I do not need to be here & just do not have what it takes....just plain old did not know what to do some of the time......Then a Doctor came up to me & said he thought I was a really good nurse, he trusted me, & that he was always glad when he came in, & saw I was working....and if he had a private practice he would try to steal me away!:wink2: I thought that was pretty nice & came at a good time.

It takes time I am told to feel comfortable....I am not there yet.

My advice...give it a try if you think you might like it.....Be willing to listen & learn...ask questions....and be willing to do what ever is needed....teamwork makes it so much eaiser. Good luck to you!

Specializes in Hem/Onc, ER.

Hey congrats! Glad that you found an area that you like!! :yeah: I transferred from Oncology/Med Surg to ER 8 months ago and love it, too!!!

Ann :D

Specializes in Nephrology, Nursing Education.

waaaahhh!!! my supervisor just told me today during my shift that i'll be transferring to the ER next month! im also in the MS unit. been here for a few months already and im loving it here. i would want to stay longer but i was told they need me more in ER. hmm...i guees im gona experience much of what you did as well. i hope ill manage. its going to be one hell of adjustments and finding ur way around when ur LOST all over again. best of luck to us!!

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