Help! stay or go?

1:10 as a regular ratio is unsafe and unworkable in my opinion. Don't know what your options are but I would suggest getting out as the benefits don't seem to outweigh the risk of losing your license.

Did you ask about ratios before accepting the job? If so, did they tell you 1:10 or something else?

those ratios are normal in nyc...my last place was like that but we didn't do break coverage that way, where you take on your partner's load. they did tell me 10-13 but not about break coverage

And that 1:10-13 is for esi 1, 2 & 3 patients? If so, wow. Hope you're making at least $60/hr.

What is the "lack of morale"? Do you think that, or did someone tell you that?

yup its for esi 1,2,3 and a big NO to 60/hr

its both with lack of morale-- i'm told i lack enthusiasm and don't want to seem like I want to rush into traumas. That was initially now. now im just tired of proving myself for something I don't really want- this particular ED but I'm not sure how to salvage my resume. how do i explain leaving after less than 1/2 yr. i'm told not to bad mouth your old work place but how else can I explain it...

I'm also wondering is it better to resign at this point or wait for the axe to fall

my hospital excluded me for ebola training also.

I'm not likely to triage but really???

Go find a per diem position now in another ER with decent staffing. A smaller facility might be a better fit.

Resign in good standing.

You will have something to fall back on and that could lead to a FT position.

They are not going to ask why you left except when you complete the application. Stop worrying about that.

how do i resign on good standing while on orientation. Usually I give a month of notice, sometimes more if they seem seriously understaffed but I'm not sure how to do that on orientation....

and should i come in person with a letter, do I explain it as a family emergency-my resignation or no excuses

Are you ready to function independently in this ER if they let you off orientation? 10 pts is absurd and dangerous. The lack of enthusiasm could be sheer exhaustion.

If you could stick it out for a year you could transfer to another unit. A lot of ER nurses transfer to PACU and love it.

Go to your evaluation, maybe it isn't as bad as you think.

If you resign in writing just keep it brief and thank them for the opportunity. Do line up another job just in case.

Leave gracefully. Do not criticize their ratios or anything like that, they already know.

As noted by several here, 10 ER patients of mixed acuity is dangerous ... but it is known to be the norm in NYC EDs. What is not the norm is the way that OP describes trauma staffing. That is absurd.

In my experience, if there is a decision to terminate a nurse, the termination occurs -- they don't wait for such and such review period to conclude. If you need the benefits, I would try as hard as you can to hang on to this job and perform to the absolute best of your abilities while you actively search for another job.

That ratio does seem absurd; however, what are your resources? Does NY use med techs, medics and CNA 2's. If so, it can be stressful but manageable with how many resources you have at your finger tips. Currently at my facility, I have 4 pt's with CNA IIs as my only resource. Not to mention there are only 3 of them to staff a 57 bed ED.

I don't know how I would manage in your shoes right now but God bless your situation.

we use ED techs. there's 1:3 nurses supposedly but they get pulled out to watch observation/ psych pts/ 1:1, transport, cover breaks so half the time theyre not easily available.

Wanted to add that I brought up my issue several weeks ago to a union rep to see what my alternatives were despite not being unionized and he asked if I wanted to transfer out. I said yes and found out recently that he went to the director of nursing, who went to my ED nurse director who now wants to meet with me Tuesday early in the am. I've made minor mistakes like not document an ulcer or creating a med discrepancy by returning an extra percocet when I took an extra one out by accident. They wrote me up. I'm almost certain that theyre not recommending a transfer on my part and it's more termination.

So Tuesday, I'm supposed to meet the ED director and it's been a pain/ a week in limbo trying to set that up. At the beginning of the week I was told by my manager to go to my charge nurse to schedule myself for the coming week- the week of my evaluation. Exact words were " you have to, or you wouldnt be on the payroll schedule". The charge gets back to me this Thursday and tells me she'll definitely have me on a schedule by Friday. Fri I hear nothing, only word from the union rep that my director was looking for me so I set up a meeting through email with the ED director. She tells me tuesday at 9am, doesn't respond to me in terms of location and Im left hanging again. I'm pretty proactive but honesty don't want to be proactive in my own firing..lol... I want badly to resign on good standing but at this point with how unprofessional they've been/ stringing me along I just want to email my resignation and I am really scared that they wouldn't give me the option to resign.....the professionalism I've seem so far makes that option questionable.