Im still on orientation and am going to be evaluated soon at my new ED position. (i have yr+ of prior experience in an different ED) There's a chance I might be let go due to minor non-life threatening mistakes i've made and lack of morale. There are parts of the ED i love and am completely amazed by---continuous learning, being around strong and capable co-wrkers, always having the MD present and there are parts I hate. The hustling, the continuous under staffing issue. The shift I'm slotted to go into, nights has a 1:10 ratio, and becomes 1:20 when you cover breaks on top of being called to the trauma room when a notification arrives. This leaves the rest of my pts uncared for for however long I am in the trauma. If my team is strong and not busy taking care of their load they can watch my board. If not, I have to clean up when I'm done. The trauma room in my last ER job wasn't staffed in such a way. we had designated trauma nurses and MDs there the whole shift. Some of the nurses here just make it work..I have no clue how..it's not safe in my eyes. it's not ideal but people do it...I'm amazed and feel a little bad about myself
In anycase, I'm not sure what to do or say when my evaluation comes up. I want to hold onto my benefits (100% tuition, medical, pension, union), increase in salary and try to transfer into another dept ASAP but I'll have to stay in this ED for a bit and push through till I'm unionized or after a yr. Or the alternative, let it go, do agency work and start my search all over. Defer graduate school another semester which I did since starting the job :/ ..I'm drained, there are knots in my back and am very ambivalent about the ED esp. nyc EDs..