My final practicum is in the ED...suggestions?

[malestudentnurse]

I am fourth semester student in an ADN program and will graduate in December (hopefully). I was just given my clinical assignment at a very busy downtown hospital in the ED. I requested this assignment because I wanted to see and do the things that I haven't had the opportunity to on the med-surg floors during prior practicums. Be careful what you wish for I guess because now I'm scared to death!! I've never been exposed to the ED at all. I am a good student and have marched through the program with a healthy level of confidence. It isn't that I'm worried about failing the class, I'm worried about failing the patients. Any advice would be helpful. Thanks

[classicdame, MSN, EdD]

it is like a doctor's office, only faster. Not every patient will be trauma. Pay attention to the focused assessment and the questions asked by the MD or nurse ("why are you here NOW? What is wrong NOW?) Patients sometimes get bogged down with history that is not significant and you need to learn the tricks to asking the questions that get to what you need to know. Pay attention to the types of labs that are routine, then ask yourself why they are "routine". If you are lucky you will be able to practice IV and phlebotomy skills. You will for sure to get practice therpeutic communication!

[dthfytr, ADN, LPN, RN, EMT-B, EMT-I]

Get in, sit down, shut up, hold on!

[nurse2033, MSN, RN]

Just stick to basics, don't be afraid to say "I don't know" and ask for help. Most ER assessments are focused to one body system. But, always check the ABCs and mental status on everyone. And the biggest advice of all, wait for it... patients lie! They lie (or omit) their medical history, drug and alcohol use, sexual practices, or anything they might find embarrassing. Does their story make sense? Be skeptical. No one gets anything stuck in their rectum from "falling on it" although a lot of patients seem to think you might buy that. Good luck!

[guiltysins]

Just stick to basics, don't be afraid to say "I don't know" and ask for help. Most ER assessments are focused to one body system. But, always check the ABCs and mental status on everyone. And the biggest advice of all, wait for it... patients lie! They lie (or omit) their medical history, drug and alcohol use, sexual practices, or anything they might find embarrassing. Does their story make sense? Be skeptical. No one gets anything stuck in their rectum from "falling on it" although a lot of patients seem to think you might buy that. Good luck!

[Ruger]

Honestly, if you came this far you will be fine. Nursing really is just common sense. And like a previous poster said - if you don't know it, say so and find the answer. You will be fine...work hard and you will be rewarded.