Need a ED mentor

[abu123, BSN, MSN, RN]

Im a new US nurse. I worked as an ED nurse in in a country in asia for 3 yrs. Im already hired as a ED nurse in one of the hospital herr in Maryland. But I'm having a hard time because my experience is just so different from what I'm used to. I'm already good at using the hospital computer system. My problem is when I have a difficult patient like patient boarding as ICU patient, it gives me a hard time in understanding the orders and my preceptor are just not as nice as what I would exepect. When I ask questions they would give me a face or make me feel I'm a dumb person in front of a patient. My experience in Asia is so different. When I have patient in Asia I only do IVs, give stat medications, just stabilize the patients, let medtechs get blood, bring them to xray/CT scan and then they go to their rooms. I would just deal with them for 30min- 2 hours. Unlike here in US, in the ED you do almost all. Like blood transfusion, ngt insertions, and etc. It just makes me cry knowing my preceptors are just not nice to me. They either leave me all the time and they talk to their bffs or they give me a face when I ask questions. What should I do? This js making me not happy, its making me hate going to work. I just keep on crying after work. The job itself is stressful, and the people are just not that nice.

I wanted to change lreceptor but someone adviced me not to because they managemebt is not good. The management would rather lose the new nurse than give them a new preceptor.

[CalicoKitty, BSN, MSN, RN]

Staring a new job (perhaps especially in the US) is hard. I would try to stick it out for at least 6 months since you have previous experience. I believe all the hospitals would be similar (blood transfusions, NGT, etc). Those are skills that get easier as you do them. But, it is silly that the hospitals don't treat ED patients by acuity, so a nurse would have 7 patients including 2 "ICU" ones. =(

Really, just stick it out if you can. If not, there are other hospitals in the area (including one that is moving and opening a brand new spot).

Hating your orientation is almost a "rite of passage". ? Sorry and good luck!