Is ortho a good area for a new grad RN?

SandraCVRN · Jun 27, 2009

Iwent to an OrhtoMed floor as a new grad and loved it. Of course it was a a very organized place. The trick with ortho is having good techs to help with all the moving. Good luck

melsman1904 · Jul 13, 2009

I'm a new grad (May '09) working on an ortho floor. Give it a shot. I am loving it so far. Ortho was something that wasn't covered thoroughly for my class and I am learning loads of stuff.

DManAZRN · Jul 13, 2009

I would have to advise avoiding ortho. Dependent on the facility and ratios of course. Lots of heavy equipment, anyone here enjoy moving CPM's all night? More likely to pull something and ortho docs think they're really special, well, they are. "Don't wake me up for that nurse" and then the next day, "Why didn't you call me with this?" etc...

Go to TELE get ACLS work a year or two, get EKG down and THEN go to ICU or stay put.

The ratios are the only thing I will consider anymore PERIOD.

melsman1904 · Jul 13, 2009

Our CPMs aren't that heavy. And, where are you moving them all night? Ours stay in the room with the pt. The only moving we do is from a shelf to the bed @ 0600.

cjcalimer · Aug 2, 2009

I started Ortho fresh out of nursing school a year and a half ago and I love it. As a new nurse, it was nice not to be dealing with life and death issues on a regular basis. As far as experience, what you learn is pretty specialized. I can say I've lost a lot of skills from nursing school. I've only seen some things a handful of times (trachs, NG tubes, PEG tubes, colostomies, etc.) You do get great experience in treating pain. Ortho patients can be great (you can have a normal conversation with them) but they can also be VERY demanding (sometimes they forget they're in the hospital and not a health spa). You do still see some sad stories (people with chronic infections, dislocations, etc.) and rarely, people loose a limb. But in the last two years on my very busy ortho floor, we've have one code. It can be a lot of lifting, but that should encourage you to learn to do it the right way. I think the heaviness also brings people together to work as a team. No one can take care of all their patients by themselves, so everyone has to pitch in for everyone. As far as the docs, I work at a teaching hospital. We have the same group of 7 residents for two years responding to our pages. We actually get to know them and they get to know us. As in, they know our names. And call us by them. During the day, we have nurse practitioners who handle our pages (and all of them started as staff nurses on our unit). Of course that kind of thing is dependent on where you work. There are some drawbacks and I don't think I'll stay forever, but over all I'm happy I started on Ortho.

jdub3 · Aug 2, 2009

If you want to run around pushing pain meds every 5 minutes, transferr to commode and ambulate hips, knees and backs. Sure.......

OrthoRN09 · Aug 4, 2009

I started on a busy Ortho Trauma unit as a new grad. I've been there 6 months and so far I really like it. Not all the patients are heavy lifts. And we have ceiling lifts to save our backs. Plus we have PT and OT on our floor who always gets our patients up for the first time after surgery and twice daily. And our PCA's are extremely helpful...I couldn't do my job without them! I am at a teaching facility so we do have to deal with new residents a couple times a year. But there is always someone in house to page with questions/concerns. And so far, I have never been yelled at for calling "at this time of night". They are usually awake anyway. As far as loosing skills, I'm sure it's just like any unit, if you don't do something all the time, you will forget how to do it. But we do float to other units when our census is low so while I don't feel proficient in all the skills I learned in school, I do get some experience in them. And for the most part, the units I have floated to have been very good about helping with things I am not sure of. We get very few scheduled surgical patients on our unit, most are trauma. And since a lot of them tend to be elderly, they have a lot of co-morbidities so we do get a lot of expereince with that. All in all, I have found Ortho a great place to start. Will I stay there forever? Probably not. But for now, it's a good fit for me.

pangyaw · Aug 16, 2009

I started my nursing job in Ortho/Neuro, I love Ortho pts than Neuro pts. For ortho pts, its challenging though and I will not say that its stress-free, giving routine or prn pain meds, hanging blood if hgb Just remember, nursing is interruptions!!!

NeoPediRN · Aug 18, 2009

I have just under a year of experience and started on a post-op/ortho floor in July. I absolutely love it. There is quite a bit of turning with two assists so as long as you plan it out you're in great shape. You can help your tech turn and reposition/give skin care and it gives you a chance to assess your patients' skin, listen to their lungs, change their dressings, etc...our equipment is pretty modern so it's not that big and bulky. I was expecting the Orthopat drains to resemble some kind of huge medieval device but they are much smaller than I anticipated! The surgeons can be stinkers but a lot of them are very nice, just anal and know what they want from you. Time management is what I'm working on right now. I'm up to handling four patients (we max at 5, including admissions/fresh post-ops from PACU) and they have many needs and issues, lots of hypotension, transfusions, abnormal labs, and nursing interventions. It's fun but requires a lot of running your butt off and prioritizing. Sometimes I get too sucked in by addressing family members' concerns and there just isn't time for that 20 minute conversation when there's so much to be done. I'm also an anal-retentive control freak and it's been hard to give up my scheduled routine way of doing things from my other job to go with the flow and get my assessments whereever I can whenever I can, and there are always stat interventions that need to be done that prolong my routine things. I often feel like I'm chasing my tail, but for the most part I'm out by midnight on a 3-11 shift so I'm not doing terribly, and my patients maintained safety. It just seems so easy for them not to! The other night I had a patient filled to the brim with crackles despite Lasix s/p chest tube removal and I have the doctor on the phone, meanwhile they're grabbing me because my other patient has audible wheezing and is sweaty and needs an inhaler treatment. It's never just one patient at a time. The ortho stuff is a breeze, it's just everything else! It's awesome though, your assessment skills will be way up there in a year or two. I've only been on the floor a few weeks and we've already had a couple of rapid responses. Just make sure that your patient to nurse ratio is feasible, I'd say no more than 5 on days or evenings, and that you have a good team. Good luck, let us know what you pick!

lookingabroad · Sep 1, 2009

HI

I preceptored on ortho/trauma and I've been working there full time for about 9 months. It is a heavier floor, but there are perks. Pt's come in all broken, we fix them, and generally they go back to their normal lives. Of course there is a big geriatric/hip/dementia population as well that can be a bit of a challenge. I have 4 pt's on days and 5-6 on nights. Its a fast paced floor, but so far the other helth care professionals help out a lot and the docs are pretty good. There are a lot of back injuries though that you have to be careful about. All in all I'm finding it to be a good place to pick up fundamental nursing skills, but I don't plan on staying longer than a year. One last bonus is that there are very few codes (on my floor anyways) if that freaks you out. Good luck

P_RN, ADN, RN · Sep 7, 2009

Ortho was "IT" for me. Get them after surgery already worked up, In and out in maybe 5 days max...and they hardly ever die. Your already tried neuro and didn't like it. If you don't like ortho go try something else. I stayed 22 years.