Jump to content



Adult Acute Care Nurse Practitioner / RNFA

New New Nurse
  • Joined:
  • Last Visited:
  • 9


  • 0


  • 83


  • 0


  • 0


RNFANP has 7 years experience as a BSN, MSN, RN, NP and specializes in OR/NP/RNFA.

RNFANP's Latest Activity


    I’m in a toxic relationship with the ER

    I was in your exact position. Worked in the ER, did evenings (3p-3a) loved it but eventually the frequent fliers, poor staffing, and constant stress was weighing me down. Never got a break and got down to almost 100 lbs (best diet I ever went on!). It got to the point where if a patient wasn't dying or about to die, I did not care at all why they were there. I just wanted them to leave. I became mean. Finally switched out to the OR. It was a rough couple of months because I was new to the OR and there was so much to learn and it was very overwhelming. I almost went back to the ER because that was what I "knew" and I was good at it. Finally I got the hang of it and never looked back at the ER. I told myself I would pick up shifts, but I just couldn't convince myself to go back. I actually got a 15 minute breakfast break AND a 30 minute lunch break with opportunities to use the bathroom. I worked twelves and a lot of times we were done after 3pm, so I got to actually sit and relax! Yeah, it got boring sometimes circulating, especially if it was a long case. But I learned how to scrub, and be decent at it, so it was nice to change it up and scrub in every once in a while. Don't be afraid to branch out - it'll save your sanity. I took a paycut switching but it was worth my mental health. My depression got better and I actually enjoyed working with patients again. Most OR patients are lovely and they're so grateful towards you (except when they wake up wild but that's not their fault).

    Critical Care Eliticism?

    I've seen this from a couple of different sides. I worked ED and was constantly harassed by the ICU nurses - "I don't think this patient needs to be in ICU" or "why didn't you clean the patient up before transfer?!" (I did but I can't help it if they have a bowel movement or pee everywhere during transfer - can't stop in the hallway to do that!) or my personal favorite: taking care of a SVT patient "why didn't you empty the foley and count it?!" Um sorry I was making sure her heart rate was in an acceptable range? These nurses were also the ones who would somehow be magically gone when I arrived on the unit, leaving me to transfer the patient over myself, get them changed into the ICU gown (heaven forbid they be in the ER gowns which were different from all the rest of the floors - why I don't know) and get them hooked up to a monitor. Only then would they appear and ask if I needed help. Nope. I'm good. Moving to the OR, I saw at lot of hate from the OR towards the ER. "Why wasn't this patient completely undressed? Why isn't their consent signed? Why this, why that." I actually had to sit and explain to some of these people that sometimes the going to surgery patient may not be priority (if they're stable and just waiting to go) and that I may have a crashing patient next door that requires all my attention. I never complained when I went to pick a surgery patient up if they weren't completely ready. Instead, I -gasp- helped get them ready - grabbed fluids, got admission paperwork, signed consents, etc. It's all about people's attitudes. I think it's a grand idea to have people who complain the most about other departments go to those departments and see what it's really like. Many of the OR nurses who complained about the ER nurses would never survive an 8 hour shift in the ER. Moral of the story - haters gonna hate and you just gotta block that negativity from your life. You do you.

    What's a good starting career for a new nurse?

    I always encourage my students and new nurses to go the the ER for a year if you can. You learn all your skills (IVs, NGs, foleys, etc.), your time management, and critical thinking skills quickly. I wasn't cut out for Med-Surg (I loathed doing clinicals there) but I really thrived in the ER - it can be a sink or swim sort of situation but I worked with some great staff and great doctors that were more than willing to teach. You'll get a lot of variety - one room can be a STEMI and next door can be a hot appendix with a gunshot or laboring person in the waiting room. I wouldn't have traded my time in the ER for anything!


    I'm currently looking for a NP job (new grad) but I've had interviews at a variety of places. One was a liver transplant inpatient unit, a Urology clinic (seeing outpatients), a Nephrology clinic (seeing outpatients), a GI clinic (seeing outpatients with ability to see inpatients), an ICU inpatient only, and a Cardiac clinic (outpatient and inpatient) and hoping to interview with a cardiothoracic surgeon (possibly doing inpatient, outpatient, and assisting in the OR). I think a lot of changes are coming to the landscapes of NPs. I see a lot of hospitalist and inpatient positions open to Acute Care NPs only and I definitely think we are welcome in any specialty (excluding women's health most likely). My local ER/Urgent Care only hires FNP because of peds/OBGYN but I would think in some more academic hospitals and cities that have women/children's hospitals would be more receptive to AGACNP.

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.