Serta

New grad nurse here. Mine was 3 months and of those 3, we did 5 weeks of class. I work in a metropolitan hospital and we see 3x more gunshots/traumas (at minimum) than the nearest Level 1 trauma which is less than 20 minutes away.

Your charge nurse is acting way out of pocket... NO ER nurse I have talked to with any substantial years of experience would react like this and I've seen far worse med errors. Nonetheless a few things. 1. Did they die? I know this is blunt and a meme but its true. One thing I've learned so far is that mistakes happen. As long as you correct it and the pt is OK then I, nor any other nurse worth their salt will care in the grand scheme of things. Though yes there are exceptions but you know those kinds of scenarios. Like you give TPA to a person bleeding out lmao. Something stupid. 2. You will not lose your license. Not by any stretch and with that I would encourage you to look up your state board's disciplinary action reports. Statistically they are overwhelmingly unrelated to practice errors. I state this not to suggest that its OK to *** up but just to provide context. 3. Believe it or not pumps did not always exist. Your charge should know this... 4. Your charge should also understand that you have no experience. Of this entire thing Im more pissed off that some one like her is in the position she is if she is going to treat her coworkers and new nurses at that in such a manner. My advice to you is to take the lesson and leave the negativity of a burnt out *** for her to deal with. That is her issue NOT yours.

I too am a new nurse (though much newer than you haha) and only been working in the ED for 3.5/4 months. However, my hospital had us in an orientation program in which we had to show up and work through around 5/6 weeks worth of class time. We covered everything from strokes to splints to various codes and scenarios. I personally learned a TON in this process and got certified in a bunch of things. Nonetheless, I found that when we covered TNCC, ENPC, PALS, ACLS, and the like; learning and memorizing the algorithms was the best thing that I could have learned. Specifically TNCC and ACLS. Just by knowing those 2 algorithms you will know what to do in any code/trauma situation. TNCC itself has shaped my entire nursing process and honestly is the reason I thought NCLEX was so easy. It's that good. But, my advice would be to look into the algorithm sheets, read them, memorize the steps, THEN think back over them and imagine scenarios where you talk to yourself about whats happening and whats next. Given you've participated across a variety of these scenarios you can also use those for reference. Though you didn't necessarily know what all happened DURING the event, you do know what happened BEFORE and can use that as your practice scenario. I do this for just about every procedure or skill I am new at so when I see it again I remember exactly what to do.