FNPxAbyss318

Use facebook as a tool! Join the facebook groups labeled "NP preceptors or your local states NP groups ie: NY NP's" and ask for anyone looking to help out. That's how I found all of my preceptors and did not pay any fees. You will be surprised!

@victoria3594 Being an FNP is very rewarding in since that I felt like I was ready for it. Being a nurse in the ED I found a sense of autonomy with the ability to anticipate orders and wanting to make more decisions as a provider. As far as your anxiety I do recommend journaling! When I was in the ED, I would also get very anxious which would ultimately lead to brain fog. After only 6 months of reflecting on my entries I would realize the miniscule things that I would fret over--that no longer mattered. To this day, as an NP I read my journal entries from the ED and I laugh because those moments did not define me or my competency as nurse! You are learning and you deserve to give yourself grace. I have experienced all of the above working in multiple settings. You are not alone :)

Not sure exactly what you are asking for?... Are you asking for the terms themselves or an explanation of the terms? If you are looking for an explanation I would reference your physical assessment book as this would give a full description for such terms. If it helps with documentation....for each pt I always list the below: Document current activity: ie-sleeping, sitting on edge of bed, interacting with peers or activities, posturing Affect: labile, flat, restricted, blunted, full range Mood: sad, happy, excited, manic, elated, angry, enraged, hopeless, grandiose Speech: pressured, flow, rapid, organized, disorganized, incoherent, mumbled Thought process/content: disorganized, tangential, loose assoc, delusional, organized Dress: disheveled, clean, neat, appropriate Food: consumed Sleep: # hrs. Suicidal: y/n with plan or without AV hallucinations with or without command

I am a fond believer in doing what makes you happy! That has led to me not only increasing my salary over the years...but also diversifying my resume. The days of staying committed to one organization or role has passed. Send the email and have the conversation with those you feel close to and deserve an explanation. On another note, you don't need to explain your life or career decisions to anyone. As you move up the totem pole in this industry you will recognize that no one has your best interest in mind except YOU! Good luck ?

I started in a 12 bed ER in the first 8 months of my nursing career and learned a great deal. At the 8 month mark a lot of what I was learning became redundant and I ventured to a level 1 trauma. I worked with a lot of older individuals and my peers thought I was "crazy and for sure would be back". Needless to say, I never returned and thrived in the collegiate environment learning soooo much more..When you find yourself in space with no more room to grow--move on! With that being said, in the beginning of your career you will learn the ED algorithms for chest pain, abdominal pain, STEMI, codes and etc. Get those down pack and understand the "why" of what your doing. Not just completing the tasks.

Sheehy's Emergency Guide

ER Nurse/FNP here ? Want to let you know that you are not alone! I started in the ED 7 years ago.....first and foremost never let anyone convince you that you have to be "cut out" for the ED and all ED nurses are cut throat. Unfortunately, that is a bad reputation some of the narcissistic bullies within our profession have given us. I would be worried if you weren't anxious and taking care of critical patients. Keep in mind that you are in an area of "critical care" and give yourself grace. I must say the ER is a setting that requires a love for learning and being able to manage that anxiety, while also learning to prioritize your care. As far as the ACLS--you will be fine. Most class sessions are open book and the instructors understand that most new grads are novice to this level of thinking. They are not expecting you to run a code after. Know the rhythms that will kill someone and you will be fine. I followed a set of rules in the ED that have kept me sane: 1. Always take your break the ENTIRE 30 mins (the building will burn with or without you there) 2. Take a deep breath and figure out who can potentially deteriorate 1st 3. It's cool to go in the bathroom and cry 4. It's not rocket science--just remember the algorithm 5. Check yourself at the door and don't carry your work home ?