NickiP

Im having a problem with my length of orientation to the ER. Ive been a RN for 2.5 years working in burn/icu for 1.5 years and in SDS last year and have forgotten many skills in sds (except for IVs). I wanted a change and went to ER. I was told 3 week orientation for full/part timers. I decided to go prn to "test the waters" and was told orientation was 2 days! which makes no sense to me- Im still doing the same work. I did my two days(24 hours) which were okay but very busy. I asked NM for more orientation and she said take or leave it. the problem is I reallly like Er with the fast pace and actively using my brain but am getting overwhelmed. I worked last Friday 3-11 as one of 2 nurses for 10 patients-luckily most were routine clinic type but I think I was just lucky that night- still was drowning. Staff are very supportive but that will only last so long which I can understand. I cant begin to possibly pull my own weight and am starting to get resentful. I know NM screwed me but what can I do? Bottom line is I like Er and think I can be good at this but am seeing the beginnings of burnout. Any ideas, please!

I am also considering a change to home health, but am not sure if I have enough experience. I have been an RN for 2.5 years, working in Burn/Burn ICU and now in same day surgery as relief charge for past year. I loved Burn but had no support from staff (basic sink or swim attitude from managers) which was scary for new grad. I love Same day Surgery and the variety I see, but am missing the long term relationships I had with burn pts and families. I am thinking of going into HH but am uncertain. Any opinions? I am comfortable with basic wound care from burn and of course can do IVs. I also know most area docs from sds and used to work as an intake coordinator for state non-profit agency. I would appreciate any thoughts from experienced HH nurses or any tips. I have been reviewing my assessment and disease books from school to reorient myself but don't want to get in over my head. Thanks for the help.Nicki