errneducator

Sorry didn't mention that I am looking for recommendations for new ED nurses. I am an ED educator, just trying to keep a pulse on what others are using.

I am interested in this topic as well. I currently am an ED educator. I have been in this role for almost 5 years. I am heading into my second semester of my masters as a CNS. I don't know if this will be helpful, but ENA has recently put together a scope of practice for the CNS in the ED setting - http://www.ena.org/IQSIP/NursingPractice/Documents/ENACNSScope.pdf Jess

What pocket guide would you recomend for a new nurse? Thanks, Jess

I was in no way trying to stir up turmoil and debate. I have worked with EMT's and Paramedics in the ER setting. They are a great asset! My husband is a Paramedic. I have nothing but the greatest of respect for his knowledge and the job he performs. He is willing to do a job I have no interest in working. I love the ER but do not want to work prehospital. Both jobs have their own unique knowledge bases and unique work skills. I do believe that they can cross over for instance Paramedics working in ER and nurses working prehospital. None the less, I don't think we should down somebody because they do a job we don't want to do. Furthermore, it is possible for both job categories to work together in the ER setting in relative harmony as long as we respect each others skill sets. Yes there are a few things that Paramedics can't do that RN's can't, but I just bet that some of the Paramedics can intubate better than some of the doctors even can. Thank you!

I am sorry you had that kind of experience in the ER. No we aren't all that way. In my training of new grads, I remind them all the time that the ER tends to get tunnel vision and we only see our side of the world and forget that the rest of the hospital world is busy also. However, it is frustrating when a doc sends yet another patient to the ER when you are already busting at the seams. (The ER has many issues facing them that are difficult to understand if you are not working in that setting. The issues cover diversion, overcrowding, pts using the ER for their primary care, among many others. That is not to say that we are special, but that we do need some understanding from other areas, just like we need to understand the other areas also.) Maybe you could suggest that the ER prepare an ENT cart that would have everything needed to take care of epistaxis and foreign body insertions. That way everything is right there and it would help those who are not familiar with the ER environment or the equipment supply areas. It would also help them out by having the supplies easily accessible.

Hi, Does anyone allow paramedics to work in their ER? If so, do you have a job description you would be willing to share? Thanks!

Yuma, IUPUI offers several different offerings for staff educators. I know they have one for the new staff educator. Here is the link. http://nursing.iupui.edu/LifelongLearning/default.asp I am new to my position also and have been looking for info for myself.

The unfortunate situation is that many emergency rooms are experiencing overcrowding, diversion issues, and pt boarding. I have worked in two different Level 1 hospitals, one in KY and one in PA. The article on Grady sounded very similar to the situation at both of these hospitals as far as the ER was concerned.

Unfortunately, JCAHO and other accrediting agencies don't work in the ER. They are the ones wanting the meds looked at by the pharmacists. Currently, our hospital is not doing the evaluation, but I am sure it will come down the pike eventually.

"Okay,..went to Barnes & Noble to buy the book,..hope I didn't just make a mistake,..they didn't have any new books so ordered a used one,..then thought maybe there are different updates I should have looked for,..I know ACLS has changed several times since I first took it,..perhaps I should just get with the education dept at the hospital to ask these questions huh? thanks so much for the input everyone,.am actually looking forward to this,..ready for new experiences!!" I would definitely get with your education department. There is an updated version of TNCC that is just coming out this year. Make sure you have the right edition for your class. Best wishes!

I am a TNCC instructor. Like Nene stated it is all in the text book. The biggest piece is the A-I assessment tool. Be very familiar with it. If there is a question with abc's in the answer, that is usually the answer. Remember that abc's are a big priority. Relax and learn from it. The reality in the workday world is that it will all be going on simultaneously but in TNCC you have to spell it all out.

Hi there, I am in the Adult program working on the RN to Bs track. I am attending the Louisville campus of the program. I love it. It is one day a week. In the adult program much of the school work is self directed with the classes being a discussion time about the assignments and new topics for the next week. Depending on the class, some of the assignments can be time consuming. The people that I have spoken to at the main campus (admissions, finance, etc) have all been very helpful. I hope this helps you. Best wishes in choosing your program.

Hi everybody, I am a brand new Er educator in a community hospital. My long term goal is to obtain my masters and teach in a RN program. So far the job has been challenging since the last educator left in Aug and I took over in Nov. I have found so much to do and learn and not much left from the last person doing the job. I have been enjoying reading through the postings on this board! Jessica

:welcome: Good for you on obtaining an externship! Use this time for your benefit. It is a great time to put everything you are learning in school with real life practice. Unfortunately, you will not learn Er nursing in nursing school. When I have had externs, I always appreciated when they didn't need me to motivate them. I would rather you have me ask questions than just dive in and do and then have to undo the damage. Get together with your preceptor on a regular basis and ask for feedback. Don't take what they say personally, but rather use the feedback as a platform for growth. Have a wonderful time learning!:monkeydance: Jessica

Hi everybody, I am a new Clinical Educator in our Er. Currently I have several new grads orienting and several getting ready to start. Does anybody have helpful suggestions for what worked or didn't work during their orientation? Does anyone have any ideas from what their hospital does? Has anyone used the ENA's Orientation to the Er curriculum? Thanks, Jess