Okay so I'm new to the ED experience. Coming from a LTC background. Needless to say, its only been a week and my head is SWIMMING . I literally came home with headaches trying to access all of my book fed "P&P" . . . however I LOVE IT! The atmosphere, the patients and the fact that I'm taking the steps needed to be a great nurse makes me so excited to come to work . . . but (and there's always a "but") . . . I know I have knowledge and training to do things but when I find myself in the room with patients and family looking on I get nervous. God, don't let them ask me a question either! I completely freaked out and feel like I'm stuttering to find the words . - Ummm, now what is the normal range for BP, Temp, Pulse? Aaargh! - I think its because I want to do so good sooo bad that its driving me nuts when I can't get it. That and all my experience thus far has been with dummy's that don't ask "why?!". I get so focused on sticking that heal/finger just right that I can't even answer any questions/comments . . .it takes me a while to get back from where ever my brain has traveled. Anyway, I'm here to find out from others (espicially ED PCA's) just what to expect from my first weeks on the job. 1. How did you blend in with an already establishe ED family? 2. Is there any unspoken "rules" to working in the ED?(My first lesson: If you are just standing there doing nothing and a nurse ask you to do something don't tell them to ask someone else! - I saw somebody get ripped for doing that!) and #3 is for all the nurses out there. . . tell me what do you expect from a newbie PCA? How do I gain that trust that you will ask me to perform a procedure and not just wait for another PCA that has been there. I hate when that happens because how is anyone to learn? Any stories (good or bad) that I can learn from would be nice.