ncoli123

no I originally went into the OR, then went just went to ER after year of OR

what would you guys suggest I read and what should I always have on me? Example...I used to have a little pocket book of OB facts that I kept with me during my OB rotation.

I bet he was forced to wear it for refusing a flu shot!

walk6miles: what has been your experience with new nurses in the ER?

Thank you guys so much. I came home so stressed this morning. I feel as though I can read and read and read but I really need the practical hands on. One thing I do notice and forgot to mention is that I feel like most of the nurses started in med/surg or even in a much bigger hospital in Boston or NYC. The director really felt that I could come straight into the ER. Partially due to the fact that I had been an LNA since I was 16 in doctors offices and nursing home. I just want to excel at what I do.

I need advice: I am a newer nurse, graduated in May 2009. I had a wonderful opportunity to be the first emergency room extern at a rural critical access emergency room. During this time I was exposed to so many wonderful experiences and had a wonderful preceptor who taught me very well. My externship went great and I was asked to be their first new graduate hire in the ED. I was to complete 3 months of med/surg orientation followed by 3 months of orientation in the ED. There were no full time openings so I was going to be per diem. I was given the impression that new FT positions open all the time and I would have plenty of hours until then. I turned down a med/surg job at a larger hospital with an established new graduate nurse orientation program. A couple weeks before I completed my 3-week orientation on med/surg the hospital come out with the fact that they were having financial difficulties. They laid off two med/surg nurses. I spoke with the nursing director and the ED nursing director and was told that there was a chance I would not have any hours. I was recommended by the a med/surg supervisor to a FT position in the OR. I got the position and started in the OR instead of the ER. I liked the OR but really was disappointed not to be in the ER. After a year a full time position opened in the ED. Now, I am in the ED ft nights. I had two days orientation on days before going on to nights. The ED nurse director wanted me to complete the month on orientation and then be on my own. She said that my externship counts as well as the fact that I had come over a hand full of times to help when things were busy in the ED and not in the OR. I just feel sort of lost. On night shifts there are two nurses, a HUC, and a MD (in house, may be asleep though), there is also a nursing supervisor who is responsible for the entire hospital. Due to some advocating from the other nurses she extended my orientation another month. I am just worried I wont get all the experience I need because and be ready to come off orientation in December. I told her this and she said that most people don't have the experience of the externship, and assured me that we have wonderful night supervisors. Oh, I left out that my orientation is being continued on nights but I will be working 1 day a week 3-11, in which I will be considered a full nurse. I feel as though I am a good nurse and fit into the ED environment well but I just have so many concerns.I still feel as though I am a new grad...the OR experience is so specialized that as much as I learned there it doesn't transfer over completely. Any opinions?

These are two of the ones I talked myself out of! I'm terrible I spend the entire time researching and then run out of time for writing! I already used Orem in my personal philosophy paper so it would be easy to use her again...i guess it just didnt feel exactly right. I will look more into Henderson though. Thanks so much for replying.

Hi everyone. Quick question, I have been searching for days and cant find anything that works. Every-time I think I've found something I realize it doesn't fit! I am trying to find a nursing model or theory that would apply to or is used in the OR. I am writing a paper, I just cant decide on a theory that fits! Any ideas would be very helpful...I'm going in circles trying to find one!

Hmmm... you seem to have gotten many of your facts wrong. A 2- yr RN has the same exact scope of practice as a 4-yr RN, in the end they both take the same test. Where did you come up with this? Who knows what else you may be mistaken about! Do you really believe that after your 4- yr degree you will have experienced more than a nurse with years of experience? Good luck at your new job...I'm sure you can teach those dumb ol' nurses a thing or two!

Well I am done with this conversation but I believe that the way people told her "to think for herself" was what started it. Sorry I guess I just don't agree.

ummm. I was thinking all along...I didn't start this!

Well anyway, maybe the diaphoresis and has a increased RR is because the body is trying to lose fluid through insensible losses. In dehydration the BP would probably drop, the heart rate would go up to try to perfuse the body better. I'm not sure about the pulse. Perhaps the pulse is up because the H&H would likely be low so the body is trying to push the blood around faster to perfuse the organs??? Does any of this sound right? Its not really that much information, I wonder what the other choices where?

She knew the answer, she just wanted the rational! Haven't you ever wanted input on something you didn't completely understand? You should feel happy that you have knowledge to share!! If she wanted just the answer she probably could of just googled it and get a definitive answer with out the possibility of it being wrong. It doesn't really matter, I just want to say that this is the reason that I don't post much on here.... I've been coming to this website for awhile and I wouldn't ask anything theory based only for the fact that many times when someone asks questions people seem to decide that they can't think for themselves. I can think for myself, rationalize things in my own mind but I would still ask just to make sure that I'm not completely off base. Also other people opinions are invaluable especially nurses who have been in the field for awhile. Aren't they the ones who write the text books.

Okay so what... she's going to cheat on the NCLEX by asking questions.... or maybe she just ran across something she didn't get and figured that someone with experience could help her out/explain it better. You know the NCLEX study guides have the answers in them... along with the explanations. What's wrong with asking the experts?

I think it's pretty mean of you guys too assume she is trying to get you to do her homework, and then comment on it before she has a chance to defend it. Funny thing is at the bottom of the page where it has the two suggested links for other discussions... the first one says "Do Nurses Eat Their Young?" Since when can't nurses collaborate over interesting questions?!