mrssunday

Hi Peachshan First of all congratulations on becoming a nurse! As a new grad, I understand that it is hard to come up to your manager especially when you hear things about them not liking other nurses transferring. I always have this feeling whenever I transfer to different places. My first question to you is, is it going to be hard for you to stay there for a year? You will learn a lot over in the Med Surg/Urology area and the position for the Women Services would still be there after a year or so. Second, have you ever tried and talk to her about it? As you have mentioned she is nice. I do not know what her work ethics is but I think if you come up to her and tell her your feelings and concerns this would probably help you decide. Just tell her that you are at a bind because you want to work in the area but wanted to try the Women Services route. I think if you let her know that you want to apply to the other service and don't want to disrespect her by going behind her back would help her understand that you are concern about this situation. You can also tell them that you can help out in the unit if they need help out once you get settled in the other area. It is always hard to transfer to different care area especially when a manager voices out their negative concerns in transferring issues. Every time I am transferring or applying to different facilities I would let my manager know about this to provide them understanding that I do not want to disrespect them behind their back. You said "you heard they are blocking people from transferring", let your manager know that you do not want to disrespect them by getting behind their backs, you have to learn that nursing can be a form of networking with other nurses. Almost anyone can or have worked with someone and its not good to burn bridges with your previous work unit. If I were you, I would talk to my manager first. See what they would say and go from there. You will never know what he/she is thinking till you tell her your concern to transfer and does not want to disrespect her. Good Luck and hope this helps!

Hi jrb1201, I understand what you mean regarding extreme burn out. Just to give you a quick insight to my nursing background, been a nurse for 11 years and been every where. I did work in a rehab facility before as a PRN and I do understand your pain. I also worked in the Emergency Department and now working as a ER case manager (little interaction with patients). My first concern is have you been going on trips or vacation? As a nurse we experience a lot of stressful situation (eg. workload acuity, patient's family, management) you name it we have it! You need to know how to manage these things and still do something for yourself. If you have been working as an inpatient rehab nurse for a while, maybe a change of settings would be appropriate? Thinking of ED nurse, you have to know that patients come and go and a constant acclimation to different settings would be presented to you once you go into this track. If you are a type of person that would like action and stressful situation this is a perfect route for you. You will learn a lot as an ER nurse and would understand a different perception into things once you enter the ER world. This is almost the same thing as urgent care (not a lot of learning though). In the non bedside part, you need to be aware that there will be a limited even no interaction in this part. It's more off the paper works and management issues (eg. log reports, meeting, deadlines, office work). If you can manage to work infront of the computer and receiving phone calls all the time this the route that you should take. Mind you the pay is not that high unlike bedside nursing and sometimes there are limited learning curve when you work in this area. My advice for you is take a look in what you wanna do in the next six months? then next 2yrs? Make a career goal, I think you have worked a while in the rehab facility and would need a change thats why your getting burnt out. Hope this helps!

When you work in a busy ER this is usually one of the things most nurses dreaded to answer. Our triage area is an open area and everyone can see what you are doing. The wait time for us usually runs from 14-18hr wait time if its a really bad night. When I am at the triage I always tell them, "I can not tell you any exact time because in the end you might just come up to me here and tell me I am lying. To the area you are going to there are Xpeople who've been waiting for Xamount of time. I am really sorry for the long wait". I usually tell this to them and just make them. They would blame us sometimes but when I tell them that there are still more patients inside they stop and just go back to seat.

A patient came in brought in by EMS and we asked him why he came to the ER. Patient replied, "It's cold outside, that's why I told them to bring me here". SERIOUSLY?????

I worked in MEDSURG before I worked as an ER nurse. In my experience, I learned a lot as a MedSurg/Floor nurse. This made me experience what the patient's will go through after they are brought to the inpatient care setting. This would also give you a good building block if you transfer to ER or to a different nursing field. If you already have an experience in ER as a tech, in my opinion its best to learn from the MEDSURG floor too for you to know the difference and learn if you'll like that side of nursing or not.