flyaway

It's impossible to "precept" in a trauma or code, like you would another pt. Time is so valuable and besides stepping back and watching, initially, there isn't time for step by step explanation. Being a new grad in an ED, is very, very difficult/trying, I'm sure. I was a new grad 26 years AGO in a large Med/Surg ICU/CCU which was adults only, and that was quite a learning experience. I have worked quite some time in trauma center ER's and as a flight nurse. Experience and many certifications allow me more of a "comfort zone and knowledge level" to work in that setting. I don't know how many certifications (ACLS, PALS, TNCC, etc) you have yet, but that will help. For those of us who have been in that setting awhile, it's almost like "auto pilot" at times, you have done it so much, you know what you'll need and have to do. Most trauma surgeons I have worked with expect it to flow as much like clockwork, as it should, and there's a lot of people doing things quickly in attempts to save that life. Unfortunately, sometimes new grads these days have a little more difficulty with orientation/precepting because the unit is so busy and understaffed. If you feel it's "too much" for you initially, have you thought about working in a smaller ED or different area, to get some experience under your belt before jumping into the frying pan? Best of luck. And it sounds like your preceptor needs to remember where he/she started.

We get paid "$2 hazard pay" for flying which isn't much different than the ED. They don't like paying for the time you aren't "flying"....while you await a mission,so many programs don't pay much more than a regular ED nurse. At least that's what I've found. Other flight nurses, in programs elsewhere, say they actually "lost" money flying...just something you need to check in to in your area.

I have worked with medics in their mid 20's to early 60's...I am a 47 y/o RN. Haven't found age to be a factor.

It's not impossible to become a flight nurse, however most enjoy the job so much, they stick with it. I know the hospital I work for requires RN, Paramedic, a minimum of 3 yrs ICU/ER experience, plus TNCC and other certifications. We have standing orders, policies/procedures, however to really feel comfortable in the air, you need street experience as an EMT/Paramedic and nurse, because in the air it's you, the medic, and pilot. I have 26 years nursing experience and flight nursing is great!