Jrhemming

Hey guys I just took tncc last month and it was really stressed to us that the course is a **** hits the fan your by yourself step by step approach to managing a trauma pt. obviously in most cases your going to have at least one other person with you doing everything simultaneously.

Thanks to you that haven't passed judgement and have given very good insight. I feel the fire to get back at it this week and make the most of it.

Thanks so much for you reply very helpful

Well this has been therapeutic. I explain what I like and don't like about where I work to see if another area will be a better fit and I get eye rolls and told I'm doing it wrong because I don't like dealing with an er full of drug seekers and things that could be easily handled at a pcp. I'm a new nurse, I'm not an idiot. I already said I am staying where I am at for at least a year, because I know I am getting good experience. I just wanted to know if ICU would eventually be a more fulfilling, enjoyable job based on what I do and don't like about my current position.

I'm referring to the people that don't need to be in the ER.

I'm about half way through orientation. I know I'm new and I do plan to stick it out where I'm at for at least a year I'm getting good experience

Hey guys I am a new nurse and have been working in an ED for 2 months. From the time I started school I wanted to be in ED but now I'm here I'm second guessing things. Some days are great and I love it other days I want to just go home and quit. The days that are good are when we have actual critical pts. The days I find most stressful and overwhelming are when we are full of the sniffles and drug seekers. It's weird I thrive in the critical situations but get overwhelmed with trying to manage 3+ low acuity pts. Am I where I should be or should I think of going to ICU? I love working a pt doing quick interventions watching for changes and making quick interventions to correct when things go south. I like getting a critical pt from ems and being the first line to stabilize that pt. but I get annoyed with all the low acuity stuff. I love patho especially complex where I really have to think about what is going on with a pt. and how to juggle all of their problems. I know in ICU I'm always going to have a critical pt. But I'm just scared I'll miss the pt coming in from ems and I'm setting up intubation and getting other interventions in quick. Do you get to do these kind of things in ICU? I know I'm a new nurse and I'm going to stick my current job out for awhile because I am getting good experience it's just tough on some days dealing with just riff raff. Am I where I belong and just gotta learn to deal with the riff raff or could ICU be for me?

I too just graduated in December and got hired at a small ER. I have been on the floor for about two weeks. I will tell you your head will be spinning for awhile. Yesterday was the first day I didn't feel completely over whelmed. Learn your charting system is the hardest task at first. It's hard to find where and when you should be charting things and in my case there's multiple places to chart the same thing and every one I work with does it a little different. Once you start getting the charting down its much easier to focus on your patients. It's a big learning curve and you will learn a ton fast. But don't be afraid to ask question and for help if your not comfortable. Whether it be with a skill or a med you don't know. No one knows everything and even the most experienced nurses have to look things up at times. Just try and relax and take it in stride when you make mistakes. Good luck

Just jump in. I just graduated in December had 2 interviews for ER's before I even graduated. Got hired the day after I got my license early this month. I'm sure it depends where you are but if you really want it go for it. I don't know a lot but I'm passionate about learning and ready for the challenge ahead. I think I conveyed that well in my interviews and I got hired.

Of course you have to look at past medical history and current meds. Known allergies, what brought on symptoms, ect. That way when you get the m.d. Orders and they order something wrong you catch it. If you give or do something that harms the patient it falls on you. Even if the doctor ordered it.

I had an excellent instructor for my final clinical that told me she would go along with me for any nursing skill I could find, but she wanted to know rationales and what the purpose was with the patients patho. Critical thinking is the most important thing. Employers want to know you can critically think. All the others skills can be easily learned.

I ran into the same situation got mad and just dropped out of school. Now 5 years later I'm finally graduated taking nclex soon. You will probably just have to jump through their hoops. Just do it and move on because it's so worth it in the end.

I ran into a similar situation my first semester of clinicals. Got asked to help with a bed bath the pts stats started dropping half way through we got the nurse and the pt passed. The nurse and the other student I was with began crying. I had no feelings like that. I was just glad we got the pt cleaned up and ready for the family to see. I was able to provide respectful care but I didn't need to cry for them.(Idk how I would do with a child. That may get me) I think as long as your compassionate enough to give your pt the best care you can, that's all that matters. Thanks for your service btw.

I graduate in two weeks and ER was what I thought I wanted to do since I got accepted into nursing school. This semester I got to do days on ER and ICU to see what their day to day is like and I was hooked. I was like you before, not sure if I should go to med surg first, but after getting my feet wet I don't want to do anything else. I made really good impression and a highly respected ER nurse told me to bring my resume to her and she would take it to her manager. I have an interview lined up now. So my point is if you haven't had a chance to go to ED in clinical see if you can. If you like it go for it and try and make good impressions. Good luck!

I guess I was lucky I'm in last semester of asn and I had a 3.0 when I got in. Our entrance was based on our a and p and a few other classes and then our teas. Teas being the biggest part I scored in the high 80s on it and got in. Glad it wasn't all dependent on gpa. I'm one of the top in my class. Gpa isn't everything.