question?

[amzyRN]

I've recently got my preceptorship, which is on a telemetry unit at a large teaching hospital. During my critical care rotation, I never got a chance to see the ER. What I've heard about it really excites me. My question is, do you think it's possible to get into a new grad training program without a preceptorship in the ER?

Thanks

[RN1982]

I'm sure you will have a preceptor in ER whether or not you want one.

[nrsang97, BSN, RN]

Even if you are a experienced nurse transferring from tele to the ER in say a year or so you will still receive orientation. Tele and ER are a totally different ball game.

[amzyRN]

Even if you are a experienced nurse transferring from tele to the ER in say a year or so you will still receive orientation. Tele and ER are a totally different ball game.

So you think skills acquired on a tele floor, like medsurgish stuff won't be applicable to ER? Thanks much,

J

[loricatus]

So you think skills acquired on a tele floor, like medsurgish stuff won't be applicable to ER? Thanks much,

J

Some of the skills you aquire will be applicable, others will hold you back. This is probably what the other poster was referring to when saying it is a whole different ball game.

For the ER, you will have to be proficient in IV starts. Most of the patients that come to the tele floor will be from the ER with lines already started,

Time managment is totally different, since turnover is greater. You will be assigned a certain number of spots, rather than patients. If it gets crowded, you may find that in some hospitals, you will have to deal with more spots-usually in the hallway. You also will not be able to say that you cannot take another patient because you have reached your limit.

Acuity will be very mixed. You may have a couple of critical patients & still get another because you have a spot open for them.

You will never be able to plan for a shift since you never know when or what will be coming next. It is usually referred to controlled chaos. Prioritizing has to constantly be readjusted. It just isn't like this on the floor.

You will have to figure out medical diagnosis in order to start a patient up. There will be protocols in place based upon the probability of the medical diagnosis & you will have to procure those things in the protocls before the doc ever sees the patient. Not much waiting for a doctors order before doing things, since the docs expect certain things done (labs, radiology, fluids, EKGs, po contrast, etc). IMO, the ER gives the nurse the most autonomy for any nursing specialty. You just don't get this freedom on the floor.

There are so many other things I could mention; but, I just wanted to give you a little idea of what the other poster was trying to tell you. ER Nursing is really very different than any other type of floor nursing & will take an adjustment period for you to become proficient, no matter if you are a new grad or an experienced floor nurse.

[nrsang97, BSN, RN]

Even if you are a experienced nurse transferring from tele to the ER in say a year or so you will still receive orientation. Tele and ER are a totally different ball game.

What I ment was that you are in a totally different specialty.

Med surg stuff is totally transferrable and will only help you in the long run.

[nrsang97, BSN, RN]

Some of the skills you aquire will be applicable, others will hold you back. This is probably what the other poster was referring to when saying it is a whole different ball game.

For the ER, you will have to be proficient in IV starts. Most of the patients that come to the tele floor will be from the ER with lines already started,

Time managment is totally different, since turnover is greater. You will be assigned a certain number of spots, rather than patients. If it gets crowded, you may find that in some hospitals, you will have to deal with more spots-usually in the hallway. You also will not be able to say that you cannot take another patient because you have reached your limit.

Acuity will be very mixed. You may have a couple of critical patients & still get another because you have a spot open for them.

You will never be able to plan for a shift since you never know when or what will be coming next. It is usually referred to controlled chaos. Prioritizing has to constantly be readjusted. It just isn't like this on the floor.

You will have to figure out medical diagnosis in order to start a patient up. There will be protocols in place based upon the probability of the medical diagnosis & you will have to procure those things in the protocls before the doc ever sees the patient. Not much waiting for a doctors order before doing things, since the docs expect certain things done (labs, radiology, fluids, EKGs, po contrast, etc). IMO, the ER gives the nurse the most autonomy for any nursing specialty. You just don't get this freedom on the floor.

There are so many other things I could mention; but, I just wanted to give you a little idea of what the other poster was trying to tell you. ER Nursing is really very different than any other type of floor nursing & will take an adjustment period for you to become proficient, no matter if you are a new grad or an experienced floor nurse.

:yeahthat:

[Penelope_Pitstop, BSN, RN]

what i believe the op is saying is that he/she did not have a preceptorship in the er during nursing school. our last clinical rotation was called our preceptorship, and i believe this is what is being discussed (or another portion of clinicals).

i'm assuming the question is, will the op be successful at obtaining a new graduate position in the ed even though he/she has not had experience there at all, not will he/she receive an orientation or preceptorship once on the job.

a lot of larger hospital systems have programs just for new grads who want to work in the er. i imagine having a preceptorship would certainly help, but i don't think it's necessary. then again, i've no er experience aside from being a patient! find out from the health care systems around you. go to their websites, call nurse recruiters, ask er nurses you know, if any.

wish you the best.

*~jess~*

[FERN-tastic]

If you're asking if it's possible to get a new grad position in the ED with no experience in school, it first depends on if the ED hires new grads. Some EDs will hire new grads with no ED experience. I did an apprenticeship on one of the med-surg floors and got hired in the ED after graduation. I think I had a whole 3 days of ED experience in school.