Struggling

Are you still on orientation? If so, talk to your preceptor about what you can do to improve.

You're a new grad handling traumas? Nothing personal but unless you have relevant prehospital experience, that's not fair or good for you and the pt. Please tell me they sent you for tncc if you're a new grad seeing trauma.

Efficiency is speed i assume. And that comes with experience.

Assessment issues is different. Exactly what do they mean by that?

Are you still on orientation? If so, talk to your preceptor about what you can do to improve.

You're a new grad handling traumas? Nothing personal but unless you have relevant prehospital experience, that's not fair or good for you and the pt. Please tell me they sent you for tncc if you're a new grad seeing trauma.

Efficiency is speed i assume. And that comes with experience.

Assessment issues is different. Exactly what do they mean by that?

Not new grad. By assessment they mean I'm used to doing full assessments like on the floor, whereas they want it more simple and focused.

Any more suggestions on how I can speed up my learning?

Keep getting critical feedback and don't be so harsh on yourself buddy up with a suitable mentor and watch how they work and cater it for how you work you will get there I'm 2 months in to transferring from a surgical ward to emergency medicine and finding it a hard transition but enjoyable and lucky enough to have a very supportive team not expected to know everything ... always lots of people around and you can bring your speciality to them and utilise it. Stick in and good luck

I agree with Pixie on getting a developed plan, I also wonder if you have some self-studying? It seems as though you know your weaknesses, but how to you learn, prepare and use as resources when a situation arises?

I may not have the chance. We gonna revisit my progress at the 90 day mark. In a few weeks.

I may not have the chance. We gonna revisit my progress at the 90 day mark. In a few weeks.

What do you mean?

I've been in the ED for over a year, and at least one of my days off I decompress, evaluate my own progress and self study.

I entered the ED with 10 years of nursing experience, all outside the hospital; I felt like a new grad all over again.

To compound the issue is that there was no staff educator on my unit (we have one now).

When I first got the position, I self studied prior, and along the way while incorporating what I was learning from my preceptors and peers and ironed out my own practice, it helped immensely...sometimes taking all the tips and working them out to your practice is beneficial.

Focus on what improvements you need to make; seek out clarification and keep plugging along.

Make your own weekly goals and work on achieving them, and maintain consistency. You also should seek out the resources on the unit as well, and keep showing that this is your dream specialty and you are in it to win it.

What do you mean?

I've been in the ED for over a year, and at least one of my days off I decompress, evaluate my own progress and self study.

I entered the ED with 10 years of nursing experience, all outside the hospital; I felt like a new grad all over again.

To compound the issue is that there was no staff educator on my unit (we have one now).

When I first got the position, I self studied prior, and along the way while incorporating what I was learning from my preceptors and peers and ironed out my own practice, it helped immensely...sometimes taking all the tips and working them out to your practice is beneficial.

Focus on what improvements you need to make; seek out clarification and keep plugging along.

Make your own weekly goals and work on achieving them, and maintain consistency. You also should seek out the resources on the unit as well, and keep showing that this is your dream specialty and you are in it to win it.

Truth is, at this point, I'm so lost I don't even know where to begin.