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Where do I belong?

Posted

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?

Edited by Joe V
spacing

emtb2rn, BSN, RN, EMT-B

Specializes in Emergency. Has 21 years experience.

Are you done with orientation?

amzyRN

Specializes in ED, Cardiac-step down, tele, med surg.

If you've only just started, I think you need to give it more time, especially if you are a new grad. If you are a new grad, you need to develop a "clinical gut" before you go anywhere else. I've considered ICU too, it seemed like a natural progression when I worked on a step down unit, but it would become boring after a while I think. You'd have the same patient for weeks on end. That's what I hate about floor nursing, the monotony of having the same patient day in day out. I haven't even started orientation yet, but am super excited about moving to the ED. I just thought I'd add my 2 cents even if I'm not an experienced ER nurse.

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

amzyRN

Specializes in ED, Cardiac-step down, tele, med surg.

It's way too soon to know where you belong yet. Try to enjoy the experience.

Weird to me that you are "annoyed" by lower acuity patients. Especially for a newer RN? You should learn all you can from all your patients including lower acuity. There are always things to learn from each case, esp for a newer RN. And even more so should you develop aspirations in the future of becoming an advanced practice RN. I am in NP school and try to learn from each case whether I am in express or have 2 GI bleeds, a meningitis, and a chest pain.

Good luck. The ER rocks.

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

Kiki1970

Specializes in Psychiatric, Aesthetics. Has 10 years experience.

Huh... Interesting. Someone said boring having the same patients weeks on end and another referring pts as to riff raff.

wow.

Edited by Kiki1970
Typo

Pixie.RN, MSN, RN

Specializes in EMS, ED, Trauma, CNE, CEN, CPEN, TCRN. Has 13 years experience.

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

The fact is that if we only saw true emergencies, many of us wouldn't have jobs — at least not in the ER. After a decade I have gotten way past being annoyed by those with non-emergent complaints, they can be a nice break sometimes. :)

Ruby Vee, BSN

Specializes in CCU, SICU, CVSICU, Precepting & Teaching. Has 40 years experience.

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

In the ICU, you're going to find people that don't need to be in the ICU as well. Honestly, if you're annoyed at low acuity patients this early in your career, you're doing it wrong. You are so new and have so much to learn . . . if you're actually trying to critically think through everything, you might not be as bored.

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.

amzyRN

Specializes in ED, Cardiac-step down, tele, med surg.

Huh... Interesting. Someone said boring having the same patients weeks on end and another referring pts as to riff raff.

wow.

Yes, I said it is boring and that is one reason I want to switch to the ED. I find floor nursing, what I have been doing boring. I never said I was uncaring but part of the reason I wanted to go into nursing is because of the pathophysiology and the thinking component. I find that my work is not challenging enough mentally. I don't feel my comment should be taken as some sort of insult. But you are free to think what ever you like.

Kiki1970

Specializes in Psychiatric, Aesthetics. Has 10 years experience.

Me think you'd be bored in ED with all the non-emergent drug seeking riff raff.

... Hmm. Don't they talk about certain departments suited for... Wait for it... Adrenaline junkies?? Certainly not the ED or ICU tho...:rolleyes:

Good luck girls!

Pixie.RN, MSN, RN

Specializes in EMS, ED, Trauma, CNE, CEN, CPEN, TCRN. Has 13 years experience.

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 am glad you are giving it a chance. Yes, sometimes you have to swim through a sea of non-emergencies before you have that moment that makes you feel like it is all worth it. I hope you find that. Are there other EDs in your area?

traumaRUs, MSN, APRN, CNS

Specializes in Nephrology, Cardiology, ER, ICU. Has 27 years experience.

I did level 1 trauma center for 10 years and loved it - still miss it in fact.

Yes, there are lots of non-emergent things we see. However, they ARE emergent to these pts

Yes, you do have to wade thru them to get to the "fun" stuff (and please don't blast me for this as the true ER nurses know exactly what I'm talking about).

Please be respectful everyone!

aevans88

Specializes in CICU.

While I have never worked in an ED, I did some rotations there and I know what you mean. I have spent the last 6 years in the Cardiac ICU and while it can get slow in the middle of the night, ours is usually fast paced and we VERY rarely have long term patients. We also are the Code Blue and Rapid Response team so always have to be on our toes! I think you may still end up enjoying the ED, but what you are voicing definitely rings true to me, and I find ICU work anything but monotonous or boring. Plus there are often new devices/procedures to learn and we are expected to think autonomously and make decisions as far as drips and extubation go without the surgeons there. I recently finished NP school and love my new job, but I will always miss CICU. Good luck!!

Been there,done that, ASN, RN

Has 33 years experience.

Nobody, including you,knows where you belong after 2 months.

Nursing is a mixed bag anywhere. How unfortunate that your current position does not provide YOU with the constant gratification that YOU need.

By the way, they are not called RIFF RAFF, they are called patients. Perhaps during month 3 you could work on developing a modicum of compassion.

That Guy, BSN, RN, EMT-B

Specializes in Emergency/Cath Lab. Has 6 years experience.

I Left after 4 years because I was feeling how you were. I only enjoyed it when the people were sick as the time went on. Which is only like 5% of the time. So I left and am in Cath Lab now and it is a very welcomed change of pace. Give it a little more time but keep an open mind. You are too new to be that jaded