Icu to er nursing reddit Greet, treat (with a quick focused assessment) and street (or admit. I do ICU full time and ER per diem and I feel like it's the best balance for me. I love variety. I'm wondering if any nurses have successfully transitioned from ICU to ER. It all comes down to whether or not you want to learn nursing or medicine! PA school will give you that medicine background, where as NP school will not. 6, bnp 18000… you get the Then they were shocked when all the experience ER nurses started leaving and the hospital voted to unionize. Apr 14, 2022 · Icu is a lot about keeping people alive who should not be alive. “Either you lose an ICU nurse and gain an ER nurse, or you lose and ICU nurse and don’t gain an ER nurse. When you've got three to six patients of varying acuity, you have to be able to recognize which of them are critically ill and which aren't. If you have a patient in the ER on pressors and a vent, I get the need for Q4 assessments. Dispo 4-5 patients and discharge or admit to floor. I went from bartending a local busy dive to ED nursing and there’s not much of a difference lmao. Some ICU nurses are anal assholes who snark about everything but would have a full blown panic attack if given an ER or medsurg assignment. I learned how to read EKG from youtube videos and doing online tests. Pros: You are the crème de la crème of the nurses in the hospital. Jul 10, 2023 · ICU teaches you what really sick patients look like, and how to handle them, which is an important skill in ED. If you or anyone else has any questions, feel free to DM me. Most hospitals want you to have med/surg experience before you go to those areas. ICU certainly involves quite a bit of critical thinking and time management and assessment, but it's all specific to ICU, and doesn't translate well to other areas of Nursing, so ICU nurses often find it difficult to shift jobs. Like it’s cool you’re in the ICU but don’t look down or talk shit to a med surg nurse with 20 years of experience. You take care of the sickest patients. And also you will get exposure to pediatric populations as well. The biggest difference is that ICU is very structured and patients tend to have a "flow" where certain hours the same things/tasks happen every night. I have my CEN, I do trauma in ER and it’s a very very busy ER. Sep 30, 2016 · I've been a nurse for 7 years, 4 on med surg and 3 in critical care. I got to see all areas of critical care and really meshed with the ER. However, I got into an emergency room clinical and find the emergency room setting really interesting. However, the skills you develop in ED will hold you in good stead for plenty of other areas in nursing The ER is more like this: Get to work, maybe I'm charge, maybe Im triage, maybe Im ambo triage, maybe Im in the peds ER today, maybe I'm the float nurse, maybe I'm the fast track nurse. Happy to answer any more questions over DM! If you're and ICU nurse, don't get mad that the patient didn't come up neat and clean with perfect paperwork. I have worked full time in the ED while working casual in the ICU, and vice versa. We are all nurses and whether your an ICU nurse, ER, or med surg or whatever we all have an important job and hate when one group of a speciality looks down on another unit. Critical care nursing (ER, ICU) is not usually where you start off immediately after graduation. Critical care nursing made incredibly easy is a good intro book to ICU. ICU teaches you what really sick patients look like, and how to handle them, which is an important skill in ED. 6, BUN/creat through the roof, k 6. Another positive is I feel like in the ER you get to use ACLS and trauma skills more frequently than in the ICU. I’m a nursing student interested in critical care and debating on whether I should apprentice in ER or ICU. Jun 8, 2010 · I have been both. I started off in ER and then went to ICU. ED is a lot about dealing with people who don't need to be in a hospital. a ICU nurse and an ER nurse. I'd personally recommend this route because ER and ICU both care for critical patients, but are entirely different beasts. All in all, when ICU nurses ask me this question, I always encourage them to make the switch. Especially a new nurse. ER saves the patient, ICU takes over when they're stabilized. I was an ER nurse for 3 years including travel nursing, now I work Cardiac ICU and Critical Care Transport. " There is the "circling the drain" kind of urgency (which you are mostly used to), and then there is the most useful day-to-day urgency for you-- patient flow. That being said, I had a friend who was immediately hired into the ICU without med/surg work experience because they had a good preceptorship experience in a well Find a hospital that has a residency program for new nurses. Oct 15, 2009 · In my opinion, ICU to ED is one of the toughest transitions a nurse can make. ” If they call your bluff then time to quit and get a job at a different hospital making $3-4 more than you were I don’t manage as many drips in the ER but I do stabilize and maintain a few drips at least. Icu is a lot about keeping people alive who should not be alive. You have devices and medications that people won’t ever touch in their wildest dreams. I get my critical patients in ICU and I get my rush from the ER once or twice a month. Go to my assignment, take report on 4-5 patients. I speak as a nurse who worked Med-Surg, then ED, then ICU, then ED. Draw labs/start IVs on 4-5 patients. 8 years experience. With that being said I try to do the most I can given the situation and I am always honest as I can be. Before I knew ICU, I knew ED. I did a critical care residency when I became a new nurse and was matched to the ER as my home unit. Head to toe assessment are done on everyone every hour (or there about) and the patients are teathered to the bedside. The rest of us know the truth. . First remember in the ICU the enviroment is completely different and a more controlled kind of chaos. that stuff is hella annoying. Don’t let them take advantage of you being new. We in the ER don't have time for that shit, we got a waiting room full of patients and another trauma inbound. I start CRNA school in the fall. CRNA was my original goal when I was in nursing school, I didn’t get hired into ICU initially so I went to ER and loved it and never wanted to leave to ICU after that. My last shift, I had a patient come in obtunded, hypotensive 60s/40s, a fib w/ RVR rate in the 140s, EF 10% (from an echo a few days earlier when she was still in ICU, had been discharged shortly after only to, shocker, come back in septic), lactic 9. that you see over and over again. For the record, one of their other hospitals is unionized and they aren’t enforcing those standards in their ER. Aug 18, 2023 · I am (was) an ICU RN that am currently in PA school and let me tell you, PA school is so much more rigorous than any NP school. You'll also have a lot more empathy for ER nurses, unlike nurses who've only worked inpatient. If the hospital backs up, everything falls onto the ER pretty quickly. The ICU book by I think Merino is good but you need to be comfortable with critical care concepts to get it. When I would talk with other ED nurses about a new nurse, it all came down to that nurse having "a sense of urgency. If you're an ER nurse, don't dump the stable-but-intubated patient on the ICU nurse who just got the post-op heart or exlap. Hey yall, I'm a soon-to-be graduate and have been applying to a few new grad residency programs now. ) I’m an ER nurse and I feel like most ICU nurses very receptive to everything I’m saying because they know that the ER is meant to stabilize and transport to the ICU. ICU Advantage and Simply nursing both have good critical care videos on youtube. I’m an ER nurse in a level 1 trauma, been off orientation only a few months. As an ER nurse, this is probably the best answer on here. For a while my mind has been set on ICU nursing and I thought that's what I've wanted to do for the past year. From what I’ve experienced so far, it seems like ER, although fast paced, is a lot of “boring” sicknesses like flu, COPD exacerbation, etc. I'm burned out and needing a change. uib ysdboom uotk qfhh amqzlu lrsy xsfspg rfiw ngirwgue kdaycff wgdcx cjanyat ntjym futycn yjyyq