Why I Love Working As An ER Nurse

Why I Love Working As An ER Nurse

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As a resource nurse who has worked in many specialties and units throughout the hospital setting, I have discovered that I am an ER nurse at heart.

Working in the ER is an adrenaline packed experience that requires a team of medical professionals to come together for amazing results. Through traumas, codes and septic patients we form strong bonds – after all it takes more than just one nurse to save a life!

Here are the reasons why I love being an ER nurse:  

Camaraderie in the Emergency Department

What makes the ER truly exceptional are those moments when everyone comes together in a show of camaraderie – from physicians and nurses to pharmacists and techs – joining forces under pressing circumstances that demand quick thinking and action. This teamwork is the backbone that brings life-saving medical treatment, often just in time!

I have found that when I worked on med-surg floor units, nurses are typically assigned to the same patients for an entire day without much, if any, overlap with other nurses.  I have also felt lonely on med surg units because I miss the camaraderie of working with other nurses.

The ER Gives Many Nurses Excellent IV Start Skills

Before becoming an ER nurse, my IV start skills were mediocre.  The skill of starting IV’s quickly and correctly is so important in the ER – it often determines how fast a patient can receive life-saving medication or treatments. Over the years, I have had to start so many IV’s that my skills have greatly improved.

With the vast number of medical emergencies coming into the ER each day, it’s no wonder why nurses who work there are some of the best at starting intravenous lines. Having so many frequent opportunities to get IV access has meant a sharp increase in skill for me and other emergency room nurses – even when dealing with hard-to-stick veins.

In emergencies, ER nurses need to be able to gain access fast for testing, various medications, pain and nausea relief, IV hydration, and antibiotic therapy, among other things.  Many nurses I work with have been in the ER for a decade or longer, and their IV skills are unbelievable.

In addition, several experienced ER nurses have been trained to use ultrasound techniques for those particularly challenging cases. So if you want valuable IV start skills quickly, then work where opportunity knocks most often – the ER! It’s the perfect place to hone your IV start skills and ensure every patient gets the care they need.

Reasons Why ER Nursing Is The Best

Diverse Patient Populations in the ER

From the tiniest newborns to centenarians, life in an ER is definitely never dull. Caring for a wide-ranging patient population provides unique opportunities and challenges with every new case. As an emergency room nurse, you’ll have plenty of chances to learn about all sorts of illnesses, injuries, and trauma – from organ transplants to autoimmune diseases – making your workdays excitingly unpredictable yet incredibly rewarding.

There is rarely a dull moment, and always something new to learn in the the ER enviornment.

Organized Chaos in the ER

It is never boring or tedious in the ER, or at least not for long!  The emergency room is a fine-tuned machine, with each nurse component working semi-gracefully around one another. It might look like craziness from the outside, but the madness always has a method. I often struggle with the tediousness of tasks when working on a med surg unit.  It is usually jam-packed but very task-based.  The to-do lists can get a little ridiculous.

Intellectual Stimulation as a Healthcare Provider in the ER

I am a closet science geek. And I love the cerebral stimulation I get as an emergency room nurse. I have had the opportunity to see more disease states, complex injuries, and unusual diagnoses than I ever could have imagined even existed. It would not be an exaggeration to say I learn ten new things every day at work. To top it off, I am surrounded by some of the most intelligent people I have ever met. Many of my co-workers have the same drive to help people as I do. They motivate me to keep learning.

The ER Helps Me Maintain My Sense Of Humor.

Sometimes things just get so odd that I can’t help but laugh.

There are days when I see people come into the ER saying that they are dying but end up with a diagnosis of constipation.

Once, I had a college student come in because he had a 99 degree temperature. I had to explain to him that he didn’t have a fever and he was sent home.

The emergency room is also a very emotional place. Patients never want to be there and usually don’t understand, for example, why they have to wait in the hallway an hour or even much longer until we know their blood test results, or the medical team decides on a plan for them. They get upset and tired of waiting.

Sadly, sometimes they take out their frustrations on the people working the hardest to get them the medical treatment they need: the nurses. I  have had so many “I couldn’t make this stuff up if I tried” experiences in the emergency room to last me a lifetime.

But that’s one of the reasons I love being an ER nurse versus other parts of the hospital. It can get weird, but I’m always learning. And I’m so grateful for the opportunity to keep learning.


Emergency Room Nurse Frequently Asked Questions

Why do nurses like being an ER nurse?

There can be several reasons why someone enjoys being an ER nurse. Some common reasons include the fast-paced nature of the emergency department, the opportunity to make a difference in people’s lives during critical moments, the variety of cases encountered, the ability to work in a dynamic team environment, and the satisfaction of providing immediate care to patients in need.

Why is being an ER nurse rewarding?

Being an ER nurse can be rewarding for several reasons. ER nurses often have the chance to save lives, alleviate suffering, and provide critical care to patients during their most vulnerable moments. The ability to make a positive impact on patients’ lives and the gratitude expressed by patients and their families can be deeply rewarding.

Is being an ER nurse worth it?

The worthiness of being an ER nurse is subjective and depends on individual preferences and values. While the profession can be challenging due to the high-stress environment, long hours, and exposure to traumatic situations, many ER nurses find fulfillment in their work, the camaraderie with colleagues, the opportunities for professional growth, and the ability to help others during times of crisis.

What is the personality of an ER nurse?

The personality traits commonly associated with successful ER nurses include adaptability, resilience, quick thinking, effective communication skills, compassion, emotional stability, the ability to work well under pressure, and a strong desire to help others. However, it’s important to remember that individuals can possess a wide range of personalities and still excel as an ER nurse.

What are the struggles of an ER nurse?

Some common struggles faced by ER nurses include dealing with high levels of stress, long and unpredictable shifts, emotional and physical exhaustion, witnessing traumatic events, balancing work-life commitments, managing a heavy workload, and making quick decisions under pressure. Additionally, ER nurses may encounter challenging patient interactions, difficult family dynamics, and ethical dilemmas.

What is the hardest thing a nurse has to do?

The “hardest” aspect of nursing can vary depending on personal experiences and perspectives. Some nurses may find it difficult to witness the suffering or loss of patients, while others may struggle with the emotional toll of the job. Additionally, ethical dilemmas, managing complex medical cases, and dealing with difficult patients or family members can also be challenging.

How long does it take to feel comfortable as an ER nurse?

The time it takes to feel comfortable as an ER nurse can vary from person to person. It generally depends on an individual’s prior experience, the level of support and training provided, and the ability to adapt to the fast-paced and unpredictable environment. It may take several months to a couple of years for a nurse to gain confidence and feel fully comfortable in their role.

Why do ER nurses take so long?

The duration of an ER nurse’s work can be influenced by various factors. Emergency departments typically prioritize patients based on the severity of their conditions. This means that patients with life-threatening emergencies are seen first, while those with less severe conditions may have to wait longer. Additionally, the complex nature of emergency cases, unexpected surges in patient volume, limited resources, and administrative tasks can contribute to longer wait times.

What is the most stressful nursing department?

The perceived level of stress in nursing departments can vary among individuals. However, emergency departments (EDs) are often considered one of the most stressful areas in nursing due to the fast-paced environment, high patient acuity, constant decision-making, the need for quick interventions, exposure to trauma, and the pressure to provide immediate care in life-threatening situations.

Thanks for reading!

Additional Recommended Reading:

Different Types of Nurses & Nursing Specialties

Different Types of Nurses & Nursing Specialties

There are so many different types of nurses in various specialties that work within the hospital setting.  So how do you figure out which one is right for you?

When I was initially toying with the idea of going back to college to become a nurse, I had no idea how many types of nursing specialties there were.  I thought there was just a single “type” of nurse who did pretty much everything.

I was so wrong.  That just shows how little I knew about the nursing world back then!  I think many potential nurses who are contemplating getting a BSN may think the same thing as I once did.

The good news about starting in nursing school is that you don’t have to decide on what type of nursing specialty you want to go into right away.  At least not until you get closer to the end of nursing school and start interviewing for jobs.    Also, you can even change your nursing specialty during your career if you want (I did it and reignited my passion for nursing).  So, if you find you don’t enjoy one specialty after a while, you can look into others that might better suit you.

This particular post explores nursing career specialties within the hospital.  If you don’t want to work in the hospital, that’s OK.  There are a ton of opportunities to explore as a new grad nurse outside of the hospital setting too!  However, if the hospital setting is for you (as it was for me), then this is a quick and dirty explanation of the different types of nurses and nursing specialties that may be available to you!

Additional recommended reading:   How To Prepare For Nursing School:  9 Steps

Nursing opportunities in the hospital setting

There are dozens of different nursing specialties and levels of care in the hospital to choose from.  When deciding on a specialty, it may help to start with the level of care that works best with your personality and then work from there.  While some nursing students think the intensity of working in an emergency room might be exhilarating, others may prefer to start by learning on a medical-surgical unit instead.

The next step may be to consider which patient age groups you would most enjoy working with.  For example, a nursing school friend of mine knew from the moment she applied to nursing school that she had to be a pediatric nurse.  Yet another student friend was passionate about working in the geriatric community.  Some nurses find that they love working with newborn babies or children, while others find that they enjoy the intensity of managing patients at the ICU level of care.

Lastly, as you start studying more about the different body systems and doing clinical hours, you can decide which specialties that you are most interested in.  Being a student nurse is a great time to learn all about the different types of nurses in the hospital you might want to work in!

If you are interested in learning more about the types of nurses that in the higest demand, check out this video: 

Types of nurses, based on credentials:

Licensed Practical Nurse (LPN)

LPNs perform a number of duties under the supervision of an RN.  They have a more limited scope of practice than an RN, however, they can check vital signs, give oral medication and give injections. LPNs are trained through a state-approved educational program, which takes 12 to 24 months to achieve.

 

Registered Nurse (RN)

Registered nurses (RNs) are nurses with an associate’s or bachelor’s degree.   It takes two years to complete an associate’s degree in nursing and at least 4 years to complete a BSN.

 

Clinical Nurse Specialist (CNS)

A clinical nurse specialist (CNS) is an experienced nurse who has also completed a master’s degree in nursing.  CNS’s are trained in diagnosing and treating illnesses within a specific realm of expertise.

 

Nurse Practitioner (NP)

NPs work under the supervision of a medical doctor, however, they have the autonomy to diagnose diseases, prescribe medications, and initiate patient treatment plans. Educational requirements include a master’s or doctoral degree.

 

Levels of care in the hospital setting

 

Medical/Surgical Care

Medical-Surgical Care, otherwise known as Med/Surg, is the largest nursing specialty in the United States.  Med/Surg nurses care for adult patients who are acutely ill with a wide variety of medical issues or are recovering from surgery.  Nurses on these units often care for 4-5 patients (or more) depending on acuity.

Telemetry Care

Telemetry Unit patients are often more acutely ill and need constant monitoring.   Patients here are monitored with telemetry monitors that allow nurses to review a patient’s vital signs constantly so they can give more detailed care.  Often, Med/Surg and Telemetry patients are referred to interchangeably as many Telemetry Units have both types of patients.

Intensive Care Units

An Intensive Care Unit, otherwise known as an ICU or Critical Care Unit is a unit that provides a higher level of intensive patient care.  Patients in the ICU often have severe and life-threatening injuries that require constant, close monitoring.  Nurses in the ICU usually only care for 1 or 2 patients at a time due to the high acuity of patient care.

Emergency Room

ER nurses treat patients in emergent situations who are involved in a trauma or other life-threatening injuries.   These nurses deal with patients from all age groups involving many different levels of patient care.  You may have patients with illnesses and wounds, ranging from dog bites or minor burns to more serious conditions such as strokes or other trauma victims.

Patient age groups 

Hospital units are also broken into different age groups to offer more specialized care.  This is also something to consider when deciding on a specialty you want to work in.  Some of the age groups include:

  • Newborns
  • Pediatrics
  • Adult
  • Geriatric

Hospital specialties

Here is a general list of hospital specialty units that many nurses work in:

  • Cardiovascular
  • Thoracic
  • Neuro/Trauma
  • Medical
  • Orthopedic
  • Radiology
  • Hematology/Oncology
  • Liver Transplant
  • PACU
  • Emergency Room
  • Neonatal
  • Urology
  • Surgical
  • Gynecology
  • Operating Room

 

What nursing jobs are you most interested in?

As you can see from the above information, there are so many different types of nurses and nursing specialties.   You may want to pick a few that are most interesting to you and narrow your search in from there.  Once you get your legs wet in the profession for a few years, you may even want to look into other alternative and unique careers in nursing.

Now that you have a better understanding of the different career options out there for nurses, you may want to brush up on your interviewing skills.  Let us help you achieve that with this article “How To Land Your First Nursing Job In Six Steps.”

Are you thinking about becoming a nurse and wondering what nursing specialties might be best for you?  Or do you have any other questions about the different types of nurses in the hospital setting?  Please leave a comment or question below!

 

 

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Travel Nurses Need Yoga To Stay Healthy!

Travel Nurses Need Yoga To Stay Healthy!

If you know anything about me at all, you know that I absolutely LOVE yoga (its a little obsessive actually).

And as you also know, I really love to write about why nurses need to practice yoga.

In particular, travel nurses have a lot on their plate!  They take travel assignments in cities where they’ve never even been and then work in different units with entirely new staff.   And then when they finally think they have everything figured out their assignment ends and they go someplace else!

On top of that, they also have the physical and mental stress that comes with working 12 hours shifts.

Travel nurses need yoga.

By taking care of ourselves we are able to replenish our reserves and take better care of our patients and families.  There is an endless amount of studies on yoga and its amazing benefits on physical and mental health.

As nurses, we need to practice what we preach and help lead our patients by example.  Why should our patients take better care of themselves both physically and mentally if we are not doing it ourselves?

My Yoga Props Essentials:

Gaiam Yoga Mat 

I love this mat because it doesn’t get slippery once I start getting sweaty during a yoga practice.  It is a thicker, more durable mat with a great chakra design.

Yoga Blocks

Cork yoga blocks are the best.  I love these blocks because they are durable and have a really good grip.  They can assist with alignment and help you get deeper into many yoga poses.

Yoga Bolster

These are amazing for restorative chest opening poses!  I have 2 of these in blue and purple.  I use them all the time to help me wind down after nursing shifts.  I also love using the booster to put my hips and legs up the wall after being on my feet for a twelve hour shift!