Er vs med surg allnurses. The hospital I'm at is a busy level 1 trauma center.
Er vs med surg allnurses VP of Nursing at UMMC came from Hopkins and brought their mileu with her, so either will be the same. At the top are the specialty units- ICU, ER, L&D, flight nurses, OR. . Med Surg Published Feb 20, 2018. I try to imagine I'm at the bedside when I'm answering exam questions Something else that ticks me off I hear from nurses trying to be MD's is " I have 15+ years in the ICU, ER, or MED/SURG floor," that counts as more education like a residency. I have 1-year experience in ICU and 2 yrs in Med Surg. , but this weekend was a real eye-opener to me. Forums; General Nursing; Nursing Specialties; Nursing Students; Agency Nurse-from ER to Med-Surg. this is very troubling to me. Well, I've been a nurse now for 5 years, 2 as an LPN, mainly working in LTC and then as a RN I did a year in Hospice and currently in Med/Surg. Typical Obs patients would be acute chest pain that was managed in the ER and we are just keeping them and monitoring their symptoms and cardiac enzymes, acute abdominal pain of unknown origin, acute nausea and vomiting, and acute headache. Good luck Not to start an ER vs. I worked in community health for the first 3 and in Med/Surg for a year. the determination on who goes where has to do with the presenting complaint, and the acuity. I just turned 51. One piece of advice/wisdom I always keep in mind with onc is that onc is everything: chemo can cause cardiac issues (as can some cancers like pheochromocytoma), cancers can be anywhere and manifest as complications as just about any system, and cancer hits every type of person and none of their I am a new nurse with only 6 months behind me of med surg. Acute dialysis though has a better pay in the long run. they had not let our staff in on the policy change yet, but the er knew about it. The problem is my med/surg unit does routine hip/knee replacements, cellulitis, abd pain, and that’s about it! It's a waste of time, money, resources, etc. Just this year a family member of mine was fighting for his life on a med Everyones messages have really settled my nerves about where I believe I want to practice nursing. We are staffed really well, and if I run into trouble with an ICU pt, there are always multiple seasoned nurses right there to help - not to mention anesthesia docs, etc. Join the conversation! I work in the ER and I do many different things. I would much rather prefer working in the ER area, the actual hospital section, this is where Med Surg comes in, it seems as it's never a dull job, and I love everything it involves, pre-op, and post-op help, and including medicine, which are also my extreme interests! I have one year of experience in med/surg( woo hoo!) and the other PM I had a pt. You'll learn time management and how to prioritize care (although you'll do that in med-surg, too). passthedonuts. HollyRN1212. I've done ER since the 1970's and would NEVER do it at either Hopkins or UMMC. This opportunity does not come along often because most people stay in NICU once they get there. I got my BS in Biology in 2002 and then went on to work at a The main difference between ER nurses and floor nurses is the type and number of sick persons they see. Did you find a vast difference in your roles, how physicians related to you and other co-workers? Are you made to feel like an important part of the team? Do you feel your presence there makes a difference in patient outcomes? Do you feel good about yourself when you leave work? With no staff to back you up? Because that is what med-surg is like, and it sucks. Dear Nurse Beth Advice Column - The following letter submitted anonymously in search for answers. Aug 7, 2014 Im thinking of doing ER at some point in the near future. The hospital I work in is small but we serve several of the surrounding countieswhich keeps the ER hopping. Different kinds of hospitals (teaching vs non-teaching, for profit vs not, large vs critical access) in different environments (urban vs suburban vs rural) will all provide you with a wide variety of experiences. I started there as a new grad with the rate of 29 and they gave me a salary adjustment after 3 months so my hourly is 32. It seems to me that med/surg teaches you the basic and vital skills needed to have a rock solid foundation in nursing. I have found for The residency program would place you in med/surg unit. My question is, with the nursing shortage, should I go to a med/surg floor for the experience or It depends on the floor. part of studying med/surg is learning about many different diseases. Med-Surg or ER? Nurses General Nursing. 7:10-8-report (longer than I like but our docs/surgeons are nuts about missed orders and nite nurses are slow) Hello!Im a new grad which I received my licensed in March 2014. I was so eager to finish school, but now that I am done I feel so scared to start working. The first few months are rough, and there is a huge learning curve, but I love the fact that we can get labs, do our "standing orders" before the doc even sees the patient. I've got 16 months of med/surg. Oncology isn't included in any of my clinical rotations and I was wondering what it's like. in tele that we did in the ER. My program uses Brunner & Suddarth's Textbook of Medical-Surgical Nursing, Eleventh Edition, though as is often the case for venerable textbooks, the authors listed in the title are no longer involved with the book (instead it's written/edited by Smeltzer, Bare, Hinkle, and Cheever). There are skills I want to learn but cant because of where I am. They were going to offer me a full time position on Med-Surg (night shift), & the office manager for the docs offices called me and gave me a Mon-Fri 8-5 position with the Orthopedic Surgeons and I would not trade Ortho for Med-Surg ever. I was also a Med/Surg Nurse, Charge Nurse, Supervisor, and Manager after I left NICU and it is a "hard" place Med Surg vs. ICU I just wanted to get your opinions on whether you think a new grad nurse should start out on a Med Surg floor or in the ER. Test Prep; Best Free Online NCLEX-RN Study Guide; The Nursing Process; Question Leveling; NCLEX-RN Question Identification; Expert NCLEX-RN Test-Taking Strategies I do have to say, however, that the CNAs in my hospital in the ICU don't do a whole lotbeing that the nurse to patient ratio is usually 1:2 (on med/surg here it's 1:5 so the nurses need more help), the nurses like to do everything themselves. the patients arrived from the ed with everything in place. I have recently discovered that med surg is not the place for me due to the fact that I am having a hard time keeping up on the floor. Also if you like patient interaction the ER is great for that. They don't have to know as much as we do". Register to Comment; I am an ER Charge nurse. Ours required 1 year of med-surg experiance prior. you prepare the machine, hook 'em up, prime, receive the patient, initiate dialysis, monitor, terminate dialysis, observe the patient, clean up,and you're done. Insulin can require q1h titration at times, and yes that's with 3-4 other patients & most of the insulin gtts are fresh liver or kidney transplant patients who are otherwise very sick/technically complex patients. 6 Posts I am graduating in May and have been trying to figure out what I want to do since I started school. However, I found when I understood why something This would include med/surg, telemetry, ortho, neuro, critical care, stepdown, progressive care, ER, OR, PACU, etc. In PCU/ICU Stepdown, I took patients with insulin drips, cardiac drips, heparin drips, on seizure precautions, cardiac precautions, 24-hours postop CABG, thoracotomies, traumatic brain I wonder if OR nurses get paid more than Med/Surg Nurses. It helped that we did a lot of the same testing etc. I had a terrible experience moving 60 miles for my med-surg job only for the unit to shut down 4 months afterwards. Yes, you do all this. Med/surg is much more broad. In the ER you'll get experience with all types of emergencies, many which you'll transfer to ICU. Med-surg vs. More people want to work in the ER than med-surg, that says a lot. 6 Posts Hello! I need advice!! I recently got an offer for a per diem training position on a med-surg floor, non benefitted at a local hospital in my city. sometimes tele floors have lower nurse to pt ratio though. e. since you get faster with tasks and your knowledge base improves. You'll get experience with pressors, inotropes and antihypertensive drips. The nurse manager position in I am a new nurse I started 1/27/01. If you have a choice, I'd say ER over med-surg. I graduated this May and started in med/surg, because it was the same floor I worked as a PCA during nursing school. The good side of nights is you don’t generally have to deal with management or administration. This was my first year out of nursing school and have not been terribly happy with my hospital or unit. 7-7:10-quick check of pts to make sure alive. I want to pursue certification but am not sure if I should get the RN-BC or PCCN. Nurse education on my unit is a joke. an obs unit is not quite as intense as a regular Med/Surg floor because the patients usually go home So, I guessgo for it. The Med-Surg position is about a 6-8 week orientation whereas the ICU position is much longer with classroom orientation alone about 6 weeks. Good luck! Now that UMMC has achieved "Magnet" status they are much more uppity. The med-surg nurses DO tend to be more nit-picky over the details (so we CAN make sure we don't miss dressings, meds, etc on a patient overload). I thought this was the same thing as med-surg, but I have come to find that the hospital also has a separate "med-surg" floor. Outpatient Surgery?? Published Aug 15, 2016. I have 6 mos. I currently work at a long term care facility as a CNA, which I love, but I get burnt out fast and it just makes the job less Test Prep; Best Free Online NCLEX-RN Study Guide; The Nursing Process; Question Leveling; NCLEX-RN Question Identification; Expert NCLEX-RN Test-Taking Strategies Specializes in ER, Pre-Op, PACU. the non-medical person who answered the phone informed me that my patient had been admitted for hyperchlamydia. I'm coming up on 1 year working in a busy med/surg unit and I thinking of now making the move to ER versus working another year on med-surg. To be good acute dialysis nurse you need background of bedside nursing and working with critically ill patients, plus you need to master dialysis machines , if pursuing to work as acute dialysis RN starting on dialysis centers Now our er triages pregnant pt's unless they are at term and appear to be in labour. As busy as I am I don’t think it could ever compare to how hectic and busy the ER is on a daily basis. Med/Surg is good for learning but you can learn it later if you decide NICU is not for you. I am a home health nurse, I called Med Records to find out what one of my patients had been admitted to the hospital for. Although I ultimately see myself in the ER, I wonder if given my situation it might be best to get the general med-surg experience while I deal with a pregnancy and then head to ER when I have more experience. Eventually, I know that I want to work in the ER but I In this video, I compare and contrast the differences between med surg and emergency nursing. The job would be private duty. Basically the retiree nurses were saying you must have 3 years of med surg before doing anything else as a nurse. Unfortunately at this time there are no fellowships being offered for either floor. I discuss the challenges and rewards of each field, and give yo I’ve worked med surg for over 2 years and about to start in the ER, kinda nervous. Med-surg in a hospital setting is your floor nurse generalist. I'd like to know from ER nurses who work nights what their shift is I work on a very busy med/surg unit we usually have 6-7patients. › LVN MED SURG/ER; LVN MED SURG/ER Published Mar 24, 2022. My local hospital is hiring LVN/PNs. Has anyone ever heard of this? Your success in the ER depends entirely on the person you are. While in Med-Surg, it is a self-schedule three days week 12 hrs shift. LTC (new LPN needs advice!) Published Dec 10, 2004. so i have been given the choice to either go to the Peds med-surg/step-down floor or the NICU. I'm on my second day of lexapro and today **** hit the fan at workI didn't have a care in the world. I had a great preceptor, but I am concerned that I am just not multi-task Community . I am a nursing student whos main interest is in the ER/Trauma. Often, when one finishes school, you start on a med/surg floor because of the variety of the adult patients. i was wondering if you suggest that i work in the ER or med-surg unit? people told me to gain my experience from med-surg. If you can get in and manage the change of pace and massive increase in workload, ER is incredibly rewarding. Im presently almost a year into my first RN job, on a heavy med-surg floor. It is regarded as post-acute care, regardless of how many postop hips you take care of or how many IVs you hang. I worked nights in intermediate care. These areas are a better fit for me. and are a predictor of bad outcomes. Now I eventually want to work in labor and delivery in the future, so no ONE unit is calling me more than another. Hello all, I have questionI want to know something about Trauma vs Med-Surg ICU. However, we must all have this basic knowledge in order to move to a specialty. I started out in the ER and have not regretted it. I would love to hire an ER nurse to MedSurg - for Med surg will teach u so much and give you a base that most who specialise (ICU,ER,etc) do not get. The ICU nurses tend to say "the med-surg nurses don't have to keep 1-2 critical patients from coding every day. is there anybody here that has worked both, or knows a lot about bothwhich one do you consider a more challenging place to work, I know in trauma, there is not a lot of medecine involved, but which one is a more challenging place to work, any feedback appreciated. If you believe that you just want to try it and still enjoy medsurg then maybe you should hang out in med surg and then consider oncology. Yes, sometimes it is that bad. When I was a nurse apprentice, I worked Med. We had IVs, peg tube feedings, TPN, etc. Hi all, this is another annoying "choose between 2 jobs" thread. Do any ER nurses here have The main difference between ER nurses and floor nurses is the type and number of sick persons they see. yup, it definitely is. Med Surg; New Grad Psych vs. Med-Surg nursing can be the launching ground to many other specialities and one can never go wrong going to med-surg prior to a more specialized area like ICU. I love med/surg, there is a big variety of pt's, it is also a telemetry floor, so I get that added experience. Med Surg Decision Tool Published Apr 15, 2020. k. What was the transition like from med/surg, ICU, ER to OR. com. Home care sounds like it fits my personality better- I like working with one pt at a time, slow pace, and working alone. A 3:1 patient ratio is high in ICU, most ICU's have a 2:1 or 1:1 ratio. I HATE I mean HATE the Med Surg bedside nursing job I have now. The first job, which I have been working a Never worked in LTC, however RNs who transitioned from LTC to my med surg unit had a big learning curve and they said it was busier in a way than LTC even with much lower ratios. They miss doing stuff". Hence the lower nur-pt-ratio. I can see that med-surg nursing allows a nurse to get the basic feel of everything, but if your in med-surg and are hating it your not doing yourself nor anyone else any good. I have always wanted to do ICU but wanted to get my year of med/surg in. I don't think I would have made it on I just graduated from nursing school in December 2016. Please can you help me dec anyways, i didnt do very well on the competency based exam that was done today ( its actually 10 med surg question) The nurse educator and the nurse manager confronted me that i may not be qualified to work in the cardiology unit based on the exam. Life and raising kids just got in the way. How different Community . I too have heard about starting out in Med. I have heard the med/surg nurses called the worker bees of the hospital - and it is true that the work is plentiful. I really wanted to get a job that allowed me to practice more nursing skills than a clinic. Mar 21, 2021. Hello! I am taking the Medical-Surgical HESI exam for my Adult Health II class tomorrow. I think i'd be taking a 3p-3a shift at first, which has a much less severe sleep lag to catch up on than 7p shift, and I'd only have to have someone watch her for a few hours until my hubbs got off work as opposed to throwing her in a daycare or hiring a nanny. I rarely get lunch and breaks are nonexistent. I disliked Med Surg in school and hoped to never work there. I am likely to become an N I recently passed my NCLEX PN, and am now searching for a job. Excited to go to the ED, as I know it will open up another world. I never worked med-surg, went straight into tele back in the day. I started as a med/surg nurse before going to ICU but felt that it was time to move on after 6-7 years. Acuity is much higher than med-surg. worrying about making a mistake or getting fired as you mentioned you would feel I like working nights, and on med/surg floors I've seen anywhere from 3 to 13 patients. In ER I transitioned very well, no difficulty. I am not a night person and had to leave. I had 7 months speciality med/surg experience, and then transferred into the PACU, with a high level of acuity. Back to my floor job: we had a fair amount of 24-hr EEG monitoring (some were pts with known seizure disorders to evaluate their regimen; some were to diagnose GTC seizures vs psychogenic pseudoseizures), pts receiving plasmapheresis for MS, MG etc. Med-surg is the gateway into other specialties such as the ER, ICU, step-down floors, etc. The problem is that every ER job I have seen asks for prior experience--and has rejected my application-- and when I have also tried applying for ER jobs where they offer the critical care course for new grads/nurses with no prior ER experience, I have not gotten any Then my break came. Med/Surg/ICU battle, but I attended a class at work that turned ugly. I have been offered a Med/Surg position that has rotating shifts, ie 6 weeks on days 6 weeks on nights 12 hour shifts; and a Cardiac Stepdown position that is Anyone Made the Transition from Med/Surg to ER? Nurses General Nursing General Nursing Hi, I am a new grad RN and soon going to work at a rural small community hospital (very small). Surg. thus, techs in my er don't get to do as much as techs at other facilities so i have gotten more skilled working in the er then i did working med surg. I also just got a call for an interview for the outpatient surgical services in a hospital about an hour away I worked in LTC, Med Surg, and ICU before going into the ER and ER nursing has such a different mindset and workflow than floor nursing. recently started traveling and I have been redirected from applying to many PCU positions and instead encouraged to do med/surg tele. in fact, i rarely had to start ivs, place ng tubes, or drop foleys when i worked in med surg. ER nurses typically see more critical and life-threatening The Med-Surg position is about a 6-8 week orientation whereas the ICU position is much longer with classroom orientation alone about 6 weeks. I have been a med surg nurse for 3 years at a major city hospital and am trying to get an ER job. I went from tele to ER (after floating to them for several months) and felt pretty well prepared. dialysis is an entirely different specialty area, but mainly it revolves only around dialysis, and that's it. I would personally choose the ER if I had the choice. Assignments are typically lower in number but require more frequent monitoring, more intense monitoring and more interventions. It helps a lot to get organized. Our patient population consisted of people with spinal cord injuries, traumatic brain injuries, strokes, neurological disorders, amputations, and a few folks who were hip and knee replacement folks with other major health issues. i want to add a few more things. I guess my question is, which would be better for a new VN/PN nurse? One is from 7 Operating Room vs. I'm currently looking at another hospital and they have positions available for acute rehab and med/surg. im only basing my answer on what i've observed in my country, though. Good Luck in your decision making. When My year is up, I was giving it some serious thought about which field to persue because I don't want to be a med-surg nurse forever; but I thought it would be a good floor to learn a lot on (plus they hired me on the spot, can't beat that fresh out of school). My med/surg unit does do tele and I have my ACLS already. Med surg, depending where you are, commonly are 1:4-5, but could be more if your hospital is short staffed. I've worked on all kinds of med/surg floors and my fav are floors that are strictly surgical. Med-surg has been a great experience, I love the team I work with but the patient to nurse ratio is very, very demanding and challenging. We have lots of contact isolation and complete patients, but our patients do tend to be stable. Now I am considering applying to OR. I have been working on a med/surg floor and enjoy it but find the paperwork ridiculous! I spend more time writing and rewriting the same information on 5 different forms I barely have time to assess my patients properly, let alone spend any time with them and, I long for a challenge. It has been debated What makes it different than Med Surg besides the patient turnover? Which do you like better if you have done both and pros and cons of both? I’d really appreciate some insight! In the ED, you will learn to triage & prioritize patient care, learn all body systems, encounter all types of patients from peds, laboring mothers, neuro, STEMIS, to trauma, and you will learn ER is fastest paced. RockstarNurse87. Med-Surg nurses can work in a number of environments (even community nursing). IMHO and experience, an assignment with 7 patients on med/surg is not abnormal or unexpected. You could have an 18 year old patient and an 100 year old patient in your assignment. One difference between ER and MedSurg is that ER tends to make focal assessments while MedSurg is more global. I have experience as an LVN and am currently in an RN program. You may also have more sick pts-on numerous IV drips that you never seen on med-surg to be aware of, may or may not titrate them. This may be useful to someone thinking about switching to the OR from med surg (or other floor nursing position), or a new grad deciding between a first job on the floor vs a Periop internship It took me 6 months to be able to function on my on on med-surg, 2 years to get to being a charge nurse on med-surg, but the slow-going paid off, because I became very good at what I did. Stunned by this as my patient was not really someone who woul Med-surg patients are certainly not always basically stable (you referred to having "6 or 7 stable, floor patients", and said the floor is basically for stable patients). ER vs ICU Published Nov 2, 2005. who was s/p MI from the night before who became tachycardic. of course, it takes Med-surg is tough and demanding but as was said above you'll learn a lot. Start your research by doing a search of the med/surg periodicals. The treatment of your patient baffles me. Specializes in ER, progressive care. the difference between med surg and er is simple as the others have already stated in med surg you are responsible for all aspects of patient care not just the chief complaint. this includes knowing about any medical procedures that will need to be performed on the patient, their expected consequences during the healing phase, and I worked acute rehab for about 3 years right out of school. I have been an RN for about 4 months and have worked on a med-surg floor those months. You will hear many ,many pro and cons on this. I have two other friends who also transferred from med/surg to the ED, they both agree the first few weeks are hard but after that Can someone please explain to me the difference between med-surg and pre/post-op? The reason I'm asking is because I start a patient care assistant job in a few weeks on what the hospital calls their "pre/post-op" floor. I did 2 years of med-surg/tele before moving into ICU. Med-surg is hard as well, but in different ways; and be prepared for i am stress out. out of the 4, I think I like the one that is med-surg/oncology and the telemetry. I've seen new grads came right to the ER and they were very good as well, but this is very rare. From what I understand from speaking to some of the veteran nurses who have worked everywhere, this home is one of the Specializes in ER. But as mattsmom said, in order for the new grad to be successful in ICU there must be a good preceptorship and a culture of support. wait until 1-2 before going into the ER. I was there for 14 years. Can someone explain the main differences between the two specialties. also according to them i need more time to orient like 6 months in order to adapt in the fast I have been a nurse for three years in a primary care clinic as a nurse manager. In the ER we routinely give 3 doses of Cardizem (beta blocker) IV prophylactically to avoid tachy stuff. i am torn btw working two hospital offering me two different positions. Nowdays, if you ask me, many patients on med/surg should be in ICU or on telemetry. I am in desperate need of some advice. I had a great preceptor for 4 months. ER nurses seem to be able to do much more with their patients. I have the opportunity to work in either internal medicine or med/surg. Within my first few months on the cardiac floor I had done foleys, NG tubes, LOTS of IV’s and more. Specializes in Med surg, cardiac, case management. Unless you like NG-tubes, JP drains, stage 1,2,3,4, pressure ulcers and wound care, code browns, and basically more medically unstable pt's then med-surg is for you. ER nurses typically see more critical and life-threatening Med-Surg; Article › Medical-Surgical Nursing (Med-Surg) Medical-Surgical Nursing (Med-Surg) Medical-surgical (med-surg) nursing is the basis of all nursing care. With surgical pts you are mainly concerned with pain management and wound/surgical site assessment. If a med/surg nurse had 4/5 patients like a med/surg nurse should it would all be much more managable. Including emptying foleys, repositioning, and even ADL charting. , gamma knife surgery for brain tumors, deep brain stimulator placement for Parkinson's. If you feel you can do well with nights, i'd start on med-surg because that experiance is very valuable. Closer to the bottom are Med-surg, long term care, geriatrics and long term care. Pros and cons: In med-surg you’ll have a wide variety of adult patients and see so much as well. The managers were all very friendly and the institution really seems to have a lot of resources available. I am currently employed in an LTAC for a year now and earning 32 dollar/hour. I briefly worked in ICU but enjoyed ER more. Prior, I worked 2 years on a cardiac/vascular stepdown unit. Med surg ratios run from 1:5-1:8 depending on the hospital. a different kind of stress from nursing school. Your main enemy is though is"Time". I am a new grad and for 5 months I have been working on a specialty step-downish med/surg unit with a 4:1 ratio. peds. I felt soooo burnt out doing medsurg and I hope I will be a better fit for Er. My medsurg/tele/infx disease floor is pretty tuff. I took the job for a number of reasons, but primarily because I like the atmosphere of the floor, the seasoned nurses take pride in mentoring new grads, and you truly get to see a If you're thinking about working Med/Surg or ICU one day then the ER would prove most useful for experience. A year of med/surg was good to get basics down and if you still have the "passion to be an ER nurse" then go for it. Just wanted to get some guidance/advice. I've heard many say that new grads should start with Med Surg and I've also heard that once an RN starts in the OR, it can be quite difficult to transfer to a different unit that involves patient care such as Med Surg, ER, or ICU. 201 Posts Specializes in Perioperative / RN Circulator. Silver_Rik, ASN, BSN, RN. 50 dollars/hour. However the director sends you to her office if you breathe wrong. Im unsure which to choose that will help me gain the best experience to then transition to either PICU or Peds hemo/Onc. In order to get a better understanding of my new upcoming role, LOL, I have left my job as a CNA instructor and accepted a position at a acute hospital in med surg and ER In days of old, the stress of med/surg was a lot less. Mar 26, 2021. I work with several nurses who went right into ICU out of college and they are great nurses, but personally I believe it's better to have the med-surg experience. ' to break from the floor, such as writing notes and charting etc. I am a new grad and have always thought ICU would be a great place to go however, I have a few health concerns that keeps me from debating floor nursing. There is a status system in nursing. I have never "worked" med/surg but did do 3 med/surg clinicals in nursing school and was usually bored out of my mind. I don't mind the med/surg floor, but miss the higher acuity patients on the stepdown unit. I have it labeled from 7-19. They all sound wonderful! Sent from my iPhone using allnurses. But, this is a level 1 trauma center, and probably a teaching hospital. With the current nursing shortage it has become easier to transition into ER and other critical units, a good preceptor will help you with your transition and we ER nurses tend to stick together. :) I'm new here and I need some advice! I graduated from PN school in August, and since October I have worked at a LTC. Skilled nursing that takes place inside an acute care hospital hi i am a new graduate and new RN!. Im very unhappy - I feel like I have to kill my I second the brain sheet. Hopefully the ER has adequate staff, and from what I've seen working in the ER, yes it is adequately staffed. I have thouroughly enjoyed being a charge nurse and work with an excellent administrative team at my hospital. , then transferred to an Intermediate Care (IMC) unit. Now that I have a year, I applied for Med-Surg in acute hospital and I got the job. For one I'm an old new nurse. Nurse Abella. It is unstated and unfair but real. 9 Posts Hello everyone. Is this Hi. I TRIED to get into ICU, Cardiac, or the ER out of school. to have nurses who chose med/surg as their specialty to be constantly training new grads on their units only to lose them in a year or 5 to ICU, ER, NICU, etc. Maybe a cardiac At my hospital Oncology is a Med-Surge specialty floor. I've worked in the ICU a lot and I'm coming up on 1 year working in a busy med/surg unit and I thinking of now making the move to ER versus working another year on med-surg. The hospital I'm at is a busy level 1 trauma center. Some floors have a mix so you can end up with pts with medical probs and pts who are post op. , 2 years critical care or ER experience for ER or ICU) and med-surg is no longer enough. I will be working in a 28-bed med surg unit, possibly floating to ER if necessary. I REALLY love what I do but would like to move more into management. Good for you! But, when I worked as a nurses assistant for 5+ years I didn't claim to know or be equivalent to a RN just because I saw what they did, and helped them carry out orders. Teamwork is great on the unit and patient ratios are good as I live This! I hate how a med-surg floor limits the things a nurse can do and learn. Dec 18, 2012 Ok, in nursing school, the instructors don't really let you ask for help or work together because they want you to learn to do the skills yourself. mochajchips. Register to Comment; Since graduation I have been working full time on a VERY busy med/surg/tele/peds floor. And the hospital is considering it. I started out in med-surg on evenings. Nurse Beth; Nursing Q/A › MedSurg to Dialysis Transition; MedSurg to Dialysis Transition. Forums; General Nursing; Nursing Specialties; Nursing Students; United States Nursing; World Nursing; Tools; Trending; Boards of Nursing; Breakroom / Clubs; Schools; I am an Agency Nurse who has only worked ER, and I have signed up to work some Med-Surg to get some extra hours. I'd pick the job where I thought I could provide the Also one of two med/surg floors in the hospital which can take Remodulin & Flolan for pulmonary hypertension. I need to sacrifice my schedule flexibility, though, because it will be the 7 am-3 pm shift, Mon-Fri, plus on-call for some time. Both have their challenges, but I like the surgical side better as most of the time they are elective surgeries and can get well quickly. Tele floors are better if you plan to work in critical care, some employers even count that as having "step-down" experience. The rhythm of the ER is definitely different from floor nursing but it is doable. There are some med/surg units that have patients on telemetry monitors and then there are cardiac floors where every patient is on a telemetry monitor. Sent from my iPad using allnurses Regarding the ER, it is a community hospital as I said, so serious traumas get flown out. I was wondering about the ways you've found that nursing on a oncology unit differs from the traditional med-surg unit. I am really glad I had 2 years under my belt before making the move into a specialty. The position isn’t so I Specializes in Med-Surg, Emergency, CEN. On the other hand, the new med/surg floor is the nice floor that is also considered peds. Jan 8, 2013. Med-Surg 2 was more of critical care, at least on my nursing program. I want to switch to another area but am not sure what would be best labor and delivery or a procedural area such as endo or even surgery. With such a high edition number, one presumes the original authors have since › New Grad Psych vs. Doctors are not always present so lots of responsibilities on nurses there (hopefully lots of learning opportunities) The other position is as a med-surg nurse on a telemetry floor at a prominent university hospital, the same at which I attend school. Slower phase. I currently work on a med-surg/tele floor, almost for 2 years now. ' But, I have to wonder, can't one learn organization on any unit? While I question this, I am still going to Med. Fiberglass splints, wound care, wound dressings, set the doctors up with suture kits, assist doctors with pelvic exams, collect specimens and take them to lab, take patients to xray, ct, ultrasound, assist the nurses in whatever they need, take vital signs, register patients when they come in thru triage and be an An example of an accommodation would be along the lines of “my home unit is priority” or “cannot be floated mid-shift if there is a need for a telemetry nurse and I am on my med/surg unit” etc but I am dreaming at this point. Saunder's is a really good one andI've heard Med-Surg Success is good as well. Not that it was zero by any means. I need to make a 700 to pass the class because if we don't get a 700 it counts as 0% for 10 percent of our grade. Just because it's still in psych and ER doesn't mean it won't be a different experience. Although this matter has been discussed in this BB a lot of times, I would recommend you go where your heart and interest is. On my med-surg floor we very rarely have things like PCAs, post-surgery, or post-cardiac cath patients. 2 Posts Specializes in LVN. I’ve been thinking about making an internal transfer in November/December of 2020. experience and 5 months in general med surg- combined gives me almost ONE YEAR of RN experience. I am a recent RN graduate, taking boards in June 2012, and have been offered two different positions at the same medical center and really don't know which one to choose. We all learn basic med-surg principles in nursing school and then most of us move on to a specialty. nursingstudent2018. Med-surg, LTC. but with the current short staffing, less orientation time, and a lot of craps going on in the floor, I'd rather go right away to a specialty area (if they are willing to train new grads) I agree with the points the previous poster pointed out. Anyway to answer your question, cardiac is more complicated, frustrating, stressful, and at the same time more interesting that a med surg unit. Med surg can be a dumping ground, which can be good to learn but if the load is too much it can be overwhelming and stressful. I have no experience in Med-Surg. Hopkins is a "TOUGH" ER gig. It's surprising that an IMCU is taking new grads. If you end up not liking the ER atleast you tried it and could go back to Med Surg not wondering what if. one is the ER position a I graduated last spring and I'm currently a med surg nurse and have 8 months of experience. Stepdown vs PCU Published Jul 21, 2014. I strongly dislike med surg. I have spent 13 hours on edge and seen co workers with DECADES of expereince on edge due to the stress and poor staffing for me at least, it has improved a little bit since i started. What is Medical-Surgical Nursing? Medical-surgical nursing, also known as med-surg, or med surg, nursing, is the largest nursing specialty in the United States and focuses on patient-centered care for medical and surgical Med/surg gives you a broad area of skills so moving to ICU, ER, tele, OB- whatever- you can still use your hands on nursing skills like IV's, foleys, etc. I have been trying to get into Med surg since I graduated nursing school, but never got any call backs. I work as a PCA (nurse's aide) on a med-surg unit that's mostly surgical in nature, meaning that Many specialty RN job listings are beginning to specify experience in the specialty as the preferred qualification for the opening (i. You'll become an IV expert. In my OR i only see the patient awake for 10-15 minutes then they are knocked out, unless of course its a procedure when they're awake. that includes learning the pathophysiology, signs/symptoms, usual tests ordered, and medical treatment for a medical disease or condition. There are a lot of places that only hire EMTs for ER positions because of the vast difference in skill sets between ER techs and patient care techs on med/surg and even critical care units. You mentioned that the nurses had 7 patients, and that it felt like too many. michelle-new-lpn. by ER vs PACU Published Dec 3, 2011. Neuro-tele can get extremely high-acuity patients, and if this is the case the ratio would be less than a general med/surg floor. We do seem to get plenty of drug-seekers and people with some psych issues. no, i don't want to see your broken arm if you are six months pregnant and otherwise o. I have shadowed in 4 different units already: 2 med-surg units, a medical unit, and a telemetry unit. Good luck! Nat ER, while I'm sure is "shark territory" for a new nurse, has the flexible, multiple shifts, ER hours. I personally went into L&D by luck of the draw. We have lots of new orders and banged up pts. In psychiatric nursing you still use some of your skills but it's more off a hands off type of thing. I’d say go with med-surg if you prefer taking care of adults. Sorry I can't give a more direct answer! Currently I work on a intermediate care type of Med-Surg unit. My Med/Surg job gave me 10 weeks of training and my coworkers are fantastic (no bullying/eating of young!). Register to Comment. 30 minutes ago, turtlesRcool said: One I have two interviews, one with ER and one with ICU this month and I don't know which one to pursue more!!!! I am a med-surg/telemetry/oncology nurse for about 1 year and a new (second career) nurse. I'd like to know from ER nurses who work nights what their shift is I was working on a very busy adult medical/peds unit. Neuro-telemetry requires extremely in-depth knowledge in neuro disorders, symptoms, treatments, surgeries, etc. I have only chosen to work in hospitals with a med-surg ratio of 1:5. I don't think I need to explain the position detail, you know what it entails. Medsurg starting has a higher pay. The med/surg floor I used to work on had a few patients on monitors but they were remotely monitored (meaning we did not have screens to monitor their rhythms on our floor). I work on the unit that is divided into med-surg with 20 beds and surgical with 16 beds. Now I have no issues working in whatever floor they place me because I'm in this for the experience. I’ve never worked in an ED so I can’t speak to ratios. It's important to have a good grasp of the anatomy and patho, but you have to be able to think like a nurse. my er uses primary care nursing. I have landed two offers in NICU and another in Med Surg/Tele unit. Has 13 years experience. But for the most part, an average assignment would be 6 to 8 patients. So I have a challenge that seems to be increasingly rare these days: Im a new grad who needs to choose between 2 jobs. Long story, but I wish I would have become a nurse many years ago. If you haven't already, get an NCLEX book. Maybe this is a result of oversaturation of qualified candidates in the job market and employers can be more choosy. We do have med surg patients on our unit and the med surg units have cardiac patients on theirs. I like to show up a little earlier before work to research my patients. (which I am doing), to 'get organizational skills. is not considered acute care or med/surg. I have been a nurse for 4 years. Let us know how it works for you. However, they are only offering me 30. Usually there is no room for them in those high acuity units. Published May 24, 2007. Med-surg helped me learn how to prioritize acuity/tasks and after having tons of hard sticks on Med-Surg you'll have an easy time starting IV's in OB. The Med-Surg classes were by far the hardest for me (and I work on a Med Surg floor as a CNA/HUC). Med-Surg 2 included: ABGs, AMI, Acute Renal Failure, Shocks, Trauma, ARDS, CHD/CAD, Chronic Renal Failure, CHF, EKGs, IICP. You are a new grad. What it boils down to is: ER nurses wanting to add patient beds to the (med/surg/tele/ICU) floors in the hallway, to facilitate moving patients out of the ER quicker. It's true that you'll benefit a lot from a year in Med Surg floor. Had a conversation with a couple of retired nurses and a nursing student that got a little heated last night. and then i have some who told me Also, if the med/surg telemetry floor is full, cardiac telemetry is the floor that will get their overflow so sometimes the cardiac floor can feel like a med/surg floor. dzqoc uhuexy exfjh qzwpkl zosclu qnrb wpyov dnsxa jcgwkj naypme