Management of a core of 4 patients with a varying degree of medical needs from critical trauma or in need of immediate intervention, to patients with lesser medical needs from common cold to minor injury. On a busy day you may have up to 20+ patients pass through your core from walk in traffic or by ambulance that need to be evaluated, treated and either discharged, or admitted to assigned hospital floor for appropriate care.
The ER Nurse learns to admit, assess, and decide initial care of patients even before providers first interview by obtaining vital signs, assessing cardiac and respiratory function, determine need for IV insertion and concurrent draw of blood samples. Nurse needs to manage time and effort of core of patients and prioritize with providers according to acuity. Management of ER was excellent and helpful when called upon to advise and mentored nurses in way that helped both patients and employees.
Co-workers were helpful and always there to assist if needed. The most demand aspect of this job was time management that can overwhelm you depending on the demand for care on any given day. For example, if you have a stable core of patients where care is under control time management is not an issue. But, if you discharge 2 or 3 patients at one time I have experienced situations where I was assigned 2 ambulance/critical patients at one time and another patient with lesser demands but still in need of prompt attention.
The most enjoyable part of my job was receiving compliments from patients and family members that let you know your efforts were appreciated and that you had a positive effect on your patients in their time of need. Also, completion of new skills brought much satisfaction and added to a sense of competence and professionalism.