I need help. =(

2 Hi,
I never thought I'd actually have the need to make an account on here until now. I'm a new grad nurse working at a free standing emergency room, basically an emergency room that's not connected to the hospital but at an offsite location.

Anyway, I was called into my manager's office last night and he asked me what I feel like I am struggling in. I mentioned pediatrics and he stated he was glad I said that because it is one of my weaknesses. I know that it is, as are so many other things too. I'm thankful he us giving me a chance to improve on my nursing. But here us the thing, if I don't do well on a med/surg floor for this upcoming month, they will have to let me go.

That's what terrifies me. I moved 1600 miles to where I'm at now, sacrificed my friends and family and happiness to get the experience that I need. I'm now at a loss and I'm afraid that I'm going to slip away and end up getting fired.

I have a lot to learn and I'll be working on med surg for a month. I need advice and lots of it. I'm feeling very discouraged at this point in time. If I get fired, I don't even know what on earth I'm going to do. Help me, I'm scared. =(
It's not clear what is going on. Are they taking you out of the ED and putting you onto a med/surg unit for a month to see if you do OK there?If this is the case, then they sound like they are willing to help you get up to speed and are giving you a chance in another department, even if you are not ready for the ED yet. Buckle down and make the most of the experience - they are giving you a chance to thrive in a different environment rather than let you drown in the ED.

Quote from TakeTwoAspirinIt's not clear what is going on. Are they taking you out of the ED and putting you onto a med/surg unit for a month to see if you do OK there?If this is the case, then they sound like they are willing to help you get up to speed and are giving you a chance in another department, even if you are not ready for the ED yet. Buckle down and make the most of the experience - they are giving you a chance to thrive in a different environment rather than let you drown in the ED.

Quote from MissyERnurseYes, I wasn't clear on that. They're taking me out of the ED to have me do training on med/surg to improve my skills. I've strictly been in the ED the past nine months and I thought I was doing well. I know I have many things to work on and a whole lot more to learn, I'm just terrified this will be the end of the road for me. I've been working so hard each and every day, go out of my way to help my team members, but still that doesn't seem to be enough. Some days can be overwhelming, especially since we do see a lot of children. Children are not my forte and I know I didn't do well in peds during nursing school. I'm going to go in with a positive attitude and soak everything up like a sponge. I have to pass this, otherwise I don't know what I will be doing.

I'm confused. They are going to put you on an adult med surg floor because you're struggling with peds? This sounds like a shady transfer. Are you coming back to the ER?

You would do well to start a job search in case you can not turn it around. Not to say you should not give this your full effort, but you can not know for certain that you can convince this employer to keep you. The sooner you start looking for another job, the less you will stress about what you will do next. If you get a part time position, all the better. You will have the part time job to fall back on if this does not pan out. Best wishes.

They will have me come back to the ER when I show I'm capable of surviving on the Med/Surg. Once that happens, I'll be cross training in pediatrics. I have my PALS and TNCC. The next ENPC course isn't until July of this year. And I agree, they should have specific pediatric nurses for those pedi patients, but it doesn't work like that down here. It's so much different than how I had seen ERs been run in California. I appreciate them giving me a chance and not giving up on me. My manager says that I can do this, otherwise he would have just fired me if I had no chance whatsoever.

Also a little back story to where I am. I moved to a very densely Hispanic populated area, about 95% are Hispanic here. A lot of the population we see at the freestanding ED are children, most of it is simple stuff, just ibuprofen and Tylenol, but sometimes we have to start IVs on them, I'm okay with it, not the best, but I've started several IVs on babies. I guess my critical thinking when it comes to children is sub par. Either way, I'm welcoming the experience I will get from med surg, I hope I do well.

That's really confusing. I don't get why they're having you go to an adult floor (especially when you state peds is your main weakness) when you work in the ER. Weird. Good luck!

Believe me, I'm just as confused as you. If I do well, they'll let me cross train on peds. =/

Quote from MissyERnurseBelieve me, I'm just as confused as you. If I do well, they'll let me cross train on peds. =/

Right,? I will talk be talking to the floor manager and make mention of it to him. I'll let you know what he says, I'm meeting with him soon.

Quote from MissyERnurseRight,? I will talk be talking to the floor manager and make mention of it to him. I'll let you know what he says, I'm meeting with him soon.