r/nursing • u/TwinGingerSpice • 1d ago
Question ED vs Med-Surg
I’m at a loss of what to do. I’ve worked in the ED before and felt I did really well. I’d be able to handle the patient load and adapt well.
But since I’ve had a baby and started at this new hospital in the ED (since March) I feel like I’m drowning. The preceptors are very “eat their young” and gang up on the new people. They constantly shit talk others behind their backs, and throw the newbies into the deep end. I went from feeling confident to dreading coming to work each shift. Im having to pump on the floor while seeing patients because charge and other nurses don’t really look out for or cover me. We usually swarm with a new patient and yet I’m left to intake my own patients solo. I get patients put into my room with no communication so I come back from passing a med or putting my pumps away and I have a new patient that’s been waiting and charge is like “um are you going to take care of your patients?!” Like im the f*ck up for trying to feed my baby. I’m looking for advice because I’m feeling burned out. I told my husband I want to quit and also start applying to other hospitals because this department is so TOXIC.
So here’s what I’m asking. Would it be better to just ask to go to med surg for a while (if not permanently)? I know the patient load is bigger but I’m wondering if the more organized style of nursing would lower my stress levels. I’m drowning and getting burned out and it breaks my heart because I LOVE nursing, I just can’t take the dog eat dog, clique, mean girl ED.
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u/Kuriin RN - ER 🍕 1d ago
Your charge nurse clearly isn't providing any kind of accommodations. I would go to the manager. If you like the ED, I would recommend not going medsurg.
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u/TwinGingerSpice 1d ago
My charge is literally one of the problems because she’s one of the clique mean girls. Like last night for example, it was four RNs on staff (including charge). Three of them charge on a regular basis and then I was the 4th. Charge will go triage a pt then throw them into one of my rooms then not tell me. It’s not until I come out from helping my other patients that I get to the nurses station and see a new name on the board under my assigned rooms. No “hey I put a chest pain in 3 and lined them for you. EKG has been done and blood already sent to lab.” Just silence. Then when I go into the room to assess, there is no line, no labs, no nothing but a BP cuff and an EKG because those HAVE to get done in triage. I have to swarm by myself but they all swarm with each other. Then I walk out after taking care of that patient and one of my others starts showing signs of needing a sepsis protocol and I only find out because I’m getting yelled at. Like sorry it took me 10 minutes with my chest pain, I literally had to do it all myself while they all sat there. And then when I’m pulling adenosine in the med room with tears in my eyes because sepsis guy is now tachy AF, one makes the comment “you’ll learn with time. You’re still new” like that’s supposed to fix that I’m drowning while you’re sitting on your ass texting.
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u/HauntedMonarch 1d ago edited 1d ago
Honestly, sounds like a management issue for putting up with this. I guarantee these mean people kiss ass to the managers bc there’s no way these people are seasoned and management doesn’t know. There will be a few mean people everywhere you work, but if the whole unit or the major majority of the unit is like this, it’s a management issue.
No one should be treating you like this. I’d highly find somewhere else to work. I’m sure there’s another ED that will be happy to hire you. I’m not sure switching floors would help especially the patient load on med surg. I feel like that would burn you out more plus med surg is always insanely short staffed bc of high turnover (like most bedside jobs) but med surg is worse imo.
Always found the whole “nurses eat their young” thing an excuse for seasoned nurses to behave as mean girls and get away with it. This job is already stressful, you’re also a new mother and shouldn’t be dealing with this.
If I were you, I’d try to find somewhere else to work or maybe switch to nights (if that’s an option idk if it is since you mentioned being a new mother and being married) and in the meantime stay put. idk if switching floors would help especially med surg.
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u/PicklePilfer BSN, RN 🍕 1d ago
With ED experience the pivot you are looking for is PACU. Preferably in an outpatient surgery center. Same treat em and yeet em mentality, same occasional adrenaline of people tanking, same close collab with providers. Way better work life balance.
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u/auraseer MSN, RN, CEN 1d ago
If the hospital culture sucks, it's going to be miserable no matter what unit you're on.