ICU NURSES vs ER NURSES

The Nomad Nurse (Crosby Steen) visited me in AZ and of course we had to knock out some awesome videos! Crosby has his own travel nurse YouTube channel, so go check it out below! I hope you guys enjoy our comical take on ICU nurses vs ER nurses. :)

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The views and opinions expressed on this channel and/or in the videos on this channel are that of myself and not of any educational institution. In compliance with HIPAA and to ensure patient privacy, all patient identifiers in all videos have been deleted and/or altered. The views expressed on this channel and/or in the videos on this channel are personal opinions. The information I present is for general knowledge purposes only.
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[DottyGale]

ICU nurses AND ER nurses - I’d like to say “thank you” to all of you! Regardless of which department y’all are in, I appreciate all of you. A good nurse tending to you is like gold. We patients need you and respect those of you who care for us when we’re hurting and not feeling well.

[michaelreynolds]

ER nurses strive on chaos, it helps if you are mildly addicted to adrenaline, . Unit nurses are control oriented, . They deal with subtle cardiac rythyms and micro doses of medication and most of their patients are hovering between life and death., Unit nurses avoid chaos like the plauge, but they can deal with it beautifully. I personally love ER but Ive spent years in the ICU, CCU and burn units. I enjoyed every day I worked for 32 years, . i have nothing but respect for the profession and those incredible individuals who choose this career.

[LinaMEW]

I always felt "at home" in an ICU. ER always terrified me. Even floor nursing seemed so much more difficult than the ICU. It was easier for me to get organized in ICU. The patients are sicker but you have more time to devote to them.

[kimg]

20 yr nurse here. I've done ICU and ER. I learned a lot from both places, and those frustrations are real! The best thing i took from my experience is that we each have a different focus and mindset, and we need to, but we also need to understand these differences and not expect too much out of each other. I was more OCD in the ER than a lot of my peers, but not as much as I could be! And... it happens on the way up A LOT!!

[QCutube]

ER nurse: here, chug this on the way up.
Patient: what is it?
ER nurse: it’s called Kayexalate

[oluchi_assumani]

I totally agree with ICU nurses being so detail-oriented with report. When I started my current ICU nursing job, I would get so frustrated because I felt the experienced nurses were asking for "unnecessary" information but now I understand why. As an ICU nurse, you have to be prepared for the unexpected and it helps when you have a detailed understanding of the patient's history. Great video guys!

[firecreeperaza]

ICU’s for the introverts, ER’s for the Extroverts and Ambiverts works well on both areas.

[Dustin_Curley]

New Grad RN starting my career in the ER in 30 days. This was awesome. Thanks guys. Will follow.

[TheWarWitch.]

This is a much needed video as these are the two specialties I'm deciding to choose from.

[jaclynnnemeth-borghi]

I have worked both ER and surgical-trauma ICU so I have seen both sides. I honestly think ICU nurses need to do a couple shifts in the ER, and vise versa. ER nurses should give their best effort to do as much as they can for the patient to provide good care, but ICU has no concept of ER nursing. rightfully so because most have not seen it first hand. It is a completely different approach and style of nursing. The demands, priorities, and resources are all very different, and to fully understand we need to walk in the other's shoes. I wish shadowing both ICU and ER was apart of orientation for these two roles.

[spoiledx]

As an ER nurse, my biggest pet peeve is when an icu (or any inpatient nurse) is “too busy” to take report, and asks us to cal back in 15 minutes. In the ER, there’s no such thing as too busy for a new patient. In a trauma center, those 5 car accident patients are coming right now, ready or not!

[cupofnurses]

This is a really important video, Ashley. I salute you for your unselfish dedication and never-ending efforts every day! We value your contribution.🙌

[chelseatomkowiak]

I’m a phlebotomist and I’ve worked in both the ICU and ER (along with every other unit), and totally agree with this video. I told my boss to only schedule me in the ER from now on, because I love how they work together so well and respect each other. In the ICU, it seems like they’re always complaining about each other and questioning EVERYTHING. I get that it’s your job to know what’s going on, but don’t get mad at ME when the doctor orders an ionized calcium at 2 am. I don’t know the reason, the doctor does. Ask THE DOCTOR. I just get orders and go do them. The ER tends to treat phlebotomists way better for some reason.

[charlotteunger]

As an ER nurse that now works in an icu this is spot on.

[organicniki]

Bottom line is there just isn’t enough time, or staff in most ERs, we do what is important and if there is any time at all we will do more. Most of the time in the ER you can’t even take a break, pee, drink etc.... it is one of the most under appreciated areas of the hospital. Yes we all work hard, but this is an area that can never say no, that can never cap, we just keep going and going and going, and everyone expects more and more and more. All areas should spend a week in the ER, and maybe they’ll get it. Great video guys!

[chrisguapo]

I work full time Level II trauma ER and part time CV-ICU, (I used to be full time CVICU.)

Before getting ER report, I print out the ED MDs progress notes and MD orders and highlight the important stuff. Everything is there so getting report is only a couple minutes long.

Printing out the orders also clears things up. Sometimes we ER nurses are just too busy to look at the orders every 5 minutes when an MD sneaks an extra order right after you checked it.

Example: was this repeat lactic acid done? Was this consult informed? Was the 2D echo done or pending?

My pet peeve as an ICU nurse is when I’m about to get report and the ER nurse starts out with “just to let you know this isn’t my patient” or “I’ve only had this patient for only an hour and haven’t had time to review the orders, ”

Which I don’t mind, it’s when they continue with “patient wasn’t breathing right so he was intubated, vitals are stable but I don’t know the vent settings, don’t know if repeat ABGs were done, etc and other important stuff.

When I’m working ED my pet peeve when giving ICU report is when they need to right down everything you say.

Ex. Me: “Pt has a Hx of CHF, afib, CAD, HTN, Tubal Ligation..”

ICU: “Hold on... you said CAD then what was after that?”

Me: “18G IV right FA, 20G to right upper arm, 16G left AC...”

ICU: “hold on... left AC had which Gauge again?” And you said the 20G was on the right upper arm?”

I’ve learned to tailor my report depending on the nurse that will be receiving the patient.

Cheers!

[hannahmccown]

“I don’t like ER nurses and I am a ER nurse” reminds me of me saying I don’t like freshman and I am a freshman

[cjisavailable]

What I hate about ER is that sometimes they wait until last minute to transfer their pt out of the ER and onto the floor. The order for transfer was at 2pm and report does not call until 6PM and pt arrives to the floor at exactly 7:31PM (because we have a no transfer rule during shift change of 7-730). It just sucks for the incoming shift because they can't even get situated. I know, I know, I don't know what is going on in the ED, but I've worked there and soo many RNs do this at different hospitals. Before people get defensive, I am pretty sure every RN has done this "wait" regardless of what task it is, like drawing up blood at 6am because you know the hgb is going to be low, so the next shift has to do the transfusion., etc.

Nursing is hard, so I try my best to be courteous to my fellow RN, but what I realize is that your fellow RNs (from outside your unit) does not really care for that lol. I get downgrade transfer orders at 830AM. I know it's busy because it's just about the start of the shift, so when I call the receiving RN, I always ask if you are able to get the pt now or need 15 minutes before I call transportation.

I may have vented. lol

[melissabenson]

It’s all about priorities/acuity, time, volume, and environment...both departments are full of equally hard working professionals😊

[Kaigunmedicae]

As a paramedic that's dealt with ER and ICU nurses, I wouldn't say it's personality so much as volume. ER has to manage chaos because they have 5 patients, a line out the door and we keep bringing them more. ICU nurses have one or two so they can be more organized. Also working with ER docs verses Intensivist influences their departments.