Emergency Nursing: Everything You Need to Know About Being an ER Nurse (2024)

Emergency Nursing: Everything You Need to Know About Being an ER Nurse (1)

If you have hopes of pursuing a career in nursing, you’ve probably looked into the different specialties available to nurses. Each specialty demands its own skills and characteristics, which is especially true for those working in emergency nursing. Emergency nurses work in a fast-paced, often-stressful environment that requires a unique skill set above and beyond the standard nursing skills.

Your ability to stay calm and collected in urgent situations is one of the reasons you’re considering becoming an emergency room nurse. But the thought of working in the ER is intimidating—what if you can’t handle the pressure? Or is that part of the job overblown? You need all the info you can get as you research the ins and outs of emergency nursing. Keep reading to learn more about the skills and qualities you’ll need in this dynamic nursing specialty.

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What do emergency nurses do?

ER nurses treat patients who are suffering from trauma, injury or severe medical conditions and require urgent treatment. Since these specialists work in crisis situations, they must be able to quickly identify the best way to stabilize patients and minimize pain.

“The nursing duties are the same wherever you work—except in the emergency department, everything is compressed,” says former trauma and transport nurse Pat Carroll. She shares that ER nurses are often evaluating and treating patients almost simultaneously, and they work with a team of specialists, such as radiologists and orthopedic experts, to provide the highest-quality care.

Working in an emergency room isn’t all excitement all the time. “Every shift is not as exciting as a shift on TV,” Carroll says. “The interesting and unusual cases they treat in one day may happen over a month or two in a typical emergency department.” Lauren Elliott, author and RN, adds that, depending on the hospital, ER nurses can spend much of their time performing other duties like preparing rooms and updating electronic health records.

Emergency nursing careers may also come with the important role of educating the public. Some ER nurses participate in public programs that promote wellness and prevent injuries, such as alcohol awareness, child passenger safety, gun safety, bicycle and helmet safety and domestic violence prevention.

What are the most common conditions treated in the ER?

Emergency nurses encounter many conditions with varying degrees of severity—ailments range anywhere from a sore throat to a heart attack. According to data from the Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project, the top-five reasons for ER visits in 2014 were*:

  • Abdominal pain
  • Upper-respiratory infections
  • Strains and sprains
  • Superficial injury (an injury that does not affect muscles or organs)
  • Chest pain

The injuries ER nurses encounter most often depends largely on where they work. Hospitals in large metropolitan areas are more likely to see extreme cases like gunshot or stab wounds, but they also receive patients with less-acute problems who are simply seeking primary care, according to Carroll.

Rural areas typically have more trauma injuries resulting from vehicle crashes or accidents with farm equipment. “And, today, everybody is seeing significantly more overdoses regardless of where we practice,” Carroll adds.

Geographic region also plays a role. Elliott notes that emergency departments in southern states are more likely to see illnesses that affect the elderly, such as chest pain or fractures from falls, since many “snowbirds” head for warmer climates to escape harsh winters in their home states.

Where do emergency nurses work?

The majority of emergency nurses work in the emergency departments of hospitals or medical clinics, but there are a few other work environments you may not have guessed for this nursing specialty.

Emergency nurses can be found working as “Flight nurses, on search and rescue teams, in the film industry as movie medics or in urgent care facilities,” Elliott says. If the prospect of practicing your medical skills in the air or on the set of a Hollywood movie isn’t exciting enough, ER nurses can also serve patients by working on cruise ships. Emergency nurses are particularly well suited for this unique work environment since they’re used to seeing patients with a variety of ailments, according to Carroll.

There are also calmer options for emergency nurses, such as schools or walk-in clinics, where their emergency skills can serve a vital role. “We are particularly valuable if we have emergency department experience and can pick out that one person with symptoms that seem appropriate for a walk-in center but are, in fact, more serious,” Carroll says.

Nurses who specialize in emergency situations are limited only by their own preferences when it comes to choosing a work environment. “I think we could work virtually anywhere,” Elliott says. “ER nurses see and deal with everything.”

What are the qualities of a successful emergency nurse?

There’s not one set of necessary qualities that’s required if you want to be an ER nurse, but having certain characteristics might make you more suited for the job.

Emergency nurses must be able to remain calm in high-stress and high-pressure situations, and that includes exuding confidence in the midst of uncertainty, Carroll says. Your ability to handle a situation with care and confidence can make a big difference in a patient’s level of comfort and calm.

Staying flexible in tricky situations is essential, according to Elliott. “You must be able to deal with situations that have no warning and be able to roll with whatever happens.” Having a thirst for knowledge is another trait that will serve you well in the ER. “You need to be committed to lifelong learning, because you can see anything in the emergency department. You need to keep up with everything,” Carroll says.

In the end, one of the most important qualities an ER nurse can have is one that’s shared across all nursing specialties: empathy. “There is nothing worse than being in need of emergency services and having no one who smiles, understands you or remembers you don't want to be there,” Elliott says. “I believe one must be compassionate, patient and unafraid to be human.”

How do you become an emergency nurse?

The first step is simple: you must become a registered nurse (RN) by obtaining either an Associate’s Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN). Both roads lead to an RN career, but you’ll have to decide whether an ADN or a BSN is best for your own career aspirations. Once you have your Nursing degree in hand, you’ll have to pass the National Council Licensure Examination (NCLEX-RN) before working as a registered nurse.

After becoming a fully licensed RN, you can begin working toward a specialty in emergency nursing. Gaining experience in emergency medical situations will be key. Try working as a floating nurse in your hospital’s emergency room or assisting teams of paramedics to acquire applicable experience.

After earning a minimum of two years of related emergency experience, you can also apply to earn a certification from the Board of Certification for Emergency Nursing (BCEN). This credential isn’t required to land employment as an emergency nurse, but it could give you an edge on other candidates.

Save the day as an emergency nurse

Does the idea of thinking on your feet in the fast-paced environment of the emergency room get your adrenaline pumping? Then emergency nursing might be the perfect nursing specialty for you.

Before you can conquer the chaos of the emergency room, you must first become a licensed RN. Learn how to get started in our article, “How to Become a Registered Nurse (Your Step-by-Step Guide).”

* Brian J. Moore, Ph.D., Carol Stocks, Ph.D., R.N., and Pamela L. Owens, Ph.D., Trends in Emergency Department Visits, 2006-2014, Healthcare Cost and Utilization Project.

Emergency Nursing: Everything You Need to Know About Being an ER Nurse (2024)

FAQs

What questions should I ask in an ER nurse interview? ›

ER Nurse Interview Questions for Teamwork
  • How do you get along with staff at your current position?
  • Tell me about how typically work with your team. What is your role in the team? What does everyone else do?
  • Describe a situation when you had to work closely with a difficult coworker. How did you handle the situation?
27 Dec 2019

What do I need to know for an ER interview? ›

General questions
  • Can you tell me a little bit about yourself?
  • What qualities do you believe a successful ER nurse needs?
  • Why did you choose a career in nursing?
  • What do you enjoy most about being a nurse?
  • What do you think is the most difficult part of being a nurse?

What inspires you to be an emergency room nurse? ›

WANT AUTONOMY

In this environment, ER Nurses have more freedom to decide how to treat their patients than in other units. Having to work with critical patients, you learn quickly how to adapt to urgent situations and work autonomously.

Where are ER nurses most needed? ›

Where Do ER Nurses Work?
  • Critical Access Hospital. ER nurses in critical access hospitals help stabilize patients for transfer and treat serious injuries. ...
  • Urban Hospital. ...
  • Academic Medical Center/Teaching Hospital.

What are 3 qualities of a successful emergency room nurse? ›

5 Qualities of a Great Emergency Room Nurse
  • 1.) A Strong Professional and Emotional Foundation. To work in a hospital ER, you have to be a registered nurse (RN) and will treat patients of any age. ...
  • 2.) Clinical Skills. ...
  • 3.) A Calm Attitude. ...
  • 4.) Learning to be Assertive. ...
  • 5.) Flexibility.
9 Jun 2021

What skills do you need to be an ER nurse? ›

Here are some important emergency room nurse skills:
  • Clinical skills. Emergency rooms treat a wide range of medical conditions. ...
  • Composure in stressful situations. ...
  • Working through emotions. ...
  • Being assertive. ...
  • Flexibility. ...
  • Multi-tasking. ...
  • Time management. ...
  • Interpersonal skills.
29 Jan 2021

How do you triage? ›

Triage is the sorting of children into priority groups according to their medical need and the resources available.
...
The triaging process
  1. Assess several signs at the same time. ...
  2. Look at the child and observe the chest for breathing and priority signs such as severe malnutrition.

Why do you like working in the ER? ›

Although working in the ER might be too fast-paced for some nurses, I have found it to be an incredibly rewarding field. As an ER nurse, I have learned valuable leadership, communication and critical thinking skills, while also expanding my nursing knowledge and expertise in a variety of specialties.

How do you answer tell me about yourself in a nursing interview? ›

“TELL ME ABOUT YOURSELF!” for Nursing Interviews ... - YouTube

How do I become a successful ER nurse? ›

The following tips for a new ER nurse that will help improve success:
  1. Safely is the most important thing. ...
  2. Keep the family informed. ...
  3. You are going to see people die, and you need to know how to deal with it. ...
  4. Have thick skin! ...
  5. Find a way to relieve stress. ...
  6. Watch your tone. ...
  7. Learn to prioritize. ...
  8. Knowledge is important.
22 Jul 2022

Do ER nurses do stitches? ›

Generally, suturing a wound closed is considered to be a “minor surgical procedure.” As such, it is not within the purview of most nurses. But advanced practice nurses and emergency room RNs can sometimes place stitches.

What do ER nurses do on a daily basis? ›

Key Responsibilities of an ER Nurse

Triage and stabilize incoming patients. Perform minor medical procedures, such as setting broken bones. Clean wounds and apply sutures. Draw blood, start intravenous lines and administer medications.

Is it hard to be an ER nurse? ›

Now, working as an emergency room nurse isn't for everyone. More than 50% of nurses say they work shifts longer than 10 hours, and the ER is about as fast-paced and exhausting as any medical environment can be.

What is an ER nurse called? ›

Emergency Room nurses are called a number of different names including ER Nurse, Trauma Nurse and Critical Care Nurses.

Where do the happiest nurses work? ›

But Nurse.org found that nurse educators, home health nurses, nurse managers, OR-perioperative nurses, and pediatric nurses reported the highest levels of job satisfaction.

What is the greatest skill of a nurse? ›

Ten Essential Skills for Nurses
  • Teamwork. ...
  • Networking. ...
  • Critical thinking and creative problem solving. ...
  • Professionalism. ...
  • Empathy. ...
  • Conflict resolution. ...
  • Adaptability. ...
  • Initiative and strong work ethic.
16 Jan 2021

What are 5 things nurses do? ›

General Nurse Duties
  • Conduct physical exams.
  • Take detailed health care histories.
  • Listen to patients and analyze their physical and emotional needs.
  • Provide counseling and health care education to patients.
  • Coordinate care with other health care providers and specialists.

What is your greatest strength as a nurse? ›

Having empathy to interact with the patient and their family and helping them to cope with problems is very important in a nursing position. Having the ability to understand and share those feelings with the patient and their loved ones is an essential strength for a nurse.

What do ER nurses do? ›

An emergency room (ER) nurse is a medical professional who provides urgent care to patients in critical condition. Despite their name, their work extends beyond emergency rooms in hospitals. They also work in other locations where people are likely to need urgent care, like sports events or during rescue operations.

How would you describe an ER nurse on a resume? ›

In this role, you will provide exceptional patient care in a fast-paced environment, responding to injuries, trauma, illness, and allergic reactions. As the first line of patient contact, you must be able to assess and prioritize patients, assist doctors, and ensure a high quality of nursing standards.

WHAT ARE THE ABCS OF triage? ›

The mnemonic “ABCDE” stands for Airway, Breathing, Circulation, Disability, and Exposure. First, life-threatening airway problems are assessed and treated; second, life-threatening breathing problems are assessed and treated; and so on.

What are the 3 categories of triage? ›

Triage categories
  • Immediate category. These casualties require immediate life-saving treatment.
  • Urgent category. These casualties require significant intervention as soon as possible.
  • Delayed category. These patients will require medical intervention, but not with any urgency.
  • Expectant category.

What are the 5 levels of triage? ›

The triage categories used in both systems are: Red (immediate evaluation by physician), Orange (emergent, evaluation within 15 min), Yellow (potentially unstable, evaluation within 60 min), Green (non-urgent, re-evaluation every 180 min), and Blue (minor injuries or complaints, re-evaluation every 240 min).

What is a trauma nurse? ›

Trauma Nurse at a Glance. Trauma Nurses specialize in treating and diagnosing traumatic injuries or illnesses that put their patient's bodies and lives at immediate risk of physical duress. The word trauma refers to a disturbing or distressing experience.

What do you love about emergency medicine? ›

Emergency Medicine is an exciting and rewarding specialty. It requires a very specific set of skills including an ability to think quickly on your feet, a fondness of procedures and an unshakeable comfort with potentially harrowing traumas.

What are the 10 most common nursing interview questions and answers? ›

Common nursing interview questions
  • Do you work well with other nurses, doctors and staff? ...
  • How would you handle a difficult patient? ...
  • How do you handle workplace stress? ...
  • What do you do if your replacement does not arrive? ...
  • How would you handle a disagreement with a doctor? ...
  • Describe how you manage a busy workload.

What is your weakness best answer? ›

Answer “what is your greatest weakness” by choosing a skill that is not essential to the job you're applying to and by stressing exactly how you're practically addressing your weakness. Some skills that you can use as weaknesses include impatience, multitasking, self-criticism, and procrastination.

How many patients can an ER nurse have? ›

California is the only state in the country to require by law specific number of nurses to patients in every hospital unit. It requires hospitals to provide one nurse for every two patients in intensive care and one nurse for every four patients in emergency rooms, for example.

What it's like being an ER nurse? ›

It's way more work than it looks like on paper

Traditionally, nurses work 12-hour shifts, three shifts a week. It's less than a 40-hour work week, but it's exhausting. There's virtually no downtime and you're physically on your feet, running around during the entire shift.

What's the difference between ER and Ed? ›

An emergency department (ED), also known as an accident and emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the acute care of patients who present without prior appointment; either by their own means or by ...

Are nurses allowed to intubate? ›

Intubation can be performed by various healthcare professionals, such as physicians, Anesthesiologists, Nurse Anesthetists, and other Advance Practice Registered Nurses (APRNs).

Can a nurse remove stitches? ›

It is best for a person to have a healthcare professional remove their stitches. A doctor or nurse can make sure that the wound has healed and that the stitches are ready to come out. They can also ensure the safe removal of the stitches to minimize the risk of infection.

Why can't nurses suture? ›

Because suturing is considered a minor surgical procedure, it doesn't fall within the general scope of nursing duties unless your state specifically allows it. States more often allow advanced practice nurses to suture than RNs without an advanced practice degree.

How long are ER nurse shifts? ›

How Many Hours Do ER Nurses Work? ER nurses usually work in shifts of 12 hours a day. An ER nurse can expect to work between 40 hours and 60+ hours per week or every day for months due to high demand.

How many days a week do ER nurses work? ›

In the ER that I recently started working in, the majority of nurses work variable shifts on both days and nights meaning, there is no set time you work for example the traditional 7-7 nights or 7-7 days. You will work 5a-5p one shift and 13-01 another shift.

What is the most challenging part of being an ER nurse? ›

The ER is a stressful environment

Healy and Tyrrell report that ER nurses and other staff members are routinely involved in stressful incidents, including resuscitation efforts and witnessing the deaths of patients. Working as a travel ER nurse can also be physically demanding, heightening stress levels.

What do you think is the most difficult part of being a ER nurse? ›

Many said seeing patients die after doing everything to care for them is the hardest part. Other challenges include long shifts, having to use time-consuming technology, and a lack of respect from other people in the healthcare industry.

Is Ed nursing stressful? ›

Results: The results of this study indicated that emergency department nurses experience stress in their work settings. Stress is experienced predominantly because of problems in dealing with patients and their families, high workloads, and uncertainty concerning treatment.

Which is better ICU or ER? ›

The ICU lacks the urgency of the ER, but the stakes are still high with patients fighting for their lives. The ICU nursing skills that come in handy are the ability to follow procedures and a sharp eye for detail. “Keen observation skills are paramount in the ICU,” Allec says.

How many questions is the CEN exam? ›

Exam Scoring Questions

The CEN exam consists of 175 items (150 scored and 25 unscored pretest items).

Are ER nurses in demand? ›

You can choose the patient population you provide care for, the work environment, even the dynamism level of the job. Emergency Nursing remains one of the most in-demand and fulfilling career tracks for nurses among the myriad of options.

What type of nurse is the happiest? ›

The job of an occupational health nurse can be one of the happiest nursing jobs as this type of work is typically low-stress. The OHN nurse works with employees who are interested in their health and typically appreciate the nurse's input and help.

What is the easiest nursing job? ›

Easiest Nursing Jobs Availabile
  • Nurse Educator. Average Annual Salary: $62,000. ...
  • Nurse Blogger. Average Annual Salary: N/A. ...
  • Clinic Nurse. Average Annual Salary: $65,000. ...
  • Traveling Nurse. Average Annual Salary: $70,000. ...
  • School Nurse. Average Annual Salary: $50,000. ...
  • Summer Camp Nurse. ...
  • Nurse Administrator. ...
  • Public Health Nurse.
31 Aug 2022

What is the easiest floor to work on as a nurse? ›

And frankly, the easiest and fastest way to get a job as a new grad is to go to a med/surg floor. They are always some of the most challenging floors to keep staffed in the hospital and are usually the most willing to hire new grads.

Why do you want to be an emergency department nurse? ›

Although working in the ER might be too fast-paced for some nurses, I have found it to be an incredibly rewarding field. As an ER nurse, I have learned valuable leadership, communication and critical thinking skills, while also expanding my nursing knowledge and expertise in a variety of specialties.

How would you handle an emergency situation interview question? ›

Interview Answer

Depending on the situation, I will have to be kind and caring of people's fears but also assertive as it could be important for the guests to follow the rules. Overall, I would try my best to stay calm and collected while putting the guests safety first.

How do you answer tell me about yourself in a nursing interview? ›

“TELL ME ABOUT YOURSELF!” for Nursing Interviews ... - YouTube

What is triage in emergency department? ›

In the emergency department “triage” refers to the methods used to assess patients' severity of injury or illness within a short time after their arrival, assign priorities, and transfer each patient to the appropriate place for treatment (5).

How do I become a successful ER nurse? ›

The following tips for a new ER nurse that will help improve success:
  1. Safely is the most important thing. ...
  2. Keep the family informed. ...
  3. You are going to see people die, and you need to know how to deal with it. ...
  4. Have thick skin! ...
  5. Find a way to relieve stress. ...
  6. Watch your tone. ...
  7. Learn to prioritize. ...
  8. Knowledge is important.
22 Jul 2022

Is it hard to be an ER nurse? ›

Now, working as an emergency room nurse isn't for everyone. More than 50% of nurses say they work shifts longer than 10 hours, and the ER is about as fast-paced and exhausting as any medical environment can be.

What do ER nurses do on a daily basis? ›

Key Responsibilities of an ER Nurse

Triage and stabilize incoming patients. Perform minor medical procedures, such as setting broken bones. Clean wounds and apply sutures. Draw blood, start intravenous lines and administer medications.

How do you handle stress and pressure? ›

Common stress management strategies include:
  1. Staying positive.
  2. Using stress as a motivator.
  3. Accepting what you can't control.
  4. Practicing relaxation methods, like yoga or meditation.
  5. Choosing healthy habits.
  6. Learning how to manage time better.
  7. Making time for your personal life.
29 Jun 2021

What is your weakness best answer? ›

Answer “what is your greatest weakness” by choosing a skill that is not essential to the job you're applying to and by stressing exactly how you're practically addressing your weakness. Some skills that you can use as weaknesses include impatience, multitasking, self-criticism, and procrastination.

How do u handle a difficult situation? ›

Tips
  1. Be Realistic - change takes time; appreciate the small steps of improvement.
  2. Stay friendly - work up to the more difficult topics; don't make negative comments. ...
  3. Be optimistic - remember the good things about this person; try not to generalize criticisms (do not use "always" or "never").

What are the 10 most common nursing interview questions and answers? ›

Common nursing interview questions
  • Do you work well with other nurses, doctors and staff? ...
  • How would you handle a difficult patient? ...
  • How do you handle workplace stress? ...
  • What do you do if your replacement does not arrive? ...
  • How would you handle a disagreement with a doctor? ...
  • Describe how you manage a busy workload.

How do I sell myself as a nurse? ›

Strike up conversations with nurses and people from other healthcare disciplines, and exchange business cards. Keep in touch online and try to meet again in person, if possible. Also attend social events sponsored by your company to meet people from other departments. Connect on social media.

How do you answer what are your weaknesses in nursing interview? ›

Monster.com suggests you state the professional weakness but emphasize the positive and add your solution for overcoming this shortcoming — because all weaknesses are opportunities for growth. Any time you mention a weakness, it's wise to mention what you're actively doing to overcome the hurdle.

What are the 3 categories of triage? ›

Triage categories
  • Immediate category. These casualties require immediate life-saving treatment.
  • Urgent category. These casualties require significant intervention as soon as possible.
  • Delayed category. These patients will require medical intervention, but not with any urgency.
  • Expectant category.

What are the 5 levels of triage? ›

The triage categories used in both systems are: Red (immediate evaluation by physician), Orange (emergent, evaluation within 15 min), Yellow (potentially unstable, evaluation within 60 min), Green (non-urgent, re-evaluation every 180 min), and Blue (minor injuries or complaints, re-evaluation every 240 min).

How do you handle an emergency patient? ›

How To Handle A Medical Emergency Effectively
  1. Stay Calm And Composed. Medical emergency is an alarming situation and can make people anxious. ...
  2. Call Medical Emergency Services At Once. Help takes time to arrive. ...
  3. Always Carry A First Aid Kit. ...
  4. Give CPR To The Patient.
18 May 2020

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