Doctor Oh
Region: US
Saturday 12 July 2025 12:38:30 GMT
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Kate :
Thank you! While ICU is 1:1 we are 4:1 with the same critical patients that go to the ICU
2025-07-12 12:51:53
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Tmdschimpf :
As an ER nurse I ALSO do NOT understand!!
2025-07-13 04:51:47
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Joy Moore :
As an ER nurse I was told more than once while given report that the patient was not stable enough to go to ICU.
2025-07-21 18:00:33
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Brandie KK :
I work ER and ICU - they are not the same. An ER RN provides a focused assessment and response. They stabilize (when possible) and pass on. An ICU RN provides 100% care of that patient and requires a better understanding of all body functions and pathophys.
2025-07-12 20:01:43
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Tara Hoyt :
Because then they would have to staff it to critical care standards. It’s always about the money
2025-07-12 13:36:45
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JB :
It’s a solid question. I’m a 3rd year nurse anesthesia student with a background in ER (10 yrs), flight (3 1/2 yrs), and ICU (1 yr), so I feel like I’m qualified to give an opinion here. One, I do agree ER provides critical care nursing. For sure. However, (and I know there are tons of critical boarders in the ER), a big part of the education/experience background you need for successful CRNA training involves a full understanding of not just the initial management of a critical patient, but the ongoing process of their care and sequelae of their disease process over a period of days to weeks, which is something ER doesnt get. I’ve also looked at numbers reflecting successful NCE (crna) board pass rates based on nursing background, and ER wasn’t as successful as ICU. Last, and this was only my experience, having done ER and flight nursing, i was surprised to learn the things I didn’t know I didn’t know when I got to the ICU. ER nurses are badass, and they have to be jacks of all trades. But it’s just…. Different.
2025-07-12 18:21:36
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Lagocephalus Laevigatus :
ER doesn’t count for CRNA bc they want the controlled rule followers of the unit. ER is the Wild West on a good day…😂
2025-07-13 05:12:17
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Trishm51962 :
That’s so crazy. At our rural ER, the nurse is as good as the Dr. The Dr is usually a floater and ain’t from around here. 😂
2025-07-12 13:30:10
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Mandi :
I've always considered it critical care
2025-07-12 15:06:56
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Ami Addison :
I think bc in theory, ED nurses "just" stabilize, not maintain critical patients. In reality, those patients can sit there for hours or days and we wind up taking care of boarder pts AND ED patients which is a hot mess!
2025-07-13 11:19:15
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Cabej90 :
While many concepts of Emergency care and Critical Care overlap, the difference is in skill set and the depth of the knowledge base. In the ER, you learn a lot about how to provide a certain level of critical care, but not as much of the why, nor is the level of monitoring the same. You will not be shooting cardiac calcs with a swan-ganz in the ER nor will you be monitoring ICP using a ventriculostomy in the ER… but most ICU nurses do not know how to manage a fresh trauma off an ambulance. One is not necessarily better than the other, they are just different. Regarding CRNA school, I can 100% see why ER is not the type of critical care they consider. I’ve even had flight nurses tell me that they would have benefitted from ICU experience prior to joining a flight crew.
2025-07-13 20:13:31
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Carol Thompson Slavens :
I consider them critical care, personally. HOWEVER.. It is not the same as ICU. Just like anything, their field is so specialized. So, for most continuing degrees for nurses, they require ICU critical care experience. The why as I see it: The continuous management and monitoring of critically ill patients. Yes, the ER RNs can quickly stabilize a patient and recognize someone actively declining, but they don’t have the training and knowledge for the constant care of these patients. They ship them out as quickly as possible. Whereas… In my unit, for example, we are trained IN DEPTH on hemodynamics, rhythms, various disorders, vasoactive medications, ventilators, procedures, care of post-surgical patients, post-cardiac arrest algorithms/patient management, MCS devices and management of said devices, sedation medications, electrolytes, attention to finite details, and sooo much more. This builds a very strong background for continuing education. We get a lot of RNs from the ED who transition into ICU RNs and there is a major learning curve. They do great most of the time, though! There is nothing less important about their specialty. It is so important and so hard. They are critical care, it’s just not the same.
2025-07-14 03:20:02
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nurse_phia_1975 :
As a previous ICU nurse…I consider ER and ICU as critical care departments
2025-07-12 15:42:09
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Dee Cool :
Retired nurse here. If they have to maintain a PALS and ACLS certification then they ARE critical care nurses. 🥰🥰🥰
2025-07-12 12:58:55
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Melanie :
probably because, as ER nurses we don't usually monitor or titrate drips over an extended period of time. Good question. 🥰🥰🥰
2025-07-12 12:49:52
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Lonely Birch Farm :
That seems so weird to me too. ER nurses hang critical drips etc. 🤷♀️
2025-07-12 12:47:44
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Robyn :
Agree with you ! They take care of multiple critical patients at once
2025-07-12 12:58:31
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Tata :
Ummm ER is THEE most critical care!!
2025-07-12 16:47:32
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Lori Barton :
I did high risk L&D and NICU. The VA didn’t consider that high risk nursing.
2025-07-13 01:06:43
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marshahg8 :
Never heard that in my realm of nursing. I am retired nsg prof. We teach that ED nurses do provide a wide range of levels of care (from bandaids to CV) across the lifespan. With goal of stabilization and transferred to appropriate unit or home
2025-07-12 13:15:19
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Delafera :
Er turned ICU nurse- experience in er can vary so widely that it can’t be applied as a blanket across the board. Also er is great at acute stabilization- but the diligence and attention to detail for long term management of critical patients is best done in ICU.
2025-07-12 22:53:38
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Shauna C :
Ok, so in my hospital (level 2 trauma center)- ER & ICU are considered the critical care line. But if you’re talking CRNA requirements a lot of them don’t count it to rule out more rural hospitals where their ER *shouldn’t* count.
2025-07-13 04:55:07
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Amanda Cardinal- Murdock :
your an amazing doctor because you respect your nurses and I bet you respect your CNAs to and that's amazing because some don't respect the nurses or CNAs at all to
2025-07-12 17:11:15
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OutdoorRN :
Fun fact PACU experience doesn’t count as critical care for CRNA school either. It’s like the powers that be don’t understand what we do. I literally do ICU level care everyday.
2025-07-12 13:06:20
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Crystal Daigle Brown :
Once upon a time (icu nurse of 23 years here) we were told because it’s not consistent critical care in ED… we would get called down to assist in placing ICP bolts because the ED nurses wernt as versed in it or set up the art line system for the same reason… and ED don’t deal with the open heart patients with the balloon pumps or impellas and the cardiac output monitors. But 🤷🏼♀️🤷🏼♀️. I love my ED brothers n sisters and why if they can pass all the testing aren’t they considered for anything like this
2025-07-12 15:32:41
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