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Emergency Department Nurse Transition Program

Dartmouth-Hitchcock Medical Center's Emergency Department Nurse Transition program is a ten-month two-part training program that prepares experienced acute care nurses to practice in the ED.

About Jean A. Proehl, RN, MN, CEN, CCRN, FAEN

Jean Proehl is responsible for clinical leadership and educational programs in the Emergency Department and she will be managing your training. Jean is the Chairperson of the Academy of Emergency Nursing, and a well-known speaker on Emergency and Trauma Nursing. She is editor of the Advanced Emergency Nursing Journal, the author of Emergency Nursing Procedures, Adult Emergency Nursing Procedures, Emergency Nursing: A Physiologic and Clinical Perspective, and Mosby's Emergency Department Patient Teaching Guides. Jean is a contributing author for Mosby's Emergency & Transport Nursing Examination Review, a contributing author for Trauma Nursing Core Course Provider Manual and the content editor of Emergency Nursing Secrets. Jean is also the author of numerous journal articles on emergency nursing.

Part One - Building Critical Care Skills

The first part of the program is a four-month training that builds the critical care skills and knowledge you will need in the ED. The training you receive is tailored to your background. You will learn to start IVs, read cardiac monitors and work with children.

Your training will take place in critical care units, the IV team, pediatric clinics, the CHaD Pain Free program and in classes. You will take classes on dysrhythmias, Advanced Cardiac Life Support (ACLS), and Management of Aggressive Behavior (MOAB). During this time, you will maintain a connection with the ED and build familiarity with it through shadowing.

Part Two - Emergency Department Transition Program

The second part of the training is a six-month Emergency Department Transition Program that takes the baseline of skills you have developed and uses on-line modules, classes, skills labs, simulation lab, and an extended preceptorship program to add the skills you need to succeed in the Emergency Department.

The ED treats all ages of patients, all acuities and all conditions. So, you need to be prepared to do everything from irrigating ears to assisting in opening up a chest. During the second phase of the program you will have classes one day a week, clinical days three days per week, and homework. On your class days you will work in the Simulation Lab and on DHMC-specific policies and procedures. During this time you will work in other departments where you will be precepted. Classes include Trauma Nursing Core Course (TNCC), and Emergency Nursing Pediatric Course (ENPC).

After fifteen weeks of classes you will be precepted in the ED. You will do 36 hours a week of precepted time, and the length of your preceptorship will depend upon your skill level.

Once you have completed the ED Nurse Transition Program you will have four certifications: ACLS, TNCC, ENPC and MOAB.

Apply today to begin your transition to Emergency Nursing at Dartmouth-Hitchcock Medical Center.