Progression from ED Technician to Registered Nurse: A Qualitative Exploration of Lived Experiences in a Level 1 Trauma Center

INTRODUCTION: Progressing from Emergency Department technician (ED tech) to Emergency Department registered nurse (ED RN) represents a significant professional transition in emergency care. This study explored the lived experiences of ED RNs who previously worked as ED techs to better understand how prior ED tech roles influenced professional development and career trajectory within emergency nursing practice. METHODS: A hermeneutic phenomenological approach grounded in Heidegger's philosophy guided this study. Semi-structured interviews were conducted with ED RNs (n = 11) practicing in emergency departments within Level I trauma centers. Data were analyzed using iterative thematic analysis informed by the Hermeneutic Circle. Benner's Novice to Expert Theory supported interpretation. RESULTS: Three major themes emerged: (1) preparedness for RN transition, (2) professional identity and fulfillment, and (3) relational practice in emergency care. Together, these findings illustrate how early ED tech experience fosters professional development and may influence future career advancement within emergency nursing practice. DISCUSSION: ED tech experience may enhance preparedness, resilience, and interpersonal skills during the ED RN transition. Onboarding and mentorship tailored specifically for ED techs transitioning to the RN role can build on these strengths while addressing identity shift and delegation challenges that may otherwise complicate early role adaptation.