I can't PM you (or can I?) so I wanted to ask you.
I need to pick a specialty for Preceptorship and was wondering if you could tell me more about the ICU. We go there but I think I have to put in for specialty before then. It attracts me that there is a low pt/nurse ratio even though I know that does not, by any means, translate into less work.
Can you compare/contrast ICU to med-surg where nurse pt ratio 4-5-6/1?
And I can't remember, did you start in ICU staight out of NS? If so, how was that?
I need to pick something and I am starting to panic!:uhoh21:
Jan 20, '07
I'll sum up my last shift.
I had 2 pts. One easy one, one hard one. Easy one a post-op pt who had a bowel perf. He had been post op many days now, but had a wound vac, with a large midline incision. Prior to that we were doing dressing changes BID. Lots of abx, Q6 fingersticks, cvp attatched to one of his ports on his central line. TPN running, and IVF. All ICU pts are Q2 assessments, Q1 I/Os and VS.
Other pt was a old, old lady. S/P code (at home). Vent, triple lumen in one groin and a-line in the other, Insulin gtt-so fingersticks Q1 hr (and no tech), no urine output, NGT, on 2 pressors and barely keeping a pressure. I spent a lot of my day titrating up on the levophed and giving boluses. I also spent a lot of time updating each doctor as they came in on the pt status.
I also work at a teaching hospital, so I spend some time correcting the mistakes made by residents. Here's where your knowledge of your pts is important!
Some days you'll get pts that go to surgery right away, or who need procedure like a central line placement, or swan insertion. It's certainly scary at first, but fun.
You'll learn so much in the first few months that you wil be amazed!
Last edit by cardiacRN2006 on Jan 22, '07
: Reason: Clarification