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Cardiac Nursing Question



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Jan 15, 2009 05:45 PM

Cardiac Nursing Question

by oreo84

Hi everyone,

I have a few questions. I am graduating in August 09 and am trying to decide what I would like to do for my preceptorship experience this summer. I have thought about cardiac nursing as a possibility. I've always been interested in the heart, and for my research class this semester I've chosen my topic for my "fake" research proposal to be related to patient education for heart failure, so it is something that interests me for sure.

Are cardiac floors always considered critical care? We did a clinical on a med-surg floor (which also had some telemetry patients)... but from what I've researched it looks like at many hospitals it is considered critical care. The hospital we were at for clinicals was a smaller community hospital so the floors were mixed, but some of the patients that I was assigned to were on monitors - mostly CHF exacerbations.

I haven't had critical care yet so I'm not sure if that is what I want to do. I guess I'm hesitant to write down "cardiac nursing" as my choice for preceptorship since I'm not sure what I'm getting into. Unfortunately my school needs our decisions and preferences before I will start that class and clinical so they have time to place everyone.

Does anyone have any advice? I enjoyed my clinical on the med-surg/telemetry unit. Most of the patients were CHF, COPD, Renal, GI bleeds type patients. I enjoyed working with those types of patients. Would you think that I would like cardiac nursing?

Thanks in advance for any comments or suggestions. I really appreciate it.


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7 Comments
No. 1
from jmgrn65
Old Jan 15, 2009, 05:50 PM

Default Re: Cardiac Nursing Question
No cardiac is not considered critical care, but it critical thinking skills are important. If you really like cardiac then what is the harm in doing an externship. That would give you a better idea and some experience as well. GOod Luck
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No. 2
from oreo84
Old Jan 15, 2009, 05:56 PM

Default Re: Cardiac Nursing Question
Thanks for your response!

My teacher told someone who wanted to do their preceptorship in the NICU that if they then decided that it wasn't what they wanted to do then they might be at a disadvantaged if they tried getting a job in say... med surg.. after graduation. Would you say the same would hold true if I picked cardiac nursing? Or would you say that the critical thinking skills that I would learn in cardiac nursing would benefit me if I did decide that I wanted to do med-surg post graduation? Would it be an easy transition if I changed my mind? This preceptorship is our last class and the last 6 weeks of school, so it would be really great if I could figure out what I wanted to do for sure so that I would already have the experience in what I wanted to do once I (hopefully) found a job in that area.

Thanks!
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No. 3
from ghillbert
Old Jan 15, 2009, 06:38 PM

Default Re: Cardiac Nursing Question
Working in a cardiac surgical unit will give you a great preparation for many areas - you get multiple comorbidities such as diabetes, COPD, hypertension etc. It's not critical care once on a stepdown type unit, although you will be able to get some skills with ECG monitoring etc.
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No. 4
from getoverit
Old Jan 15, 2009, 10:52 PM

Default Re: Cardiac Nursing Question
oreo84,
congratulations on almost finishing nursing school.
some people may disagree with me, but i don't think you (or your friend who is choosing NICU) will be at a disadvantage trying to get a job in a different area of nursing after graduation. if you choose cardiac nursing, then you may have an advantage trying to get a job in that field, but i don't see any employer holding you at a disadvantage based on which externship you chose during school.
the critical thinking skills are what you need to develop more so than any set of specific nursing specialties. because they will translate to all areas of nursing, whether it's cardiac, peds, oncology, trauma, etc. you need to develop routines and strategies to learn, retain, and apply them into your clinical practice. it's having these skills that makes any transition easier, and conversely, not having them makes it harder.
if you find the heart interesting (and i do too), then go for it. the stuff you'll see is fascinating and if you become interested in critical care then having a cardiac background will help if you decide to apply for CCU/CICU/CVICU.
good luck.
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No. 5
from gradRN2007
Old Jan 16, 2009, 09:52 PM

Default Re: Cardiac Nursing Question
I agree, I went to a cardiac step down unit after I passed my boards, I love cardiac but don't like ventilator (ICU), so IMCU was a perfect choice for me. Also a 3:1 ratio for IMCU and 4:1 for tele..so lucky to be where I am!
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No. 6
from Virgo_RN
Old Jan 17, 2009, 03:13 AM

Default Re: Cardiac Nursing Question
Our cardiac tele unit is considered critical care. As others have said, if you're interested in the cardiovascular system, then you will probably enjoy a clinical experience on a cardiac unit. Good luck!
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No. 7
from al7139
Old Jan 29, 2009, 04:43 AM

Default Re: Cardiac Nursing Question
Hi there,
IMHO, you can't go wrong with cardiac. I have worked on my Tele/Med unit since graduating in 2007, and have been so very happy here. I hated cardiac in school until my first clinical on this unit, and got an interview and hired (pending graduation) before getting out of school. We have patients that range from R/O MI to STEMI with interventions to COPD, CHF, diabetes, and a myriad of medical issues like PE, DVT, Cancer, even Cystic Fibrosis patients, so it's never a dull moment. Our unit is really for "stable patients", but I can tell you that patients can become critical in a heartbeat (no pun intended), so I have had experience with codes and getting patients transferred to a higher level of care like PCU or ICU. I had a really good orientation, and a good team to work with so even though when I was a new grad, I never felt alone (and still don't). I find it so intersting and I am the kind of person who likes being constantly challenged, so it is the perfect fit for me, since I learn something new every time I work. My first few weeks were scary (even with a preceptor on orientation), but after getting through the first active chest pain, the first code, etc. I realized I have the knowledge and can do what's needed at the time. I would like to eventually go to ICU or ED/Trauma, and my cardiac experience will get me there.
Cardiac or Telemetry is not necessarily considered critical care, but you have to be aware that your patients could suddenly become critical due to the disease processes, so it is super important to be aware of all aspects of your patients from vitals to assessment to blood sugars, etc. Your goal is to prevent a critical situation if possible, and to manage it if it happens.
I love the experience I am getting here, and know it will only benefit me in the future.
Good luck!
Amy
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