Decisions Decisions...Med-Surg or Cardiac Step Down

Specialties Cardiac

Published

I need advice. I am a new grad. I have been working in a nursing home for the last few months. I am so grateful that I have been offered 2 different job opportunities. My conundrum is choosing the right job. Job #1 is in a community hospital on a med-surg telemetry floor (mostly medical). The hospital is an hour drive from my house. It is not a teaching hospital. Job #2 is in a metropolitan hospital in the cardiac surgery step down unit. The hospital is a teaching hospital and I would be part of the new grad program. However, this job would mean relocating (plane ride distance).

As a new grad, I have been reminded over and over again that med-surg is the starting line for all nurses. Is this a must? Will I miss out on valuable experience if I do not start in med-surg? Or will I gain more experience in the step down unit? I am interested in cardiac nursing, but what if I change my mind later in my nursing career - will I be locked into cardiac nursing? Which job offers the greatest opportunity?

Again, I am so grateful as I know how hard it is to get a job these days. Any advice is greatly appreciated. Thanks!

Specializes in Telemetry.

It sounds to me like the step down position is where your heart is anyway (pun fully intended). :) You can also go a lot of places with experience as a cardiac nurse; so long as the relocating isn't too much of a problem for you, that's what I would do.

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