Quote from MBunny
You said "would really like to get out of nursing period, but that isn't going to happen soon,so I am stuck". Why would you then consider working in a unit where, at least in my experience, the nurses who do work there are committed to their patients, and they are not afraid of challenges. Just because you may have one or two patients does not mean its easy, it takes experience, commitment, and a strong nurse to be able to apply critical thinking in an ICU. In my opinion, its not just a place to pass the time until you find your calling. The learning curve of switching from a step down unit to an ICU will take some time as well. If it were me in your position, I would not inflict my dissatisfaction with the nursing profession on critically ill patients who are counting on you for quality care.
Don't get me wrong- I do care for my pts- it's my downfall. In my efforts to be on top of things( ie. pts heading south) and too much attention to detail, I suppose, that this is what is most frustrating about the job. For example, I had a very nice elderly pt who, come to find out , has RSV. I believe I spent 80 % of my shift in his room, or eyeballing him, etc. because I knew he could turn in an instant( he was full code, wanted everything). When I left, he was stable.I know some of my co- workers don't do this.They sit on their butts unless someone actually puts on a call light. This guy was ill, and didnt want to bother anyone- by the the time he says anything might be too late to do anything about it. The frustrating part is the other 4-5 pts I have won't be seeing me too much, and then we ( or I ) get dinged on our scores.It's the customer service thing that makes me want to change professions.That's another rant addressed profusely in other areas of the forum.
And where I am , they don't take acuity into account- you should have heard the night nurse I gave report to last night night- she was so angry at me for not complaining about that assignment( which she was getting) I know better- it doesn't do any good to complain. This is why I get so conflicted. I feel bad for the guy; they are angry they can't surf the net and eat all night( I've worked nights with them- that IS what they do sometimes)
I am serious about my job- I just want to be able to do it right, but the Studor Joke crap is what will have me leave eventually- I can't do my job right with all that horse bleep that takes me away from doing my job right.
Maybe, as I realize what I am writing, is the fact that there is NO teamwork anymore where I am, and everyone is stressed out ( at least the day/eve people)